3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Staff persons #1 and #4 completed fire safety trainings in February of 2025 and subsequently more than 12 months later in April of 2026. Staff persons #2, #3, and #9 completed fire safety trainings in February of 2025 and subsequently more than 12 months later in March of 2026. Staff persons #5, #8, #10 completed fire safety trainings in March of 2025 and subsequently more than 12 months later in April of 2026. Staff person #6 completed fire safety trainings in August of 2024 and subsequently more than 12 months later in April of 2026.

Corrected Corrected by May 4, 2026

Category: recordkeeping. 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 #7 complete mandated reporter training 3/3/2020 and subsequently more than 60 months later on 8/15/25. The disclosure statements on file for facility persons #11 and #12 were incomplete as they each were not signed by a witness.

Corrected Corrected by May 4, 2026

Category: background checks. 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.

K-prep - Hand sanitizer was observed on a child's bag in an area accessible to the children in the room. (CORRECTED ON SITE)

Corrected Corrected by May 1, 2026

Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

The kitchen contained a working stove, which was accessible to the children that use the neighboring hallway / play area.

Corrected Corrected by May 4, 2026

Category: physical safety. 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.

An area of the fence on the preschool playground was cracked, creating a sharp edge.

Corrected Corrected by May 1, 2026

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

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Staff persons #7 and #8 were present with a group of 20 preschoolers. When the staff were asked to identify the names and whereabouts of the children in their care groups, only 16 of the 20 children were accounted for.

Corrected Corrected by Apr 30, 2026

Category: supervision. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The health assessment on file for staff person #7 did not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by May 20, 2026

Category: health medication. 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.

The health assessment on file for facility person #11 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by May 1, 2026

Category: health medication. 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)). A child care center shall keep the proof and date of purchase of an interconnected fire detection device or system with the facility's fire drill logs.

The proof and date of purchase of the interconnected fire detection device or system was not on file with the facility's fire drill logs.

Corrected Corrected by May 20, 2026

Category: recordkeeping. 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.

Documentation showed that the annual emergency plan training for staff occurred beyond the 12-month requirement as evidenced by the fact that a majority of existing staff completed emergency plan training 9/18/23 and again 10/14/24.

Corrected Corrected by Oct 14, 2024

Category: recordkeeping. 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, #3, #6, and #7 may not work in a child care position at the facility.

Valid PA State Police Clearance documents were not available for facility person #1 and #3. The clearance document for #1 did not contain the top portion of the form containing the identifying information. The clearance document for #3 did not contain the bottom portion of the form containing the disseminated date information. It was observed that disclosure forms were not obtained from CTC volunteers at time of hire as evidenced by a uniform start date of 10/1/24 and disclosure signature dates of 5/1/25 and 5/2/25. Child abuse clearance for facility person #8 was observed to be late as evidenced by a previous clearance dated 2/20/20 and a new clearance dated 2/26/25.

Corrected Corrected by Jun 16, 2025

Category: background checks. 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.

In the Preschool 1 room, tweezers were observed to be missing from the first aid kit. In the Two's room, tape was observed to be missing from the first aid kit. BOTH CORRECTED ON SITE.

Corrected Corrected by Apr 21, 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.

Ceiling tiles in the K Prep, Pre-K 2, and Infant 1 rooms contained water stains, reportedly from the HVAC system pipes above the tiles.

Corrected Corrected by Jun 20, 2025

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

At the time of inspection, the date of the health assessment was not available for facility person #2. The initial health assessment for facility person #7 was observed to have been obtained after the person's start date with the program as evidenced by a health assessment dated 9/8/23 - see LIS for first date working with children.

Corrected Corrected by May 21, 2025

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

3270.151(c)(2)/3270.192(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.

At the time of inspection, documentation of the date of TB test results was not available for facility person #2, #4, and #5.

Corrected Corrected by May 21, 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.

In the Preschool 1 room, the window frame was observed to be dusty. In the K-Prep room, the window frames were observed to be dusty.

Corrected Corrected by May 18, 2023

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.

In the infant room, a sensory bottle was observed to be unsecured, allowing children access to pumpkin seeds inside the bottle.

Corrected Corrected by May 18, 2023

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.

In the Young Toddler room, a blue foam pad was observed to have a ripped corner, allowing children access to the foam inside the pad. Corrected on site by removing the seat pad.

Corrected Corrected by May 18, 2023

Marked corrected in the state record.

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Medication log for child #1 was missing the dates for which the medication can be administered. Medication log for child #2 was missing the dates for which the medication can be administered.

Corrected Corrected by May 18, 2023

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

3270.151(a)/3270.192(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.

Health Assessment for Staff #1 was dated 10/13/20 and updated on 11/15/22, which is greater than 24 months. Health Assessment for Staff #2 was dated 9/28/20 and updated on 11/11/22, which is greater than 24 months. Health Assessment for Staff #3 was dated 9/24/20 and updated on 11/9/22, which is greater than 24 months

Corrected Corrected by May 15, 2023

Category: ratio. 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.

Emergency plan on file did not contain accommodations for infants, toddlers, and children with chronic medical conditions or disabilities.

Corrected Corrected by May 18, 2023

Category: recordkeeping. Marked corrected in the state record.