3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person 1 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person1, staff person 1 may not work in a child-care position or have direct contact with children at the facility.

On 7/23/25 during an unannounced allocated monitoring inspection Staff person 1 was observed to be caring for children unsupervised. Staff person 1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid and CPR from a PQAS approved trainer and a PQAS approved curriculum. See LIS code sheet for Date of hire.

Corrected Corrected by Aug 15, 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.

During an allocated unannounced inspection on 7/23/25 Facility Person 2 had PSP clearance dated 4/17/24 with a purpose of "Volunteer" and did not have a request for a PSP clearance with a purpose of Employment. Facility Person 2 is not a volunteer. Facility Person 2 obtained a PSP clearance dated 7/23/25 with a purpose of Employment, however this is after their first day working with children.

Corrected Corrected by Jul 23, 2025

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

3270.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

During an allocated unannounced inspection which including a swimming inspection on 7/23/25 Cert rep observed that each care group did not have a first aid kit during the excursion to the pool. One first aid kit was taken for the 8 care groups and the first aid kit did not include a water bottle.

Corrected Corrected by Aug 8, 2025

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

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

During an allocated unannounced inspection on 7/23/25 Staff 3 and 4 had one written reference in their staff files.

Corrected Corrected by Aug 14, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During a renewal inspection on 1/31/25 the facility's emergency plan did not address continuity of operations.

Corrected Corrected by Mar 11, 2025

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The facility must have a written policy to address the following: 1. Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma 2. Strategies for coping with a crying, fussing, or distraught child 3. The prevention and identification of child maltreatment

During a renewal inspection on 1/31/25 Cert rep noted the facility did not have a written policy that addressed: 1. Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma and 2. Strategies for coping with a crying, fussing, or distraught child

Corrected Corrected by Mar 11, 2025

Category: ratio. 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.

During a renewal inspection on 2/12/25 Cert rep noted Staff 5 had emergency plan training on 5/22/24. This was more than 90 days after her date of hire. See code sheet for date of hire.

Corrected Corrected by Feb 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

During a renewal inspection on 2/12/25 Cert rep noted Staff 5 received Pediatric First Aid and CPR training on 5/22/24. This is more than 90 days after her date of hire. See code sheet for date of hire.

Corrected Corrected by Feb 12, 2025

Category: health medication. 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 Person 2 may not work or volunteer in a child care position at the facility until such time as the required clearances are obtained.

During an unannounced inspection on 12/12/24 Cert rep noted that Facility person 1 had a NSOR request dated 8/8/24 on file. Facility person 1 did not have the NSOR certificate on file at the facility. Facility person 1 is outside of her provisional hire window (See LIS code sheet for date of hire). An acceptable plan of correction was received on 12/12/24 with a correction date of 12/12/24. During an unannounced renewal inspection on 1/31/25 Cert rep noted that Staff 2 had a NSOR that was dated 11/6/2019. This is more than 60 months since the clearance was obtained therefore the NSOR was expired. Staff 2 had an NSOR request dated 1/13/24 on file. Staff 2 was not in a provisional hire window (See code sheet for date of hire). Staff 2 was observed to be working at the facility in a childcare position during renewal inspection. Cert rep noted Facility person 1 did have a valid NSOR certificate on file.

Corrected Corrected by Mar 11, 2025

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

3270.35(b)(3)/3270.35(b)(4) · A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

During a renewal inspection on 2/12/25 Staff 4 had an associate's degree in early childhood education and 1.856 years (2320 hours) of experience documented on file. Staff 3 had an associate's degree in a non-human services field, which included 30 credits of education or human services credits. Staff 3 had no experience verified on file. Staff 3 and 4 have been working as a group supervisors.

Corrected Corrected by Mar 31, 2025

Category: supervision. 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.

During a renewal inspection on 1/31/25 Cert rep observed electrical outlets that did not have protective outlet covers in the following locations: The youth room in the unlocked cabinet under the sink and the fellowship hall on the wall by door number 19. Children who would have access to these rooms could be 5 years old or younger.

Corrected Corrected by Jan 31, 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.

During a renewal inspection on 1/31/25 Cert rep observed the following cleaning products in the following locations All locations were accessible to children. All Cleaners were labeled "keep out of reach of children": 1. Clorox wipes, Lysol disinfecting spray, scrubbing bubbles cleaner, and Bio-renewable glass cleaner (Under the unlocked sink in the boy's bathroom on the 2nd floor) 2. Fantastic, Clorox wipes, and disinfecting wipes (Under the unlocked sink in the youth room)

Corrected Corrected by Mar 31, 2025

Marked corrected in the state record.

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

During a renewal inspection on 1/31/25 Cert rep observed the fellowship hall did not have a first aid kit. This room is licensed as child care space.

Corrected Corrected by Mar 31, 2025

Category: health medication. 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.

During a renewal inspection on 1/31/25 cert rep observed peeling plaster in the youth room to the right of the door way.

Corrected Corrected by Mar 31, 2025

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

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

During a renewal inspection on 2/12/25 Children 1, 2 and 3 did not have the parents' work addresses or work phone numbers.

Corrected Corrected by Mar 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During a renewal inspection on 1/31/24 Cert rep observed that the facilities plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not in the excursion bags for rooms 201/203, 205/207, 206/208, and 209. Staff reported this plan was not being taken with staff when leaving the facility with children for an excursion.

Corrected Corrected by Mar 11, 2025

Category: transportation. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

During a renewal inspection on 2/12/25 Cert rep noted Staff 3 had a TB test dated 8/22/24. This is after her date of hire (see code sheet).

Corrected Corrected by Feb 12, 2025

Category: health medication. 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.

During a renewal inspection on 2/12/25 cert rep noted the most recent parent review of Child 2's emergency contact information was done and signed by the parent on 7/24/24. This is more than 6 months since the previous review.

Corrected Corrected by Mar 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During a renewal inspection on 1/31/25 Cert rep noted the emergency plan did not address the facility accommodations for infants and toddlers. The facility does not currently have infants enrolled.

Corrected Corrected by Mar 11, 2025

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.

During an unannounced inspection on 12/12/24 cert rep noted there was more than 30 days between fire detection testing the following times: 1/24/25-2/25/24, 4/4/24-5/6/2024 and 10/24/24-12/9/24 An acceptable plan of correction was received on 12/12/24 with a correction date of 12/12/24 During an unannounced renewal inspection on 1/31/25 it was noted there was more than 30 days between fire detection testing the following times: 12/9/24-1/31/25

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

During a renewal inspection on 1/31/25 Cert rep noted the facility did not have a means for the parents to access the 3270 regulations electronically.

Corrected Corrected by Mar 11, 2025

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 1 may not work in a child care position at the facility until the NSOR certificate is in the staff's file.

During an unannounced inspection on 12/12/24 Cert rep noted that Facility person 1 had a NSOR request dated 8/8/24 on file. Facility person 1 did not have the NSOR certificate on file at the facility. Facility person 1 is outside of her provisional hire window (See LIS code sheet for date of hire).

Corrected Corrected by Dec 12, 2024

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Facility person 2 will have until 12/27/2024 to complete the mandated reporter training. Until such time as the required training has been completed, facility person 2-- must be supervised, when interacting with children, by an (AGS, GS, or director) who has completed the required training related to this citation. If there are no staff person(s) available to supervise facility person 2, facility person 2 may not work in a child-care position at the facility.

During an unannounced inspection on 12/12/24Staff person/facility person # 2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 12/11/2019.

Corrected Corrected by Dec 27, 2024

Category: supervision. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

During an unannounced inspection on 12/12/24 Cert Rep observed staff in the toddler room discarding soiled diapers into a plastic lined trash can that required the staff to push the lid of the trash can in order to dispose of the diaper. This trash can was not hands free.

Corrected Corrected by Jan 13, 2025

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

3270.94(a)(1)/3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

During an unannounced inspection on 12/12/24 Cert rep noted that the fire drill log did not have a hypothetical location of the fire noted for the fire drill on 1/8/24. Cert rep also noted that there was one incidence of more than 60 days between fire drills: 9/27/24-12/9/24.

Corrected Corrected by Dec 12, 2024

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.

During an unannounced inspection on 12/12/24 cert rep noted there was more than 30 days between fire detection testing the following times: 1/24/25-2/25/24, 4/4/24-5/6/2024 and 10/24/24-12/9/24

Corrected Corrected by Dec 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f) · 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.

During the Renewal Inspection, the emergency contact information forms for Child #1, #2, #3, #4 and #5 were each last dated March of 2023.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(a) · 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.

On 1/26/2024, the most recent health assessment on file for Staff #1 was dated 6/2/2021. See LIS code sheet.

Corrected Corrected by Feb 29, 2024

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.

During the Renewal Inspection on 1/26/2024, the facility had not conducted an emergency drill within the previous 12 months. The most recent emergency drill was conducted on 6/16/2022.

Corrected Corrected by Feb 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff #2 did not complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) within 90 days of hire. Staff #2 completed pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 1/8/2024. See LIS code sheet.

Corrected Corrected by Jan 8, 2024

Category: health medication. 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). All staff clearances and the mandated reporter training must be renewed at least once every 60 months. Volunteer clearances are not permitted for child care employees. 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 childcare position at the facility.

During the Renewal Inspection on 1/25/2023, Staff #1 had a volunteer child abuse clearance on file. Staff #2 had all required clearances on file on 1/25/2023. However, the state police clearance was dated 11/2/2022 and the child abuse clearance was dated 11/5/2022. The prior state police and child abuse clearances on file for Staff #2 were dated 8/23/2017. Staff #2 completed mandated reporter training on 11/1/2022. The previous mandated reporter training on file for Staff #2 was dated 8/27/2017.

Corrected Corrected by Jan 25, 2023

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

3270.131(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.

During the Renewal Inspection on 1/25/2023, Child #1, #2, #3 and #4 all preschool children did not have health reports on file that were completed within the previous 12 months.

Corrected Corrected by Feb 16, 2023

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

3270.31(e)(4)(i) · 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.

During the Renewal Inspection on 1/13/2022, none of the staff for the files that were reviewed had current certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) that was completed through an approved provider. The course that was completed for the most current certifications 2021 did not have an in-person or a live component.

Corrected Corrected by Feb 8, 2022

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). As required by the CPSL, all staff persons must complete an approved mandated reporter training at least once every 60 months.

During the Renewal Inspection on 1/13/2022, the mandated reporter training was up to date for Staff #1. However, this training was completed on 12/29/2021. The most recent mandated reporter training on file that Staff #1 completed was dated 5/7/2015.

Corrected Corrected by Jan 13, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the Renewal Inspection on 1/13/2022, the following was observed: Loose tiles that left sharp edges exposed in the church level bathroom Room 115 and a cracked switch plate that left sharp edges exposed in the Youth Room.

Corrected Corrected by Jan 27, 2022

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