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.

During the renewal inspection conducted on 2/7/2025 observed the first-aid kit in the Infant room did not include tweezers and the first-aid kit located in the older toddler room did not include adhesive bandages. Corrected on-site 2/7/2025.

Corrected Corrected by Feb 12, 2025

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.

During the renewal inspection conducted on 2/7/2025 observed that the facility's emergency plan did not address continuity of operations. Corrected on-site 2/7/2025.

Corrected Corrected by Feb 12, 2025

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 provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

During the renewal inspection conducted on 2/7/2025 observed staff person #1's National Sex Offender Registry (NSOR) on file is expired. It is dated 1/10/2020. Observed staff person #2's FBI clearance on file is expired. It is dated 9/27/2019. Observed staff person #3's FBI clearance on file is from the department of education.

Corrected Corrected by Feb 12, 2025

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

3270.34(b)(3)/3270.192(2)(iii) · A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

During the renewal inspection conducted on 2/7/2025 observed staff person #1's file did not include verification of education and training following the outset of service at the facility.

Corrected Corrected by Feb 12, 2025

Category: recordkeeping. 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.

During the renewal inspection conducted on 2/7/2025 observed staff person #2's file did not include verification of education and training prior to service at the facility.

Corrected Corrected by Feb 12, 2025

Category: supervision. 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 renewal inspection conducted on 2/7/2025 observed the wooden outside play set and border are in disrepair. There were pieces of the wooden border and play set that were missing, which left exposed nails and bolts.

Corrected Corrected by Feb 12, 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 renewal inspection conducted on 2/7/2025 observed peeled paint in the infant room, young toddler room, and older toddler room.

Corrected Corrected by Feb 12, 2025

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During the renewal inspection conducted on 2/7/2025 observed the facility did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in every child care space. Corrected on-site 2/7/2025.

Corrected Corrected by Feb 12, 2025

Category: transportation. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the renewal inspection conducted on 2/7/2025 observed child #1, child #2, and child #3's files did not include updated health reports within the 12-month time frame. The last reports on file are dated 10/24/2023 (child #1), 10/24/2023 (child #2), and 3/20/2023 (child #3).

Corrected Corrected by Feb 12, 2025

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.

During the renewal inspection conducted on 2/7/2025 observed staff person #1's health assessment on file is expired. The last health assessment on file is dated 1/19/2023. Observed staff person #2's file did not include verification of a health assessment conducted within 12 months prior to providing initial service in a child care setting

Corrected Corrected by Feb 12, 2025

Category: ratio. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

During the renewal inspection conducted on 2/7/2025 observed child #2's financial agreement was not reviewed/updated within the 6-month time frame. The last financial agreement on file is dated 2/20/2024.

Corrected Corrected by Feb 12, 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.

During the renewal inspection conducted on 2/7/2025 observed that the facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Corrected on-site 2/7/2025.

Corrected Corrected by Feb 12, 2025

Category: physical safety. 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.

During the renewal inspection conducted on 2/7/2025 observed staff person #1's file did not contain verification of the annual minimum of 12 clock hours of child care training.

Corrected Corrected by Feb 12, 2025

Category: recordkeeping. 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 complaint investigation conducted on 1/23/2025 it was determined that child #1 was not placed in the sleeping position recommended by the American Academy of Pediatrics. A picture was provided showing that child #1 was asleep on their side rather than on their back in the crib. Staff person #1 stated that child #1 was awake when placed in the crib so that another child could be picked up because the child was crying. Staff person #1 stated that staff did not get a chance to put child #1 in the recommended sleeping position once the child fell asleep.

Corrected Corrected by Feb 7, 2025

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

3270.61(h) · The capacity established for an indoor space may not be exceeded.

During the complaint investigation conducted on 10/2/2024 observed that the Toddler room had 24 children with the youngest being age 2. The capacity for the room is 19.

Corrected Corrected by Nov 25, 2024

Category: ratio. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person will have until 12/04/2024 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 who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 may not work in a child care position at the facility.

During the unannounced monitoring inspection conducted on 10/2/2024 observed staff person #1 has not completed Health and Safety training and pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of their date of hire.

Corrected Corrected by Nov 25, 2024

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). Staff person will have until 12/4/2024 to complete the mandated reporter training. Until such time as the required training has been completed, staff person 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 persons available to supervise staff person will not work in a child care position at the facility.

During the unannounced monitoring inspection conducted on 10/2/2024 observed staff person #1 has not completed the mandated reporter training within 90 days of their date of hire.

Corrected Corrected by Nov 25, 2024

Category: supervision. 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 the unannounced monitoring inspection conducted on 10/2/2024 observed the last fire drill conducted and documented in the fire drill log is dated 7/30/2024.

Corrected Corrected by Nov 25, 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.

During the unannounced monitoring inspection conducted on 10/2/2024 observed the last manual testing of the fire detection system was dated 7/1/2024.

Corrected Corrected by Nov 25, 2024

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 the unannounced monitoring inspection conducted on 4/18/2024 observed damaged paint in the Nursery room wall next to the exit.

Corrected Corrected by May 2, 2024

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

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During the unannounced monitoring inspection conducted on 4/18/2024 observed staff person #1's file did not include verification of completion of professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1's date of hire is 11/6/2023.

Corrected Corrected by May 2, 2024

Category: health medication. 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 the unannounced monitoring inspection conducted on 4/18/2024 observed the facility's fire drill log was not up to date. The last fire drill conducted was on 2/1/2024.

Corrected Corrected by May 2, 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)(1-10), within 90 days of hire. Staff persons # 1 and 5 will have until 3/16/24 to complete the required training. Until such time as the required training has been 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 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 person # 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First Aid and 10 Hour Health and Safety. Staff person # 4 completed the Pediatric CPR/First Aid training more than 90 days after their initial date of hire (see code sheet), the training certificate is dated 9/22/23. Staff person # 5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First Aid.

Corrected Corrected by Mar 1, 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. Staff persons # 2 and 3 may not work in a child care position at the facility.

The NSOR verification on file for staff # 1 is dated 1/19/24, which is more than 45 days after their date of hire (see code sheet for date of hire). The email proof of request for the NSOR was not in their file. Staff # 2 (see code sheet for DOH) does not have proof of request for out of state clearances. Staff # 2 does not have a proof of request for their original NSOR verification. Staff # 3 (see code sheet for DOH) does not have an NSOR verification within 45 days of their initial employment; the original proof of request was not in their file.

Corrected Corrected by Mar 1, 2024

Category: background checks. 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.

There was a red faux leather sofa in the older toddler and pink faux leather sofa in the young toddler classroom with small tears that exposed lining.

Corrected Corrected by Mar 1, 2024

Category: physical safety. 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.

There is no health assessment or TB screening results on file for staff person # 3.

Corrected Corrected by Mar 5, 2024

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons #1, 2, and 3 shall complete the required one-hour 2022 update to the health and safety training by 3/21/23.

Staff persons #2, 3, and 4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Mar 6, 2023

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

3270.34(b)(4) · A director shall have attained an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 4 years of experience with children.

The education on file for staff person # 1 did not include the transcript to verify 30 credit hours in a human services field.

Corrected Corrected by Apr 6, 2023

Category: recordkeeping. 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.

The emergency contact form on file for child # 1 does not have the address for the release persons.

Corrected Corrected by Mar 6, 2023

Category: recordkeeping. 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.

On 11/22/22, a child # 1, toddler, received a goose egg on their forehead and no staff in the classroom could explain how it happened.

Corrected Corrected by Dec 10, 2022

Category: supervision. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

During a complaint investigation on 11/28/22, staff person # 1 admitted to arguing with staff person # 2 on 11/22/22 in front of the children after child # 1 was injured.

Corrected Corrected by Dec 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.21/3270.133(7)(iv) · Conditions at the facility may not pose a threat to the health or safety of the children. A medication log shall include the amount of medication administered.

On 11/18/22, staff person # 1 admitted that when they gave child # 1 medication on 10/20/22, they did not log the amount of medication given. Staff Person # 1 admitted to giving the child the amount of medication they thought was correct based on the estimated weight of the child. The amount given was estimated to be 1.75 ML too much.

Corrected Corrected by Dec 10, 2022

Category: health medication. 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.

During a complaint investigation, staff # 1 admitted that they did not maintain a medication log for medication administered to child # 1.

Corrected Corrected by Dec 10, 2022

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f 1-10) within 90 days of hire. Staff person # 2 will have until 12/6/22 to complete the required training. Until such time as the required training has been completed, staff person # 2 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 available to supervise staff person # 2, staff person # 2 may not work in a child-care position at the facility.

Staff person # 2 has not completed the following required pre-service training within 90 days of their date of hire: Getting Started with Center Based Building Blocks.

Corrected Corrected by Dec 2, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person # 1 will have until 12/6/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person # 1 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 person # 1, staff person # 1 may not work in a child-care position at the facility.

Staff person# 1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/12/15.

Corrected Corrected by Dec 2, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f)(10) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #3 will have until 12/6/22 to complete the required training. Until such time as the required training has been completed, staff person #3 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 available to supervise staff person # 3, staff person #3 may not work in a child-care position at the facility.

Staff person # 3 has not completed the following required pre-service training within 90 days of their date of hire - Pediatric CPR/First Aid.

Corrected Corrected by Dec 2, 2022

Category: supervision. 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.

On 11/14/22, the fire drill log reviewed was out of compliance. More than 60 days passed between fire drills. A fire drill was logged for 11/7/22 and prior to that, 6/20/22.

Corrected Corrected by Dec 2, 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 an unannounced inspection on 11/14/22, operator could not locate the fire alarm testing logs to verify fire alarms were tested every 30 days as required by Act 62.

Corrected Corrected by Dec 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.26 · A legal entity must comply with The Pennsylvania Human Relations Act (43 P. S. §§951-962.2), the Age Discrimination Act of 1975 (42 U.S.C.A. §§6101-6107), Title VI of the Civil Rights Act of 1964 (42 U.S.C.A. §§2000d-2000d-4a). Title VII of the Civil Rights Act of 1964 (42 U.S.C.A. §§2000e-2000e-5), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C.A. §794), the Americans with Disabilities Act of 1990 (42 U.S.C.A. §§12101-12514).

There is no civil rights compliance letter posted at the facility.

Corrected Corrected by Mar 16, 2022

Marked corrected in the state record.

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

Staff person # 2 started on 10/21/21 and did not complete mandated reporter training until 2/6/22. Staff person # 3 started on 9/2/21 and did not complete mandated reporter training until 1/17/22. Staff person # 5 started on 8/2/21 and has not completed mandated reporter training. Staff person # 6 started on 8/16/21 and has not completed mandated reporter training.

Corrected Corrected by Mar 16, 2022

Category: recordkeeping. 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 # 1 is a 6 month old. The child has only received one dose of the DTAP, HIB, Pneumococcal, and Polio vaccines. Child # 2 is an 8 month old; they have, only received one dose of the DTAP, HIB, Pneumococcal, and Polio vaccines. This is not in accordance with the ACIP recommendations and neither child has a written exemption on file.

Corrected Corrected by Mar 16, 2022

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health report on file for child # 1 does not include a statement that the child can participate in child care.

Corrected Corrected by Mar 16, 2022

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 person # 1 started on 1/17/22; there is no health assessment or TB screening results on file. Staff person # 6 started on 8/16/21; the health assessment is dated 10/18/21 and not prior to their initial service.

Corrected Corrected by Apr 4, 2022

Category: ratio. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

The cert rep observed a bottle in the infant room refrigerator with no label.

Corrected Corrected by Mar 2, 2022

Marked corrected in the state record.

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Staff person # 1 was hired as a group supervisor; there is no proof of education or experience in their file. Staff person # 4 was hired as an assistant group supervisor; there is no proof of education or experience in their file.

Corrected Corrected by Mar 16, 2022

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

Staff person # 5 has one written reference on file. Staff person # 1 has no written references on file.

Corrected Corrected by Mar 16, 2022

Category: recordkeeping. 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.

There is no emergency drill logged at the facility for 2021.

Corrected Corrected by Mar 8, 2022

Category: recordkeeping. Marked corrected in the state record.