3270.183(b) · A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Information concerning a child was disclosed to another child's parent.

Corrected Corrected by Jan 3, 2025

Marked corrected in the state record.

3270.21/3270.111(c) · Conditions at the facility may not pose a threat to the health or safety of the children. 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.

While conducting a complaint investigation, the Director stated that a child's soiled clothing with fecal matter on them were put into another child's bookbag on two separate occasions.

Corrected Corrected by Jun 1, 2024

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

3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

While conducting a complaint investigation, it was observed that there was expired milk in the Steam Engines classroom. The milk was discarded during the investigation.

Corrected Corrected by Jul 3, 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.

During the time of inspection, it was observed that the drywall was peeling behind the sink of the Nittany Lions bathroom. The drywall was covered with tape during the inspection.

Corrected Corrected by Feb 21, 2024

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.

During the time of inspection, it was observed that the toilet lid was broken on the toilet in the Mountain Laurels bathroom. The broken toilet lid was removed during the inspection.

Corrected Corrected by Feb 21, 2024

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.

During the time of inspection, it was observed that there were four broken/cracked lids to the plastic bins containing toys that the children play with in the Fire Flies classroom. The broken/cracked lids were removed during the inspection.

Corrected Corrected by Feb 21, 2024

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

3270.133(7)(viii) · A medication log shall include special notes related to problems of administration.

The medication log on file for child 1 did not include special notes related to problems of administration. Special notes were added to the medication log during the inspection.

Corrected Corrected by Feb 21, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Documentation of the health assessment on file for staff member 1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Feb 26, 2024

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

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Documentation of sending the emergency evacuation plan to the local municipality was not on file.

Corrected Corrected by Feb 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

While conducting a complaint investigation, it was observed that staff member 1 was caring for seven two year olds in the Fire Flies classroom alone. Staff member 2 was caring for twelve pre school children alone in the Lions classroom.

Corrected Corrected by Dec 26, 2023

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff 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 was observed to be caring for children unsupervised. Staff person 1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR

Corrected Corrected by Nov 21, 2023

Category: supervision. Marked corrected in the state record.

3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

While conducting a complaint investigation, it was observed that children were being pushed around in a stroller for approximately twenty minutes without any stimulation or interactions with staff members.

Corrected Corrected by Dec 21, 2023

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

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

During a complaint investigation, it was observed that staff member 2 was not able to identify the children in their primary care group.

Corrected Corrected by Jan 21, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person 1 -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

) Documentation on file for staff member 1 noted that she hasn't lived in PA for the last five years and didn't obtain all out of state clearances.

Corrected Corrected by Feb 24, 2023

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.

At the time of inspection, it was observed that a bottle of hand sanitizer was accessible to children in the Mountain Laurels bathroom. A cleaning solution was accessible to children in the Great Danes room. Potting soil was on the floor and accessible to children in the Nittany Lions room. Cleaning solutions were accessible to children in the Phillies bathroom. Cleaning solutions were on the floor, under the sink in the kitchen area and accessible to children. All of the items were removed from accessible areas and locked up during the time of inspection.

Corrected Corrected by Feb 14, 2023

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.

At the time of inspection, it was observed that there was an unlabeled spray bottle in the Great Dane room. This was corrected during the inspection.

Corrected Corrected by Feb 14, 2023

Category: ratio. Marked corrected in the state record.

3270.66(e) · Arts and crafts materials shall be nontoxic.

During the time of inspection, it was observed that paint dabbers which said "keep out of reach of children" were accessible to children in the Gray Squirrels room. These dabbers were removed and put out of reach of children during the inspection.

Corrected Corrected by Feb 14, 2023

Marked corrected in the state record.

3270.76/3270.77(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

At the time of inspection, it was observed that there was peeling paint in the Gray Squirrels classroom. A piece of tape was placed over the peeling paint during the inspection.

Corrected Corrected by Feb 14, 2023

Category: physical safety. 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.

During the time of inspection, it was observed that glass didn't have a visual strip or visual identification in the Buds Room, White Tails Room, Steam Engine Room and Brooke Trouts Room and Fireflies Room. Tape was placed on all glass areas during the inspection.

Corrected Corrected by Feb 14, 2023

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

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

At the time of inspection, it was observed that the shed located on the playground had a broken door with sharp edges at the bottom. The door was taped closed and the sharp edges were taped during the inspection.

Corrected Corrected by Feb 14, 2023

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

3270.133(3)/3270.133(4) · 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. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

During the time of inspection, it was observed that there was a container of unlabeled Vaseline in a child's cubby accessible to children in the Flyers room and a unlabeled bottle of lotion in a child's cubby accessible to children in the Liberty Bells classroom. Both medications were labeled and put out of reach of children during the inspection.

Corrected Corrected by Feb 14, 2023

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

3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

During the time of inspection, it was observed that there was expired milk in the Phillies refrigerator. The milk was poured out during the inspection.

Corrected Corrected by Feb 14, 2023

Category: ratio. Marked corrected in the state record.

3270.51/3270.52 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

During the onsite inspection, it was observed that rooms were out of ratio. At 7:00am, the liberty bells had seven older toddlers with one staff member present. At 7:20am, the large space in the back had eight school aged children, three pre-k children, and one young pre-child with one staff member present. A few minutes later more children arrived and then had eight school aged children, four pre-k children and two young pre-k children with one staff member present. At 7:30am, a staff member was supervising six children in a buggy. The youngest child was a young toddler. At 7:50am, the liberty bells classroom had eight older toddler children with one staff member present. At 8:30 am, the infant room had five children with one staff member present. At 8:42 am, the young toddler classroom had six children with one staff member present. At 9:30am, the liberty bells classroom had twenty-one young toddlers with two staff members present.

Corrected Corrected by Jan 20, 2023

Category: supervision. Marked corrected in the state record.

3270.51/3270.52 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. The legal entity shall participate in technical assistance which will be referred by the certification representative.

During the onsite inspection, it was observed that rooms were out of ratio. At 7:00am, the liberty bells had seven older toddlers with one staff member present. At 7:20am, the large space in the back had eight school aged children, three pre-k children, and one young pre-child with one staff member present. A few minutes later more children arrived and then had eight school aged children, four pre-k children and two young pre-k children with one staff member present. At 7:30am, a staff member was supervising six children in a buggy. The youngest child was a young toddler. At 7:50am, the liberty bells classroom had eight older toddler children with one staff member present. At 8:30 am, the infant room had five children with one staff member present. At 8:42 am, the young toddler classroom had six children with one staff member present. At 9:30am, the liberty bells classroom had twenty-one young toddlers with two staff members present.

Corrected Corrected by Feb 9, 2023

Category: supervision. Marked corrected in the state record.

3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Staff number 1 stated that she took a video of another staff changing a child's diaper and posted the video to social media. Staff number 1 reported that the child could be seen in the video.

Corrected Corrected by Nov 8, 2022

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

3270.183(b) · A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Staff number 1 disclosed that she shared a video on social media platform "Snapchat" that contained a child having their diaper changed. The video was viewed by other people outside of the daycare setting.

Corrected Corrected by Nov 8, 2022

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

3270.31(e)(4)(i)/3270.31(f) · 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 persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in the topics of 3270.31(f)(10), 3280.31(f) (10), or 3290.31(g)(10) within 90 days of hire. Staff person #5 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 person #5 has 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 Nov 16, 2022

Category: ratio. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

In the Hershey Buds room (infants), one staff was observed to be providing care for 7 infants.

Corrected Corrected by Nov 8, 2022

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.

In the Hershey Buds room (infants), 2 cribs were observed with children in them, and the cribs were right next to each other. There was not 2 feet of space between the cribs that were in use.

Corrected Corrected by Nov 8, 2022

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 number 7 did not have an approved pediatric CPR/First Aid certificate on file.

Corrected Corrected by Apr 5, 2022

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.

In the bathroom off of the Gray Squirrels classroom, the stall beside the toilet was observed to have a large, abrasive rust spot on the lower corner.

Corrected Corrected by Mar 3, 2022

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

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

On the outdoor playground, the round TP style swing was observed to have decaying and peeling rubber around the frame of the swing.

Corrected Corrected by Feb 28, 2022

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

3270.102(e)/3270.103 · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

In the Mountain Laurels room (1 year old classroom), a sensory table was observed to have beads that were less than one inch in diameter.

Corrected Corrected by Feb 23, 2022

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 Hershey Bugs infant room, children were observed napping in cribs that were not spaced 2 feet apart.

Corrected Corrected by Feb 23, 2022

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

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The emergency plan on file did not list accommodations provided for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Feb 23, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Staff person number 1 had CPR training completed on 1/27/22, which is greater than 90 days. Staff number 2 had CPR training completed on 1/27/22, which is greater than 90 days. Staff person number 3 had CPR training completed on 1/27/22, which is greater than 90 days. Staff person number 4 had CPR training completed on 1/27/22, which is greater than 90 days. Staff person number 5 had CPR training completed on 1/27/22, which is greater than 90 days. Staff person number 6 had CPR training completed on 1/27/22, which is greater than 90 days.

Corrected Corrected by Feb 23, 2022

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