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 name of the medical provider was not available on the emergency contact form for child #2.

Corrected Corrected by Jan 13, 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.

A small farm figurine, which fit completely in a choking tube, was observed in the Two A classroom. Corrected on site by removing the toy.

Corrected Corrected by Jan 12, 2026

Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(iv) · 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 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.

At the time of inspection, documentation of education was not available for staff # 1.

Corrected Corrected by Jan 19, 2026

Category: supervision. 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.

In the school age room, trashcans in 2 bathrooms were observed to contain trash in unlined trash cans. Corrected on site by removing the trash and placing liners in the trashcans.

Corrected Corrected by Jan 12, 2026

Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Written consent for emergency medical care was not available for child #2, #3, #4, and #5.

Corrected Corrected by Jan 13, 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.

During the inspection, an emergency contact form was not available for a child in the Infant A classroom. An emergency contact form was not available for a child in the Infant B classroom. Both instances were corrected on site by placing a copy of the emergency contact form in the classroom binder.

Corrected Corrected by Jan 12, 2026

Category: recordkeeping. 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.

Documentation showed that staff #2 (see LIS for DOH) had a health assessment dated 12/20/22, which exceeded the requirement that health assessments be conducted within 12 months prior to providing initial service. The staff member does have a current health assessment on file.

Corrected Corrected by Jan 20, 2026

Category: ratio. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

At the time of inspection, pick up and drop off procedures, including notification of safe routes, were not posted.

Corrected Corrected by Jan 20, 2026

Marked corrected in the state record.

3270.181(c) · 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.

Documentation showed that the financial agreement for child #1 was signed on 11/14/24 and updated in June of 2025, exceeding the requirement that financial agreements be updated every 6 months.

Corrected Corrected by Jan 13, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.182(5) · 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.

Written consent for the administration of minor first aid was not available for child #2, #3, #4, and #5.

Corrected Corrected by Jan 13, 2026

Category: ratio. 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.

Documentation showed an emergency drill had been conducted on 11/20/24 and again on 12/4/25. exceeding the requirement that emergency drills be conducted every 12 months.

Corrected Corrected by Jan 19, 2026

Category: recordkeeping. 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.

Documentation showed that a test of the fire system had been conducted on 12/4/25 and again on 1/4/26, exceeding the requirement that fire system tests be conducted every 30 days.

Corrected Corrected by Jan 12, 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 #1 may not work in a child care position at the facility.

During a file review of new staff, it was observed that the out-of-state sex offender registry clearance was not available for Staff #1. Corrected on Site by obtaining the clearance.

Corrected Corrected by Sep 8, 2025

Category: background checks. 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. TIERED LIS: 1. Children will be supervised by a primary caregiver at all times. 2. The legal entity must arrange for all facility staff hired after 7/30/25 to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. This will be in effect for a period of 3 months after the approval of this plan of correction. 3. The legal entity must submit documentation in a format previously approved by DHS proving that the facility is implementing a procedure for supervisor monitoring of all transitions across a threshold. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of 3 months after the approval of this plan of correction. 4. The legal entity must ensure the use of a name-to-face card attendance system during all transitions over a threshold. This practice will be required for a period of 3 months after the approval of this plan of correction. 5. The legal entity agrees to participate in technical assistance and support provided by the ELRC for a minimum of four visits. The provider will ensure that staff make intentional and genuine effort to implement strategies identified during TA. The topics for the technical assistance must include child supervision, transition strategies, and any other topics deemed appropriate by the ELRC staff during onsite observations. 6. The legal entity agrees to ongoing visits from DHS to assess supervision for a period of 3 months from the date of approval of this plan of correction.

It was confirmed by multiple sources, including the primary teacher, that a child was left in the hallway during a transition to the playground. The child was supervised by another staff member during the time away from their primary teacher.

Corrected Corrected by Nov 26, 2025

Category: supervision. 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.

At the time of the inspection, two written, nonfamily reference speaking to Staff#1's suitability to work in the center were not available.

Corrected Corrected by Jun 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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. TIERED LIS: 1. Children must be supervised at all times. 2. The legal entity must arrange for all facility staff hired after 3/25/25 to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. This will be in effect for a period of 3 months after the approval of this plan of correction. 3. The legal entity must submit documentation in a format previously approved by DHS proving that the facility is implementing a procedure for supervisor monitoring of all transitions across a threshold. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after the approval of this plan of correction. 4. Provider agrees to participate in technical assistance and support provided by the ELRC for a minimum of four visits. The topics for the technical assistance must include staff orientation and onboarding, staff coaching and accountability, delegation of responsibilities, and any other topics deemed appropriate by the ELRC staff during onsite observations.

On 3/19/25, the program reported that a child was left on the playground for approximately 10 minutes. A teacher reported seeing the child alone on the playground and alerted the owner who retrieved the child and returned her to the classroom. The classroom teacher was not aware that the child was missing from the group.

Corrected Corrected by Aug 1, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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. Provider agrees to periodic unannounced visits by DHS representative in order to monitor supervision and regulatory compliance for a period of 3 months.

Facility self-reported that child #1 was left alone in the classroom for approximately 3 minutes until discovered by another staff member.

Corrected Corrected by May 31, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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. Children must be supervised at all times.

Facility self-reported that child #1 was left alone in the classroom for approximately 3 minutes until discovered by another staff member.

Corrected Corrected by Feb 11, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Facility self-reported that child #1 was left alone in the classroom for approximately 3 minutes until discovered by another staff member.

Corrected Corrected by May 31, 2025

Category: supervision. Marked corrected in the state record.

3270.27(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 and kept on file at the facility.

At the time of inspection, documentation of emergency plan training at the time of hire was not available for staff # 4.

Corrected Corrected by Feb 14, 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 provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #1 may not work in a child care position at the facility. Staff #2 and #3 may not work with children unsupervised until the valid clearance is on file. Staff #4 may not work in a child care role until a signed and dated disclosure statement is on file.

At the time of the inspection, documentation of required out of state clearances for Staff #1 was not available For Staff #2 and Staff #3, screenshots of the PSP clearance were on file, which cut off the processed date at the bottom of the page, rendering them invalid. A disclosure statement for Staff #4 was not available. Documentation showed staff #6 completed mandated reporter training 1/17/25 and 1/15/20, exceeding the requirement that training be completed within 60 months.

Corrected Corrected by Mar 21, 2025

Category: supervision. Marked corrected in the state record.

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

During the inspection, a first aid kit was placed on a chair in the child care space making it accessible to children. CORRECTED ON SITE.

Corrected Corrected by Feb 11, 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.

During the inspection, in the school age room the edge of a rug was rolling up causing a potential tripping hazard.

Corrected Corrected by Feb 11, 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.

During the inspection, small Lego blocks measuring less than 1 inch in diameter were observed in an area that was being used by two-year-old children. CORRECTED ON SITE.

Corrected Corrected by Feb 11, 2025

Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

At the time of inspection, a health assessment form for Staff #2 stating that the individual was free of communicable diseases and suitable to provide child care was not available.

Corrected Corrected by Feb 14, 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.

During the inspection, a container of yogurt that required refrigeration was found in a lunch box in a child's bookbag. CORRECTED ON SITE.

Corrected Corrected by Feb 11, 2025

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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.

At the time of inspection, documentation of education was not available for staff #1 and staff #4. Documentation of experience was not available for staff # 2, staff #3, and staff #5. CORRECTED ON SITE for Staff #1.

Corrected Corrected by Feb 14, 2025

Category: recordkeeping. 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.

At the time of inspection, it was found that fire detection system tests were conducted on 7/1/24 & 8/29/24 (59 days) and 10/25/24 & 11/27/24 (33 days), exceeding the required maximum of 30 days between tests.

Corrected Corrected by Mar 7, 2025

Category: recordkeeping. 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.

Staff person #1 was not physically present with the children in their group on the facility premises and left the children unattended for a duration of 30 seconds - 1 minute.

Corrected Corrected by Sep 3, 2024

Category: supervision. Marked corrected in the state record.

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

An infestation of dead bugs were observed on the floor in Infant A, PreK, and the Preschool 4 classroom. (Corrected on sight)

Corrected Corrected by Aug 5, 2024

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 classrooms Preschool 4, Toddler B, Twos A, and Toddler A was measuring 120 degrees fahrenheit.

Corrected Corrected by Aug 5, 2024

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 visual strip or other visual identification was not identified on the glass window in the Preschool 4 classroom.

Corrected Corrected by Aug 5, 2024

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

3270.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Rocks, sticks, and pieces of cut rope with a diameter of less than 1 inch were observed on the infant/toddler playground.

Corrected Corrected by Aug 5, 2024

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