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 #5 may not work in a child care position at the facility.

The file for staff #2 contained clearances which were not renewed within 60 months. The previous child abuse clearance was dated 5/19/20 and was renewed on 11/03/25. The previous FBI clearance was dated 5/29/20 and was renewed on 2/26/26. Current clearances are now on file for staff #2. The file for staff #5 contained a state police clearance indicating a charge that lacked a disposition, therefore the clearance was invalid.

Corrected Corrected by Apr 3, 2026

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 file for staff #7, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualifications required for the position. The file lacked verified child care experience.

Corrected Corrected by Apr 3, 2026

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The files for staff #1, #3, and #4 contained evaluations dated more than 12 months apart. The file for staff #2 contained an initial evaluation dated more than 12 months after their start in a child care position. Current evaluations for staff 1-4 are now on file.

Corrected Corrected by Apr 3, 2026

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.

Three electrical outlets accessible to children 5 years of age or younger lacked protective covers in the following areas; the blue preschool restroom and in Preschool A on an extension cord and on an outlet adapter, both were plugged into an outlet at the time of the observation.

Corrected Corrected by Apr 3, 2026

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.

A reusable spray bottle containing cleaning materials was not labeled with the contents and was observed in a storage cabinet in Preschool A.

Corrected Corrected by Apr 3, 2026

Category: ratio. Marked corrected in the state record.

3270.66(e) · Arts and crafts materials shall be nontoxic.

Two cans of shaving foam were observed in the art storage cabinet in Preschool B. Based on statements made by staff, the shaving foam has been used by children during art activities. The cans were labeled keep out of reach of children.

Corrected Corrected by Apr 3, 2026

Marked corrected in the state record.

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

Rodent feces was observed in the rear vent area of a mini refrigerator in Room 4. The refrigerator was positioned backward on the floor leaving the rear of the appliance accessible to children. Room 4 was not in use by children at the time of the observation.

Corrected Corrected by Apr 3, 2026

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 Preschool A lacked tape. The first aid kit in Preschool B lacked gauze and tweezers.

Corrected Corrected by Apr 3, 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.

Stained and/or gapped ceiling tiles were observed in the following areas of the facility; Preschool A and B, pink preschool restroom and the hall outside the restroom, the storage area of Room 3, and the gym,

Corrected Corrected by May 22, 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 second stall in the pink preschool restroom lacked a handwashing sign posted at the toilet.

Corrected Corrected by Apr 3, 2026

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.

In Preschool A, a broken corner was observed on the lid of a storage box containing stencils and paper. In Preschool B, the legs of a gray child sized table were observed to be loose creating pinch points. In Room 1 a white storage tub containing toy trucks was broken.

Corrected Corrected by Apr 3, 2026

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.

Torn areas were observed on the diaper changing pads in Room 3 and Room 6 (infant and young toddler rooms) resulting in the inner foam filling being accessible to children.

Corrected Corrected by Apr 3, 2026

Category: health medication. 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.

In the older toddler area, a broken area with sharp plastic was observed on the tall gray storage cabinet on the lock loop. In Room 3, a broken pedestal fan was observed behind the rocking chair. The post of the fan was not secured in the base creating a tipping hazard.

Corrected Corrected by Apr 3, 2026

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

3270.106(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.

In Room 3, children were observed sleeping in cribs which lacked 2 feet of space on three sides on two separate occasions during the inspection. Each time, one of the three sides were blocked by another crib.

Corrected Corrected by May 22, 2026

Category: physical safety. 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 thermometers in Room 3 and Room 5 were not operating at the time of the inspection.

Corrected Corrected by Apr 3, 2026

Category: nutrition. Marked corrected in the state record.

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

Room 1 and Room 4 lacked posted written plans of daily activities.

Corrected Corrected by Apr 3, 2026

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 file for child #1 contained consecutive child service reports shared with the parents more than 6 months apart; 2/11/25 and 12/10/25. The file for child #2, enrolled since 2/05/24 contained documentation of only one service report dated 12/2025. Both files now contain current child service reports shared with the parents.

Corrected Corrected by Apr 3, 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.

Emergency contact information for child #5 was not present in Room 3 where the child was observed in care.

Corrected Corrected by Apr 3, 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 file for child #2 contained emergency contact information which was not reviewed and signed by the parent at least every 6 months, but are now current. The forms were reviewed and signed 2/2025 and again 2/2026.

Corrected Corrected by Apr 3, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The files for children #3 and #4, both young toddlers, do not contain current health reports. The most recent health reports on file are dated more than 6 months ago.

Corrected Corrected by May 22, 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 #6 contained an initial health assessment dated 1/22/26 which was after their documented first day in a child care position.

Corrected Corrected by Apr 3, 2026

Category: ratio. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

On 02/13/2026, interviews with staff #1 and staff #3 verified that a child was left alone, separated from assigned staff. Staff #2 took the assigned group to the bathroom on 02/04/2026 after nap and before snack at approximately 3:00pm. Staff #2 put child #1 on the toilet. Staff #2 took the children back to the PS classroom for snack. Child #1 was left in the bathroom alone without an assigned supervisor for approximately 7 minutes. Staff #3 found child #1 alone in the bathroom on the toilet. Staff #3 brought child #1 out of the bathroom and returned child # 1 to assigned supervisor and group.

Corrected Corrected by Feb 6, 2026

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

On 02/13/2026, interviews with staff #1 and staff #3 verified that a child was left alone, separated from assigned staff. Staff #2 took the assigned group to the bathroom on 02/04/2026 after nap and before snack at approximately 3:00pm. Staff #2 put child #1 on the toilet. Staff #2 took the children back to the PS classroom for snack. Child #1 was left in the bathroom alone without an assigned supervisor for approximately 7 minutes. Staff #3 found child #1 alone in the bathroom on the toilet. Staff #3 brought child #1 out of the bathroom and returned child # 1 to assigned supervisor and group.

Corrected Corrected by Feb 6, 2026

Category: supervision. Marked corrected in the state record.

3270.61(h)(2)(iii) · When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space the space may not be occupied by children of the infant or young toddler age levels.

At approximately 9:45AM, 13 children, including young toddlers and an infant, were observed in the infant room participating in a Music Therapy activity. The infant room has a measured capacity of 8.

Corrected Corrected by Feb 27, 2026

Category: ratio. Marked corrected in the state record.

3270.92(a) · Portable space heaters are not permitted.

Two portable space heaters were observed in the office. One of the 2 heaters was plugged in to a power outlet at the time of the observation.

Corrected Corrected by Feb 27, 2026

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

3270.95(a)/3270.95(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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility's fire alarm system has not been tested in over 30 days. The last documented test was dated 12/02/26.

Corrected Corrected by Feb 27, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The heat registers in the room exceeded 110° F. The registers in the diapering area measured 140° F and the registers along the length of the room measured 115-120° F in various places.

Corrected Corrected by Jan 9, 2026

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

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Floor to ceiling glass windows facing the street lacked visual strips.

Corrected Corrected by Jan 9, 2026

Category: physical safety. 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.

A Swiffer Wet Jet, with an attached canister containing cleaning solution, was observed to be accessible to children.

Corrected Corrected by Dec 17, 2025

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 #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety part 1. Staff person #4 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by Oct 27, 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 #3 may not work in a child care position at the facility.

The files for staff #1, #3, and #5 contained invalid disclosure statements. The disclosures on file were not the most recent version. (SEE LIS CODE SHEET) The file for staff #3 contained a state police clearance obtained for the purpose of volunteering and did not contain an NSOR clearance. Staff #3 was observed caring for children while unsupervised. The file for staff #4 contained a state police clearance requested and completed 5/15/25 and a disclosure statement dated 4/24/25 which was after their first day in a child care position. (SEE LIS CODE SHEET)

Corrected Corrected by Oct 12, 2025

Category: supervision. 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, #2, #3, and #4, designated as assistant group supervisors in their files, did not include documentation of the child care experience required for the position.

Corrected Corrected by Oct 12, 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 #1, #2, and #3 were observed caring for children unsupervised. Based on file contents, all three staff qualify as aides.

Corrected Corrected by Oct 12, 2025

Category: supervision. 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 warped ceiling tiles was observed in the restroom connected to the toddler area of Preschool B. Stained ceiling tiles were observed in Preschool B, Preschool A, the Young Toddler Room and the gym.

Corrected Corrected by Oct 17, 2025

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 at floor level in the hallway outside the restrooms.

Corrected Corrected by Oct 12, 2025

Category: physical safety. 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 #3 did not contain a health assessment or results of a screening for TB.

Corrected Corrected by Oct 12, 2025

Category: ratio. 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 #1 contained only 1 written reference. The file for staff #3 did not contain any written references.

Corrected Corrected by Oct 12, 2025

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.

Six electrical outlets in Room 6 lacked protective covers.

Corrected Corrected by Jun 4, 2025

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 piece of toilet paper which appeared to be contaminated by human secretions was observed on the floor in the boy's restroom.

Corrected Corrected by Jun 4, 2025

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

3270.68(b) · Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.

Two cigarette butts were observed in the sanitary disposal bin mounted in a stall of the girl's restroom.

Corrected Corrected by Jun 4, 2025

Category: ratio. 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.

An electrical outlet wall plate was not attached to the wall leaving the wires accessible.

Corrected Corrected by Jun 5, 2025

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

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

A floor to ceiling glass door in the room lacked visual identification.

Corrected Corrected by Jun 4, 2025

Category: physical safety. 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.

The boy's and girls' restrooms lacked lidded waste receptacles.

Corrected Corrected by Jun 4, 2025

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

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

A first aid kit was accessible to children in an emergency bag observed on the floor of the entry area.

Corrected Corrected by Mar 25, 2025

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.

Stained ceiling tiles were observed in the following room; 3 tiles in the large PS room, 4 areas in the kitchen, 1 in the large infant room, and 1 in the gym. Additionally, two ceiling tiles were observed to be warped leaving large gaps in the drop ceilings of the PS restroom and the kitchen.

Corrected Corrected by May 23, 2025

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.

Damaged plaster was observed near the baseboard in the gym. The damage was approximately 5 x 5 inches.

Corrected Corrected by May 23, 2025

Category: physical safety. 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 contained documentation of completing fire safety training more than 90 days after initial employment. Current training is on file.

Corrected Corrected by Mar 25, 2025

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 #6 and #7 did not renew pediatric CPR and first aid certification on or before the expiration of their previous certification. This is evidenced by the previous certification for both staff being dated 9/08/22 and the renewed certification being dated 10/23/24. Current training for both staff is now on file.

Corrected Corrected by Mar 25, 2025

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 firesafety 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 #4 contained consecutive fire safety training documentation dated more than 12 months apart; 1/29/24 and 2/05/25. Current training is now on file.

Corrected Corrected by Mar 25, 2025

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.

The files for staff #2 and #3 contained disclosure statements signed after their first day in a children care position. The forms were dated 6/12/24 for staff #1 and 1/01/25 for staff #3 (SEE LIS CODE SHEET). The file for staff #5 contained an FBI clearance dated 7/26/25, after their first day in a child care position. (SEE LIS CODE SHEET)

Corrected Corrected by Mar 25, 2025

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

3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

At approximately 9:10AM, four children were observed in Room 4, the small infant room. This room has a measured capacity for 3 children.

Corrected Corrected by Mar 25, 2025

Category: ratio. 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.

One electrical outlet in room 5, the small PS room, lacked a protective cover. The outlet was located near the gate.

Corrected Corrected by Mar 25, 2025

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 AA batteries were accessible to children in room 5, the small PS room, in an unlocked low storage drawer.

Corrected Corrected by Mar 25, 2025

Marked corrected in the state record.

3270.66(e) · Arts and crafts materials shall be nontoxic.

A container of Equate Shave Foam was observed in a storage cabinet in Room 2, the large PS room. The label stated keep out of reach of children. Based on statements made by staff, the shave foam was used for art projects.

Corrected Corrected by Mar 25, 2025

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 portable sink in the diapering area of room 4, the small infant room.

Corrected Corrected by Mar 25, 2025

Category: health medication. 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.

Areas of exposed inner foam filling were observed on the back of a bouncy seat in room 4.

Corrected Corrected by Mar 25, 2025

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.

Textured sensory balls with a diameter of less than 1 inch were observed in 2 activity boxes in the toddler area of room 2. A miniature toy ambulance less than 1 inch in diameter was also observed in the toddler area in the crayon bin.

Corrected Corrected by Mar 25, 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.

The rest equipment in room 4 was not labeled for use by specific children.

Corrected Corrected by Mar 25, 2025

Category: physical safety. 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 and #2 lacked complete information related to health insurance and/or the policy numbers.

Corrected Corrected by Apr 18, 2025

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The staff health assessment on file for staff #1 did not include physician's or CRNP's assessment of the person's suitability to provide child care. The form used stated the health assessment was for the purpose of a position in occupational medicine.

Corrected Corrected by Apr 7, 2025

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Two lunch boxes in the large PS room containing eggs and chicken were not refrigerated.

Corrected Corrected by Mar 25, 2025

Category: nutrition. Marked corrected in the state record.

3270.166(3) · Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Based on statements made by staff, infant bottles remaining at the facility for use by children in care are not being washed in a commercial dishwasher.

Corrected Corrected by May 12, 2025

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 folded blanket was observed hanging on the side of a crib while the crib was in use by a swaddled infant.

Corrected Corrected by Jun 27, 2024

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

3270.106(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.

Two cribs, in use by infants, lacked 2 feet of space on three side. Two activity seats were observed on the floor between the two cribs in use.

Corrected Corrected by Jun 27, 2024

Category: physical safety. 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.

The file for Staff #1 contained a disclosure statement dated 1/9/23, more than 1 year prior to date of hire (SEE IS CODE SHEET).

Corrected Corrected by May 7, 2024

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

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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 #8, incorrectly identified as an Assistant Group Supervisor, lacked documentation of 2500 hours childcare experience.

Corrected Corrected by May 17, 2024

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 #2 and Staff #8, both classified as Aides, were observed working alone in the 1's Room without being supervised by qualified staff person who is an Assistant Group Supervisor at minimum.

Corrected Corrected by May 7, 2024

Category: supervision. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The water temperature in the two sinks in the Girl's Bathroom and the two sinks in the Boy's Bathroom were measured at 120 degrees, which were accessible to children.

Corrected Corrected by May 27, 2024

Category: physical safety. 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.

Staples with sharp ends were observed sticking out of the walls in the Main Room and the Pre-K Room, which could be harmful to children. Multiple loose floor tiles were observed under the left sink in the Girl's Bathroom.

Corrected Corrected by May 27, 2024

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

A toy shelf and a double stroller were obstructing the exterior exit connected to the Indoor Play Area.

Corrected Corrected by May 7, 2024

Category: physical safety. 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 Child #2 and Child #4 lacked complete addresses for all listed release persons.

Corrected Corrected by May 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(2)/3270.182(1) · The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The initial health report on file for Child #1 (currently OT , YT at DOE) is dated 5/8/23, which is more than 6 months prior to date of enrollment (SEE IS CODE SHEET).

Corrected Corrected by May 24, 2024

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

3270.131(a)(4)/3270.182(1) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A child's record shall contain initial and subsequent health reports.

The file for Child #3 (SA) lacked an initial health assessment.

Corrected Corrected by May 9, 2024

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

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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 (OT) lacked updated written verification of ongoing administered vaccines: 1 Dose of DTAP, 2 Doses of Hib, and 1 Dose of Pneumococcal. Child #1 must be dismissed from care by close of business on 5/7/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Corrected Corrected by May 7, 2024

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 Initial Health Assessment and Tuberculosis screening for Staff #3, Staff #4, Staff #6, & Staff #7 (HA: 2/21/24, TB: 2/23/24) and Staff #5 (HA & TB: 4/15/24) were dated beyond date of hire. (See LIS Code Sheet).

Corrected Corrected by May 7, 2024

Category: ratio. Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

At the time of inspection, child records were not stored in a locked cabinet leaving confidential information vulnerable.

Corrected Corrected by May 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The annual written notification to local traffic safety authorities of location of the facility and program's use of pedestrian and vehicular routes around the facility was dated 1/16/23, more than one year prior.

Corrected Corrected by May 7, 2024

Marked corrected in the state record.