3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons #1, #2, and #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1, #2, and #3 staff persons #1, #2, and #3 may not work in a child-care position at the facility.

Staff persons #1 and #3 were observed to be caring for children unsupervised. Staff persons #1 and #3 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First-Aid & CPR. Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: PA Required Health and Safety for Centers-Group Child Care Part 1.

Corrected Corrected by Mar 20, 2026

Category: supervision. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Debris from damaged plaster/drywall was observed on the floor in Room 3 in the corner, and room 6 near the stage.

Corrected Corrected by Mar 16, 2026

Category: physical safety. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Staff person #4 has completed the health and safety course titled Health and Safety Basics: Requirements for Certification (6 hours but does not have documentation of completing the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by Mar 16, 2026

Category: ratio. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

A stapler sitting on a teacher's desk was observed to be accessible to PS age children in room 4.

Corrected Corrected by Mar 16, 2026

Category: health medication. Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #3, employed over 90 days, did not include documentation of completing emergency plan training. The files for staff #1, #2, and #7 contained documentation of completing emergency plan training more than 12 months apart, in October of 2024 and again in December 2025.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #2 did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the previous certification. The training dates were 2/01/23 and 3/31/25. Current training documentation is now on file.

Corrected Corrected by Mar 16, 2026

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #2 does not include acceptable fire safety training documentation. The certificate on file dated 2/25/25 is not a preapproved course and does not list the topics covered by the training. The files for staff #1 and #7 contained documentation of consecutive fire safety trainings completed more than 12 months apart but are now current. The trainings for both staff were dated 9/15/24 and 1/05/26.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #6 may not work in a child care position at the facility.

The file for staff #6 contained an expired NSOR dated 9/22/20. Staff #6 was observed caring for children unsupervised. Staff #6 may not work in a child care position at the facility. The file for staff #4 contained an FBI clearance which was not updated by the expiration of the previous clearance. The previous FBI clearance was dated 10/05/20 and was renewed on 12/22/25. The file for staff #7 contained 3 clearances which were not renewed by the expiration of the previous clearances. The dates were as follows; previous child abuse dated 9/25/20 and renewed on 10/09/25, previous FBI dated 9/20/20 and renewed on 9/26/25, previous NSOR dated 9/22/20 and renewed on 9/26/25.

Corrected Corrected by Mar 16, 2026

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #6 did not renew mandated reporter training within 60 months. This is evidenced by the previous mandated reporter training on file being dated 10/02/19 and the most recent certificate being dated 1/07/25.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

The following items labeled keep out of reach of children were accessible in Room 6; hand sanitizer on a table, decorative spray snow and disinfectant on a low shelf.

Corrected Corrected by Mar 16, 2026

Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

An unlabeled spray bottle was observed in Room 4. Based on statements made by staff, the bottle contained a water and Lysol mix.

Corrected Corrected by Mar 16, 2026

Category: ratio. Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

A soiled pull up was observed in an open top trash can in the PS restroom beside the sink. Used food service items and left over food were observed in an open top trash can in room 5. Lids for the trash cans were present, but not attached or in use.

Corrected Corrected by Mar 16, 2026

Category: nutrition. Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Second floor windows in Room 4 and Room 5 were not restricted to open 6 inches or less. The windows were accessible to the preschool and school age children who receive care in the rooms.

Corrected Corrected by Mar 16, 2026

Category: physical safety. Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

Rooms 3 and 6 did not have first aid kits present during the inspection.

Corrected Corrected by Mar 16, 2026

Category: health medication. Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in room 4 lacked an assortment of bandages.

Corrected Corrected by Mar 16, 2026

Category: health medication. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Staining on the ceiling was observed in Room 3. Based on statements made by staff, the area has water damage and is currently under repair. Crumbling plaster was also observed on the floor under the damaged area.

Corrected Corrected by Mar 16, 2026

Category: physical safety. Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The diapering area in Room 1, the infant room, lacked a posted handwashing sign.

Corrected Corrected by Mar 16, 2026

Category: health medication. Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Two restrooms off the main hall lacked lidded waste receptacles.

Corrected Corrected by Mar 16, 2026

Category: health medication. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

One plastic trash bag was observed to be accessible in an unlocked cabinet under a sink in the PS restroom.

Corrected Corrected by Mar 16, 2026

Category: physical safety. Marked corrected in the state record.

3270.111(b) · The written plan of daily activities shall be posted in the group space.

A written plan of daily activities was not posted in Room 6, designated as the school age room.

Corrected Corrected by Mar 16, 2026

Category: physical safety. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

The agreements for children #1, #4, and #7 were not signed by the operator.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreements for children #1, #4, and #7 did not specify the amount of the fee to be charged

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreements for children #1, #4, and #7 did not specify the date on which the fee is to be paid.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The agreements for children, #1, #2, #3, #4, #5, and #7 did not include the services to be provided to the family and child. Additionally, the files for children #2, #3, #4, and #5 did not include documentation of sharing a child service report with the parents.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreements for children #1, #4, and #7 did not specify the child's arrival and departure times.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreements for children #4 and #7 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreements for children #1, #4, and #7 did not specify the date of the child's admission.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The file for child #6 did not include emergency contact information.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact information for children #1, #2, #3, #5, and #7 did not include complete contact information for the child's physician or source of medical care.

Corrected Corrected by Mar 16, 2026

Category: health medication. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information for children #1, #2, and #3 lacked complete work addresses for the enrolling parent. For child #1, the enrolling parent's home address was also incomplete.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact information for children #1, #2, #3, #5, and #7 did not include information on the child's special needs or disabilities. The boxes on the form were left blank.

Corrected Corrected by Mar 16, 2026

Category: health medication. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact information for children #1, #2, #3, and #5 did not include the health insurance name and/or policy number for the child.

Corrected Corrected by Mar 16, 2026

Category: health medication. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact forms for children #1 through #5 and #7 lacked complete contact information for the individuals the children may be released to. Addresses were incomplete, missing, or the boxes were left blank.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

The file for child #6 did not include emergency contact information. The child was present in Room 4, the preschool room.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The emergency contact information and the agreements for children #1 through #5 have not been reviewed and updated by the parents in over 6 months.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The file for child #2, and older toddler, lacked a current health report. The report on file was dated over 12 months ago.

Corrected Corrected by Mar 16, 2026

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff #2 contained consecutive health assessments dated more than 24 months apart but are now current. The file for staff #5 contained an initial health assessment and TB screening dated after their start in a child care position. The file for staff #4 contained results of a TB screening dated after their start in a child care position.

Corrected Corrected by Mar 16, 2026

Category: ratio. Marked corrected in the state record.

3270.171(b)/3270.171(c) · Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Safe crossways, routes, and pick up/drop off procedures were not posted at the facility.

Corrected Corrected by Mar 16, 2026

Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The record for child #6 did not contain signed parental consent for emergency medical care for the child and did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Mar 16, 2026

Category: ratio. Marked corrected in the state record.

3270.182(8) · A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The file for child #6 did not include an agreement.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

An emergency drill was not conducted within 12 months of beginning operation on 10/07/24. A drill was conducted and documented on 11/13/25.

Corrected Corrected by Mar 16, 2026

Category: ratio. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #7 did not include documentation of completing 12 hours of annual training between 9/04/24 and 9/04/25.

Corrected Corrected by Mar 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.131(e) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The files for children #3 and #5, enrolled over 60 days, did not include health reports or immunization records. Children #3 and #5 will be dismissed from care by close of business 1/07/26 until either the immunization record is updated or a parent provides a written, signed exemption letter.

Corrected Corrected by Mar 16, 2026

Category: health medication. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The files for children #1, #4, and #7, all enrolled for over 60 days, did not contain health reports.

Corrected Corrected by Mar 16, 2026

Category: health medication. Marked corrected in the state record.

3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Child #1 was placed in a high chair for approximately 30 to 45 minutes.

Corrected Corrected by Oct 28, 2025

Category: background checks. Marked corrected in the state record.

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Child #1 was placed in a high chair for approximately 30 to 45 minutes. Child #1s movement was restricted.

Corrected Corrected by Oct 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · Until such time as the required pre-service trainings are completed, staff person #1 & #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1 & #2, staff person #1 & #2 may not work in a child-care position at the facility.

Staff person #1 & #2 were observed to be caring for children unsupervised in the Toddler room. Staff person #1 & #2 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/cpr training.

Corrected Corrected by Oct 28, 2025

Category: supervision. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff #3 was observed to be caring for children in the OT classroom alone. Staff #3 is classified as an aide.

Corrected Corrected by Oct 28, 2025

Category: supervision. Marked corrected in the state record.

3270.111(b) · The written plan of daily activities shall be posted in the group space.

Rooms 5 and 6 lacked posted written daily schedules.

Corrected Corrected by Mar 17, 2025

Category: physical safety. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

The first aid kit on room 6 was accessible to children on the desk.

Corrected Corrected by Mar 17, 2025

Category: health medication. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreements for children #1, #2, #3, and #5 did not specify the amount of the fee to be charged.

Corrected Corrected by Mar 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreements for children #2, #3, and #5 did not specify the date on which the fee is to be paid.

Corrected Corrected by Mar 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Uneven areas were observed in the carpet in several areas. The carpet was humped, creating tripping hazards at the far end of the main hall and in the right corner of room 3.

Corrected Corrected by Mar 17, 2025

Category: physical safety. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons #1 and #5 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1 and #5, then staff persons #1 and #5 may not work in a child-care position at the facility.

Staff persons #1 and #5 were observed to be caring for children unsupervised. Staff persons #1 and #5 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric CPR and Pediatric First Aid.

Corrected Corrected by Jan 30, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

The file for staff #2 contained an NSOR certificate that was not renewed within 60 months. The certificates were dated as follows; 11/06/19 and 12/11/24. A current NSOR certificate is now on file.

Corrected Corrected by Dec 11, 2024

Category: background checks. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for staff #1 and #5, designated as assistant group supervisors on the staff data sheet, did not contain documentation of the qualifications required for the position. The proof of education on file for #1 and #5 could not be verified. Additionally, the file for staff #5 lacked documentation of the full hours of experience required for the position. The file for staff #3, designated as and group supervisor on the staff data sheet did not contain documentation of the qualifications required for the position. The file lacked a degree. The file for staff #4, designated as an assistant group supervisor on the staff data sheet, lacked documentation of the full hours of experience required for the position.

Corrected Corrected by Jan 31, 2024

Category: supervision. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

In the downstairs restroom, the safety lock on the cabinet was not functioning properly leaving Windex and toilet bowl cleaner accessible.

Corrected Corrected by Mar 17, 2025

Category: physical safety. Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

An unlabeled reuseable spray bottle containing cleaning solution was observed in room 2. Based on statements made by staff, the bottle contained Lysol.

Corrected Corrected by Jan 31, 2024

Category: ratio. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Damaged plaster was observed on the ceilings of rooms 3 and 6 and on the wall of room 6 where a mirror was removed. Additionally, crumbling plaster debris and dust were observed on toys and the floor of room 3 and on couches and the floor in room 6 located under the damaged ceiling areas.

Corrected Corrected by Mar 17, 2025

Category: physical safety. Marked corrected in the state record.

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

One toilet in the restroom at the end of the main hall was nonfunctional at the time of the inspection. The toilet is included in the facility's overall toilet count.

Corrected Corrected by Mar 17, 2025

Category: physical safety. Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

A handwashing sign was not posted at the diapering area of room 1.

Corrected Corrected by Mar 17, 2025

Category: health medication. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

A Fisher Price dollhouse with a broken hinge and broken plastic was observed in room 3. Broken areas of plastic were observed on the tub of the water play table in the outdoor play space.

Corrected Corrected by Jan 31, 2025

Category: physical safety. Marked corrected in the state record.

3270.102(a)/3270.103 · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

The changing pad and a highchair cover were torn or damaged leaving the inner foam filling accessible.

Corrected Corrected by Jan 31, 2025

Category: physical safety. Marked corrected in the state record.

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

The bottom horizontal support on the changing table in room 3 was loose.

Corrected Corrected by Jan 31, 2025

Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Rest equipment in use in room 2 and room 5 were not labeled for the use of a specific child.

Corrected Corrected by Mar 17, 2025

Category: physical safety. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The agreements for children #1 through #5 did not specify the services to be provided to the family and child.

Corrected Corrected by Mar 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact forms for children #2, #3 and #5 did not include the address of the child's physician. The address for the physician of child #2 was incomplete.

Corrected Corrected by Mar 17, 2025

Category: health medication. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form for child #2 did not include the enrolling parent's home or work address. The emergency contact form for child #5 did not include the enrolling parent's work address.

Corrected Corrected by Mar 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact forms for children #1, #2, #3, and #5 did not include health insurance coverage and policy numbers.

Corrected Corrected by Mar 17, 2025

Category: health medication. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact forms for children #1 through #5 include missing or incomplete details regarding the names, addresses, and phone numbers of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Mar 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact information is stored on an App, however, after review, the App did not contain all required information. Additionally, when asked, staff were unable to access all required information using the App.

Corrected Corrected by Jan 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file for child #3, enrolled over 60 days, did not include a review of the child's immunized status according to recommendations of the ACIP. Child #3 must be dismissed from care.

Corrected Corrected by Mar 17, 2025

Category: health medication. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for staff #3 contained only 1 written references. Duplicate copies of the same reference letter were on file.

Corrected Corrected by Mar 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The facility lacked documentation of submitting the emergency plan to the local and county emergency management agency.

Corrected Corrected by Mar 17, 2025

Category: physical safety. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The files for children #2 and #5, both enrolled over 60 days, did not contain health reports.

Corrected Corrected by Mar 17, 2025

Category: health medication. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility's emergency plan did not include details regarding continuity of operations as required by Announcement C-22-04.

Corrected Corrected by Nov 1, 2024

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility lacked a written policy for the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required by Announcement C-22-03.

Corrected Corrected by Nov 1, 2024

Category: ratio. Marked corrected in the state record.

3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility's emergency plan did not include details regarding a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Nov 1, 2024

Category: physical safety. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The operator did not have a letter for parents of enrolled children explaining the emergency procedures

Corrected Corrected by Nov 1, 2024

Category: physical safety. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff #1, identified as the director, did not include documentation of the qualifications required for the position.

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Two electrical outlets near the TV in the school age room lacked protective covers.

Corrected Corrected by Nov 1, 2024

Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Two spray cans containing air freshener and disinfectant were accessible to children in an unlocked, lidded plastic tub sitting on the floor in room 2.

Corrected Corrected by Nov 1, 2024

Marked corrected in the state record.

3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

An active bee's nest was observed under wood siding on the building near the outdoor play space.

Corrected Corrected by Nov 1, 2024

Category: physical safety. Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

The school age room lacked a first aid kit.

Corrected Corrected by Nov 1, 2024

Category: health medication. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A portion of the wall mounted wooden chalk tray in room one was loose creating pinch points. Crumbling wood was observed on the base of the exit door in the school age room. The bottom of the door did not meet the floor. Two broken areas were observed on the vinyl fencing of the outdoor play space creating sharp edges. A portion of a wooden plank in the walkway near the playground was missing, creating a tripping hazard.

Corrected Corrected by Nov 1, 2024

Category: physical safety. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Peeling paint was observed on a locker in room 5, on the door frame to the stairs in the main level hall, and on the outdoor stairway rails which lead to the play space. Crumbling plaster was observed on the wall behind the toilet in the school age restroom and inside and around the refrigerator in the school age room.

Corrected Corrected by Oct 1, 2024

Category: physical safety. Marked corrected in the state record.

3270.80(a) · Inside and outside stairs with three or more steps shall be equipped with a handrail.

Multiple sets of stairs outside the front of the building, with 3 or more steps, lacked handrails.

Corrected Corrected by Nov 1, 2024

Marked corrected in the state record.

3270.101(c)(2) · Play equipment and materials shall include toys and materials for cognitive development.

The school age room lacked books.

Corrected Corrected by Nov 1, 2024

Category: physical safety. Marked corrected in the state record.

3270.101(c)(4) · Play equipment and materials shall include toys and materials for auditory development.

The school age room lacked toys and materials for auditory development.

Corrected Corrected by Nov 1, 2024

Category: physical safety. Marked corrected in the state record.

3270.101(c)(5) · Play equipment and materials shall include toys to handle and manipulate and art materials for tactile development.

The school age room lacked art materials.

Corrected Corrected by Nov 1, 2024

Category: physical safety. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

A sticky brown substance was observed on the shelf below the TV in the school age room. Two areas of splintering wood were observed on the lower portion of the swing set frame in the outdoor play space.

Corrected Corrected by Nov 1, 2024

Category: physical safety. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Small toys with a diameter of less than 1 inch were observed in rooms 2 and 3. An adult chair with a torn seat that exposed the inner foam padding was observed in room 1. Tears were observed on the cover of a foam climbing block in room 2. Rooms 1, 2, and 3 were identified by the operator as intended for infants and toddlers.

Corrected Corrected by Nov 1, 2024

Marked corrected in the state record.

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerator in the school age room was not clean. A brown substance was observed on the lower shelves and crumbling plaster was observed on the top of the fridge.

Corrected Corrected by Nov 1, 2024

Category: nutrition. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The files for staff #1 and #2 contained TB screening results dated more than 12 months prior to to providing initial service in a child care setting. The file for staff #2 did not include a health assessment when the file was presented for review.

Corrected Corrected by Nov 1, 2024

Category: ratio. Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility's emergency plan lacked specific details regarding shelter away from the facility.

Corrected Corrected by Nov 1, 2024

Category: physical safety. Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The facility's emergency plan did not include the evacuation route to the location designated as the shelter away from the facility premises.

Corrected Corrected by Nov 1, 2024

Category: physical safety. Marked corrected in the state record.