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

Cert Rep observed that there was no First Aid kit in the Young Toddler room while children were in care.

Corrected Corrected by Jul 8, 2025

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Cert Rep observed that the door to the Younger Toddler class was blocked by a stroller while children were in care. In the Young Toddler hallway cots were being stored in front of a door and inside the door various items were being stored which blocked a means of egress.

Corrected Corrected by Jul 8, 2025

Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

In the Infant Room, Cert Rep observed that there was less than 2 feet of space on three sides of cribs that were currently in use. (corrected onsite)

Corrected Corrected by Aug 15, 2025

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

3270.111(c)/3270.112 · TIERED LIS: 1. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for infant room staff (to include the facility owner/director/assistant director) to receive a minimum of two hours of training regarding appropriate daily activities for infants (to include programming/learning environment/classroom setup). The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must also arrange for a minimum of 2 technical assistance (TA) sessions regarding appropriate daily activities for infants (including room arrangement and child engagement). The operator shall provide a date of when the training and TA sessions will be completed. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for appropriate daily activities in the infant classroom is followed at all times e.g., a checklist. 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 DHS approves the documentation format. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the checklist.

Cert Reps observed throughout the visit that infants in the infant room were watching television.In the infant room, Cert Rep observed an infant in the bouncy chair and another infant in the Jumparoo chair for a time period exceeding 10 consecutive minutes and approaching 40 consecutive minutes. There was a total of 3 infants in the room at the time.

Corrected Corrected by Dec 1, 2025

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

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

In the older Toddler Room, Cert Rep observed staff #5 using a "wrist leash" to restrict the movement of children in her care. This device was attached to the children and was not something the children had the option to hold onto.

Corrected Corrected by Jul 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.114 · Weather permitting, children shall be taken out doors daily.

Staff #1 stated infants are not taken outside daily.

Corrected Corrected by Jul 8, 2025

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

3270.119 · TIERED LIS: 1. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive training regarding safe sleep for infants. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date of when the training will be completed. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for infant safe sleep is followed at all times e.g., a checklist. 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 DHS approves the documentation format. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the checklist.

In the Infant Room, Cert Rep was told by staff #3 that she routinely lays infants on their stomachs at rest time. (corrected onsite) Also in the infant room, Cert Rep observed the linen used in the cribs were not tight fitting and posed a potential suffocation hazard to infants.

Corrected Corrected by Dec 1, 2025

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

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Cert Rep observed that the "Facility's Custom Made" Emergency Contact forms used in the infant room did not contain information regarding designated release persons authorized by parents for pick-up.

Corrected Corrected by Jul 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

In the Older Toddler room, Cert Rep observed staff # 5, who wore gloves during a diaper change, did not wash her hands after finishing the diaper change and only washed the child's hands when the Cert Rep reminded her to do so.

Corrected Corrected by Aug 15, 2025

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

3270.24(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Certification representative arrived to the facility to verify corrections from the renewal inspection. Certification representative rang the doorbell upon arrival. A staff member observed certification representative at the door and walked away. Certification representative rang the doorbell multiple times and called the facility's phone and got their voicemail. Certification representative called Staff Member 1's cell phone and they stated they were at the park. Certification representative told staff member 1 that another staff member saw them at the door and staff member 1 stated that a staff member at the facility called them to tell them that there was a lady at the door but did not allow certification representative access until staff member 1 returned to the facility almost twenty minutes later.

Corrected Corrected by Jul 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

While completing a correction verification visit, it was observed that the inspection summary from the renewal inspection on April 22, 2025 was not posted in a conspicuous location used by the parents.

Corrected Corrected by Jun 27, 2025

Marked corrected in the state record.

3270.34(a)(1) · A director is responsible for administering finances, personnel, maintenance, meal planning and preparation and transportation. Directed Plan of Correction: 1.A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). The portion of the plan shall have an immediate correction date. 2. The director/owner operator must attend the Central Regional Office of Child Development and Early Learning's Existing Provider Training. Documentation of completed training must be submitted to DHS and be kept in the staff person's record at the facility. The operator shall provide a date of when this training will be completed.

Staff #1 did not fulfill their responsibilities regarding the administration of personnel, transportation, and overall programming as demonstrated by the violations on this inspection summary (SIN-00269100).

Corrected Corrected by Jul 10, 2025

Category: ratio. Marked corrected in the state record.

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

While completing a correction verification visit, it was observed that the first aid kit in the preschool classroom was on the floor, accessible to the children.

Corrected Corrected by Jun 27, 2025

Category: health medication. 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.

While completing a correction verification visit, it was observed that emergency contact information for children present during the visit were missing in the preschool classroom.

Corrected Corrected by Jun 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(d) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

During a correction verification visit, it was observed that children returned to the facility from a local park. Emergency contact information for all children who went to the park were not present in the staff members' bookbag used during the excursion.

Corrected Corrected by Jun 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.172(a) · Transportation by the facility requires written parental consent, except for transportation of school-age children who are transported to or from a child care facility in vehicles owned or operated by the school district.

The emergency contact information in the staff members' bookbag that was used during the excursion did not include written parental consent to provide transportation.

Corrected Corrected by Jul 10, 2025

Category: transportation. Marked corrected in the state record.

3270.173(b) · The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported. Directed Plan of Correction: 1. The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported. The portion of the plan shall have an immediate correction date. 2. The legal entity must submit documentation in a format approved by DHS proving that the facility follows the required staff-child ratio when infant, young or older toddler or preschool children are being transported is followed at all times e.g. a checklist. Documentation must be submitted on a weekly basis for a period of 3 months. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the checklist.

During a correction verification visit, certification representative was told by staff member 1, that staff member 1 transported 10 children- ages 4-9 in one van and staff member 2 transported 6 preschool aged children in a chevy traverse.

Corrected Corrected by Dec 1, 2025

Category: ratio. Marked corrected in the state record.

3270.175(a) · A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems). Directed Plan of Correction: 1. A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems). The portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all staff responsible for transporting children (at minimum staff person #1 and #2) to complete the training titled "Appropriate Precautions in Transportation of Children" on the PD Registry. Documentation of completed training must be submitted to DHS and be kept in the staff person's record at the facility. The operator shall provide a date of when this training will be completed. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for transportation children is followed at all times e.g. a checklist. At minimum the documentation should include the following areas: The name of children being transported, the age of each child, the staff person supervising each child during transportation, the appropriate restraint system being used for each child during transportation, the vehicle being used, the name of the person driving the vehicle for a period of 3-months. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the checklist.

During the correction verification visit, it was observed that there were no booster seats in the van that was used to transport 10 children that included 8 children between the ages of 4 and 6 years old. There was one booster seat in the chevy traverse that was used to transport 6 preschool aged children.

Corrected Corrected by Dec 1, 2025

Category: supervision. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Documentation of the emergency evacuation plan on file at the facility was not reviewed annually. This was corrected during the inspection.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

During the time of inspection, Director told certification representative that the dirty water tank in the older classroom is emptied every Friday.

Corrected Corrected by May 13, 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. Facility Person #-1-- may not work in a child care position at the facility.

Documentation of the state police clearance on file for staff member 1 was incomplete. Documentation of the child abuse clearance on file for staff member 1 was obtained after the first day working with children. Documentation of the national sex offender registry clearance on file for staff member 3 was obtained more than 45 days of the first day working with children. Documentation of the disclosure statement on file for staff member 5 was not signed by a witness. This was corrected during the inspection.

Corrected Corrected by May 13, 2025

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

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Documentation on file for staff member 1 did not include verification of two years' experience working with children.

Corrected Corrected by May 13, 2025

Category: supervision. Marked corrected in the state record.

3270.75(d)/3270.178 · 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). A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

During the time of inspection, it was observed that the van that will be used to transport children did not include a water bottle in the first aid kit. This was corrected during the inspection.

Corrected Corrected by Apr 22, 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 time of inspection, it was observed that the floor vent on the floor in the older toddler classroom wasn't secured, and sharp metal edges were exposed. A cover holding an electric cord in the preschool classroom was coming off of the wall. The cord for the swing in the young toddler classroom was not taped to the wall causing a potential choking hazard; the wall with different manipulatives was dirty and the baseboards were coming off of the wall. In the infant classroom, the baseboards were coming off of the wall, the floors had a powder-like substance on them and there was a hole in the wall. The cover in the preschool classroom was corrected during the inspection. The dirty wall in the young toddler classroom was cleaned during the inspection.

Corrected Corrected by May 13, 2025

Category: physical safety. 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 the time of inspection, it was observed that there was chipped paint under the window in the preschool classroom. This was corrected during the inspection.

Corrected Corrected by May 13, 2025

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

3270.92(b) · A fixed space heater shall be approved for use by a local firesafety professional. Written approval of the installation and written approval for use shall be on file at the facility.

During the time of inspection, it was observed that there was a space heater secured to the wall in the preschool classroom but the facility did not have documentation of the space heater to be approved by the local fire department to be used in the facility.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.102(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.

During the time of inspection, it was observed that a bin with dinosaurs and a bin with building manipulatives was visibly dirty in the preschool classroom.

Corrected Corrected by May 13, 2025

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

During the time of inspection, it was observed that there was a bookshelf in the older toddler classroom that wasn't secured to the wall causing a protentional hazard of the bookshelf tipping over on a child.

Corrected Corrected by May 13, 2025

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

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

During the time of inspection, it was observed that a staff member had their back to an infant that was sleeping in a swing. Video footage showed that the staff member had their back turned to the infant from approximately 11:09-11:12am.

Corrected Corrected by Apr 22, 2025

Category: supervision. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

During the time of inspection, it was observed that an infant child was sleeping in a swing.

Corrected Corrected by Apr 22, 2025

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

3270.123(a)(3) · 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 in § 3270.124(f) (relating to emergency contact information).

Documentation of child service reports were not on file for child 1, child 2, child 3, child 4 and child 5

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Documentation of the original agreements were on file for child 1,child 2, child 3, child 4 and child 5.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Documentation of the emergency contact information on file for child 2, did not include the name of the physician that the child goes to.

Corrected Corrected by May 13, 2025

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

3270.124(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.

Documentation of the emergency contact information for child 4 did not include the release person address.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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.

Documentation of the health assessment and TB test on file for staff member 1, staff member 3 and staff member 4's was obtained after the first day caring for children.

Corrected Corrected by Apr 22, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Documentation of the health assessment on file for staff member 1 did not include verification that the staff member was suitable to work with children

Corrected Corrected by Jun 6, 2025

Category: health medication. 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.

During the time of inspection, it was observed that the facility did not have pick-up and drop off procedures posted in a conspicuous location in the child care facility.

Corrected Corrected by May 13, 2025

Marked corrected in the state record.

3270.192(2)(iii) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Documentation on file for staff member 1, staff member 2 and staff member 5 did not include documentation of education.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · 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 of a health assessment was not on file for staff member 5.

Corrected Corrected by May 13, 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.

Documentation on file for staff member 5 did not include two written references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by May 13, 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.

Documentation of the letter that the parents receive at the time of enrollment that outlines the emergency evacuation plan did not include accommodations for infants, toddlers, children with disabilities and children with chronic medication conditions(if applicable)

Corrected Corrected by May 13, 2025

Category: health medication. 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 of an annual emergency drill was not on file at the facility.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Documentation of the alarm testing on file showed that the fire alarms were not being tested every 30 days. The alarm was tested on 7/2/24 and again on 8/5/24 which is 34 days; 9/3/24 and again on 10/4/24 which is 31 days; 12/6/24 and again on 1/15/25 which is 40 days and on 1/15/25 and again on 2/16/25 which is 32 days.

Corrected Corrected by Apr 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Documentation of the annual written notification to local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was not on file.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14 · 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.

Staff #1 was observed working unsupervised without completed first aid/ CPR training.

Corrected Corrected by Jul 2, 2024

Category: supervision. Marked corrected in the state record.

3270.124(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.

Child #3 did not have the release person's address listed on their emergency contact form.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.111(c)/3270.112 · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

The television was observed to be on for at least two hours in the infant room for the duration of the inspection. Daily activities did not promote the development of skills, social competence and self-esteem.

Corrected Corrected by Jun 21, 2024

Category: ratio. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

Child #1, #3, #4, and #5 did not have the fee amount listed on their agreement form.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

Child #1, #3, #4, and #5 did not have fee amount due date listed on the agreement form.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

Child #3 did not have arrival and departure times listed on their agreement form.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

Child #1, #2, #3, #4, and #5 did not have the date of admission listed on their agreement form.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Child #4 did not have health insurance policy number listed on their emergency contact information form.

Corrected Corrected by Jun 21, 2024

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

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Child #2 did not have record of the required round of DTAP, HIB, Pneumococcal, IPV vaccinations.

Corrected Corrected by Jun 21, 2024

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

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Child #1, #2, and #5 did not have signed parental consent for emergency medical care.

Corrected Corrected by Jun 21, 2024

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.

Child #1, #2, and #5 did not have a signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jun 21, 2024

Category: ratio. Marked corrected in the state record.

3270.95(a) · 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 fire system was not tested every 30-days. Documentation showed the system was tested 4/24/24 and then 6/03/24.

Corrected Corrected by Jun 21, 2024

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

3270.102(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.

During the inspection of the outdoor play space, two pieces of play equipment (required to be embedded) were observed and did not have 9 inches of mulch or unitary playground surface covering that meets the recommendation of the U.S. Consumer Product Safety Commision.

Corrected Corrected by Jun 20, 2024

Category: physical safety. 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 #2 may not work in a childcare position at the facility.

File for staff person #2 did not contain documentation of a State Police Clearance, Child Abuse Clearance, FBI Clearance, or signed disclosure statement.

Corrected Corrected by Feb 21, 2024

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

3270.36(b)(5)/3270.192(2)(ii) · 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 verification of child care experience, education and training prior to service at the facility.

Staff person #2, qualified as an AGS, does not have documentation of 2 years experience with children.

Corrected Corrected by Feb 21, 2024

Category: supervision. 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.

Under the kitchen sink there was foaming garbage disposal cleaner, Comet ultra cleaner with bleach, unidentified cleaning substance. There were no safety locks on the cupboard or leading into the kitchen. Removed during inspection.

Corrected Corrected by Feb 15, 2024

Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

PreK classroom did not have tweezers and the school age / gross motor classroom did not have scissors. Items were added during the inspection.

Corrected Corrected by Feb 15, 2024

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.

Vent in the school age / gross motor room had a visible layer of surface dust. In the PreK classroom, edges of the rug were curled creating a potential trip hazard. Both items were corrected during the DHS inspection.

Corrected Corrected by Feb 15, 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.

Main entrance did not have visual identification on the glass. Corrected during DHS visit.

Corrected Corrected by Feb 15, 2024

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.

Staples were accessible to children in the older toddler and infant classroom. Corrected during DHS visit.

Corrected Corrected by Feb 15, 2024

Marked corrected in the state record.

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

An unstable table was observed in the older toddler classroom. An unstable shelf was observed in the diapering bathroom. The shelf was not anchored to the wall and could easily tip over. The table was corrected during DHS visit.

Corrected Corrected by Feb 21, 2024

Category: health medication. 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.

Hands-free trash can was not observed in the diaper changing area in the infant classroom. Corrected during DHS visit.

Corrected Corrected by Feb 15, 2024

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

3270.151(a)/3270.151(c)(2) · 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. 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.

Staff person #1 had a health assessment and TB test on file that was older then 12 months prior to providing initial service. Staff person #2 did not have documentation of a health assessment or TB test on file.

Corrected Corrected by Feb 21, 2024

Category: ratio. 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.

Staff person # 2 did not have documentation of two written, nonfamily references on file.

Corrected Corrected by Feb 21, 2024

Category: recordkeeping. Marked corrected in the state record.