3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #2 must complete (PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2/ PA Required Health and Safety for Family Child Care Parts 1 and 2).

Staff person #2 has completed the health and safety course titled (Health and Safety Basics: Requirements for Certification (6 hours) dated 9/30/2016 -- 6/30/2018.) but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by Mar 31, 2026

Category: ratio. 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.

Staff person #1 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): (PA Health and Safety for Centers-Group Child Care Part 2).

Corrected Corrected by Mar 18, 2026

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 ensure fire drills are conducted at least once every 60 days.

Based on documentation at the facility, fire drills are not being held at least every 60 days. The last documented fire drill took place on 1/5/26.

Corrected Corrected by Mar 31, 2026

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.

Based on documentation at the facility, smoke detector testing is not being completed at least every 30 days. The last documented smoke detector testing took place on 1/14/26.

Corrected Corrected by Mar 18, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.21/3270.115(a)(8) · Conditions at the facility may not pose a threat to the health or safety of the children. A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

Staff #3, #4, and #8 do not have documentation of water safety training and were in ratio with children swimming on 11/14/25. Staff #6 and #11 do not have documentation of water safety training and were in ratio with children swimming on 11/17/25.

Corrected Corrected by Dec 19, 2025

Category: ratio. Marked corrected in the state record.

3270.21/3270.31(e)(4)(iii) · Conditions at the facility may not pose a threat to the health or safety of the children. Competence in lifeguard training is demonstrated by completion of lifeguard training, including first-aid training and cardiopulmonary resuscitation (CPR) for child and infant.

There is not a facility person or staff person who is a designated employee of the childcare center who has completed lifeguard training.

Corrected Corrected by Jan 22, 2026

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

3270.21/3270.27(c) · Conditions at the facility may not pose a threat to the health or safety of the children. 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 #1 has emergency-plan training dated 6/13/25, which is after their date of hire. Staff #4 has not completed annual emergency-plan training as evidenced by the most recent training date of 8/6/24. Staff #6 has not completed annual emergency-plan training as evidenced by the most recent training date of 8/19/24. Staff #10 does not have documented emergency plan training. Staff #11 has not completed annual emergency-plan training as evidenced by the most recent training date of 5/24/24. Staff #12 has not completed annual emergency-plan training as evidenced by the most recent training date of 5/24/24. Staff #15 has not completed annual emergency-plan training as evidenced by the most recent training date of 5/11/23.

Corrected Corrected by Jan 22, 2026

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

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

A parent letter explaining emergency procedures including: Shelter and lockdown, evacuation, method to contact parents, method to inform parents emergency has ended and instructions for how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions was not observed at the time of inspection.

Corrected Corrected by Jan 21, 2026

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

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Staff #6 has current pediatric first aid and CPR training dated 5/22/25, which is more than 2 years after the previous pediatric first aid and CPR training that is dated 2/25/23.

Corrected Corrected by Dec 19, 2025

Category: ratio. 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 #15, employed for more than one year (see LIS code sheet), does not have documentation of annual fire safety training.

Corrected Corrected by Jan 22, 2026

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 person #1 and staff #7 will have until 12/26/25 to complete the required training. Until such time as the required training has been completed, staff persons #1 and #7 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 #7, staff person #1 and #7may 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): Health and safety training; Pediatric First Aid and CPR. Staff #7 has not completed the following required pre-service training within 90 days of hire (see LIS code sheet); Health and Safety Training. Staff #5 completed health and safety training part 1 on 6/17/25 and part 2 on 6/19/25, which is more than 90 days after their date of hire.

Corrected Corrected by Jan 22, 2026

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff persons #2, = #5, #7, and #10 must do one of the following: Provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff persons #2, #5, #7, and #10 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Jan 22, 2026

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility/Staff Persons #1, #7, #10, and #11 may not work in a child care position at the facility.

Staff #1 has a disclosure statement that lacks a date. Staff #1 does not have documentation of current DHS FBI clearance, NSOR certificate. Staff #1 may not work in a childcare position. Staff #2 has an NSOR certificate dated 6/6/25, which is after their date of hire (see LIS code sheet). Staff #3 has an NSOR certificate dated 11/13/25, which is after their date of hire (see LIS code sheet). Staff #5 has a DHS FBI clearance dated 11/19/25 and an NSOR certificate dated 2/26/25, both of which are after their date of hire (see LIS code sheet). Staff #7 does not have a current NSOR certificate and may not work in a childcare position. Staff #8 has a current NSOR certificate dated 10/22/25, which is after their date of hire (see LIS code sheet). Staff #9 has a current NSOR certificate dated 11/4/25, which is after their date of hire (see LIS code sheet). Staff #10 does not have a completed PA State Police clearance and has an NSOR dated 10/31/25, which is after their date of hire. Staff #10 may not work in a childcare position. Staff #11 has an NSOR certificate dated 7/14/20, which is more than 60 months ago. Staff #11 may not work in a childcare position. Staff #14 has a DHS FBI clearance dated 11/19/25, which is after the date of hire (see LIS code sheet)

Corrected Corrected by Dec 19, 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 Child Protective Services). Staff person #1 will have until 12/26/25 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 the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Dec 19, 2025

Category: supervision. 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.

Staff #6 and #11, who have been employed for more than 1 year (see LIS code sheet), do not have an annual staff evaluation. The annual evaluation for staff #12 is dated 5/24/24, which is more than one year ago.

Corrected Corrected by Dec 26, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.34(b)(1)/3270.192(2)(ii) · A director shall have attained a bachelor's degree 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff #5 does not have documentation verifying childcare experience. Staff #10 does not have documentation verifying education or childcare experience

Corrected Corrected by Dec 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.37(b)/3270.192(2)(ii) · An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff #9, and aide, does not have documentation of education or childcare experience.

Corrected Corrected by Dec 19, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The power strip below the changing table in the infant room lacked protective covers. Three outlets in the gym (two on the wall below the basketball hoop, one on the wall opposite of entry door behind benches) lacked protective covers.

Corrected Corrected by Dec 19, 2025

Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

When the older toddler class arrived in the indoor play space, they lacked a first-aid kit.

Corrected Corrected by Jan 20, 2026

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

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

The first-aid kit was observed to be accessible to the pre-school children when they were using the indoor play space.

Corrected Corrected by Jan 20, 2026

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

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

In the younger toddler room, an exposed bolt was observed on the right side of the toilet. In the outdoor play space several of the wood planks that line the border were observed to have rebar protruding from the top, presenting a hazard to children. One of the fence pickets in the outdoor play space was cracked and broken with sharp edges.

Corrected Corrected by Dec 19, 2025

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

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

A source of running water for handwashing is not present in the infant diapering area.

Corrected Corrected by Dec 19, 2025

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

A large storage bin observed in the outdoor play space had a crack in the lid with sharp edges, creating a pinch-point. In the main room/entry room, a green toy-storage bin below the large first-aid kit was observed to be cracked with sharp edges, creating a pinch-point.

Corrected Corrected by Dec 19, 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.

In the infant room, two bouncy seats were observed next to a crib that was in use, preventing the crib from having 2 feet of space on three sides. In the older toddler room at nap time, one cot was observed to lack two feet of space on three sides. In the younger toddler room at nap time, two cots were observed to lack two feet of space on three sides. In the preschool room at nap time, five cots were observed to lack two feet of space on three sides.

Corrected Corrected by Dec 19, 2025

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

3270.108(c) · Styrofoam cups and plates may not be used.

During lunch, it was observed that young toddlers, older toddlers, and preschoolers who ate the provided lunch were served their food on Styrofoam trays.

Corrected Corrected by Dec 19, 2025

Category: nutrition. 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.

In the young toddler room, it was observed that staff could not adequately supervise children while preparing lunches, as they frequently had to have their backs turned away from the children to utilize the food preparation area. During naptime in the preschool room, it was observed that supervision of children by staff was obstructed by toy kitchens and 3 chairs that were placed on top of a table.

Corrected Corrected by Jan 20, 2026

Category: supervision. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The fee agreements for child #2 and child #4 did not include the fee amount.

Corrected Corrected by Jan 20, 2026

Category: recordkeeping. 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 emergency contact information for child #2 does not include the address or phone number of physician/medical care.

Corrected Corrected by Jan 20, 2026

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 emergency contact information for child #2 and child #3 does not include the enrolling parent's work address. The emergency contact information for child #2, child #3, and child #5 does not include the enrolling parent's work telephone number.

Corrected Corrected by Jan 20, 2026

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 information for child #3 and child #4 does not include the health insurance coverage or policy number.

Corrected Corrected by Jan 20, 2026

Category: health medication. 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 information for child #3 does not include the release person's address.

Corrected Corrected by Jan 20, 2026

Category: recordkeeping. Marked corrected in the state record.

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

In the infant room, emergency contact information was not present for child #1. When the older toddler class arrived in the indoor play space, they lacked emergency contact information.

Corrected Corrected by Dec 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(f) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Child #3 and child #4 did not have emergency contact reviewed, updated, and signed six months after initial enrollment (see LIS code sheet) Child #4 did not have fee agreement reviewed, updated, and signed six months after initial enrollment (see LIS code sheet) Child #6 has not had emergency contact reviewed, updated, and signed within six months, as evidenced by the date of the most recent update and signing on 11/25/24.

Corrected Corrected by Jan 20, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Written verification of immunizations for child #3 is attached to the initial health assessment dated 5/1/25, which is more than 60 days after the child's date of enrollment (see LIS code sheet).

Corrected Corrected by Dec 19, 2025

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

The large first-aid kit in the main room/entry room contained medication that did not identify the name of the child/children for whom the medication is intended. The following medications were present and unlabeled: Sting relief wipes, burn spray, and bacitracin ointment.

Corrected Corrected by Dec 19, 2025

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During a diaper change in the infant room, it was observed that an infant's hands were not washed after being diapered. In the young toddler room, it was observed that not all of the children washed their hands prior to eating lunch.

Corrected Corrected by Dec 19, 2025

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

3270.135(c) · The diapering area may not be used for food preparation or food service.

After diapering an infant, staff person in infant room was observed washing their hands in a sink that is also used for food preparation.

Corrected Corrected by Dec 19, 2025

Category: ratio. Marked corrected in the state record.

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

The health assessment for staff #2 indicates the staff person has a communicable disease. The health assessment for staff #3 does not include the staff person's name. The health assessment for staff #10 is dated 11/7/25, which is after their date of hire (see LIS code sheet).

Corrected Corrected by Dec 19, 2025

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Staff #1 does not have a health assessment on file. Staff #7 does not have a health assessment on file.

Corrected Corrected by Dec 19, 2025

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

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

Staff #1 does not have results from tuberculosis screening on file. Staff #3 does not have results from tuberculosis screening on file. Staff #7 does not have results from tuberculosis screening on file.

Corrected Corrected by Dec 19, 2025

Category: health medication. 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.

No documentation for the annual emergency drill was observed.

Corrected Corrected by Jan 20, 2026

Category: recordkeeping. Marked corrected in the state record.

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

Fire drills exceeded 60 days on the following dates 11/18/24-3/4/25 and 3/4/25-5/23/25.

Corrected Corrected by Dec 19, 2025

Category: recordkeeping. 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.

The initial health assessment for child #3 is dated 5/1/25, which is more than 60 days after the child's date of enrollment (see LIS code sheet).

Corrected Corrected by Dec 19, 2025

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

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Annual written notification to local traffic safety authorities of location of facility and program's use of pedestrian and vehicular routes around the facility was not observed.

Corrected Corrected by Jan 20, 2026

Marked corrected in the state record.

3270.36(a)/3270.192(2)(ii) · An assistant group supervisor is responsible for the minimum duties described at § 3270.36(a)(1 - 2). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff #1, #2, #7, and #8 do not have documentation verifying childcare experience..

Corrected Corrected by Jan 5, 2026

Category: supervision. Marked corrected in the state record.

3270.94(a)/3270.95(a) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the critera specified in §3270.95Ia)(1)- (a)(9) are met Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

Testing of the fire-detection system exceeded 30 days on the following dates: 11/18/24-3/4/25, 3/4/25-5/23/25, 10/12/25-11/19/25.

Corrected Corrected by Dec 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff Person #1, who has the qualifications to be an aide, was observed supervising 5 young toddlers in the Toddler Room alone and unsupervised.

Corrected Corrected by Aug 11, 2025

Category: supervision. Marked corrected in the state record.

3270.14 · 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.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service trainings required prior to caring for children unsupervised: Pediatric first aid/CPR and Health and Safety.

Corrected Corrected by Aug 11, 2025

Category: supervision. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Staff person #1 was observed to be caring for children unsupervised and has not completed the following pre-service trainings required prior to caring for children unsupervised: Pediatric first aid/CPR and Health and Safety. As a result, the facility did not comply with the required training provisions under § 3270.14.

Corrected Corrected by Aug 11, 2025

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Staff person #6 does not have current pediatric first aid/CPR training. The most current training on file was observed to have expired on 3/31/25.

Corrected Corrected by Aug 11, 2025

Category: ratio. 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.

At approximately 9:45AM in the Infant Room, a crib in use was observed to lack at least 2 feet of space on three sides.

Corrected Corrected by Aug 11, 2025

Category: physical safety. 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.

On 6/10/25 at approximately 9:45AM, Staff Persons #3 and #4 were observed caring for 6 children in the Infant Room. Staff Person #3 was observed sitting on the floor positioned with their back towards Child #1 who was sleeping in a crib against the back wall behind three unused cribs and was unable to properly supervise Child #1. Staff Person #4 was observed at the diapering table changing a child's diaper located in the front corner in the room and was not able to properly supervise Child #1 due to their vision was blocked by the unused cribs.

Corrected Corrected by Aug 11, 2025

Category: supervision. Marked corrected in the state record.

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

On 6/10/25 at approximately 9:30AM, Staff Persons #2 and #5 were observed caring for a total of 14 children in the Intro/PreK Room. When asked to identify their individual assigned group of children to supervise, Staff Person #5 identified 6 preschool-aged children. Staff Person #2 stated the picture magnets used to track the children were missing and attempted to identify the assigned group of children by using the classroom's iPad for assistance and the white board that listed children names. Staff person #2 identified 5 preschool-aged children--- 3 of whom had already been accounted for by Staff Person #5. After several attempts, it was determined that Staff Person #5 was assigned to supervise 7 preschool-aged children, and Staff Person #2 was assigned to supervise 7 preschool-aged children, which had resulted in 6 preschool-aged children unaccounted for.

Corrected Corrected by Aug 11, 2025

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.

The facility's documentation of conducting fire drills exceeded 60 days between drills from 3/13/25 to 5/13/25.

Corrected Corrected by Aug 11, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The facility's documentation of testing the fire detection system exceeded 30 days between testing from 3/4/25 to 5/23/25.

Corrected Corrected by Aug 11, 2025

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.

Testing of fire-detection system exceeded 30 days from 11/18/24 and 3/4/25.

Corrected Corrected by Jun 2, 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 protective services).

The NSOR clearance for staff person #2 is dated 2/26/25, which is after the staff person's date of hire. (See LIS code sheet)

Corrected Corrected by May 22, 2025

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

3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Staff person #1 did not have a health assessment in their file.

Corrected Corrected by Jul 1, 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.

Time between fire-drills exceeded 60 days from 10/18/24 and 3/13/25.

Corrected Corrected by May 29, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Disinfectant spray and wipes were stored on a shelf (they were not in a bin or other type of container) directly above children's diapers in the diapering area of the older toddlers' childcare space.

Corrected Corrected by Nov 19, 2024

Category: ratio. 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.

Staff person #7 completed Health & Safety training on 10/30/24, which is more than 90 days after their date of hire (see LIS code sheet.)

Corrected Corrected by Oct 30, 2024

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) LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 5 may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for staff person #5 did not include a DHS FBI clearance, and the NSOR clearance was dated 10/16/24, which is after the staff persons date of hire (see LIS code sheet). Current Pennsylvania State Police and child abuse clearances for staff person #8 were obtained more than 60 months after the date the previous clearances were obtained. Previous State Police clearance for staff person #8 is dated 8/20/2019 and current clearance is dated 8/29/24. Previous child abuse clearance for staff person #8 is dated 9/13/19 and current clearance is dated 11/5/24

Corrected Corrected by Nov 19, 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 pre-k childcare space, hand sanitizer was accessible to children. A large container was behind the small-group table and a small travel container was clipped to a child's backpack in their cubby space.

Corrected Corrected by Nov 19, 2024

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

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

An unlabeled container of cleaning solution was present at the sink in the young toddlers' childcare space.

Corrected Corrected by Nov 19, 2024

Category: ratio. 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.

Bolts were exposed on the toilets in the toileting areas of the younger toddler and pre-school/older toddler childcare spaces.

Corrected Corrected by Nov 20, 2024

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

A handwashing sign was not posted at a sink in the toileting area of the pre-k childcare space.

Corrected Corrected by Nov 20, 2024

Category: health medication. 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.

A written plan of identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in the pre-k childcare space.

Corrected Corrected by Nov 19, 2024

Category: transportation. 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.

The current health assessment for staff person #6 is dated 8/9/24, which is more than 24 months from the prior health assessment which is dated 7/7/22.

Corrected Corrected by Aug 9, 2024

Category: ratio. Marked corrected in the state record.

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

Staff persons #1, #2, #3, and #4 did not obtain an annual minimum of 12 clock hours of childcare training.

Corrected Corrected by Nov 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

In the Infant Room, the sheets being used in two of the cribs used by an infant in care were observed to be loose fitting thus allowing them to bunch up and cause a potential suffocation hazard. In the Teen Center Room two staplers, two adult scissors, and a hole puncher were observed accessible to the preschool age children in care.

Corrected Corrected by Dec 5, 2023

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

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

The staff file for Staff person #2 was observed to lack documentation of having received training on the facility emergency plan at time of hire.

Corrected Corrected by May 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The staff file for Staff person #3 contained current pediatric first aid/CPR training dated 3/13/23 which was not renewed prior to the expiration of their most recent certification dated 2/8/21.

Corrected Corrected by Mar 13, 2023

Category: ratio. 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. Staff person #2 will have until 12/23/23 to complete the required training.

Staff person #1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. Staff person #1 has since obtained Pediatric First Aid/CPR on 2/13/23. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10hr revised Health and Safety training; Staff person #2 had the 6hr health and safety training with the 1hr health and safety update which is not acceptable for staff hired after 10/4/22.

Corrected Corrected by Dec 23, 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 staff file for Staff person #2 was observed to not have a current disclosure statement signed at the time of hire (See IS Code Sheet).

Corrected Corrected by Dec 13, 2023

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

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

In the Teen Center room, which was measured by Certification from wall-to-wall and recorded as one childcare space with a capacity of 29, a retractable wooden room divider that spans from floor to ceiling of the room was observed to be in use across the width of the entire room, in effect creating two separate and distinct childcare spaces.

Corrected Corrected by Nov 21, 2023

Category: ratio. Marked corrected in the state record.

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

In the Teen Center Room the following electrical outlets were observed to be missing one or more protective covers and accessible to children 5 years of age or younger who were observed to be receiving care: A square power strip located underneath the TV and an electrical outlet located on a circular extension cord.

Corrected Corrected by Nov 20, 2023

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.

The outdoor play space surfacing has an area of deterioration that poses as a tripping hazard and observed not to be in good repair.

Corrected Corrected by Dec 5, 2023

Category: ratio. 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.

*At approximately 1:25pm in the Young Toddler Room, a young toddler was observed to be sleeping on a cot which was positioned behind a toy shelving unit that obstructed the view of Staff person #1 from where they were positioned in the room at the time. Staff person #1 also had their back turned to the unit while attending to an infant in a crib for the duration of the observation. Staff person #1 was the only staff in the room. Therefore, Staff person #1 was not able to see or direct the napping child.

Corrected Corrected by Dec 13, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · **The operator will develop a naptime layout of the Young Toddler room to include appropriate positioning/spacing of cribs and cots, movement (if necessary) of furniture, and positioning of staff during this time period. This layout must allow for all staff in the room to see, hear, direct and assess each child in the room at all times.

**At approximately 1:25pm in the Young Toddler Room, a young toddler was observed to be sleeping on a cot which was positioned behind a toy shelving unit that obstructed the view of Staff person #1 from where they were positioned in the room at the time. Staff person #1 also had their back turned to the unit while attending to an infant in a crib for the duration of the observation. Staff person #1 was the only staff in the room. Therefore, Staff person #1 was not able to see or direct the napping child.

Corrected Corrected by Dec 13, 2023

Category: supervision. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business 11/20/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The child file for Child #1 lacked an immunization record.

Corrected Corrected by Nov 28, 2023

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.

The staff file for Staff person #4, contained a current health assessment dated 1/13/22 which was conducted more than 24 months from the previously dated 6/14/19 health assessment on file.

Corrected Corrected by Jan 13, 2022

Category: ratio. Marked corrected in the state record.

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

The facility has not been testing their fire detection system every 30 days as required under section 1016(c) of Act 62.

Corrected Corrected by Dec 30, 2023

Category: recordkeeping. 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.

The child file for Child #1 lacked an initial health report.

Corrected Corrected by Nov 28, 2023

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

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

The facility emergency plan lacked information regarding volunteer emergency preparedness, and continuity of operations included in their emergency plan.

Corrected Corrected by Dec 9, 2022

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The staff file for Staff person #2 and Staff person #6 contained current first-aid/CPR training dated 2/14/22 which was not renewed on or before the expiration of the previous training certificate on file dated 1/9/20. The staff file for Staff person #3 contained current first-aid/CPR training dated 2/14/22 which was not renewed on or before the expiration of the previous training certificate on file dated 1/17/20. The staff file for Staff person #7 contained current first-aid/CPR training dated 2/14/22 which was not renewed on or before the expiration of the previous training certificate on file dated 12/9/19.

Corrected Corrected by Feb 14, 2022

Category: ratio. 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 #1, Staff Person #5 and Staff person #6 will have until 12/6/22 to complete the required training. Until such time as the required training has been completed, staff person #1 and staff person #5 and staff person #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise Staff person #1, Staff Person #5 and Staff person #6, Staff person #1, Staff Person #5 and Staff person #6 may not work in a child-care position at the facility.

Staff person #1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training and Pediatric First Aid/CPR. Staff person #5 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training; the health and safety training on file was dated 8/15/16 which is not an acceptable training. Staff person #6 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training.

Corrected Corrected by Nov 29, 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 protective services).

The staff file for Staff person #4 contained current mandated reporter training dated 6/30/21 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 2/22/16. The staff file for Staff person #5 contained current mandated reporter training dated 1/26/21 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 2/6/15.

Corrected Corrected by Jun 30, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The staff file for Staff person #1 lacked a disclosure statement at time of hire (See IS CODE SHEET); the disclosure on file was dated 10/25/22. The staff file for Staff person #5 contained a current State Police and Child Abuse clearance dated 1/26/21, and a current DHS FBI clearance dated 1/27/21 all of which were not renewed within 60 months of the previously dated 3/19/15 State Police clearance, 3/14/15 Child Abuse clearance and 2/17/15 DHS FBI clearance expiring.

Corrected Corrected by Oct 25, 2022

Category: background checks. 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.

The staff file for Staff person #1, who is functioning as an Assistant Group Supervisor, lacked two year of experience working with children.

Corrected Corrected by Nov 15, 2022

Category: supervision. Marked corrected in the state record.

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

The preschool classroom was observed in the gym and their first-aid kit inside their book bag lacked tweezers, soap, scissors, tape and nonporous gloves.

Corrected Corrected by Nov 15, 2022

Marked corrected in the state record.

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

In the Young Toddler room, at approximately 1:00pm during nap time, the room was observed to lack adequate lighting thus making is difficult for staff to see the children's faces in order to properly supervise the children as they napped.

Corrected Corrected by Nov 15, 2022

Category: supervision. Marked corrected in the state record.

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

In the Infant Room the plexiglass room divider was observed to not have a visual strip or identification on the plexiglass.

Corrected Corrected by Nov 21, 2022

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

In the Older Toddler Room two cots were observed to not be labeled for use of a specific child. In the Preschool Room ten cots were observed to not be labeled for use of a specific child.

Corrected Corrected by Nov 17, 2022

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

The Infant Room was observed to lack a daily schedule.

Corrected Corrected by Nov 15, 2022

Category: physical safety. 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.

In the Young Toddler room, at approximately 1:00pm during nap time, the room was observed to lack adequate lighting thus making is difficult for staff to see the children's faces in order to properly supervise the children as they napped.

Corrected Corrected by Nov 15, 2022

Category: supervision. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The child file for Child #1, Child #2, Child #3, Child #4, and Child #5 lacked an acceptable Child Service Report; Ages and Stages was being used and this is not an approved assessment.

Corrected Corrected by Dec 6, 2022

Category: recordkeeping. Marked corrected in the state record.

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

At approximately 10:30am ten preschool age children were observed to be playing in the gym and their emergency contact forms were not present in the space in which they were receiving care.

Corrected Corrected by Nov 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The child file for Child #4, who is a young toddler at the time, was observed to contain an updated health report dated 7/20/22 which was conducted more than 6 months from the previously dated 7/26/21 health report on file.

Corrected Corrected by Jul 20, 2022

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

3270.131(e)(1)/3270.182(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. A child's record shall contain initial and subsequent health reports.

The child file for Child #2 lacked a flu shot for 2021.

Corrected Corrected by Nov 29, 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.

The staff file for Staff person #1, was observed to contain a health assessment dated 8/5/19 which was conducted more than 12 months prior to providing initial service in a childcare setting (See IS CODE SHEET).

Corrected Corrected by Nov 15, 2021

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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.

The staff file for Staff person #1, was observed to contain a tuberculosis screening test results dated 8/13/19 which was conducted more than 12 months prior to providing initial service in a childcare setting (See IS CODE SHEET).

Corrected Corrected by Nov 15, 2022

Category: health medication. 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.

The child file for Child #1 and Child #3 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the two updates were 8/1/22 and 1/19/22. The child file for Child #2 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent updates were 8/1/22 and 1/19/22. The child file for Child #2 contained a financial agreement that was not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent updates were 8/19/22 and 1/19/22. The emergency contact information form for Child #2 was not reviewed and updated by the parent at least once in a 6-month period; the dates of the two last updates were 8/2/20 and 7/16/21. The child file for Child #2 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent updates were 8/1/22 and 1/19/22. The child file for Child #4 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the two updates were 1/19/22 and 6/18/22.

Corrected Corrected by Nov 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

The cabinet used to store the child files was observed to not have a lock.

Corrected Corrected by Dec 6, 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.

The most recent fire inspection/test documentation by a fire safety professional dated 8/29/22 was observed to not have been conducted annually from the previous fire inspection/test documentation dated 6/11/21.

Corrected Corrected by Jun 11, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The smoke detection log contained a date of 12-01-2021 and 1-3-2022 which exceeded the allowable 30 days to test the smoke detection system.

Corrected Corrected by Jan 31, 2022

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.

While viewing a video of diaper changing, it was determined that while staff #1 was changing child #1, she turned away from child #1 to place a onesie in a back pack three feet away from the changing table leaving child #1 unsupervised. The changing table surface is approximately 3 feet above the floor which would require staff to be directly supervising children with immediate physical proximity for the entirety of the diaper changing process to prevent child #1 from falling off the changing table.

Corrected Corrected by Jan 18, 2022

Category: supervision. Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #3 contained an emergency plan training date of 7-1-2019 and 5-28-2021 which exceeded the annual training date of 7-1-2020. The file for staff #4 had an emergency training date of 5-5-2020 and 5-28-2021 which exceeded the annual training date of 5-5-2021. The file for staff #8 contained an emergency plan training date of 1-7-2020 and 5-28-2021 which exceeded the annual training date of 1-7-2021. The file for staff #9 contained an emergency plan training date of 7-10-2019 and 5-28-2021 who exceeded the annual training date of 7-10-2020.

Corrected Corrected by May 28, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #9 contained a Pediatric First Aid/CPR dated 9-3-2018 and 2-8-2021 which exceeded the renewal date of 9-3-2020.

Corrected Corrected by Feb 8, 2021

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #3 with a hire date of 4-25-2019 had a fire safety training dated 11-8-2020 which exceeded the annual training date of 4-25-2020. The file for staff #7 contained a fire safety training date of 7-6-2019 and 9-15-2021 which exceeded the annual training date of 7-6-2020.The file for staff #10 had a fire safety training date of 11-18-2020 and the annual training date was 11-18-2021 and this training has not been renewed.

Corrected Corrected by Dec 29, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #8 contained a Mandated Reporter Training date of 12-3-2016 and has not renewed within the required 60 months.

Corrected Corrected by Dec 5, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The fie for staff #3 with a hire date of 4-29-2019 had an NSOR Clearance with a date of 7-2-2020 which exceeded the date of 7-1-2020 to obtain the clearance. Staff #6 with a provisional hire date of 7-28-2021 had an NSOR Clearance dated 11-3-2021 which exceeded the 45 days allowed for acquiring the NSOR Clearance and was permitted to work beyond the 45 days without the clearance. The file for staff #8 did not contain a Child Abuse or FBI Clearance that had been updated within the past 60 months. The most recent Child Abuse Clearance was 12-07-2016 and the most recent FBI Clearance was 12-8-2016 for staff #8. date of 12-8-2016 and has not renewed this clearance since.

Corrected Corrected by Jan 12, 2022

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

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

The file for Staff #3 with a hire date of 4-25-2019 had a staff evaluation date of 6-15-2021 which exceeded the annual staff evaluation date of 4-25-2020. The file for staff #8 had a staff evaluation date of 1-7-2020 and 5-28-2021 which exceeded the annual evaluation date of 1-7-2021.

Corrected Corrected by Jun 15, 2021

Category: recordkeeping. Marked corrected in the state record.

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

In the Preschool Room, a white extension cord which was located to the left of the microwave did not have one outlet covered.

Corrected Corrected by Jan 7, 2022

Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Under the sink in the Young Toddler Room, one spray bottle was labeled "Sanitizer" and did not accurately specify the contents. Based on conversations, it was determined the contents of the spray bottle were bleach and water.

Corrected Corrected by Jan 7, 2022

Category: ratio. 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.

In the Preschool Room, green paint was peeling to the right of the outlet which was located below the telephone. On the right side of the Preschool 3 Room and located the left of the door that is labeled: "Cot Chart," green paint was peeling. Beneath the peeling paint a silver wire was observed coming through. In the bathroom of the Preschool 3 Room, green paint was peeling above the baseboard which was located behind the toilet.

Corrected Corrected by Jan 13, 2022

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

In the bathroom which was located in Older Toddler Room, one bolt cover was missing on the right side of the toilet.

Corrected Corrected by Jan 7, 2022

Marked corrected in the state record.

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #1 with an admission date of 6-8-2020 contained an Influenza Vaccine dated 3-8-2018.

Corrected Corrected by Jan 6, 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.

The file for staff #10 with a hire date of 5-4-2021 contained a health assessment dated 2-1-2020. The date exceeds the date to acquire the health assessment within 12 months prior to providing initial service in a child care space.

Corrected Corrected by Jan 6, 2022

Category: ratio. 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.

The file for child #3 with an admission date of 1-2-2021 contained an initial health assessment date of 6-2-2021 which exceeded the required 90 days for a health assessment.

Corrected Corrected by Jun 2, 2021

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