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's emergency plan does not address continuity of operations and specify the role of a volunteer , if applicable.

Corrected Corrected by May 28, 2025

Category: ratio. Marked corrected in the state record.

3280.32(a)/3280.192(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 Person #1 did not have documentation of a disclosure statement.

Corrected Corrected by May 28, 2025

Category: background checks. 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 lack a policy and procedure addressing shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Jun 19, 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 lacked a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safety be reunited with their children.

Corrected Corrected by Jun 26, 2024

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

3280.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and 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.

The files for Staff person #1 and #2 were observed to lack documentation of renewal of their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the previous certification, as evidence by only a current certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) present in their files.

Corrected Corrected by Aug 8, 2024

Category: ratio. Marked corrected in the state record.

3280.123(a)(3)/3280.124(f) · 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 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.

The files for Children #1, #2 & #3 were observed to lack the Department's approved form (Child Service Report) which had been completed in accordance with the updates regarding emergency contact information at § 3280.124(f). This was evidenced by Child Service Reports dated December 1, 2023, in the files, documenting a period of 8 months from date of enrollment.

Corrected Corrected by Aug 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(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 files for children #1, #2, #3, #4, and #5 were observed to contain emergency contact forms and financial agreements that had not been updated once in a 6-month period. Specifically, the files for Child #1, #3, and #5 included agreement forms dated April 1, 2024, and emergency contact forms dated April 1, 2023. Child #2's file contained an agreement form and an emergency contact form without dates. Child #4's file had an agreement form dated January 10, 2024, and an emergency contact form dated October 7, 2019.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. 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 the accommodations for children with disabilities and children with chronic medical conditions but failed to provide the accommodations for infants and toddlers.

Corrected Corrected by Jun 26, 2024

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

3280.131(a)/3280.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

The file for Child #2 was observed to lack an initial health report obtained no later than 60 days following the first day of attendance at the facility.

Corrected Corrected by Jun 26, 2024

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

3280.76 · 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.

The facility was observed to have a broken ceramic floor tile at the entrance to the child care space immediately on the left at the entrance.

Corrected Corrected by Jan 15, 2024

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

3280.102(f) · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

The facility was observed to have a pink Bimbo seat that did not have a tray or strap as required by the Consumer Product Safety Commission.

Corrected Corrected by May 15, 2024

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

3280.31(e)/3280.192(2)(iii) · A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Second citation. Previously cited on 4/28/23. The file for staff #1 lacks 12 hours of child care training between 12/19/21 and 12/19/22. The file for staff #2 lacks 11 hours of child care training between 4/27/22 and 4/27/23. The file for staff #3 lacks 7 hours of child care training between 12/19/21 and 12/19/22.

Corrected Corrected by Aug 21, 2023

Category: recordkeeping. 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.

Staff #7 did not complete the one hour health and safety update by 12/30/22. Training is now on file and dated 4/26/23.

Corrected Corrected by Jun 23, 2023

Category: ratio. 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. Until such time as the required pre-service trainings are completed, staff person #3 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

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: Mandated Reporter and Revised Health and Safety training.

Corrected Corrected by Jun 2, 2023

Category: supervision. Marked corrected in the state record.

3280.26(c)/3280.192(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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

There was more than 12 months between the previous and most current emergency plan trainings on file for staff #1, 2 and 7. The file for staff #5 lacked emergency plan training within 90 days of hire. There is now current emergency plan training on file for staff #1, 2 7 and 5.

Corrected Corrected by Jun 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)/3280.192(2)(iii) · A staff person shall obtain an annual 12 clock hours of child care training. 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 #2 lacks 12 hours of child care training between 12/19/21 and 12/19/22. The file for staff #5 lacks 11 hours of child care training between 4/27/22 and 4/27/23. The file for staff #7 lacks 7 hours of child care training between 12/19/21 and 12/19/22.

Corrected Corrected by Jun 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(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 #3, 4, 5 and 6 lack a signature date on the disclosure statements. The file for staff #3 lacked a Child Abuse Clearance on or before initial start date in a child care position. See IS code sheet. There is now a Child Abuse Clearance on file and dated 4/26/23.

Corrected Corrected by Jun 20, 2023

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

3280.75(b) · A first-aid kit shall be inaccessible to children.

The first aid kit in the children's bathroom was located under the sink in an unlocked drawer which was accessible to the children.

Corrected Corrected by May 31, 2023

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

3280.102(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.

The wooden outdoor play house had multiple areas where the wood was starting to splinter causing rough edges and sharp points.

Corrected Corrected by Jun 26, 2023

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

3280.118(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

The facility file for the cat named Socks contained a rabies immunization which expired on 1/2/23.

Corrected Corrected by Jun 26, 2023

Category: health medication. 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, 4, and 5 lack an acceptable child service report within the past 6 months.

Corrected Corrected by Jun 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(5)/3280.131(e)(3) · :Child(ren) # 1, 2 and 3 must be dismissed from care by close of business of the date of provider notification and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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, 2, and 3 lack a flu shot within the past 12 months as in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Jun 26, 2023

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

3280.135(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.

Observed that the diaper can was not hands free.

Corrected Corrected by Jun 26, 2023

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

3280.151(a)/3280.192(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 # 5 lacked a health assessment within 12 months prior to providing service in a child care position. SEE IS CODE SHEET. There is now a current health assessment on file and dated 4/19/23.

Corrected Corrected by Jun 25, 2023

Category: ratio. Marked corrected in the state record.

3280.151(c)(2)/3280.192(3) · 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. 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 #4 lacked a TB screening within 12 months prior to providing initial service in a child care position. SEE IS CODE SHEET. There is now a current TB screening with results on file and dated 4/6/23. The file for staff #5 lacked a TB screening within 12 months prior to providing service in a child care position. SEE IS CODE SHEET. There is now a current TB screening on file and dated 4/19/23.

Corrected Corrected by Jun 25, 2023

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

3280.181(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.

Staff #1 obtained a new app to manage child files. Children were given new dates of admission and the previous children's paper files were disposed of. Therefore, there were no six month updates on file for children #1, 2, 3, 4 and 5.

Corrected Corrected by Jun 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.182(1) · A child's record must contain initial and subsequent health reports.

Staff #1 obtained a new app to manage child files. Children were given new dates of admission and the children's previous paper files were disposed of. Therefore, there were no initial health assessments on file for children #1, 2, 3, 4 and 5.

Corrected Corrected by Jun 25, 2023

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

3280.182(2) · A child's record must contain the dates of application, admission and withdrawal of the child.

Staff #1 obtained a new app to manage child files. Children were given new dates of admission and the children's previous paper files were disposed of. Therefore, there were no dates of application and initial dates of admission on file for children #1, 2, 3, 4 and 5.

Corrected Corrected by Jun 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.182(3) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Staff #1 obtained a new app to manage child files. Children were given new dates of admission and the children's previous paper files were disposed of. Therefore, there was no written consent for emergency medical care on file for children #1, 2, 3, 4 and 5 which was obtained prior to admission.

Corrected Corrected by Jun 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.182(7) · A child's record must contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Staff #1 obtained a new app to manage child files. Children were given new dates of admission and the children's previous paper files were disposed of. Therefore, there were no reports of accidents, injuries and illnesses involving a child at the facility in the children's files prior to staff #1 acquiring the app.

Corrected Corrected by Jun 26, 2023

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

3280.182(8) · A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Staff #1 obtained a new app to manage child files. Children were given new dates of admission and the children's previous paper files were disposed of. Therefore, there were no copies of the initial agreements on file for children #1, 2, 3, 4 and 5.

Corrected Corrected by Jun 26, 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's current certificate of compliance was not posted in a conspicuous location used by parents and instructions for contacting the appropriate regional child care office were not provided to parents.

Corrected Corrected by Jun 20, 2023

Marked corrected in the state record.

3280.181(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.

The emergency contact information and fee agreement for child #3 were not updated or reviewed within the last six months. Last review/update was 9/8/21 for both.

Corrected Corrected by May 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility file lacked documentation of an emergency drill which was conducted within the past year.

Corrected Corrected by May 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(4) · The primary staff person 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.

The hypothetical location of the fire was the same for consecutive drills which were conducted on 1/4/22 and 2/3/22.

Corrected Corrected by May 16, 2022

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.

An evacuation route was not posted in the top floor of the facility.

Corrected Corrected by Apr 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2)/3280.124(b)(3) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information on file for child #3 lacked the address and telephone number of the child's physician. The emergency contact information on file for child #2 lacked the enrolling parent's work address and work phone number.

Corrected Corrected by May 11, 2022

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

3280.31(e)/3280.192(2)(iii) · A staff person shall obtain an annual 12 clock hours of child care training. 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 #2 contained 4 of the required 12 hours of child care training from 12/19/20 thru 12/19/21.

Corrected Corrected by Apr 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #8 -- may not work at the facility. 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 #6 lacked an NSOR on or before initial start date in a child care position. ( SEE IS CODE SHEET) There is now an NSOR on file and dated 3/21/22. The file for staff #8, lacks an NSOR on or before initial start date in a child care position. There is no NSOR on file.

Corrected Corrected by May 23, 2022

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

3280.105(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.

Observed an infant pack-n-play which lacked a label for the use of a specific child.

Corrected Corrected by Jul 14, 2022

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

3280.123(a)(4)/3280.123(a)(5) · An agreement shall specify the child's arrival and departure times.An agreement shall specify the persons designated by a parent to whom the child may be released.

The fee agreements on file for children #1, 3 and 4 lack an arrival and departure time and the names of the persons designated to whom the child may be released.

Corrected Corrected by May 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 all children was located in the kitchen and not present in the child care spaces where children were receiving care.

Corrected Corrected by May 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. Proof of purchase of the facilities interconnected fire detection system/devices shall be on file at the facility.

The facility file lacked proof of purchase of the interconnected fire detection devices.

Corrected Corrected by Jul 14, 2022

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 parent of each child enrolled was not provided the information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Corrected Corrected by Jul 14, 2022

Marked corrected in the state record.

3280.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff persons #3 and 4 will have until 7/15/22 to complete the required training. Until such time as the required training has been completed, staff persons #3 and 4--- must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff persons #3 and 4--, staff persons #3 and 4-- may not work in a child-care position at the facility.

Staff persons #3 and 4 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff #3 and 4 - pediatric first aid/CPR training in an approved curriculum with a PQAS trainer certified in that training topic.

Corrected Corrected by Jul 14, 2022

Category: supervision. Marked corrected in the state record.