3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility was observed to be providing a letter explaining the emergency procedures to the parent of each enrolled child, however, this letter lacked to provide information about the accommodation for infants, toddlers, children with disabilities and children with chronic medical conditions during an emergency.

Corrected Corrected by Jun 23, 2025

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

3280.80 · 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.

The facility was observed to have a full glass panel door in the dining room that lacked a visual strip or other visual identification on the glass.

Corrected Corrected by Jun 23, 2025

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

3280.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

The facility was observed to have embedded playground equipment that was mounted over a bed of wood mulch less than 9" deep at all measured fall points.

Corrected Corrected by Jun 23, 2025

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

3280.131(b)(1)/3280.182(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 must contain initial and subsequent health reports.

The file for child #1 was observed to lack an updated health report obtained at least once every 6 months. This was evidenced by health reports dated 8/29/23 and 7/11/24, a period of 11 months present in the file.

Corrected Corrected by Jun 23, 2025

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

3280.14/3280.20 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility was observed to have an emergency plan that failed to specify the role of volunteers during an emergency.

Corrected Corrected by Jul 12, 2024

Category: ratio. Marked corrected in the state record.

3280.26(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility was observed to have an emergency plan that failed to provide a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children

Corrected Corrected by Jul 12, 2024

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

3280.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The Staff person supervising children in the outdoor play space was observed to lack a list of the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center in their possession while in this space.

Corrected Corrected by Jul 12, 2024

Category: supervision. Marked corrected in the state record.

3280.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

The facility was observed to have outdoor equipment requiring embedded mounting, which was installed over wood mulch measuring less than six inches at each potential fall point.

Corrected Corrected by Jul 12, 2024

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

3280.124(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.

The staff person supervising children in the outdoor play area was observed to lack a written plan identifying the means of transporting a child to emergency care, as well as staffing arrangements during emergencies in their possession.

Corrected Corrected by Jul 12, 2024

Category: supervision. Marked corrected in the state record.

3280.151(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.

The files for Staff person #1 and #2 were observed to contain health assessments that were not obtained once every 24 months. This was evidenced by Health assessments for person #1 dated 08/24/2020 and 09/29/2022 a period of 25 months. Staff person #2 contained health assessments dated 09/15/2020 and 11/11/2022 a period of 25 months and 3 weeks.

Corrected Corrected by Jul 12, 2024

Category: ratio. Marked corrected in the state record.

3280.26(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.

The facility was observed to have an emergency plan that provides accommodations for children with disabilities and children with chronic medical conditions but lacked to provide accommodations for infants and toddlers.

Corrected Corrected by Jul 12, 2024

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

3280.14/3280.21 · 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. The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent.

The facility was observed to have an emergency plan that lacked a statement regarding the continuity of operations. The facility was observed to lack a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The files for staff persons #1, #2 and #3 were observed to lack documentation of completing the required Pennsylvania Health and Safety Update 2022 by December 30, 2022 as evidenced by a certificate of completions dated 02/06/2023 in the files.

Corrected Corrected by May 10, 2023

Category: ratio. Marked corrected in the state record.

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

The files for Staff persons #1, #2 and #3 were observed to lack documentation of staff person obtaining an annual 12 clock hours of childcare training in the year of 2022. This was evidenced by documentation of hours obtained in 2021 and hours obtained in 2023.

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.69(a) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The water in the restroom used by the children while in care was observed to have hot water that measured 121.9 degrees.

Corrected Corrected by May 10, 2023

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

3280.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

The files for children #1, #2, #3, and #4 were observed to lack a Child Service Report.

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(6)/3280.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

The file for child #3 was observed to contain an agreement that lacked to specify the date of the child's admission.

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #1 was observed to contain an emergency contact form that lacked the enrolling parent's work address and work phone number.

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The file for Child #1 was observed to contain an emergency contact form that failed to specify whether or not the child has special needs.

Corrected Corrected by May 10, 2023

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

3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The file for children #1 and #2 were observed to lack updated health reports at least every 12 months. This was evidenced by a health report for child #1 dated 02/24/2021 and 03/23/2023, and health reports for child #2 dated 02/23/2021 and 03/12/2022.

Corrected Corrected by May 10, 2023

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

3280.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The files for Children #1 and #3 were observed to lack documentation of the children having an immunized status that is in accordance with ACIP recommendations.

Corrected Corrected by May 10, 2023

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

3280.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file for child #1 was observed to lack documentation of obtaining written verification from a physician of the child being immunized in accordance with the recommendations of the ACIP no more than 60 days following the first day of attendance at the facility.

Corrected Corrected by May 10, 2023

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

3280.131(e)(3) · The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The files for Children #1 and #3 were observed to lack documentation of the children having an immunized status that is in accordance with ACIP recommendations. The file for child #1 was observed to lack documentation of obtaining written verification from a physician of the child being immunized in accordance with the recommendations of the ACIP no more than 60 days following the first day of attendance at the facility.

Corrected Corrected by May 10, 2023

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

3280.165 · The operator shall discuss the general menu plan with the parent so that the daily nutritional needs of the child can be met.

The facility was observed to lack a posting of the facility's menu in a conspicuous location.

Corrected Corrected by May 10, 2023

Category: nutrition. Marked corrected in the state record.

3280.192(1) · A facility person's record shall include the name, address and telephone number of the facility person.

The file for staff persons #1, #2, and #3 were observed to lack the address and telephone number of the facility person.

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.192(2)(i) · A facility person's record shall include verification of age.

The file for Staff persons #1, #2 and #3 were observed to lack verification of age.

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The facility was observed to lack an evacuation route posted in a conspicuous location on the main floor of the facility.

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.24(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.

The facility was observed to lack documentation of providing each parent with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional childcare office.

Corrected Corrected by May 10, 2023

Marked corrected in the state record.

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

The facility was observed to lack documentation to verify that the operator notified local traffic safety authorities in writing of the location of the facility and about the programs' use of pedestrian and vehicular routes around the group childcare facility.

Corrected Corrected by May 10, 2023

Marked corrected in the state record.

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

Observed staff file #3 did not contain documentation of 12 clock hours of child care training within the completed anniversary year. The file contained documentation of 10 clock hours of child care training.

Corrected Corrected by May 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.26(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Observed the file of staff #1, 2, and 3 did not contain documentation of training in the emergency plan.

Corrected Corrected by May 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.26(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Observed the facility did not have documentation of the emergency plan review and update within the previous 12 months.

Corrected Corrected by May 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.34(b)(5) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children

Observed staff file #1 and #3 did not contain documentation of a high school diploma and 2 years (2500 hours) of experience with children. Observed staff file #2 did not contain documentation of 2 years (2500 hours) of experience with children.

Corrected Corrected by May 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Observed the child file #1, 2, 3, 4, and 5 contained original agreements.

Corrected Corrected by May 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Observed the emergency contact information for child file #2 did not contain the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by May 2, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Observed child file #4 contained a most recent health assessment which was dated more than 13 months ago. Observed child file #5 contained an updated health assessment which did not specify the date when the health assessment was performed.

Corrected Corrected by May 2, 2022

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

3280.94(a)(1) · The primary staff person 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.

Observed the documented fire drill log, which revealed that 3 times in the previous 12 months the fire drills were conducted more than 60 days apart.

Corrected Corrected by May 2, 2022

Category: recordkeeping. Marked corrected in the state record.