3270.111(a)/3270.111(c) · 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. 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.

See SIN-00268382 for violation description.

Corrected Corrected by Nov 3, 2025

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.

See SIN-00268382 for violation description.

Corrected Corrected by Nov 3, 2025

Category: supervision. Marked corrected in the state record.

3270.111(a)/3270.111(c) · 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. 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. Tiered LIS: 1.) 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. 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. This portion of the plan shall have a date of correction for when a written plan of activities and routines is documented, implemented and posted in the childcare space. 2.) The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of 2 hours of PQAS-approved training regarding Developmentally Appropriate Practices. The legal entity must receive DHS approval of the training content prior to scheduling the training. This portion of the plan will have a date of correction for when the training will be taken.

On 8/20/25, there was no daily written plan of activities and routines, including a time for free play, posted in the school-age room. Staff acknowledged that there is not structure in the classroom, that they do not have a daily schedule and there is too much downtime for the kids, therefore, resulting in negative behaviors in the classroom and children getting injured due to those behaviors.

Corrected Corrected by Nov 3, 2025

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. TIERED LIS: 1.) Children must be supervised at all times. This portion of the plan requires an immediate correction date. 2.) The Legal Entity/Director must update existing supervision policies/procedures. The policies and procedures must include the requirement for staff to be able to see, hear, direct and assess children at all times. The procedures and policies must include requirement that staff know the names and whereabouts of children in their assigned group and be physically present with the children in the assigned group at all times. The updates must include expectations for supervision at all times while on excursions, and also include a policy on cell phone usage in the classroom. The updates must include the facility's disciplinary actions for any staff person observed to be violating any subsection of Chapter 3270.113. The Legal Entity/Director will submit the updated policies to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented in their files. This date of correction will be when all requirements have been met. 3.) The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of 3 hours of PQAS-approved training regarding Supervision & Ratios. The legal entity must receive DHS approval of the training content prior to scheduling the training. This portion of the plan will have a date of correction for when the training will be taken.

Multiple staff acknowledged that while on walks outside of the facility, most specifically on June 18th, Staff Person #1 would leave the children that they were responsible for in the supervision of other staff who were not specifically assigned to those children, to enter coffee shops. The Director and other staff also acknowledged that Staff Person #1 was constantly on their cell phone and not properly supervising children while in the classroom. Staff person #1 has been terminated from the facility as of 8/20/25. During another inspection on 8/20/25, video footage was viewed from an incident that occurred on 8/18/25 between 4:36 - 4:40pm. On the footage, Child #2 and other children were observed to be building a tower with Magna Tiles. They were all observed to then knock down the tiles together, and the other children started throwing the Magna Tiles at Child #2. Child #2 was observed to rebuild the tower, which was knocked down again by the other kids. Child #2 and the other children in the Magna Tile group started throwing the tiles at each other. One tile hit Child #2 in the face, and he was observed laying on the floor, visibly upset. Throughout the incident, Staff Person #2 was observed sitting at a table towards the back of the room. Staff person #2 did not intervene in the incident with these children to stop the incident or prevent injury from occurring. Child #2 was observed on the ground covering their face up until the child's parent arrived. The other children dispersed throughout the room and went onto different activities. It appeared as though staff #2 was made aware of the injury from child #2's parent.

Corrected Corrected by Nov 3, 2025

Category: supervision. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. Tiered LIS: 1.) A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan requires an immediate correction date. 2.) The legal entity must develop a written supervision policy and procedure to be implemented in the facility. The written policy must address expected appropriate interactions of staff with children. The policy must include the procedures and protocols for staff to follow when they are feeling stressed in the classroom so that children are never handled roughly. The updated policies must also include procedures for staff who observe another staff person violating 3270.113, including appropriate reporting measures. The legal entity will submit policy/procedure to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented at the facility. This date of correction will be when all requirements have been met.

Multiple staff acknowledged that Staff Person #1 was observed to grab children by the arms and forcefully place them into chairs or push them forcefully to the ground, often times leaving red marks on the children's arms. Staff Person #1 has been terminated from the facility as of 8/20/25.

Corrected Corrected by Sep 26, 2025

Category: supervision. Marked corrected in the state record.

3270.113(c)/3270.113(d) · 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. A facility person may not use harsh, demeaning or abusive language in the presence of children. Tiered LIS: 1.) 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. A facility person may not use harsh, demeaning or abusive language in the presence of children. This portion of the plan requires an immediate correction date. 2.) The legal entity must update their written supervision policies and procedures to be implemented in the facility. The updated policies must address the following: 1. That no staff person will single out any 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 2. That a facility person may not use harsh, demeaning or abusive language in the presence of children. 3. The procedures for staff who observe another staff person violating 3270.113, including appropriate reporting measures. The legal entity will submit policy/procedure to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures and it must be documented at the facility. This date of correction will be when all requirements have been met.

Multiple staff acknowledged that Staff Person #1 would tell specific children that they hate them and grab by the children by the arms and push them forcefully to the ground. Staff Person #1 has been terminated from the facility as of 8/20/25.

Corrected Corrected by Sep 26, 2025

Category: supervision. Marked corrected in the state record.

3270.162(c) · Food may not be withheld from a child for purposes of discipline. Tiered LIS: 1.) Food may not be withheld from a child for purposes of discipline. This portion of the plan requires an immediate correction date. 2.) The legal entity must develop a written food policy and procedure to be implemented in the facility. The written policy must address that food will never be withheld from a child as a form of discipline. The policy will also include that staff will not eat the children's snacks and/or lunches and will send whatever food that was not eaten back home with the child. The legal entity will submit policy/procedure to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies, and it must be documented at the facility. The date of correction will be when all requirements have been met.

Multiple staff acknowledged that Staff Person #1 was observed to withhold food from children when they were not listening and then proceed to eat the food that was being withheld from the children. Staff Person #1 has been terminated from the facility as of 8/20/25

Corrected Corrected by Sep 26, 2025

Category: nutrition. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

During the inspection on 6/25/25, it was determined that for a previous incident that occurred to child #1 which caused bruising on the arms, there was no incident report created or provided to the parent. Staff acknowledged this incident occurred in April.

Corrected Corrected by Sep 3, 2025

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.

At the time of the inspection on 6/25/25, the last documented fire drill that was conducted was done on 4/21/25 and not every 60 days as required.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. 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 #11 and #17 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 persons #11 and #17, staff persons #11 and #17 may not work in a child-care position at the facility

Staff persons #11 and #17 were observed to be caring for children unsupervised. Staff persons #11 and #17 have not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training.

Corrected Corrected by May 21, 2025

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #17 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 #17, staff person #17 may not work in a child-care position at the facility.

Staff person #17 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 Also, for staff person #17, the health and safety training part 1 and part 2 were taken on 4/25/25 and not within 90 days of hire.

Corrected Corrected by Jun 3, 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). 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 #6, #12. #14 may not have direct contact or routine interaction with children at the facility until completed clearances are on file.

At the time of the inspection, the PA State Police clearance dated 5/4/23 for staff person #6 stated "Request Pending" and did not contain a dissemination date, making this an incomplete clearance. Staff person #12 had PA State Police and Child Abuse clearances of volunteer status and not employment purposes at time of hire and was observed having direct contact and routine interaction with children. (see LIS code for date of hire). Staff person #14 did not have a completed NSOR certificate on file and was observed having direct contact and routine interaction with children.

Corrected Corrected by May 21, 2025

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Mandated Reporter Training must be renewed every 60 months (5 years), prior to the previous certification turning 60 months.

At the time of the inspection, staff person #16 did not update mandated reporter training every 60 months prior to the current certificate's expiration. This is evidenced by the current certificate on file dated 3/12/25 and the previous certificate on file dated 3/3/20.

Corrected Corrected by May 21, 2025

Category: ratio. Marked corrected in the state record.

3270.36(b)(3) · An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

At the time of the inspection, staff person #11 did not have documentation of 1 year (1,250 hours) of experience with children to accompany the high school diploma and college credits and therefore, could not qualify as an assistant group supervisor.

Corrected Corrected by May 29, 2025

Category: supervision. 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.

At the time of the inspection, the television on the shelf in the preschool room was wobbly and not secured to a surface posing a tipping hazard.

Corrected Corrected by May 21, 2025

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

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

At the time of the inspection, the health assessment on file for staff person #6 was checked "yes" to communicable diseases with no additional documentation to describe the conditions and the risk it might pose to others exposed to this individual, as required. The health assessment for staff person #9 did not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by May 21, 2025

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

3270.131(a) · 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.

At the time of the inspection, child #9 and child #10 did not have an initial health assessment on file within 60 days following the first day of attendance at the facility. This is evidenced by the health assessments dated 3/27/25 and 3/19/24, respectively (see LIS code sheet for date of admission).

Corrected Corrected by May 21, 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. The CPSL was revised to state all required clearances need to be renewed prior to expiration of each certificate, every 60 months.

At the time of the inspection, staff person #1 did not update the FBI clearance every 60 months as required. This is evidenced by the current FBI clearance on file dated 8/16/24 and the previous FBI clearance on file dated 8/1/19.

Corrected Corrected by Aug 16, 2024

Category: ratio. 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.

At the time of the inspection, in the preschool room, the trash can did not contain a lid. It appeared to have been contaminated by human excrement as wipes/tissues were observed.

Corrected Corrected by Jan 28, 2025

Marked corrected in the state record.

3270.76/3270.104(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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

At the time of the inspection, two shelves in the infant room were wobbly, not secured to a surface and were able to be tipped over. In the nursery underneath the changing table mat, there were food crumbs and pieces of paper indicating under the mat has not been cleaned.

Corrected Corrected by Feb 4, 2025

Category: nutrition. 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.

At the time of the inspection, there was no TB screening at time of hire on file for staff person #2 (see LIS code sheet for date of hire).

Corrected Corrected by Feb 5, 2025

Category: ratio. Marked corrected in the state record.

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

At the time of the inspection, the health assessments for staff person #2 and staff person #3 was checked "yes" to communicable diseases with no additional follow up documentation describing the conditions and the risk it might pose to others exposed to this individual, as required.

Corrected Corrected by Feb 5, 2025

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

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

At the time of the inspection, staff person #2 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file at time of hire (see LIS code sheet for date of hire).

Corrected Corrected by Feb 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Prescription Hydrocortisone cream for child #11 was observed in the PS1 classroom. There was no written consent from the parent for administration of the medication.

Corrected Corrected by May 20, 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. CPSL was revised to include a 45 day provisional hiring period. Staff Person #16 may not work in a child care position at the facility until all completed clearances are on file at the facility.

Staff person #16 had a FBI clearance on file that was from PA Dept of Education and not approved to be used in childcare. Staff person #16 did not have documentation of obtaining fingerprinting for the FBI clearance through DHS approved IDentogo and has been employed at the facility for more than 45 days (see LIS code sheet for date of hire).

Corrected Corrected by May 20, 2024

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

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

In the PS1 room, in the bottom unlocked filing cabinet there were bottles of sunscreen and diaper cream observed. In the office area, there were cans of Barbasol shaving cream, Dawn Dish Soap, Borax, and Alka-Seltzer on a shelf. All of these items stated, "keep out of reach of children" and were accessible to children in the PS1 room.

Corrected Corrected by May 20, 2024

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

3270.102(a)/3270.135(b) · 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. 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 changing table pads in both the young and older toddlers were torn and inside foam was exposed. This prevents the pad from being properly cleaned with a sanitizing solution after each use.

Corrected Corrected by May 20, 2024

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

3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 for child #2, child #8 did not contain the work address of the enrolling parent. It also did not include the address of the individual designated by the parent to whom the child may be released. Child #9's emergency contact form did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by May 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for child #9 did not include the health insurance coverage and policy number for the child.

Corrected Corrected by May 20, 2024

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

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Staff person #1, staff person #11 and staff person #16's health assessment did not contain an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide childcare.

Corrected Corrected by Jun 20, 2024

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

3270.36(b)(5)/3270.192(2)(iv) · 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 acceptable verification of education. Acceptable verification is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

STAFF #1, an assistant group supervisor, had verification of 2 years' experience working with children, but did not have verification of education in file.

Corrected Corrected by May 3, 2023

Category: supervision. 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.

Provider stated that 2 emergency drills have been done, but there was no written documentation of any emergency drill.

Corrected Corrected by May 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.21/3270.113(b) · Conditions at the facility may not pose a threat to the health or safety of the children. A facility person may not use any form of physical punishment, including spanking a child.

On 11/29/22 cert rep viewed video footage from a self-reported incident that occurred at the facility on 11/17/22 at 11:45 am. In the video, cert rep observed STAFF #1 grab 4 older toddlers by the upper arms, drag them and forcefully put them on their nap mats.

Corrected Corrected by Nov 17, 2022

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

3270.21/3270.113(b) · Conditions at the facility may not pose a threat to the health or safety of the children. A facility person may not use any form of physical punishment, including spanking a child. The Legal Entity must arrange for all facility staff to receive a minimum of 2 hours of training regarding supervision of children/dealing with children with challenging behaviors. LE must receive DHS approval of the training content prior to scheduling the training. This training will not count towards staff annual 12 hours of required training.

On 11/29/22 cert rep viewed video footage from a self-reported incident that occurred at the facility on 11/17/22 at 11:45 am. In the video, cert rep observed STAFF #1 grab 4 older toddlers by the upper arms, drag them and forcefully put them on their nap mats.

Corrected Corrected by Jan 2, 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).

During renewal inspection on 5/25/22 cert rep reviewed several staff files. STAFF # 1 does not have a completed NSOR in file. See code sheet for date of hire. NSOR application was submitted on 9/23/21.

Corrected Corrected by May 25, 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 onsite renewal inspection on 6/1/22, cert rep observed damaged paint/plaster in the SA room by the rubber cove molding by the door where the clock is.

Corrected Corrected by Jun 8, 2022

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