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.

SECOND CITATION: Staff person #1 & #2 have not completed Pediatric first aid and CPR training on or before expiration of their most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring June 2025 for Staff #1 and October 2024 for Staff #2. Documentation of updated Pediatric first aid and CPR training is not on file. PREVIOUSLY CITED 12/12/25

Corrected Corrected by Feb 27, 2026

Category: ratio. Marked corrected in the state record.

3270.151(c)(4)/3270.151(c)(5) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for Staff Person #3 lacked information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Corrected Corrected by Feb 9, 2026

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

3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

SECOND CITATION: The staff files were located in an unlocked drawer in the child care office where the door was unlocked and opened. PREVIOUSLY CITED 12/12/25

Corrected Corrected by Feb 1, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 was observed to be caring for children unsupervised. Staff person #2 does not have current pediatric first-aid/CPR training on file. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of October 2024.

Corrected Corrected by Jan 31, 2026

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. Until such time as the required training has been completed, staff person #1 & #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1 & #2, staff person #1 & #2 may not work in a child-care position at the facility.

Staff person #1 & #2 have not completed Pediatric first aid and CPR training on or before expiration of their most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring June 2025 for Staff #1 and October 2024 for Staff #2. Documentation of updated Pediatric first aid and CPR training is not on file.

Corrected Corrected by Jan 31, 2026

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

The file for Staff Person #4 lacked documentation of professional development training within 90 days of hire as listed in subsections (f)1-10.

Corrected Corrected by Jan 31, 2026

Category: supervision. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Based on staff statements and observation, the director is not present at the facility for a minimum of 30 hours per week.

Corrected Corrected by Jan 5, 2026

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 file for Staff Person #3, identified as an assistant group supervisor, lacked documentation of a high school diploma or a general educational development certificate.

Corrected Corrected by Jan 31, 2026

Category: supervision. 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.

Lysol disinfectant spray was observed in the unlocked cabinet under the diaper changing unit located in the far bathroom and was accessible to children.

Corrected Corrected by Dec 12, 2025

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

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

In the Transition Room, there was a hole in the wall opposite the kitchenette area. Also on that same wall, there was a broken safety cover plate with sharp edges accessible to children.

Corrected Corrected by Jan 31, 2026

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

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

In the Transition Room, there was a bucket seat lacking a safety strap.

Corrected Corrected by Dec 12, 2025

Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for Staff Person #3 lacked a current health assessment. The most recent health assessment on file for Staff Person #3 was dated 11/28/23.

Corrected Corrected by Jan 5, 2026

Category: ratio. Marked corrected in the state record.

3270.192(2)(iii) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff Person #1 completed 12 hours of annual training. The file for Staff Person #1 lacked documentation of the 12 required annual training hours.

Corrected Corrected by Jan 5, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

The staff files were located in an unlocked drawer in the child care office where the door was unlocked and opened.

Corrected Corrected by Jan 5, 2026

Category: recordkeeping. Marked corrected in the state record.

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

The facility's Emergency Plan did not provide accommodations for children with disabilities and children with chronic medical conditions.

Corrected Corrected by Dec 31, 2025

Category: physical safety. 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.

2nd CITATION: The Emergency Plan did not address Continuity of Operations as required by Announcement C-22-04 which states to maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for continuity of operations. Previously cited 5/29/25.

Corrected Corrected by Sep 2, 2025

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.

2ND CITATION: The facility's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked recognition of potential signs/symptoms of SBS/AHT and lacked prevention and identification of child maltreatment. Previously cited 5/29/25.

Corrected Corrected by Aug 20, 2025

Category: ratio. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

2ND CITATION: The emergency plan was reviewed on 2/10/25. There was no documentation on file of previous annual reviews. Previously cited 5/29/25.

Corrected Corrected by Aug 20, 2025

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. Until such time as the required training has been completed, staff person #2, 4, 5 & 6 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, 4, 5 & 6, staff person #2, 4, 5 & 6 may not work in a child-care position at the facility.

2ND CITATION: Staff Person #1 completed pediatric first aid and CPR training on 2/9/24, more than 24 months from the previous training on 1/14/22. Staff Person #2 lacked current pediatric first aid and CPR. Staff Person #2 completed pediatric first aid and CPR on 1/14/22 more than 24 months ago. Staff Person #3 completed pediatric first aid and CPR on 2/9/24; previous pediatric first aid and CPR training was not provided for Staff Person #3. Staff Person #4 lacked current pediatric first aid and CPR. Staff Person #4 completed pediatric first aid and CPR on 2/7/23 more than 24 months ago. Staff Person #5 lacked documentation of current pediatric first aid and CPR training; Staff Person #5 completed pediatric first aid and CPR on 10/29/22 that was not PQAS certified. Staff Person #6 lacked documentation of current pediatric first aid and CPR training completed on 6/15/23. Staff Person #6 lacked documentation of previous pediatric first aid and CPR training. Previously cited 5/29/25. Staff Person #1 completed pediatric first aid and CPR training on 2/9/24, more than 24 months from the previous training on 1/14/22. Staff Person #2 lacked current pediatric first aid and CPR. Staff Person #2 completed pediatric first aid and CPR on 1/14/22 more than 24 months ago. Staff Person #3 completed pediatric first aid and CPR on 2/9/24; previous pediatric first aid and CPR training was not provided for Staff Person #3. Staff Person #4 lacked current pediatric first aid and CPR. Staff Person #4 completed pediatric first aid and CPR on 2/7/23 more than 24 months ago. Staff Person #5 lacked documentation of current pediatric first aid and CPR training; Staff Person #5 completed pediatric first aid and CPR on 10/29/22 that was not PQAS certified. Staff Person #6 lacked documentation of current pediatric first aid and CPR training completed on 6/15/23. Staff Person #6 lacked documentation of previous pediatric first aid and CPR training. Previously cited 5/29/25.

Corrected Corrected by Aug 26, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #-5 may not work in a child care position at the facility.

2ND CITATION: The file for Staff Person #1 contained a State Police clearance dated 4/26/24; the file lacked a previous State Police Clearance. The file for Staff Person #2 contained a State Police clearance dated 4/10/25, which was obtained more than 60 months from the previous State Police clearance dated 12/31/19; a PA Child Abuse clearance dated 4/10/25, which was obtained more than 60 months from the previous Child Abuse clearance dated 1/4/20; an NSOR certificate dated 4/11/25, which was obtained more than 60 months from the previous NSOR certificate dated 11/16/19.T The file for Staff Person #5 contained an NSOR certificate dated 1/30/20 which is more than 60 months old. Previously cited 5/29/25.

Corrected Corrected by Aug 20, 2025

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

3270.33(a) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

2ND CITATION: The file for Staff Person #1 lacked documentation of years of experience working with children. The file for Staff Person #2 lacked documentation of years of experience working with children. The file for Staff Person #4 lacked documentation of education and experience working with children. The file for Staff Person #5 lacked documentation of experience working with children. Previously cited 5/29/25.

Corrected Corrected by Sep 15, 2025

Category: recordkeeping. 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.

2ND CITATION: The emergency contact form for Child #4 lacked the enrolling parent's work address and work phone number. Previously cited 5/29/25.

Corrected Corrected by Aug 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

2ND CITATION: The emergency contact forms for Child #5 lacked the release person's address. Previously cited 5/29/25.

Corrected Corrected by Aug 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(4) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

2ND CITATION: The file for Staff Person #1 contained a health assessment indicating the person is not able to provide adequate care to children. Previously cited 5/29/25.

Corrected Corrected by Sep 16, 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.

2ND CITATION: A current emergency drill dated 11/20/24 was on file at the facility. The facility lacked documentation of previous emergency drills conducted annually. Previously cited 5/29/25.

Corrected Corrected by Aug 20, 2025

Category: recordkeeping. 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.

2ND CITATION: The file for Staff Person #1 lacked 6 of the 12 annual required training hours for the most recent review window of December 2023-December 2024. The file for Staff Person #4 lacked 12 of the 12 annual required training hours for the most recent review window of June 2023-June 2024. The file for Staff Person #6 lacked 10 of the 12 annual required training hours for the most recent review window of August 2023-August 2024. Previously cited 5/29/25.

Corrected Corrected by Aug 29, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact forms for Child #5 lacked the release person's address.

Corrected Corrected by Jun 4, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The facility's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked recognition of potential signs/symptoms of SBS/AHT and lacked prevention and identification of child maltreatment.

Corrected Corrected by Jun 19, 2025

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.

The Emergency Plan did not address Continuity of Operations as required by Announcement C-22-04 which states to maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for continuity of operations.

Corrected Corrected by Jun 20, 2025

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

The facility lacked a copy of the current insurance policy. The policy on file at the facility was dated 4/6/23-4/6/24 which was expired.

Corrected Corrected by Jun 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The emergency plan was reviewed on 2/10/25. There was no documentation on file of previous annual reviews.

Corrected Corrected by Jun 20, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff Person #2 contained a written evaluation dated 10/13/24; however, the file lacked documentation of a previous written evaluation within the past 12 months. The file for Staff Person #3 contained a written evaluation dated 3/27/25 more than 12 months from the previous evaluation dated 2/2024. The file for Staff Person #4 contained a written evaluation dated 2/2024 which is more than 12 months ago. The file for Staff Person #5 contained a written evaluation dated 4/15/24 which is more than 12 months ago. The file for Staff Person #6 contained a written evaluation dated 2/2024 which is more than 12 months ago.

Corrected Corrected by Jul 10, 2025

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.

Staff Person #1 completed pediatric first aid and CPR training on 2/9/24, more than 24 months from the previous training on 1/14/22. Staff Person #2 lacked current pediatric first aid and CPR. Staff Person #2 completed pediatric first aid and CPR on 1/14/22 more than 24 months ago. Staff Person #3 completed pediatric first aid and CPR on 2/9/24; previous pediatric first aid and CPR training was not provided for Staff Person #3. Staff Person #4 lacked current pediatric first aid and CPR. Staff Person #4 completed pediatric first aid and CPR on 2/7/23 more than 24 months ago. Staff Person #5 lacked documentation of current pediatric first aid and CPR training; Staff Person #5 completed pediatric first aid and CPR on 10/29/22 that was not PQAS certified. Staff Person #6 lacked documentation of current pediatric first aid and CPR training completed on 6/15/23. Staff Person #6 lacked documentation of previous pediatric first aid and CPR training.

Corrected Corrected by Jun 28, 2025

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · 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.

The files for Staff Persons #1 and #2 contained fire safety training dated 2/2/23 which was more than 12 months ago. The file for Staff Person #3 contained fire safety training dated 1/14/24 which was more than 12 months ago. The file for Staff Person #3 lacked fire safety training. The files for Staff Person #4 contained fire safety training dated 1/19/24 which was more than 12 months ago.

Corrected Corrected by Jun 29, 2025

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 Person #1 contained a mandated reported training dated 2/24/25; the file for Staff Person #1 lacked documentation of previous mandated reporter training. The file for Staff Person #2 contained a mandated reporter training dated 4/8/24 which was obtained more than 60 months from the previously documented training dated 8/28/15. The file for Staff Person #4 contained a mandated reporter training dated 10/27/22 which was obtained more than 90 days from initial date of hire (See LIS Code Sheet). The files for Staff Persons #5 and #6 lacked documentation of completion of mandated reporter training.

Corrected Corrected by Jun 29, 2025

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 #-5 may not work in a child care position at the facility.

The file for Staff Person #1 contained a State Police clearance dated 4/26/24; the file lacked a previous State Police Clearance. The file for Staff Person #2 contained a State Police clearance dated 4/10/25, which was obtained more than 60 months from the previous State Police clearance dated 12/31/19; a PA Child Abuse clearance dated 4/10/25, which was obtained more than 60 months from the previous Child Abuse clearance dated 1/4/20; an NSOR certificate dated 4/11/25, which was obtained more than 60 months from the previous NSOR certificate dated 11/16/19.T The file for Staff Person #5 contained an NSOR certificate dated 1/30/20 which is more than 60 months old.

Corrected Corrected by Jun 29, 2025

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

3270.33(a) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

The file for Staff Person #1 lacked documentation of years of experience working with children. The file for Staff Person #2 lacked documentation of years of experience working with children. The file for Staff Person #4 lacked documentation of education and experience working with children. The file for Staff Person #5 lacked documentation of experience working with children.

Corrected Corrected by Jun 29, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Cleaning items stating Keep Out Of Reach Of Children, including Windex, were in an unlocked cabinet under the sink next to the Transition Room and restrooms accessible to children.

Corrected Corrected by May 29, 2025

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

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

There were uncovered trash receptacles in the Preschool, PreK, and Transition classrooms containing paper towels and tissues contaminated by human secretions/excrements. .

Corrected Corrected by May 29, 2025

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.

There was a gap in the bottom of the fence in the left outdoor play area opposite the gate. There was trash and sticks in the right outdoor play area.

Corrected Corrected by Jun 13, 2025

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was peeling paint where the gate latches in the left outdoor play area.

Corrected Corrected by Jun 13, 2025

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.

In the right outdoor play area there were broken plastic cones, a broken seesaw, and broken handle off of a push toy.

Corrected Corrected by May 29, 2025

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

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement form for Chile #1 lacked the arrival and departure times.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The file for Child #1, #2, and #5 contained the original fee agreement form signed by the parent.

Corrected Corrected by Jun 4, 2025

Category: recordkeeping. 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 form for Child #4 lacked the enrolling parent's work address and work phone number.

Corrected Corrected by Jun 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.181(c) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. 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 health report on file for Child #3, a young toddler, (See LIS Code Sheet) was dated 1/3/25 more than 6 months after the previous health report dated 1/3/24.

Corrected Corrected by Jul 14, 2025

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for Staff Person #6 contained a health assessment dated 8/9/24 which was more than 24 months from the previous health assessment dated 7/20/22.

Corrected Corrected by Jul 14, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(4) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The file for Staff Person #1 contained a health assessment indicating the person is not able to provide adequate care to children.

Corrected Corrected by Jul 14, 2025

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

3270.61 · Measurement and use of inodoor child care space.

At approximately 11:45am, Staff Person #1 was observed doing meal prep activities in the Kitchen with an infant. The infant was in a bouncy seat on the floor in the kitchen area. The Kitchen is not a measured child care space.

Corrected Corrected by May 29, 2025

Category: nutrition. 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.

A current emergency drill dated 11/20/24 was on file at the facility. The facility lacked documentation of previous emergency drills conducted annually.

Corrected Corrected by Jun 20, 2025

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 shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

According to the fire drill log, there was more than 60 days between drills between 12/3/24 and 2/7/25.

Corrected Corrected by Feb 7, 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.

Documentation of the fire alarm system test shows more than 30 days between testing: 1/5/25 and 2/7/25; 9/6/24 and 10/8/24; 7/7/24 and 8/7/24.

Corrected Corrected by Jul 10, 2025

Category: recordkeeping. 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.

The file for Staff Person #1 lacked 6 of the 12 annual required training hours for the most recent review window of December 2023-December 2024. The file for Staff Person #4 lacked 12 of the 12 annual required training hours for the most recent review window of June 2023-June 2024. The file for Staff Person #6 lacked 10 of the 12 annual required training hours for the most recent review window of August 2023-August 2024.

Corrected Corrected by Jul 3, 2025

Category: recordkeeping. 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.

The file for staff # 1 lacked 5 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.

Corrected Corrected by Jun 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma lacked the Child Maltreatment statement.

Corrected Corrected by Jun 7, 2024

Category: ratio. 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.

The operator did not provide the parents of each enrolled child a letter explaining the emergency procedures.

Corrected Corrected by Jun 6, 2024

Category: physical safety. 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(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #4 will have until 5/11/23 (actual date- 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Staff # 4 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.

Corrected Corrected by Jun 6, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The files for Staff # 1 contained the 1-hr, Pennsylvania Health and Safety Update 2022 certificate dated 4/6/23. The file for Staff # 4, contained the 1-hr, Pennsylvania Health and Safety Update 2022 certificate dated 4/22/24. The update was required to be completed by 12/30/22, per Announcement C-22-06.

Corrected Corrected by Jun 6, 2024

Category: health medication. 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 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 #1 and 3 must provide documentation that they received pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

The files for staff # 1 and 3 contained a current CPR and First- Aid certificate from an approved PQAS trainer that lacked the identification of an approved curriculum on the certificate .

Corrected Corrected by Jun 6, 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). 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 #1 may not work in a child care position at the facility.

The File for staff #1 lacked a current Child Abuse Clearance, previous clearance dated 4/30/18, and a current FBI Clearance, previous clearance dated 8/28/18.

Corrected Corrected by Jun 6, 2024

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

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for children # 1 and 2 contained an original agreement form.

Corrected Corrected by Jun 6, 2024

Category: recordkeeping. 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 file for child #1 lacked the work telephone numbers of the enrolling parent on the emergency contact form.

Corrected Corrected by Jun 6, 2024

Category: recordkeeping. 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.

Staff # 3 did not wash the child's hands after diapering .

Corrected Corrected by Jun 6, 2024

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

Corrected Corrected by Jun 6, 2024

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 #1 contained a current health assessment dated 8/30/22. It was not obtained within 24 months of the previous assessment dated 5/11/20. The file for staff #2 contained a current health assessment dated 4/22/24. It was not obtained within 24 months of the previous assessment dated 3/7/21. The file for staff # 4 contained a current health assessment dated 11/28/23. It was not obtained within 24 months of the previous assessment dated 9/29/21.

Corrected Corrected by Jun 6, 2024

Category: ratio. 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 facility emergency plan lacked accommodations for children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jun 6, 2024

Category: physical safety. 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.

A copy of the facility emergency plan was not sent to the local municipality and the county emergency management agency.

Corrected Corrected by Jun 6, 2024

Category: physical safety. 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.

The operator did not 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 childcare facility. The previous letter was sent on January 2023.

Corrected Corrected by Jun 6, 2024

Marked corrected in the state record.

3270.72(c) · Screens shall be in good repair.

There was a damaged screen in the toddler two room window under the green curtain.

Corrected Corrected by Apr 18, 2023

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.

There was peeling plaster on the green wall in the pre-k room.

Corrected Corrected by Apr 18, 2023

Category: physical safety. 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 the updates regarding the Continuity of Operations requirements.

Corrected Corrected by Apr 19, 2023

Category: ratio. Marked corrected in the state record.

3270.27(a) · The facility shall have an emergency plan.

The facility lacked documentation of the emergency plan.

Corrected Corrected by Apr 19, 2023

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

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The operator did not have the Emergency Plan posted in the facility at a conspicuous location.

Corrected Corrected by Apr 19, 2023

Category: physical safety. 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.

The file for staff # 2 Health and Safety training was not updated by 12/30/22. The certificate is dated. 3/16/23. The file for staff # 2 Contained a current Pediatric First Aid and Pediatric CPR training dated 2/3/23. The previous certificate is dated 1/3/21.

Corrected Corrected by Apr 19, 2023

Category: health medication. 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.

There was an Anti- Bacterial hand spray with natural essential oils labeled " Keep out of reach of children" accessible to children in the pre-k room.

Corrected Corrected by Apr 18, 2023

Marked corrected in the state record.

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

There was a wooden tray with a chipped corner in the preschool room. There was a fabric cube storage lid with a ripped corner exposing foam in the preschool room. There was a cracked plastic bucket hanging on the toddler's playground gate. There was a playhouse with different holes, chipped spots and a red and black attached square with a chipped sharp corner.

Corrected Corrected by Apr 18, 2023

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child #1 lacked the work addresses of the enrolling parent on the emergency contact form.

Corrected Corrected by Apr 18, 2023

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 file for child # 3, a young toddler, contained a current health report dated 10/21/22. The health report was provided more than 6 months after the previous health report, dated 2/16/22.

Corrected Corrected by Apr 18, 2023

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

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

The file for child # 2 a preschooler lacked an updated health report. The previous report was dated 2/14/22.

Corrected Corrected by Apr 18, 2023

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

Corrected Corrected by Apr 18, 2023

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

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

According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 1/27/23 to 2/28/23.

Corrected Corrected by Apr 18, 2023

Category: recordkeeping. 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.

The facility emergency plan and subsequent plan updates were not sent to the county emergency management agency.

Corrected Corrected by Apr 19, 2023

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

3270.72(c) · Screens shall be in good repair.

There was a screen with a hole on the left window and another screen with a hole on the right window in the pre-k room.

Corrected Corrected by May 17, 2022

Marked corrected in the state record.

3270.31(e)(1)(ii) · Training conducted by an entity that is licensed or certified professionally competent in the training topic is acceptable and may count toward the annual requirement for 12 clock hours of child care training.

The files for staff #1lacked the annual requirement for 12 clock hours of child care training between December 2020 - December 2021.

Corrected Corrected by May 16, 2022

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).

The file for staff #1, contained a current FBI clearance. The previous FBI clearance on file is more than 60 months old. 10/14/14-1/23/20. A current Stated Police clearance. The previous State Police on file is more than 60 months old.10/22/14-12/31/19. A current Child Abuse clearance. The previous Child Abuse on file is more than 60 months old.10/30/14-1/4/20.

Corrected Corrected by May 16, 2022

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At 9:30 am staff #1 was alone caring for 4 young toddlers and 3 older toddlers in the toddler room.

Corrected Corrected by May 16, 2022

Category: ratio. 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.

In the kitchen by the toddler room the following toxic items labeled, "keep out of reach of children," were on the counter by a box of cereal and infant formula: Purell hand sanitizer, Miracle Brand hand sanitizer and Raw Sugar hand sanitizer.

Corrected Corrected by May 16, 2022

Category: ratio. Marked corrected in the state record.

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

There was a cracked bin holding instruments in the pre-k room. There was a Spiderman rubbery red mask with bites marks and ripped of piece on the edge.

Corrected Corrected by Apr 12, 2022

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The thermometer in the small refrigerator in the kitchen by the toddler room was showing a temperature of 50° F .

Corrected Corrected by May 16, 2022

Category: nutrition. Marked corrected in the state record.