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.

Multiple 6 volt and D size batteries were accessible to children in an unlocked drawer in the gym.

Corrected Corrected by Oct 30, 2025

Marked corrected in the state record.

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

A small flat screen TV on a table in Room 4 was not anchored creating a tipping risk.

Corrected Corrected by Oct 30, 2025

Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact information for children #1 and #2 did not include information regarding their special needs/disabilities. The boxes on the form were left blank.

Corrected Corrected by Nov 4, 2025

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

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

An Epi Pen and Zyrtec were observed in the top drawer of an unlocked file cabinet in Room 4. The room is used by both preschool and school age children.

Corrected Corrected by Oct 30, 2025

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

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

After changing a diaper, staff #1 placed the infant on a play mat on the floor with other children before ensuring the child's hands were washed.

Corrected Corrected by Oct 30, 2025

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.

Based on statements made by staff, the facility's hardwired fire detection system has not been tested every 30 days. The facility only tested the additional stand-alone units in the child care spaces.

Corrected Corrected by Nov 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.136(c) · If a child becomes ill at the facility, the operator shall notify the child's parent as soon as possible.

Based on interviews, parents of enrolled children are not notified as soon as possible when the child becomes ill at the facility.

Corrected Corrected by Jun 27, 2025

Marked corrected in the state record.

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

The fire alarm 30-day test log includes test dates 12/20/24-1/28/25, 3/11/25-4/23/25, and 4/23/25-5/27/25, more than 30 days apart.

Corrected Corrected by Aug 7, 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 #1 contained annual evaluations dated more than 12 months apart; 6/30/23 and 8/27/24.

Corrected Corrected by Oct 29, 2024

Category: recordkeeping. 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 facility's letter for parents explaining emergency procedures did not include details regarding accommodations to be made for infants and toddlers.

Corrected Corrected by Nov 1, 2024

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

A portable crib in use by a child in the nursery lacked 2 feet of space on three sides. The crib was placed in a corner with the other sides blocked by another crib and a rocker seat.

Corrected Corrected by Oct 29, 2024

Category: physical safety. 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 form for child #1 did not include the address of an individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 30, 2024

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 emergency contact form and agreement for child #2 were not updated within a 6-month period. The parental reviews were dated 7/17/23 and 4/24/24.

Corrected Corrected by Oct 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file for child #2 did not include full signatures for parental consent for emergency medical care or parental consent for administration of minor first-aid procedures by facility staff. Only the parent's initials were present.

Corrected Corrected by Oct 29, 2024

Category: ratio. 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.

Adult scissors were observed on a low shelf in an unlocked cabinet in the Preschool Room. One of the crib sheets on a pack and play in the Nursery Room was observed to be loose fitting.

Corrected Corrected by Oct 12, 2023

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

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

The disclosure statement on file for Staff Person #1 lacked a witness signature.

Corrected Corrected by Oct 12, 2023

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.

Two bottles of hand sanitizer were observed in an unlocked cabinet in the Preschool Classroom.

Corrected Corrected by Oct 12, 2023

Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Windows located outside the Green Classroom restroom, inside the restroom and two windows located behind the counter space were observed to be unrestricted allowing them to open more than 6 inches. The window in the Nursery was also observed to be unrestricted.

Corrected Corrected by Oct 12, 2023

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.

Two exposed bolts were observed on the gate to the outdoor play space.

Corrected Corrected by Oct 19, 2023

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

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

The sink used for handwashing following the diapering of children was also reported to be used for preparing bottles for a child in care in the Nursery Room.

Corrected Corrected by Oct 12, 2023

Category: ratio. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

A written feeding schedule was missing for an infant receiving care in the Nursery Room.

Corrected Corrected by Oct 16, 2023

Category: nutrition. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The emergency contact form for Child #1 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid by facility staff.

Corrected Corrected by Oct 19, 2023

Category: ratio. Marked corrected in the state record.

3270.136(c) · If a child becomes ill at the facility, the operator shall notify the child's parent as soon as possible.

Based on a complaint investigation, that included interviews with Staff and reviews of Child Files, Parents have not been notified as soon as possible when children have become ill at the facility.

Corrected Corrected by Aug 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.137 · An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).

Based on a complaint investigation, that included interviews with Staff and reviews of Child Files, the facility has allowed enrolled children with symptoms of communicable disease and infection, to include a Stomach Virus and Ringworm, to remain in care. The files for the children assessed lacked notification from the child's physician or CRNP that the child was not considered a threat and could be in care at the facility.

Corrected Corrected by Aug 17, 2023

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

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

At the time of a complaint investigation child records were reviewed for specific children who were reported to have been ill at the facility in recent months. The child records lacked reports of illness. It was confirmed that reports of illness are not being completed at the facility.

Corrected Corrected by Aug 18, 2023

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

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

While setting out lunches in the Green/Main Classroom, Staff Person #1 was unable to see, hear, direct and assess two preschool age children laying behind a bookshelf near the exit door to the Sanctuary. This lack of Supervision allowed the children to engage in inappropriate contact with one another.

Corrected Corrected by Mar 1, 2023

Category: supervision. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The file for Child #1 was observed to contain the original agreement.

Corrected Corrected by Oct 11, 2022

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 emergency plan on file lacked continuity of operations in the event of a disaster at the facility.

Corrected Corrected by Nov 11, 2022

Category: ratio. 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.

One of the doors in Classroom #3 leading to Classroom #1 was observed to be obstructed with a child size table.

Corrected Corrected by Oct 11, 2022

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 form for Child #2 lacked the complete address for one of the release persons listed.

Corrected Corrected by Nov 11, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The updates to the health assessment for Child #2 exceeded 6 months between assessments dated 7.9.21 and 3.15.22. Child #2 was a young toddler at the time the updated health assessment was due.

Corrected Corrected by Oct 11, 2022

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

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The updates to the emergency contact form and financial agreement for Child #2 exceeded 6 months between updates occurring on 8.1.21 and 7.22.22.

Corrected Corrected by Oct 11, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The school age child files were observed to be stored in an unlocked cabinet.

Corrected Corrected by Oct 11, 2022

Category: recordkeeping. 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.

The pack n plays that the infants sleep were labeled for individual use by the infants in care. The staff person identified a sleeping infant in the pack n play that was labeled for use by another infant.

Corrected Corrected by Oct 7, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Child file #1 contained an emergency contact form that lacked the child's emergency contact information.

Corrected Corrected by Oct 7, 2021

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 a plan that included accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Oct 7, 2021

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