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.

There was an unlabeled spray bottle in the infant room. Staff reported the spray bottle contained sanitizer for cleaning the changing table mat.

Corrected Corrected by Jun 25, 2025

Category: ratio. Marked corrected in the state record.

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

Documentation of the fire alarm system test showed more than 30 days between testing (7/12/24 and 8/19/24).

Corrected Corrected by Jun 25, 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 emergency plan lacked continuity of operations information 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 Nov 4, 2024

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 facility lacked a policy for Shaken Baby Syndrome/Abusive Head Trauma including recognition of potential signs/symptoms of SBS/AHT and prevention and identification of child maltreatment as per Announcement C-22-03.

Corrected Corrected by Nov 4, 2024

Category: ratio. Marked corrected in the state record.

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 Nov 4, 2024

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 evacuation, sheltering in place, and lockdown situations; contacting parents to inform them when an emergency has begun and ended with instructions on how to safely reunite with their children; accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions; and annual emergency drills.

Corrected Corrected by Nov 20, 2024

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

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

The top step leading to the toddler restroom had a damaged tread exposing the metal edge. The counter tops in between the gym and kitchen had sharp jagged edges. The baseboard in the preschool room was loose in the housekeeping area.

Corrected Corrected by Nov 30, 2024

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 in Room #1, the non-napping room, next to the windows and in the napping room on the right wall above the border.

Corrected Corrected by Nov 3, 2024

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 Room #5, the preschool room, the play rug in the housekeeping area had two frayed corners.

Corrected Corrected by Oct 28, 2024

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 Child #1 lacked arrival and departure times.

Corrected Corrected by Oct 28, 2024

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 contained the original agreement form.

Corrected Corrected by Oct 29, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff Person #1 lacked two written, non-family references attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Nov 20, 2024

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 lacked accommodations for children with chronic medical conditions.

Corrected Corrected by Nov 20, 2024

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

3270.95(a) · 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 fire alarm test log includes test dates more than 30 days apart: 7/12/24 and 8/19/24.

Corrected Corrected by Nov 4, 2024

Category: physical safety. 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 two most recent health assessments on file for Child #1 (who is a young toddler) are dated 1/26/23 and 9/13/23 which are more than 6 months apart. The initial health assessment for Child #2 (who is a young toddler) is dated 7/27/22 no current updated health assessments are on file.

Corrected Corrected by Nov 1, 2023

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

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

In the preschool room there were a pair of adult scissors in a craft bin that were accessible to the children in care.

Corrected Corrected by Oct 30, 2023

Category: health medication. 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.

It was observed that there was not a handwashing sign above one of the toilets in the bathroom by the cafe/craft room.

Corrected Corrected by Oct 30, 2023

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

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

In the preschool room there were a bin of foam blocks that contained blocks with teeth marks and pieces missing.

Corrected Corrected by Oct 30, 2023

Category: physical safety. 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).

The immunization record on file for Child #3 lacked an annual influenza vaccination which is a recommendation of the ACIP.

Corrected Corrected by Oct 30, 2023

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 two most recent health assessments for Staff person #1 are dated 2/20/21 and 8/30/23, which are more than 24 months apart.

Corrected Corrected by Aug 30, 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.

The facility emergency plan was not updated as required by 7/1/22 to include volunteer emergency preparedness training, drills, and continuity of operations.

Corrected Corrected by Oct 26, 2022

Category: ratio. Marked corrected in the state record.

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

The verifications of completed Health and Safety training and pediatric first aid and pediatric CPR training on file for staff person #1 is dated more than 90 days after staff person #1 began in a childcare taking position. The file for staff person #2. #3, #4, #5, #6, #7, and #8 did not have verification of an approved pediatric first aid and pediatric CPR training which was taught by a PQAS approved trainer on file by the required date of 4/29/22.

Corrected Corrected by Oct 2, 2022

Category: health medication. 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.

At approximately 10:30 a.m., staff person #6 exited the preschool classroom and walked down a short hallway to answer the door to the facility, leaving a group of 8 preschool-aged children alone in the preschool classroom, creating a 0:8 staff:child ratio.

Corrected Corrected by Oct 20, 2022

Category: ratio. Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The nap room lacked a posting of the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center by the telephone.

Corrected Corrected by Oct 20, 2022

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

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

The first aid kit in the cafe area lacks soap.

Corrected Corrected by Oct 20, 2022

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

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

Observed an unlabeled sleeping mat in the 1's/2's room.

Corrected Corrected by Oct 20, 2022

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At approximately 10:30 a.m., staff person #6 exited the preschool classroom and walked down a short hallway to answer the door to the facility, leaving a group of 8 preschool-aged children alone in the preschool classroom.

Corrected Corrected by Oct 20, 2022

Category: supervision. Marked corrected in the state record.

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

The file for child #1 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Oct 24, 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.

Observed the trash can in the infant room did not operate in a hands-free manner.

Corrected Corrected by Oct 24, 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 two most recent health assessments on file for staff person #4 and staff person #6 are dated in an interval which exceeds 24 months.

Corrected Corrected by Nov 21, 2022

Category: ratio. Marked corrected in the state record.

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

The file for staff person #4 contains verification of four hours of childcare training completed within the most recent service year.

Corrected Corrected by Nov 22, 2022

Category: recordkeeping. 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 initial health report and immunization record on file for child #1 are dated more than 60 days after the child's first day of attendance at the facility.

Corrected Corrected by Nov 23, 2022

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 files for staff persons #1 - #8 lacked emergency plan training that was completed one year from the previous emergency plan training. The emergency plan training in the file was dated 6/30/20 and 8/18/21.

Corrected Corrected by Nov 3, 2021

Category: recordkeeping. 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.

In the infant room it was observed that an operating thermometer was not placed in the refrigerator.

Corrected Corrected by Oct 18, 2021

Category: nutrition. 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 emergency contact information that included a work address and work telephone number of the enrolling parent.

Corrected Corrected by Nov 3, 2021

Category: recordkeeping. 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 #2 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 8/29/19 and 8/31/21. The file for staff person #7 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 1/4/19 and 2/20/21. The file for staff person #8 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 7/3/19 and 7/19/21.

Corrected Corrected by Nov 3, 2021

Category: ratio. Marked corrected in the state record.

3270.31(h) · All staff persons shall complete the professional development under subsection (f).

Staff person #7 lacks training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f) that was completed within the required time frame. Her start date was 2/15/19 and the date of her health and safety training 9/24/21.

Corrected Corrected by Nov 3, 2021

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