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. Clean, repair, replace or remove the carpet and ensure that surfaces in the facility are kept clean and free of hazards. Submit written documentation to verify compliance.

The carpet in the middle room was stained and the ends rolled up creating a tripping hazard.

3270.76 · Corrected Jan 3, 2026

A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Obtain the original labeled container for the child's medication and ensure that all medication is received in the original labeled container with the child's name. Revise facility's policies and procedures regarding the acceptance of medication in accordance with these regulations

One child's albuterol inhaler was not in its original container and was not labeled with the child's name. (#1)

3270.133(1)/3270.133(3) · Corrected Jan 3, 2026

The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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, #2 and 3 may not work in a child care position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff person/s. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff/facility person's record did not contain the required CPSL hiring documents. (#1-observed working for children on 5/9/25 and NSOR-more than 60 months old) (#2- observed working for children on 5/9/25 and FBI more than 60 months old) (#3- hired 5/5/25 -observed caring for children on 5/9/25 and NSOR not completed prior to working with children-corrected on 5/22/25)

3270.32(a)/3270.192(4) · Corrected May 9, 2025

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. Complete necessary cleaning and remove all hazards. Ensure that facility surfaces are kept clean and free from visible hazards.

Surfaces in the facility were in need of cleaning and presented a visible hazard: The carpet in the infant/toddler room was in need of cleaning and the vents in the first-floor bathroom used by children were full of dust and in need of cleaning. In addition, the water meter apparatus in the bathroom used by children was exposed and presented a hazard.

When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. Ensure that staff/child ratios are maintained at all times.

On 8/30/24, at approximately 11:30am, staff person #1 was observed caring for a mixed age group of 10 older toddler/preschool age children in the preschool classroom. Staff person #2 left the building for a break before returning. Staff person #1 verified the ages of the children.

3270.51/3270.52 · Corrected Sep 30, 2024

When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The legal entity must arrange for all facility staff to receive DHS approved training in proper staff/child ratios and revise staffing schedules to ensure ongoing compliance. Submit written verification of completed training for all facility staff persons and a copy of the revised staffing schedule. . The director will conduct daily monitoring checks and staff observations to ensure that staff/child ratios are maintained at all times.

The facility shall have an emergency plan. Develop and submit a written copy of the emergency plan in accordance with the 3270 regulations. Ensure that the plan contains all of the required components.

There was no written documentation indicating that the facility has an emergency plan in accordance with 55 PA CODE 3270 regulations. The plan reviewed had the name of another location on the cover.

3270.27(a) · Corrected Aug 25, 2024

The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility. Obtain and submit written verification of the facility's comprehensive general liability insurance. Ensure that a current copy of the insurance policy is on file at the facility.

The facility lacked written verification of comprehensive general liability insurance to cover the persons who are on the premises. A copy of the insurance policy on file at the facility expired on 6/9/24.

3270.18(a) · Corrected Aug 25, 2024

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. Provide and submit written verification of the completed emergency plan training for all identified facility persons. Ensure that emergency plan training is completed and documented upon initial employment and annually.

Several staff person's records did not include written verification of annual emergency plan training. (#1, #2, #3 and #4) Provide and submit written verification of the completed emergency plan training for all identified facility persons. Ensure that emergency plan training is completed and documented upon initial employment and annually. Director will use tracking system to ensure and document that emergency training is completed at the time of initial employment and annually.