3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility's emergency plan lacked a method for contacting parents when an emergency arises and has ended, and how to reunite with their children.

Corrected Corrected by Jul 14, 2025

Category: physical safety. 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 parent letter lacked information explaining the emergency procedures for lockdown situations and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jul 14, 2025

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 Person #3 completed pediatric FA/CPR training on 3/26/24. The previous training taken on 11/23/21 expired 11/30/23.

Corrected Corrected by May 14, 2025

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff Person #5 (See LIS Code Sheet) contained a PA State Criminal Clearance dated 4/1/24, obtained more than 60 months from the previous PA State Criminal Clearance dated 2/27/19; a PA Child Abuse Clearance dated 4/1/24 obtained more than 60 months from the previous PA Child Abuse Clearance dated 2/6/19; and an FBI Clearance dated 4/2/24 obtained more than 60 months from the previous FBI Clearance dated 3/23/19.

Corrected Corrected by May 14, 2025

Category: background checks. 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 #2 (See LIS Code Sheet) contained a mandated reporter training dated 3/27/23 and the file for Staff Person #4 (See LIS Code Sheet) contained mandated reporter training dated 2/11/25 both of which were obtained more than 90 days after starting in a child care position.

Corrected Corrected by May 14, 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.

Staff reported that the toothbrushes and sponges located in the unlocked cabinets under the sinks in the Preschool and PreK rooms were used with cleaning products to clean various item and were accessible to the children.

Corrected Corrected by May 14, 2025

Marked corrected in the state record.

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

The toilet seat in the far stall in the boys' room was loose.

Corrected Corrected by May 14, 2025

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.

The diaper changing areas in the boys' and girls' restrooms on the lower level lacked handwashing signs.

Corrected Corrected by May 7, 2025

Category: health medication. 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 file for Child #1 lacked a current child service report. The most recent child service report is dated for 2/28/23 more than 6 months ago.

Corrected Corrected by May 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · 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. 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 file for Child #1 contained emergency contact and financial agreement updated on 3/3/25 more than 6 months from the previous review dated 8/26/24.

Corrected Corrected by May 14, 2025

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 #4, now an older toddler (See LIS Code Sheet) contained a health report dated 4/29/25. The previous health report was dated 4/22/24 when the child was a younger toddler. The file for Child #4 lacked a 6 month health report update in October 2024. The file for Child #5, a younger toddler (See LIS Code Sheet) contained a health report dated 5/13/24 which is more than 6 months ago.

Corrected Corrected by May 14, 2025

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 health report on file for Child #3, a preschooler (See LIS Code Sheet), was dated 3/21/25 more than 12 months from the previous health report dated 7/10/23.

Corrected Corrected by May 14, 2025

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

3270.131(e)(1)/3270.131(e)(3) · 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 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 #2 must be dismissed from care by close of business on 5/14/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for Child #2 lacked an updated verification of vaccines. The immunization record on file for Child #2 lacked documentation of the HeB, rotarvirus, IPV, and HepA vaccines. There was no exemption letter or alternative immunization schedule on file.

Corrected Corrected by Jun 12, 2025

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for Staff Person #1 (See LIS Code Sheet) contained a health assessment dated 5/1/25 which was more than 24 months from the previous health assessment dated 3/16/23.

Corrected Corrected by May 14, 2025

Category: ratio. 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.

The current emergency drill was dated for 4/25/25, more than 12 months from the previous emergency drill dated 10/2/23.

Corrected Corrected by May 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for Child #1, a preschooler (See LIS Code Sheet), contained a health report with immunization record dated for 5/15/23 which was more than 60 days from initial enrollment in the child care program.

Corrected Corrected by May 14, 2025

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

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

There was an eating chair without straps in the old toddler room.

Corrected Corrected by May 13, 2024

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 white refrigerator in the kitchen lacked a thermometer.

Corrected Corrected by May 9, 2024

Category: nutrition. 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 damaged ping-pong in the school age playground.

Corrected Corrected by May 9, 2024

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

Corrected Corrected by May 11, 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.

There were exposed splinters on the preschool playground steps. There was a rusted peeling spot on the bottom of the entry door. There was a closet door of the track in the preschool room. The right side of the closet door in the preschool room had exposed splinters. There was a metal panel pulling of the wall in the boy's bathroom in the preschool room. The door by the changing table in the infant/toddler room is damaged and had exposed splinters.

Corrected Corrected by May 11, 2024

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

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

On 5/9/24, at approximately 12:45 pm, in the older toddler room, staff #2 was observed picking child #4 up off the ground by one arm, and placing the child on a nap cot.

Corrected Corrected by May 9, 2024

Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

On 5/9/24, at approximately 12:45 pm, in the older toddler room, staff #2 was observed using harsh and demeaning language with the toddlers in the room.

Corrected Corrected by May 9, 2024

Marked corrected in the state record.

3270.124(f)/3270.181(c) · 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. 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 file for child # 1 contained an updated emergency contact form dated 4/4/24, that was reviewed after the 6 months period. The previous dated was 8/28/23.

Corrected Corrected by Apr 4, 2024

Category: recordkeeping. 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 contained a current health report dated 4/29/24. The prior report is dated 9/15/22. The file for child # 3 a preschooler contained a current health report dated 3/15/24. The prior report is dated 9/16/22.

Corrected Corrected by Apr 29, 2024

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 2/16/24 to 3/27/24.

Corrected Corrected by May 9, 2024

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 file for child # 1 a school-age contained a current health report that was provided after 60 days. The child was in care longer that 60 days without initial health report.

Corrected Corrected by Apr 3, 2024

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 file for staff # 4 contained a current Emergency plan training dated 4/10/23. The file lacked documentation of the prior year emergency plan training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

3270.31(c) · An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person.

Staff #2, who is under the age of 18, was identified as an aide. The file for staff #2 lacked documentation of enrollment in an approved training curriculum.

Corrected Corrected by May 18, 2023

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).

The file for staff # 3 contained a current Mandated Reporter training dated 1/24/22, that was not renewed within 60 months of the prior mandate Reporter training clearance dated 1/17/17. The file for staff # 4 contained a current Mandated Reporter training dated 3/24/23, that was not renewed within 60 months of the prior Mandated Reporter Training clearance dated 10/5/17.

Corrected Corrected by Jan 24, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for staff # 4 contained a current FBI clearance dated 5/2/23 that was not renewed within 60 months of the prior FBI clearance dated 10/16//17.

Corrected Corrected by May 2, 2023

Category: background checks. 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.

There was 1 uncovered outlet accessible to children 5 years of age or younger in the pkc4 room.

Corrected Corrected by May 18, 2023

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 a bottle of soap Arbonne Botaniques accessible to children in the prekc4 room label Keep out of reach of children.

Corrected Corrected by May 18, 2023

Marked corrected in the state record.

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

There was a toilet with a broken lid exposing metal bolts in the first bathroom the Pk

Corrected Corrected by May 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 broken paint brush in the school age room. There was a broken blue truck in the pkc4 room. There was a toy kitchen sink bowl chipped in the pkc2 room. There was a pink foam toy with teeth marks and a chipped piece. There was a cracked blue basket holding ocean animal toys in the infant room.

Corrected Corrected by May 18, 2023

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 PKC4 refrigerator temperature was 50 degrees. The thermometer in the kitchen refrigerator was not operable.

Corrected Corrected by May 18, 2023

Category: nutrition. 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 5/18/23and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

The file for child # 1 is missing a dose of DTAP, Pneumococcal, MMR and Varicella vaccine.

Corrected Corrected by May 18, 2023

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.

The file for staff # 1 lacked the date of her TB test on her health report.

Corrected Corrected by May 18, 2023

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

3270.192(4) · 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 facility person # 2 contained a disclosure statement that was not signed by a parent. Facility person # 2 is 17 years old.

Corrected Corrected by May 18, 2023

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

3270.131(a)/3270.131(e) · 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 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.

The file for child # 1 a preschooler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the immunizations. The file contained a current health report dated 1/9/23. The child start date was. 9/6/22.

Corrected Corrected by May 19, 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 lacked a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by May 3, 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.

There was a can of Stainless Steel cleaner spray next to food on a shelf in the kitchen.

Corrected Corrected by May 3, 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.

There was a pipe coming down the wall in the pre-k c 4 room that had peeling paint spots.

Corrected Corrected by May 9, 2022

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

The door in front of the infant room was blocked with 2 blue chairs, 2 feeding chairs and a stepping stool.

Corrected Corrected by May 3, 2022

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 green magnetic tile with the magnet exposed in the pre-k c 4 room.

Corrected Corrected by May 3, 2022

Category: physical safety. 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 files for child #1 lacked documentation of a current influenza immunization as recommended by the ACIP.

Corrected Corrected by May 6, 2022

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 was observed placing a soiled diaper on the changing table during a diaper change, rather than immediately discarding it into a plastic-lined, hands-free covered can.

Corrected Corrected by May 3, 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 #1 contained a current health assessment dated 7/31/20. It was not obtained within 24 months of the previous assessment dated 3/30/18.

Corrected Corrected by Jul 31, 2020

Category: ratio. Marked corrected in the state record.

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Staff #3 was observed not washing her hands after diapering a child.

Corrected Corrected by May 3, 2022

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

There was turkey lunch meat in a lunch box in the pre-k c1 room that was not being refrigerated.

Corrected Corrected by May 3, 2022

Category: nutrition. 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.

The file for staff #1 has a current mandated reporter training certificate dated 1/31/20. The certificate was not renewed prior to the expiration of the previous certificate dated 1/22/15.

Corrected Corrected by Jan 31, 2020

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 emergency plan lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by May 10, 2022

Category: physical safety. 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.

The facility lacked an annual emergency drill log.

Corrected Corrected by May 3, 2022

Category: recordkeeping. Marked corrected in the state record.