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.

Staff persons #1, #2, #3, #4, #6, #7, #8, #9, and #10 did not complete emergency plan training annually. This is evidenced by the previously documented emergency plan training for all nine staff dated 8/26/24 and the current fire safety training for all nine staff dated 10/13/25.

Corrected Corrected by Dec 5, 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.

Staff persons #1, #2, #3, #4, #6, #7, #8, #9, and #10 did not complete fire safety training annually. This is evidenced by the previously documented fire safety training for all nine staff dated 8/26/24 and the current fire safety training for all nine staff dated 10/25/25.

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. 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). Until such time as the required training has been completed, staff person #8 must be supervised, when interacting with children at a minimum by an AGS, who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person# 8, staff person #8 may not work in a childcare position at the facility.

Staff person #8 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 10/01/20 and the current mandated reporter training dated 10/12/25.

Corrected Corrected by Dec 5, 2025

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). The CPSL was revised to include a requirement that all clearances be updated and on file at least every 60 months. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. Staff #9 may not work in a childcare position with direct contact and routine interaction with children. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #9 must be removed from a childcare position with direct contact and routine interaction with children until all clearances are completed and on file at the facility. This portion of the plan requires an immediate date of correction. 2. The director will create a form to track each staff and their required clearances, trainings, and documents. This form will be utilized for both new staff and existing staff. This form will have due dates for all required trainings, clearances, health assessments etc. The director will ensure that this form is reviewed monthly to prevent any lapses or noncompliance. This portion of the plan should reflect a date that allows for time to develop the form and implement it.

Staff #2 did not update their clearances every 60 months as evidenced by a previous FBI clearance dated 06/04/20 and an updated FBI clearance dated 08/09/25. Staff #5 was hired provisionally and did not have a NSOR clearance on file as is required and was working in direct care with children since hire (See LIS Code Sheet for DOH). Staff #8 did not update their clearances every 60 months as evidenced by a previous PA Child Abuse clearance dated 9/28/20 and an updated PA Child Abuse dated 10/10/25. Staff #9 had a PA State Police clearance on file that is missing the dissemination date making it incomplete.

Corrected Corrected by Dec 3, 2025

Category: supervision. 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.

The inspector observed chipped paint on the rear wall in the toddler room.

Corrected Corrected by Dec 10, 2025

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

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

The inspector observed an infant asleep in a crib in the infant room. This crib was against the wall and had two cribs abutting it on both sides.

Corrected Corrected by Dec 3, 2025

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

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The inspector observed that the file for child #1 and found it was missing the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Dec 3, 2025

Category: health medication. 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.

The inspector observed that the file for child #1and found it missing the required enrolling parent's work address and phone number.

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

The inspector observed ripped/cracked diaper changing mats in the infant and toddler rooms rendering the foam exposed and unable to be cleaned.

Corrected Corrected by Dec 5, 2025

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 #2 had a previous health assessment on file dated 3/29/23 and did not update this until 8/15/25.

Corrected Corrected by Dec 3, 2025

Category: ratio. Marked corrected in the state record.

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

The inspector observed two unlabeled bottles in the refrigerator in the infant room.

Corrected Corrected by Dec 3, 2025

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.

While at the facility unannounced on 5/29/25 the inspector observed the fire drill/detection log and found that the fire detection system was not tested at least once every 30 days as evidenced by the following fire detection system logs that were provided to the inspector: 1/3/25 to 2/5/25, 3/3/25 to 4/8/25.

Corrected Corrected by May 29, 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.

The staff evaluations on file for Staff #2 were dated 12/28/22 and 1/5/24 and for Staff #7 were dated 12/28/22 and 1/4/24. More than a year had lapsed between evaluations.

Corrected Corrected by Nov 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

Three golden pothos plants, two philodendron plants, two jade plants, one zamioculas zamilfolia plant, two snake plants, and two song of India plants were observed in the Pre-K Room. One jade plant was observed in the Preschool Room. These toxic plants were in child care spaces.

Corrected Corrected by Nov 27, 2024

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

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

A trash can in the Boys Restroom was observed to have a soiled diaper. A trash can in the Girls Restroom was observed to have a used feminine product. These trash cans only had partial lids, leaving them partially open.

Corrected Corrected by Dec 2, 2024

Category: health medication. 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.

Once ceiling tile that surrounded the air vent in the Preschool Room was observed to have water damage. One ceiling tile by the air vent and one ceiling tile by the television in the School Age Room were observed to have water damage. Once ceiling tile by the window, one ceiling tile by the US flag, and two ceiling tiles above the Pictures Board in the School Age Room were observed to have a brown stain. Once ceiling light cover in the Toddler Room was observed to be cracked. Two chipped ceiling tiles were observed in the Boys Restroom. One brown stained ceiling tile, three water damaged ceiling tiles, and one ceiling tile with a hole were observed in the Girls Restroom. A rusty piece of metal was observed behind the two toilets in the Boys and Girls Restroom. Exposed screws were observed on both sides of the toilets in the Boys and Girls Restroom. One blue cot in the Preschool Room was observed to have torn mesh. The plastic playhouse in the Toddler Outdoor Play Area was observed to have several cracks near its window.

Corrected Corrected by Dec 2, 2024

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.

One rusted metal chair and one metal chair with a piece of loose, jagged, rusted metal that was protruding from the back of the chair were observed in the Preschool/School Age Outdoor Play Area

Corrected Corrected by Nov 27, 2024

Category: physical safety. 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.

The emergency contact information on file for Child #2 and Child #3 did not include an enrolling parent's work phone number.

Corrected Corrected by Nov 27, 2024

Category: recordkeeping. 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.

Perishable food items (i.e. fried chicken, cut strawberries, Lunchables and Happy Farms string cheese labeled, "keep refrigerated") were observed in five children's lunch bags in the Pre-K Room and two children's lunch bags in the Preschool Room. These potentially hazardous food items, that were in the children's lunch bags, were not refrigerated.

Corrected Corrected by Nov 21, 2024

Category: nutrition. 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 was not tested at least once every 30 days as evidenced by the following fire detection system logs that were on file: 11/13/23 to 12/21/23, 3/15/24 to 4/15/24, 5/14/24 to 6/14/24, 7/12/24 to 8/12/24, 8/12/24 to 9/12/24, and 10/11/24 to 11/11/2024.

Corrected Corrected by Nov 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.166(3) · Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

An unannounced inspection occurred at the facility on 6/5/23. A physical site review as conducted. The facility did not contain a commercial dishwasher. Staff # 1 and Staff # 2 indicated during interviews that children's bottles are sometimes washed with soap and water if a bottle needs to be reused due to a lack of sufficient bottles being brough from home by the family. Per regulation, infant bottles are to be cleaned using a commercial dishwasher.

Corrected Corrected by Jun 6, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 3 may not work in a childcare position at the facility. The Legal Entity, Director, or any person's involved in the hiring of staff shall participate in Existing Provider Orientation that will occur during the month of August 2023 at the Northeast Regional Office. Those listed will schedule to participate in the meeting by calling 800-222-2108.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 3 was hired incorrectly as a provisional hire. The file of this staff did not contain documentation that they applied for the FBI or NSOR clearance before beginning to work in a childcare role at the facility. The file was also missing a signed and dated disclosure statement. Staff # 3 was observed working with children during this inspection.

Corrected Corrected by Aug 31, 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). 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 # 3 may not work in a childcare position at the facility.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 3 was hired incorrectly as a provisional hire. The file of this staff did not contain documentation that they applied for the FBI or NSOR clearance before beginning to work in a childcare role at the facility. The file was also missing a signed and dated disclosure statement. Staff # 3 was observed working with children during this inspection.

Corrected Corrected by Jun 7, 2023

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

3270.51/3270.113(a)(2) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The Legal Entity / Director will establish a supervision policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise and ratios of children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and while in the outdoor play area. The policy must also include a plan for each staff to be assigned the responsibility for supervision and ratios of specific children, including the requirement that the staff person know the names and whereabouts of the children in their assigned group and be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. This supervision and ratio 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.

An unannounced inspection occurred at the facility. A physical site review was conducted. In the school age classroom, 21 children were counted. Staff # 1 and Staff # 2 were asked to identify their supervision/ratio group. Staff # 1 identified 10 children and Staff # 2 identified 9 children. This left 2 school age children unaccounted for. Also, during this inspection, Staff # 1 left the school age classroom for a period of time and left Staff # 1 alone with 21 school age children.

Corrected Corrected by Jun 18, 2023

Category: supervision. Marked corrected in the state record.

3270.51/3270.113(a)(2) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

An unannounced inspection occurred at the facility. A physical site review was conducted. In the school age classroom, 21 children were counted. Staff # 1 and Staff # 2 were asked to identify their supervision/ratio group. Staff # 1 identified 10 children and Staff # 2 identified 9 children. This left 2 school age children unaccounted for. Also, during this inspection, Staff # 1 left the school age classroom for a period of time and left Staff # 1 alone with 21 school age children.

Corrected Corrected by Jun 6, 2023

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. Children must be supervised at all times.

An unannounced inspection occurred at the facility. A physical site review was conducted. In the school age classroom, 21 children were counted. Staff # 1 and Staff # 2 were asked to identify their supervision/ratio group. Staff # 1 identified 10 children and Staff # 2 identified 9 children. This left 2 school age children unaccounted for. Also, during this inspection, Staff # 1 left the school age classroom for a period of time and left Staff # 1 alone with 21 school age children.

Corrected Corrected by Jun 6, 2023

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. The Legal Entity / Director will establish a supervision policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise and ratios of children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and while in the outdoor play area. The policy must also include a plan for each staff to be assigned the responsibility for supervision and ratios of specific children, including the requirement that the staff person know the names and whereabouts of the children in their assigned group and be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. This supervision and ratio 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.

An unannounced inspection occurred at the facility. A physical site review was conducted. In the school age classroom, 21 children were counted. Staff # 1 and Staff # 2 were asked to identify their supervision/ratio group. Staff # 1 identified 10 children and Staff # 2 identified 9 children. This left 2 school age children unaccounted for. Also, during this inspection, Staff # 1 left the school age classroom for a period of time and left Staff # 1 alone with 21 school age children.

Corrected Corrected by Jul 18, 2023

Category: supervision. 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.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 3 was viewed working with children during this inspection and this staff did not have a health assessment on file.

Corrected Corrected by Jun 8, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 3 was viewed working with children during this inspection and this staff did not have a tuberculosis screening on file.

Corrected Corrected by Jun 8, 2023

Category: health medication. 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.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 3 was viewed working with children during this inspection and this staff did not have proof of education on file.

Corrected Corrected by Jun 8, 2023

Category: recordkeeping. 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. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 3 was viewed working with children during this inspection and this staff did not have two letters of written reference on file.

Corrected Corrected by Jun 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

An unannounced inspection occurred at the facility and during that time a physical site review was conducted. In the preschool room the following items were found accessible to children: body spray and hair detangler. In the front area of the main room, the following items were found accessible to children: hand sanitizer and two lotions. These items had on the label to keep of the reach of children.

Corrected Corrected by Mar 9, 2023

Marked corrected in the state record.

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

An unannounced inspection occurred at the facility and during that time a physical site review was conducted. The first aid kit was found accessible to children in the preschool room on a low cubby. In the front area of the main room, the first aid kit was hanging low on the side of a shelving unit and this first aid kit was accessible to children.

Corrected Corrected by Mar 9, 2023

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

An unannounced inspection occurred at the facility and during that time a physical site review was conducted. Staff indicated the roof leaked during the storm over the weekend of March 4th and 5th in the school age class. The ceiling tiles fell, and some became stained. This classroom contained 2 missing ceiling tiles and 11 stained tiles. This room also contained a dusty ceiling vent. Stained ceiling tiles were also found in the large main room.

Corrected Corrected by Mar 18, 2023

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.

An unannounced inspection occurred at the facility and during that time a physical site review was conducted. The following items were found not in good repair in the outdoor play area: - A yellow slide with blue steps and the slide was cracked - A yellow playhouse and the bottom of both window frames was cracked - A tan playhouse and the bottom of one window frame was cracked - A small red slide with yellow handles and the yellow handle was cracked, broken and missing pieces - A medium sized pink slide with purple steps and the purple steps were cracked/broken - A climber with two pink slides and the small slide was cracked, the purple steps were broken/cracked, metal pieces were exposed at the top of both slides and the base to enter the larger slide was broken and hanging down.

Corrected Corrected by Mar 18, 2023

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

An unannounced inspection occurred at the facility and during that time a physical site review was conducted. The following medication was found accessible in the rear area of the main room: children's ibuprofen, Tylenol and butt paste were found in a child's backpack; and medication was found in a staff's container.

Corrected Corrected by Mar 9, 2023

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). Any 6-hour health and safety training taken after 6/30/18 is no longer acceptable. Staff person # 1 and # 5 will have until 1/19/23 to complete the required training. Until such time as the required training has been completed, staff person # 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 person # 1 and # 5, staff person # 1 and # 5 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 had 6-hour health and safety topic training dated 10/13/18. Staff # 5 had 6-hour health and safety topic training dated 10/22/18. As of 6/30/18, this 6-hour training no longer met the requirements for training of this regulation.

Corrected Corrected by Jan 19, 2023

Category: supervision. 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, # 3, and # 4 will have until 1/19/23 to complete the required training. Until such time as the required training has been completed, staff person # 2, # 3, and # 4 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, # 3, and # 4, staff person # 2, # 3, and # 4 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 2, # 3, and # 4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR

Corrected Corrected by Jan 19, 2023

Category: supervision. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · 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 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. Child # 4 had a health report dated for 7/14/20 and another health report was not obtained until 9/21/22. This health report was not updated every 12 months as required by regulation.

Corrected Corrected by Dec 16, 2022

Category: health medication. 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 safety system testing log was conducted. Testing of the fire safety system was documented as occurring on the following dates: 1/19/22, 2/11/22, 3/21/22, 4/8/22, 5/26/22, 6/17/22, 7/21/22, 8/4/22, 9/13/22, 10/21/22, 11/8/22 and 12/8/22. These tests lapsed occurring at least every 30 days.

Corrected Corrected by Dec 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record 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 children's dates of enrollments. Child # 3 did not have a health report on file at the time of this inspection.

Corrected Corrected by Jan 19, 2023

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. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain the NSOR clearance. The amendments to the CPSL also eliminated the ability to hire staff on a provisional hire basis beginning 12/31/19. In order to continue hiring staff provisionally the legal entity was required to apply to the Department for a waiver. The legal entity does not have a provisional hire waiver.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 3 had a date of hire prior to 9/30/19 and they did not obtain the NSOR clearance before 7/1/20. Staff # 3 does not have record of an NSOR clearance on file at the facility at the time of this inspection. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain the NSOR clearance. The amendments to the CPSL also eliminated the ability to hire staff on a provisional hire basis beginning 12/31/19. In order to continue hiring staff provisionally the legal entity was required to apply to the Department for a waiver. The Legal Entity does not have an approved provisional hire waiver. Staff # 1 was hired provisionally on 10/23/20, and Staff # 1 did not receive an NSOR clearance until 11/13/21. Staff # 2 was hired provisionally on 6/29/20 and at the time of this inspection, Staff # 2 did not have an NSOR clearance on file. Staff # 4 was hired provisionally on 9/25/20 and at the time of this inspection, Staff # 4 did not have an NSOR clearance on file.

Corrected Corrected by Dec 10, 2021

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