3270.52/3270.55(a) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. The required staff:child ratios must be maintained at all times. TIERED LIS: 1. The required staff:child ratios must be maintained at all times. This portion of the plan requires an immediate correction date. 2. The Legal Entity must arrange for all staff hired at the facility to take the one-hour training titled "Supervision; Staff-to-Child Ratio" on Better Kid Care. The training certificates shall be provided to the Northeast Regional Office and maintained in the staff files. This portion of the plan requires a correction date when the training will be completed.

A unannounced monitoring verification visit occurred at the facility on 1/12/26. A physical site review was conducted. Staff #3 was present with a mixed age group of children, and the youngest child was identified by this staff as a young toddler. Staff #3 was with 9 children. This number of children would have required at least two staff to meet appropriate staff:child ratios.

Corrected Corrected by Feb 17, 2026

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan requires an immediate correction date. 2. The Legal Entity must arrange for all staff hired at the facility shall take the one-hour training titled "Supervision: What's Required?" through Better Kid Care. The training certificates shall be provided to the Northeast Regional Office and maintained in the staff files. This portion of the plan requires a correction date when the training will be completed.

CONTINUED NONCOMPLIANCE A renewal inspection occurred at the facility during the period of 11/18/25 to 11/26/25. A physical site review was conducted. In the rear building, middle room, a preschool child was observed working with an outside provider and this child was not supervised by a facility staff person. This child's file did not contain consent from the family for the child to work unsupervised with the outside provider. An acceptable plan of correction was obtained on 12/9/25. An unannounced monitoring verification visit occurred at the facility on 1/12/26. At the time of arrival, Staff #3 was the only staff present in the building and was observed in the rear room from the entrance door with one child. Five children were observed in the room with the entrance door, and three children were observed in the right room.

Corrected Corrected by Feb 17, 2026

Category: supervision. 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. TIERED LIS: 1. 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. This portion of the plan requires an immediate correction plan. 2. The Legal Entity shall establish a discipline policy. The policy will include the facility's use of acceptable methods of discipline as well as what discipline is prohibited at the facility. This must include the prohibition of equipment as discipline. The discipline policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy. Documentation of the training must be on file at the facility. This portion of the plan requires a date when this requirement will be complete.

An unannounced monitoring verification visit occurred at the facility on 1/12/26. A physical site review was conducted. During the inspection, Staff #3 identified a child sitting who was sitting in a highchair eating and watching an iPad as 3 years of age. The child was observed attempting to get out of the highchair and was unsuccessful, nor was the child removed when requested by the child.

Corrected Corrected by Feb 17, 2026

Category: recordkeeping. Marked corrected in the state record.

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

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the enrolling persons work address and phone number to be included in the file. This information was missing in the files of the following children: Child #1 and Child #5.

Corrected Corrected by Dec 13, 2025

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.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to review the emergency plan on an annual basis. The following staff did not review the emergency plan on an annual basis: Staff #1 (previous 9/30/24, current 11/18/25) and Staff #2 (previous 8/24/24, no current).

Corrected Corrected by Dec 13, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not participate in annual fire safety training: Staff #1 (previous 10/18/24, no current) and Staff #2 (previous 8/26/24, current 9/11/25).

Corrected Corrected by Dec 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires the director to evaluate staff on an annual basis. The following staff did not have annual evaluation conducted on them by the director: Staff #2.

Corrected Corrected by Dec 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

A renewal inspection occurred at the facility. A physical site review was conducted. The school age outdoor play pace contained a rusty fire pit and rusty tire rims. The preschool outdoor play space climber had peeling paint on the green poles. The middle building sunroom and bathroom contained a rusty baseboard heater. These areas were identified and addressed with the operator at the time of the inspection.

Corrected Corrected by Dec 13, 2025

Category: physical safety. 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.

A renewal inspection occurred at the facility. A physical site review was conducted. In the preschool outdoor play area, the climber was missing screws at the game board area. Also in this area, was a Little Tikes small green rock climber that contained a crack. These pieces of equipment were identified and addressed with the operator at the time of the inspection.

Corrected Corrected by Dec 13, 2025

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.

A renewal inspection occurred at the facility. A physical site review was conducted. The mulch surrounding the outdoor climber in the preschool play area was measure and did not contain the 9 inches of loose fill as required by the CPSC. The depth of mulch surrounding this climber was measured to be between 2-3 inches surround the climber when measured in multiple areas.

Corrected Corrected by Dec 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.

A renewal inspection occurred at the facility. A physical site review was conducted. In the preschool outdoor play area, a chair was found that the legs were rusty. This chair was identified and addressed with the operator at the time of the inspection.

Corrected Corrected by Dec 13, 2025

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

3270.113(a)/3270.113(a)(1) · 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. 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. TIERED LIS: 1. Children must be supervised, and staff must be physically present with children at all times. ((This portion of the plan requires an immediate date of correction.)) 2. The operator shall develop a policy to address proper supervision of children during times an outside provider is providing services to a child. The policy shall identify how staff will be physically present to ensure proper supervision of children. The policy may identify other means of supervision of the child in an agreed upon service between the family and the facility staff. This policy must be sent to the Regional Office for review. Once approved, the operator will discuss with staff the policy and ensure the implementation of the facility.

A renewal inspection occurred at the facility. A physical site review was conducted. In the rear building, middle room, a preschool child was observed working with an outside provider and this child was not supervised by a facility staff person. This child's file did not contain consent from the family for the child to work unsupervised with the outside provider.

Corrected Corrected by Dec 13, 2025

Category: supervision. Marked corrected in the state record.

3270.124(f)/3270.181(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.

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires children's emergency contact and agreement forms to be reviewed and updated at least every 6 months. The following children's forms were not reviewed/updated at least every 6 months: Child #1 (emergency contact previous 11/8/24, current 7/29/25 and agreement previous 2/11/25, no current); Child #3 (agreement previous 1/25/25, no current) and Child #4 (no previous agreement, current 9/4/25).

Corrected Corrected by Dec 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(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 shall contain initial and subsequent health reports.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the child's date of birth. Regulation requires toddlers to have an updated health report in their file at least every 6 months. Child #1 had a health report in their file dated for 1/30/25. The file was missing the 6-month updated health report.

Corrected Corrected by Dec 13, 2025

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

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires in the files of children consent for emergency medical care and admission of first aid treatment. The following children were missing these consents in their files: Child #3 and Child #5.

Corrected Corrected by Dec 13, 2025

Category: ratio. Marked corrected in the state record.

3270.61(h) · The capacity established for an indoor space may not be exceeded except in situations described in § 3270.61(h)(1-3)

A renewal inspection occurred at the facility. A review of staff files was conducted. The back building's rear room has a measured capacity of 3 children. During this inspection, a group of 10 children was observed to be receiving care in this room. This room was over capacity by 7 children.

Corrected Corrected by Nov 18, 2025

Category: ratio. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

A renewal inspection occurred at the facility. A review of the facility's fire system testing log was conducted. Regulation requires the fire safety system to be tested at least every 30 days. The following tests did not occur at least every 30 days: 10/10/25 and 11/18/25.

Corrected Corrected by Nov 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. Staff #1 did not participate in annual fire safety training (previous 5/8/23, current 12/26/24).

Corrected Corrected by Feb 3, 2025

Category: recordkeeping. 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).

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the date of enrollment. Regulation requires children to be assessed every 6-month period for their growth and development. The following children were missing their 6-month assessment: Child #3 (none in file since enrollment) and Child #4 (none in file since enrollment).

Corrected Corrected by Feb 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(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.

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the emergency contact information of children to be updated at least every 6-month period. The following child files did not update their emergency contact information at least every 6-month period: Child #3 (previous1/9/24, no current review) and Child #4 (previous 2/29/24, no current review). Regulation requires the agreement forms of children to be updated at least every 6-month period. The following child's files did not update their agreement forms at least every 6-month period: Child #3 (previous1/9/24, no current review) and Child #4 (previous 6/12/24, no current review).

Corrected Corrected by Feb 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.181(c) · 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 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.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the date of birth of the children. Regulation requires an updated health report to be in the children's files at least every 12 months for older toddler and preschool children. The following child did not have an updated health report in their file conducted at least every 12 months: Child #3 (previous 1/3/24, no current).

Corrected Corrected by Feb 17, 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.

An unannounced inspection occurred at the facility. A review facility person file review was conducted. Through interviews it was determined that on 8/24/24, Facility Person #1 was working at the facility while children were in care and Facility Person #1 only had a volunteer child abuse clearance dated 3/31/20. Per the CPSL, Facility Person #1 is required to have the child abuse clearance for employment.

Corrected Corrected by Sep 24, 2024

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

3270.111(c) · 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.

An unannounced inspection occurred at the facility on 6/5/24. A physical site review was conducted. The new building room #3 contained 2-toddler aged children that were belted into chairs and placed in front of a computer screen. One child was in this position for 1 hour and 15 minutes. The other child was in this position for 1 hour and 40 minutes. School age children interviewed also indicated they are made to play away from others when they are in trouble and on one occasion a child was made to sit alone at a table with no activity to do. School age children were observed during this inspection for periods of time without any activities.

Corrected Corrected by Jul 15, 2024

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

3270.113(a)/3270.113(a)(1) · 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. 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. Children must be supervised at all times.

On 6/5/24, Staff #8 was observed walking into the new building (right building) from the porch. The Certification Representative immediately observed a toddler in Room #4 in a walker, an infant in Room #3 sleeping in a rocker/bouncer chair, and a toddler walking around in Room #1. There were no other adults in the building other than Staff #8. These children were unsupervised when the staff left the building. Individuals #6 and #7 were observed in the old building (left building) with a group of 9 school-age children upon arrival, approximately 9:45 a.m. At approximately 11:40 a.m., Individual #3 was observed supervising 6 school-age children in the old building (left building). Individuals #3, #6, and #7 are not old enough to qualify as staff. Also in this building, 2 school-age children were observed in the back room, 2 school-age children were observed in the middle room and 2 school-age children were observed in the front room, all unsupervised. No adults were observed to be present in this building. At this time, Staff #2 was in the new building (right building) with 8 children location in multiple classrooms. An infant and toddler were observed in the left room unsupervised. The infant was sleeping in a rocker/bouncer chair and the toddler was sleeping in a pack and play with a bottle. A preschool child was observed in the main room (entrance) unsupervised, and a toddler was observed unsupervised in the right room. Staff #2 also walked out of the rear room at times, leaving 2 toddlers and 3 preschoolers unsupervised.

Corrected Corrected by May 8, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The checklist must include a staff name, the classroom name, and the ages of the children being supervised. This information will be documented at least every 30-minute period during operating hours of the facility. 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 documentation must be submitted to the Regional Office no later than close of business on Monday for the previous week.

On 6/5/24, Staff #8 was observed walking into the new building (right building) from the porch. The Certification Representative immediately observed a toddler in Room #4 in a walker, an infant in Room #3 sleeping in a rocker/bouncer chair, and a toddler walking around in Room #1. There were no other adults in the building other than Staff #8. These children were unsupervised when the staff left the building. Individuals #6 and #7 were observed in the old building (left building) with a group of 9 school-age children upon arrival, approximately 9:45 a.m. At approximately 11:40 a.m., Individual #3 was observed supervising 6 school-age children in the old building (left building). Individuals #3, #6, and #7 are not old enough to qualify as staff. Also in this building, 2 school-age children were observed in the back room, 2 school-age children were observed in the middle room and 2 school-age children were observed in the front room, all unsupervised. No adults were observed to be present in this building. At this time, Staff #2 was in the new building (right building) with 8 children location in multiple classrooms. An infant and toddler were observed in the left room unsupervised. The infant was sleeping in a rocker/bouncer chair and the toddler was sleeping in a pack and play with a bottle. A preschool child was observed in the main room (entrance) unsupervised, and a toddler was observed unsupervised in the right room. Staff #2 also walked out of the rear room at times, leaving 2 toddlers and 3 preschoolers unsupervised.

Corrected Corrected by Nov 1, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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. The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved, in-person training, regarding appropriate supervision and ratios of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. To show proof of the training, the legal entity will submit the staff attendance/sign-in sheet to the Regional Office after completion of the training.

On 6/5/24, Staff #8 was observed walking into the new building (right building) from the porch. The Certification Representative immediately observed a toddler in Room #4 in a walker, an infant in Room #3 sleeping in a rocker/bouncer chair, and a toddler walking around in Room #1. There were no other adults in the building other than Staff #8. These children were unsupervised when the staff left the building. Individuals #6 and #7 were observed in the old building (left building) with a group of 9 school-age children upon arrival, approximately 9:45 a.m. At approximately 11:40 a.m., Individual #3 was observed supervising 6 school-age children in the old building (left building). Individuals #3, #6, and #7 are not old enough to qualify as staff. Also in this building, 2 school-age children were observed in the back room, 2 school-age children were observed in the middle room and 2 school-age children were observed in the front room, all unsupervised. No adults were observed to be present in this building. At this time, Staff #2 was in the new building (right building) with 8 children location in multiple classrooms. An infant and toddler were observed in the left room unsupervised. The infant was sleeping in a rocker/bouncer chair and the toddler was sleeping in a pack and play with a bottle. A preschool child was observed in the main room (entrance) unsupervised, and a toddler was observed unsupervised in the right room. Staff #2 also walked out of the rear room at times, leaving 2 toddlers and 3 preschoolers unsupervised.

Corrected Corrected by Jul 20, 2024

Category: supervision. Marked corrected in the state record.

3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

An unannounced inspection occurred at the facility on 6/5/24. A physical site review was conducted. Staff and child interviews indicated that children are singled out and made to play away from other children. These interviews also indicated that staff have been observed mocking children of special needs or younger children. Also, an interview of a school age child indicated that the child was only offered 1 cracker while others were given several.

Corrected Corrected by May 8, 2024

Marked corrected in the state record.

3270.162(a)/3270.164 · If a child receives care for 4 or more consecutive hours, nutritional, appropriately-timed meals and snacks shall be served. Food servings shall be portioned suitably for the size and age of the children in care. Additional food in reasonable amounts shall be made available to children upon the request of the parent or child.

An unannounced inspection occurred at the facility, on 6/5/24. A physical site review was conducted. Staff and child interviews indicated that at times children are not offered enough food to eat or given extra food if children ask. Interviews also indicated that the meals being served to children are not nutritional and are at times more of a snack and not a meal. An interview of a school age child indicated that the child was only offered 1 cracker while others were given several. The child stated they are often hungry at the facility as not enough food is offered.

Corrected Corrected by May 8, 2024

Category: nutrition. Marked corrected in the state record.

3270.162(c) · Food may not be withheld from a child for purposes of discipline.

An unannounced inspection occurred at the facility on 6/5/24. A physical site review was conducted. An interview of a school age child indicated that a meal of sauce and meatballs was offered and because the child didn't like the food, the child was not allowed the noodles or another option. The food was withheld from the child as punishment for not eating the other food.

Corrected Corrected by May 8, 2024

Category: nutrition. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #2, #4 and #8 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #2, #4 and #8, staff persons #2, #4 and #8 may not work in a child-care position at the facility.

An unannounced inspection occurred at the facility on 6/5/24. A physical site and staff file review as conducted. Staff person #2, #4 and #8 were observed to be caring for children unsupervised. Staff person #2, #4 and #8 have not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training. Staff person #2, #4 and #8 were observed to be caring for children unsupervised. Staff person #2, #4 and #8 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR. Staff person #2, #4 and #8 were observed to be caring for children unsupervised. Staff person #2, #4 and #8 have not completed the following pre-service training required prior to caring for children unsupervised: health and safety training.

Corrected Corrected by May 8, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2, #4, #5 and #8 may not work in a child care position at the facility.

An unannounced inspection occurred at the facility on 6/5/24. A physical site and staff file review was conducted. See the code sheet for the date of hire. Staff #2 and Staff #4, both provisional hires whose files were missing an FBI clearance and an NSOR clearance, respectively, were observed working unsupervised with children. Staff #8 was observed working with children at the facility, and did not have any clearances or any proof of submission for any clearances on file at the facility. Staff #5, had a volunteer child abuse clearance on file dated 8/7/23. This type of clearance is not acceptable for employment purposes. Staff #4 was left alone to supervise children and their file did not contain an NSOR clearance. The CPSL requires staff that are hired on a provisional basis to be supervised by a staff person with all appropriate clearances. Staff #2 and #4 were hired provisionally and were not supervised by an appropriate staff. Staff #8 was left alone to supervise children and did not have clearances on file. The CPSL requires staff to have a state police, child abuse, FBI and an NSOR clearance on file prior to working alone with children. The CPSL also does not allow staff to work in a child care role with volunteer clearances. Staff #5 was hired with a volunteer child abuse clearance dated 8/7/23.

Corrected Corrected by May 8, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2, #4, #5 and #8 may not work in a child care position at the facility. The Legal Entity, Director or any facility persons responsible for hiring must register for and attend the Existing Provider Orientation presented at the Northeast Regional Office on 08/21/2024. Registration must be completed by calling: 1-800-222-2108 prior to 08/01/2024.

An unannounced inspection occurred at the facility on 6/5/24. A physical site and staff file review was conducted. See the code sheet for the date of hire. Staff #2 and Staff #4, both provisional hires whose files were missing an FBI clearance and an NSOR clearance, respectively, were observed working unsupervised with children. Staff #8 was observed working with children at the facility, and did not have any clearances or any proof of submission for any clearances on file at the facility. Staff #5, had a volunteer child abuse clearance on file dated 8/7/23. This type of clearance is not acceptable for employment purposes. Staff #4 was left alone to supervise children and their file did not contain an NSOR clearance. The CPSL requires staff that are hired on a provisional basis to be supervised by a staff person with all appropriate clearances. Staff #2 and #4 were hired provisionally and were not supervised by an appropriate staff. Staff #8 was left alone to supervise children and did not have clearances on file. The CPSL requires staff to have a state police, child abuse, FBI and an NSOR clearance on file prior to working alone with children. The CPSL also does not allow staff to work in a child care role with volunteer clearances. Staff #5 was hired with a volunteer child abuse clearance dated 8/7/23.

Corrected Corrected by Aug 21, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2, #4, #5 and #8 may not work in a child care position 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. In order to demonstrate continued compliance, the legal entity will submit complete files for any new hires for a period of three months to the Northeast Regional Office. For provisional hires, requests for appropriate missing clearances may be submitted. During that time, new hires may not begin to work in child care until their file has been approved by the Northeast Regional Office. Submitted files will be reviewed within 1 week of submission.

An unannounced inspection occurred at the facility on 6/5/24. A physical site and staff file review was conducted. See the code sheet for the date of hire. Staff #2 and Staff #4, both provisional hires whose files were missing an FBI clearance and an NSOR clearance, respectively, were observed working unsupervised with children. Staff #8 was observed working with children at the facility, and did not have any clearances or any proof of submission for any clearances on file at the facility. Staff #5, had a volunteer child abuse clearance on file dated 8/7/23. This type of clearance is not acceptable for employment purposes. Staff #4 was left alone to supervise children and their file did not contain an NSOR clearance. The CPSL requires staff that are hired on a provisional basis to be supervised by a staff person with all appropriate clearances. Staff #2 and #4 were hired provisionally and were not supervised by an appropriate staff. Staff #8 was left alone to supervise children and did not have clearances on file. The CPSL requires staff to have a state police, child abuse, FBI and an NSOR clearance on file prior to working alone with children. The CPSL also does not allow staff to work in a child care role with volunteer clearances. Staff #5 was hired with a volunteer child abuse clearance dated 8/7/23.

Corrected Corrected by Dec 4, 2024

Category: supervision. Marked corrected in the state record.

3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

An unannounced inspection occurred at the facility on 6/5/24. A physical site review was conducted. It was observed that the following child care spaces exceeded measured capacity. The new building, window room measures for 3 children but contained 5 children. The old building middle room measures for 6 children but contained 9 children.

Corrected Corrected by Jun 5, 2024

Category: ratio. Marked corrected in the state record.

3270.106(a)/3270.119 · 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. 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.

An unannounced inspection occurred at the facility on 6/5/24. A physical site review was conducted. On three separate occasions during this review, an infant (as identified by staff) was found sleeping in a rocker/bouncer chair. This child was not sleeping in the position or equipment recommended by the American Academy of Pediatrics. This child did not have a medical reason to be sleeping in this equipment or position.

Corrected Corrected by Jun 5, 2024

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

3270.112 · Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Over the course of the 4-hour inspection on 6/5/24, infants and toddlers were observed to only have their needs (feeding and diapering) met, then placed back into equipment. There was no observation of these children being rocked, talked to, played with or carried.

Corrected Corrected by Jun 5, 2024

Category: health medication. 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.

An unannounced inspection occurred at the facility on 6/5/24. A physical site review was conducted. The new building room #3 contained 2-toddler aged children that were belted into chairs and placed in front of a computer screen. One child was in this position for 1 hour and 15 minutes. The other child was in this position for 1 hour and 40 minutes.

Corrected Corrected by Jun 5, 2024

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.

An unannounced inspection occurred at the facility on 6/5/24. A physical site and staff file review was conducted. See the code sheet for the dates of hire. Staff #2 did not receive a health assessment and tuberculosis screening until 4/29/24. Individual #3 was caring for children and did not have a health assessment or tuberculosis screening on file. Staff #4 did not receive a health assessment and tuberculosis screening until 6/4/24 and 5/31/24. Staff #8 was caring for children and did not have a health assessment or tuberculosis screening on file.

Corrected Corrected by Jun 26, 2024

Category: ratio. Marked corrected in the state record.

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

An unannounced inspection occurred at the facility on 6/5/24. A physical site review was conducted. A menu was not posted in the old (left) building or the new (right) building.

Corrected Corrected by Jun 26, 2024

Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

An unannounced inspection occurred at the facility on 6/5/24. A physical site and staff file review as conducted at the facility. Staff #8 was observed caring for children unsupervised and the facility did not have a file for this staff person.

Corrected Corrected by Jun 5, 2024

Category: supervision. 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.

An unannounced inspection occurred at the facility on 6/5/24. A physical site and staff file review as conducted. Individual #3 was observed caring for children unsupervised and the file did not contain two letters of written reference.

Corrected Corrected by Jun 10, 2024

Category: supervision. Marked corrected in the state record.

3270.31(a)/3270.31(b) · A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person. A staff person shall be 18 years of age or older.

On 6/5/24, Individual #3 was left alone in the old building (left building) to supervise a group of 6 school-age children. Individuals #6 and #7 were left alone in the old building (left building) to supervise a group of 9 school-age children. Individual #3 does not meet the age requirement to be a staff person, only a volunteer. Individuals #6 and #7 do not meet the age requirements to be volunteers or staff persons.

Corrected Corrected by May 8, 2024

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons #5 and #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #5 and #6, staff persons #5 and #6 may not work in a child-care position at the facility.

On 1/24/24, a Renewal Inspection was conducted. Staff #1 and staff #5 (see code sheet for date of hire) have no documentation on file showing that they completed all of the required pre-service trainings. Staff #1 was observed to be working in the Lunchroom within the vicinity of another aide who was in the Learning Room. Aides may not provide supervision to other staff, as they require supervision themselves. An acceptable plan of correction was received indicating that the correction would be implemented by 2/7/24. Continued Non-Compliance: On 2/23/24 an inspection to verify that the violations were fixed was conducted at the facility. Staff persons #5 and #6 were observed to be caring for children unsupervised. Staff person #5 had not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR. Staff person #6 had not completed the following pre-service trainings required prior to caring for children unsupervised: Pediatric First Aid/CPR, Health and Safety, and Mandated Reporter.

Corrected Corrected by Feb 23, 2024

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person # 3 and staff person #4 will have until 2/13/2024 to complete the required training.

Staff person #3 and staff person #4 (see code sheet for date of hire) did not complete the one-hour Health and Safety update that was required to be completed by 12/30/22.

Corrected Corrected by Jan 25, 2024

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons #1 and #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1 and #5, staff persons #1 and #5 may not work in a child-care position at the facility.

Staff #1 and staff #5 (see code sheet for date of hire) have no documentation on file showing that they completed all of the required pre-service trainings. Staff #1 was observed to be working in the Lunchroom within the vicinity of another aide who was in the Learning Room. Aides may not provide supervision to other staff, as they require supervision themselves.

Corrected Corrected by Feb 7, 2024

Category: supervision. Marked corrected in the state record.

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

The emergency plan on file did not include a continuity of operations.

Corrected Corrected by Feb 7, 2024

Category: ratio. Marked corrected in the state record.

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

There was no written policy on file which included the following: recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and the prevention and identification of child maltreatment.

Corrected Corrected by Jan 26, 2024

Category: ratio. 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.

Staff #2 and staff #5 (see code sheet for date of hire) did not have a completed disclosure statement or State Police Clearance request on file on their date of hire. Staff #5 did not have a DHS FBI request or Child Abuse Clearance on file until after their hire date. The state police clearance on file for staff #2 is dated 12/28/23 and should have been completed by December 15, 2023.

Corrected Corrected by Feb 7, 2024

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

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Missing outlet covers were observed at the following 8th Fairview Avenue childcare areas: Classroom 1 next to the window and tree painting; Classroom 2 on the wall to the left and right sides of the radiator; and on the Lunchroom walls next to the window.

Corrected Corrected by Feb 7, 2024

Marked corrected in the state record.

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

The Playroom's first-aid kit was observed to be missing tape. No first-aid kit was observed in the Learning Room, Lunchroom, Infant Room, and the following childcare areas at 8th Fairview Avenue: Classroom 1, Classroom 2, Playroom, and Lunchroom.

Corrected Corrected by Feb 7, 2024

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

3270.76/3270.102(a) · 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. 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 following were observed at 8th Fairview Avenue: Classroom 1 had cracked window blinds and there was a broken storage container, about shin height, on a shelf. The carpeting on the porch of 8th Fairview Avenue was also peeling, creating a tripping hazard.

Corrected Corrected by Feb 8, 2024

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

3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

A written and posted plan of daily activities and routines, including a time for free play, was not observed in the Playroom, Learning Room, and the Lunchroom.

Corrected Corrected by Feb 8, 2024

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.

During the inspection on 1/24/24, staff person #1 admitted to not knowing the name of a child that the staff was responsible for.

Corrected Corrected by Feb 8, 2024

Category: supervision. Marked corrected in the state record.

3270.124(c)/3270.124(e) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. 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.

Emergency contact information was not observed in the Lunchroom or Learning Room. A posted transportation plan was not observed in the Playroom, Learning Room, Lunchroom, Infant Room, and the following childcare areas at 8th Fairview Avenue: Classroom 1, Classroom 2, Playroom, and Lunchroom.

Corrected Corrected by Feb 8, 2024

Category: transportation. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · 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). Child #3 may not attend the facility until the required documentation is on file.

Child #3 (see code sheet for date of birth) does not have documentation for the DTAP/DTP/TD or Hepatitis A vaccination for the previous year, and no letter of exemption for these vaccinations are on file. Child #3 does not have documentation of a DTAP/DTP/TD vaccine since 8/19/22 and there is no documentation of a Hepatitis A vaccination being done.

Corrected Corrected by Feb 8, 2024

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

A first-aid kit that was located on a mail sorting shelf, near the main entrance doorway, was observed to have two infants Tylenol Pain and Fever medications, which expired on 3/2023 and 12/2023, and a chest rub, which expired on 12/2019.

Corrected Corrected by Feb 8, 2024

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Staff #3 has health assessments on file dated 10/12/2020 and 1/15/2024. Staff #4 has health assessments on file dated 2/22/2021 and 1/15/2024. More than 24 months have lapsed between the documented health assessments.

Corrected Corrected by Feb 8, 2024

Category: ratio. 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.

Staff person #2 (see code sheet for date of hire) did not have any health assessments on file at the facility.

Corrected Corrected by Feb 8, 2024

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Cut strawberries were observed in a child's bookbag near the main entrance doorway and not in a refrigerator, as needed.

Corrected Corrected by Feb 8, 2024

Category: nutrition. 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 #1 and staff person #2 (see code sheet for date of hire) had only one written, nonfamily reference on file.

Corrected Corrected by Feb 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that 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 fire drill log that was on file had the same hypothetical location listed as 4 Fairview Avenue for the following dates: 1/17/23, 2/15/23, 3/10/23, 4/17/23, 5/11/23, 6/14/23, 7/19/23, 8/2/23, 9/18/23, 10/3/23, 11/14/23, and 12/19/23.

Corrected Corrected by Feb 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The fire detection system log showed that the fire detection system was not tested every 30 days as evidenced by the following documented dates: 3/10/23 to 4/17/23, 5/11/23 to 6/14/23, 6/14/23 to 7/19/23, 8/2/23 to 9/18/23, 10/3/23 to 11/14/23, and 11/14/23 to 12/19/23.

Corrected Corrected by Feb 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(6) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The emergency plan on file did not include lock-down procedures and there was no documentation on file which showed that annual emergency drills were conducted.

Corrected Corrected by Jan 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Staff person #4 (see code sheet for date of hire) did not have 12 clock hours of childcare training completed and documented on file for 8/13/2022 to 8/13/2023.

Corrected Corrected by Jan 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1) within 90 days of hire. Staff person #-1- will have until __1/27/23___ - 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #-1- must be supervised, when interacting with children, by an (AGS, primary staff person, or family childcare home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #-1-, staff person #-1- may not work in a child-care position at the facility.

Staff person #-1-- has not completed the following required pre-service training within 90 days of their date of hire. Pediatric First Aide & Pediatric CPR.

Corrected Corrected by Jan 27, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). . LACKING REQUIRED HIRING DOCUMENTS: Staff Person # -3- may not work in a childcare position at the facility.

Staff person #3 start date in childcare 7/22 does not have a record of a NSOR clearance certificate. Staff #3 worked in childcare at the facility from 7/22 until 12/20/22. Staff #3 was suspended from childcare as of 12/20/22.

Corrected Corrected by Jan 12, 2023

Category: background checks. 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). LACKING REQUIRED HIRING DOCUMENTS: A Staff person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #---2 may not work in a childcare position at the facility.

During Inspection on 1/12/23 it was revealed that staff #2 does not have a valid record of a State Police clearance.

Corrected Corrected by Jan 12, 2023

Category: background checks. 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). LACKING REQUIRED HIRING DOCUMENTS: 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 #-4-- may not work in a childcare position at the facility.

Inspection on 1/12/23 revealed that state # 4 does not have a record of an FBI clearance.

Corrected Corrected by Jan 12, 2023

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

During renewal inspection on 2/14/22 cert rep reviewed several staff files. STAFF # 3 (start date 1/18/22) did not have verification of facility's emergency plan training.

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

During renewal inspection on 2/14/22 cert rep reviewed several staff files. STAFF # 1, a former resident of NY within the past 5 years, did not have the required out of state clearances on file.

Corrected Corrected by Feb 28, 2022

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

During renewal inspection on 2/14/22 cert rep reviewed several staff files. STAFF # 2 (start date 3/23/20) did not have a written evaluation in file.

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. 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 renewal inspection on 2/14/22 cert rep observed damaged paint in the infant room along the wall with the opening to the kitchen and at the bottom right corner under the shelves.

Corrected Corrected by Feb 21, 2022

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

3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During renewal inspection on 2/14/22 cert rep reviewed several children's files. CHILD # 1 (DOB 2/26/18) did not have verification of any influenza immunizations or a documented exemption statement.

Corrected Corrected by Feb 28, 2022

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

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

During renewal inspection on 2/14/22 cert rep reviewed several staff files. STAFF # 2 and STAFF # 5 did not have 2 written nonfamily references in file.

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

During renewal inspection on 2/14/22 cert rep reviewed the facility fire drill log. The last fire drill was done on 12/8/21 which was more than 60 days ago. The fire drill before that was done on 9/13/21. There were more than 60 days between the fire drills on 9/13/21 and 12/8/21.

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During renewal inspection on 2/14/22 cert rep reviewed the facility fire alarm test log. The last alarm test was done on 12/8/21 which was more than 60 days ago. The alarm test before that was done on 9/13/21. There were more than 60 days between the fire alarm tests on 9/13/21 and 12/8/21.

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. Marked corrected in the state record.