3280.105(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Cots in use by children during nap lacked 2 feet of space on 3 sides. In each case, an empty cot between the children obstructed the space.

Corrected Corrected by Aug 27, 2025

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

3280.14/3280.20 · 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 written policy for Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment did not include the signs and symptoms of shaken baby syndrome and abusive head trauma. It also lacked details regarding identification on general signs of maltreatment.

Corrected Corrected by Sep 10, 2025

Category: ratio. Marked corrected in the state record.

3280.26(c)/3280.192(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. 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 did not include documentation of participating in emergency plan training in the past 12 months. The most recent documented training occurred 7/03/24.

Corrected Corrected by Aug 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)/3280.192(2)(iii) · A staff person shall obtain an annual 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 #3 contained documentation pf 10 hours of training completed on time between 12/19/23 and 12/19/24. Two additional hours were completed late in 2025. The file now contains the required 12 hours of annual training.

Corrected Corrected by Aug 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(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.

The files for staff #1, #2, and #3 contained NSOR certificates that were updated after expiration. The previous certificates for all three staff were dated 6/10/20. All were updated on 7/14/25 and are now current.

Corrected Corrected by Aug 27, 2025

Category: ratio. Marked corrected in the state record.

3280.61(h)(3)(ii) · When the capacity of a space is exceeded while children are eating, the meal time shall be designated on the facility's schedule of daily activities.

Based on statements made by staff, Room 2 (turquoise room) is regularly over capacity at mealtime. This was not indicated on the facility's schedule.

Corrected Corrected by Aug 27, 2025

Category: ratio. Marked corrected in the state record.

3280.66(a) · 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

A reusable spray bottle containing cleaning materials in restroom #1 was not labeled with the contents. The label had worn off and was no longer legible.

Corrected Corrected by Aug 27, 2025

Category: ratio. Marked corrected in the state record.

3280.76 · 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.

Three stained ceiling tiles were observed in Room 4 (purple room). A broken ceiling light cover was observed in the hall outside the restrooms. A portion of baseboard in Room 5 (green room) was not attached leaving trim nails exposed.

Corrected Corrected by Sep 10, 2025

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

3280.102(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 portion of trim on a white shelf in Room 1 (rainbow room) was not secured creating a pinch point.

Corrected Corrected by Sep 10, 2025

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

3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement for child #2 lacked the arrival and departure times.

Corrected Corrected by Aug 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(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 form and agreement for child #1 were not updated by the parent within a 6 month time frame. The forms were dated 6/28/24, 1/23/25 and 6/20/25 and are now current.

Corrected Corrected by Aug 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2)/3280.182(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 must contain initial and subsequent health reports.

The file for child #1 contained consecutive health reports dated more than 12 months apart. The most recent health report on file is now current.

Corrected Corrected by Aug 27, 2025

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

3280.151(a)/3280.192(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. The most recent health assessment on file is now current.

Corrected Corrected by Aug 27, 2025

Category: ratio. Marked corrected in the state record.

3280.161(c) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Lunch boxes observed on the table in Room 2 (turquoise room) contained yogurt and cheese which were not refrigerated.

Corrected Corrected by Aug 27, 225

Category: nutrition. Marked corrected in the state record.

3280.131(a)/3280.182(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 must contain initial and subsequent health reports.

The files for children #2 and #3 contained initial health reports dated more than 60 days after their first day in attendance. The most recent reports on file are now current.

Corrected Corrected by Aug 27, 2025

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

3280.26(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 facility's letter for parents explaining the emergency procedures did not include details regarding accommodations for infants and toddlers.

Corrected Corrected by Sep 6, 2024

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

3280.32(a)/3280.192(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.

The file for staff #1 contained clearances which were not renewed on or before their expiration. Both the state police clearance and child abuse clearance were previously obtained on 2/18/19 and were renewed on 2/21/24. Current clearances are now on file.

Corrected Corrected by Sep 5, 2024

Category: ratio. Marked corrected in the state record.

3280.68(a) · Cigarettes, pipes or cigars may not be smoked in a child care space, a play space or a food preparation area when children are in care or when food is being prepared.

Cigarettes were observed in the pocket of a jacket hanging on the back of a chair in Room 1. Children were observed in the room.

Corrected Corrected by Sep 5, 2024

Category: ratio. Marked corrected in the state record.

3280.76 · 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.

An air vent cover along the baseboard in the hallway was not fully attached to the wall on one end and a protruding screw was observed on the vent cover. Two protruding nails were observed along the bottom of the wooden rear fence in the outdoor play space.

Corrected Corrected by Sep 5, 2024

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

3280.124(f)/3280.181(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 file for child #1 contained emergency contact information and an agreement which have not been reviewed and dated by a parent since 1/17/23.

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.151(a)/3280.192(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 #1 contained a health assessment that was not updated within 24 months. The most recent health assessment on file is now current.

Corrected Corrected by Sep 5, 2024

Category: ratio. Marked corrected in the state record.

3280.75(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.

Tape was not located in the first-aid kit in the facility.

Corrected Corrected by Aug 30, 2023

Marked corrected in the state record.

3280.102(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.

Two plastic toy bins, in the Rainbow room, had lids with multiple cracks which created pinch points.

Corrected Corrected by Aug 30, 2023

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

3280.14/3280.20 · 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.

Based on a conversation with the operator, the Shaken Baby/Abusive Head Trauma Prevention policy and Continuity of Operations policy have not been developed or implemented.

Corrected Corrected by Aug 30, 2023

Category: ratio. Marked corrected in the state record.

3280.26(c) · 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.

The files for Facility Person #1 and Facility Person #2 lacked documentation of Emergency Plan training. (SEE LIS CODE SHEET)

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.34(b)(5)/3280.192(2)(iv) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for Staff #3 lacked documentation of 2500 hours of child care experience, which is required for the position of a Primary Staff person qualified to care for children alone.

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

The Child Service Reports for Child #1 was completed over 6 months from enrollment on 6/6/2023. (SEE LIS CODE SHEET) The Child Service Reports for Child #4 were completed on 6/3/22 and 1/30/23, which is more than 6 months apart.

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(b)/3280.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The Agreement, in the files for Child #1, Child #2, Child #3, Child #4, and Child #5 was the original Agreement, which had not been provided to the parent.

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 form, in the file for Child #3, lacked information on the child's special needs.

Corrected Corrected by Aug 30, 2023

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

3280.124(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 form, in the file for Child #2, did not contain the health insurance coverage name. In the file for Child #3, it did not contain the health insurance policy number on the Emergency Contact form.

Corrected Corrected by Aug 30, 2023

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

3280.124(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 form, in the file for Child #2, did not contain addresses for release persons.

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(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 form and Fee Agreements for Child #1 (6/6/22-1-30/23) and Child #4 (6/3/22-1/30/23) were reviewed and signed by the parents over 6 months from the previous review.

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.151(c)(1)/3280.192(3) · An adult health assessment must include a physical examination. 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 #4 contained a health assessment dated 7/13/23, which is over 24 months apart from the previous health assessment dated 1/6/2021.

Corrected Corrected by Aug 30, 2023

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

3280.95(a)/3280.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The documented fire alarm testing showed more than 30 days between testing dates. 10/14/22-11/14/22 (31), 11/14/22/-12/16/22 (32), 1/6/2023-2/17/23 (42), 3/17/2023-4/18/2023 (32), 5/18/23-6/19/23 (32)

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides 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 emergency plan does not include procedures for 'shelter in place'.

Corrected Corrected by Aug 30, 2023

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

3280.131(b)(2)/3280.182(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 must contain initial and subsequent health reports.

The two most recent health assessments on file for Child #1, who is a preschool age child, are dated 4/14/22 and 7/31/23, more than 1 year apart. The two most recent health assessments on file for Child #4, who is a preschool age child, are dated 4/23/21 and 5/8/2023, more than 1 year apart. The most recent health assessment on file for Child #3, who is an older toddler, is dated 1/12/23, more than 6 months old.

Corrected Corrected by Oct 6, 2023

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

3280.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The flu shot exemption letter submitted by the parent for Child #2 does not include a date the letter was signed, making it invalid.

Corrected Corrected by Sep 26, 2023

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

3280.105(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 the Purple Room was observed to be unlabeled for the children for which it was intended.

Corrected Corrected by Nov 13, 2022

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

3280.14/3280.20 · 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 #2 and #3 were observed to be caring for children unsupervised. Staff person #2 and #3 had not completed the following pre-service training required prior to caring for children unsupervised: health and safety training.

Corrected Corrected by Nov 7, 2022

Category: supervision. Marked corrected in the state record.

3280.31(e)/3280.192(2)(iii) · A staff person shall obtain an annual 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 files for Staff #2 contained 10.5 of the required 12 hours of child care training between 12/19/20 and 12/29/21. The file for Staff #3 contained 7.5 of the required 12 hours of child care training between 12/19/20 and 12/29/21.

Corrected Corrected by Nov 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.76 · 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.

Loose fence slats and exposed nails were observed on the front right fence of the outdoor play space.

Corrected Corrected by Nov 13, 2022

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

3280.77(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 the top and bottom support beams of the front right fence on the outdoor playspace.

Corrected Corrected by Nov 13, 2022

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

3280.102(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.

The climber in the outdoor play space was observed to have a detached wall, causing a fall hazard for children.

Corrected Corrected by Nov 13, 2022

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The files for Child #1 and #4 contained emergency contact forms which lacked the work telephone numbers for the enrolling parents. The file for Child #2 contained an emergency contact form which lacked the home address for the enrolling parent. The file for Child #3 contained an emergency contact form which lacked the work address and telephone number for the enrolling parent.

Corrected Corrected by Nov 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 file for Child #2 contained an emergency contact form which lacked the full address for release persons.

Corrected Corrected by Nov 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The file for Child #4 contained consecutive health reports dated more than 6 months apart.

Corrected Corrected by Nov 7, 2022

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

3280.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file for Child #3 contained a most recent health report dated more than 12 months in the past.

Corrected Corrected by Nov 13, 2022

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

3280.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for Child #1 contained a record of immunization history which lacked a current influenza vaccination.

Corrected Corrected by Nov 13, 2022

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Documentation of an emergency drill held between 12/19/20 and 12/19/21 was not available at the time of the inspection.

Corrected Corrected by Nov 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.31(f) · Staff person(s) shall complete professional development in the topics of 3280.31(f) (1-10) within 90 days of hire. Staff person #4 will have until 11/22/22 to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Staff person #1 and #2 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR. The previous pediatric first aid/CPR training had expired before obtaining current training. Staff person #1, #2, #3 and #4 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training.

Corrected Corrected by Nov 13, 2022

Category: supervision. Marked corrected in the state record.

3280.131(a) · 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 file for Child #1 contained a current health report yet lacked documentation of an initial health report dated within 60 days of the child's enrollment.

Corrected Corrected by Nov 13, 2022

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

3280.17 · The legal entity shall have comprehensive general liability insurance to cover all persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

A current copy of the insurance policy was not on file at the facility.

Corrected Corrected by Sep 16, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(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.

The record for staff #1 and #2 included a disclosure statement for volunteers which is not a valid disclosure statement for employment.

Corrected Corrected by Sep 16, 2021

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

3280.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The record for child #1 lacked written verification of the influenza vaccine being administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Sep 16, 2021

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

3280.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

A written statement giving the formula and feeding schedule for an infant was not obtained from the parent for children in care.

Corrected Corrected by Sep 16, 2021

Category: nutrition. Marked corrected in the state record.

3280.95(a)/3280.95(b) · (a) Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).(b) The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The operator did not test fire detection system at least once every 30 days and document written record of testing. Operator did not have the proof and date of purchase of the interconnected fire detection system.

Corrected Corrected by Sep 16, 2021

Category: recordkeeping. Marked corrected in the state record.