3270.14 · 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.

During my inspection I observed that the facility did not have the update and required policy changes for shaken baby syndrome. 1. Prevention/identification of maltreatment

Corrected Corrected by Jun 15, 2025

Category: ratio. Marked corrected in the state record.

3270.14 · 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.

While conducting my inspection I observed that the facility had not sent in their civil rights documentation.

Corrected Corrected by Jun 15, 2025

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.

During the inspection, it was observed that the room in the basement to the right smells like gas.

Corrected Corrected by Jun 15, 2025

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.

During the inspection, it was observed that the facility did not have documentation of the fire system being tested currently.

Corrected Corrected by Jun 15, 2025

Category: health medication. 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.

While reviewing the staff's files I observed that staff 1, did not contain their annual fire safety training.

Corrected Corrected by Jun 15, 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.

While reviewing the staff's files I observed that staff 1, did not contain their annual written staff evaluations.

Corrected Corrected by Jun 15, 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.

During the inspection, it was observed that there was cleaning supplies in an unlocked cabinet in the bathroom under the sink. There was also hand sanitizer out however that was corrected onsite.

Corrected Corrected by Jun 15, 2025

Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

During the inspection, it was observed that the water in the facility is testing at 130 degrees.

Corrected Corrected by Jun 15, 2025

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.

During the inspection, it was observed that the floor in the basement front room had water on it and coming through the floorboards.

Corrected Corrected by Jun 15, 2025

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

During the inspection, it was observed that there was no posted written daily activities and routines that fit the before & after school in any of the classrooms.

Corrected Corrected by Jun 15, 2025

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.

During the inspection, it was observed that while the staff were outside with the children 3 other children went into the facility for about 3-5minutes with no supervision.

Corrected Corrected by Jun 15, 2025

Category: supervision. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

While conducting my inspection I observed that the pick-up and drop off procedures were not posted. However, this was corrected onsite.

Corrected Corrected by Jun 15, 2025

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.

While reviewing the child/children's files I observed that child 1, did not have all the required signatures at the bottom of the emergency contact sheet.

Corrected Corrected by Jun 15, 2025

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.

While reviewing the staff's files I observed that staff 1, did not obtain their 12 hours of childcare training.

Corrected Corrected by Jun 15, 2025

Category: recordkeeping. 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).

During my investigation, I found out that staff 1 is left alone with 15 children ranging in age from 4-11 years old.

Corrected Corrected by Feb 15, 2025

Category: ratio. Marked corrected in the state record.

3270.173(b) · The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported.

During my investigation, I was made aware that there was only the bus driver on the bus with children ranging from age 4-11 years old.

Corrected Corrected by Feb 15, 2025

Category: ratio. Marked corrected in the state record.

3270.175(a) · A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

During my investigation, I was made aware that the children are transported on the bus with seat belts.

Corrected Corrected by Feb 15, 2025

Category: transportation. Marked corrected in the state record.

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

During my inspection I observed that peeling paint in the front and side room. Broken wall cover in the block area of the side room.

Corrected Corrected by May 24, 2024

Category: physical safety. 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.

During my inspection I observed that the facility's emergency plan did not include how they were going to contact their parents during and after an emergency.

Corrected Corrected by May 24, 2024

Category: physical safety. 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.

While reviewing the staff's files I observed that staff 2, did not have their annual written evaluation.

Corrected Corrected by May 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

During my inspection I observed that the facility's water was temping at 138 degrees.

Corrected Corrected by May 24, 2024

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

3270.101(b) · Play equipment shall facilitate the child's emotional, cognitive, communicative, perceptual-motor, physical and social development.

During my inspection I observed that the front room in the basement was not set up.

Corrected Corrected by May 24, 2024

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

During my inspection I observed that the side room, and both the rooms in the basement did not have a posted daily schedule.

Corrected Corrected by May 24, 2024

Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

While reviewing the children's files I observed that child 2, 3, did not include health insurance coverage and policy number.

Corrected Corrected by May 24, 2024

Category: health medication. 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.

While reviewing the children's files I observed that child 1, 4, did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by May 24, 2024

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.

During my inspection I observed that the facility had not sent over a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by May 24, 2024

Category: physical safety. 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.

While reviewing the staff's files I observed that staff 1, did not include their 12 clock hours of child care training.

Corrected Corrected by May 24, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During renewal inspection dated 4/24/2023, certification representative observed that the bottom of cubby was soiled in first floor left room.

Corrected Corrected by May 5, 2023

Category: physical safety. 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.

During renewal inspection dated 4/24/2023, certification representative observed that there were two electrical outlets with no receptacle covers on them in the first floor left room.

Corrected Corrected by May 5, 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.

During the renewal inspection dated 4/24/2023, certification representative observed that there was chipped paint throughout the facility and in the downstairs bathroom there was a hole in the plaster wall.

Corrected Corrected by May 5, 2023

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.

During the renewal inspection dated 4/24/2023, certification representative observed that a rolled up rug was obstructing the basement exit.

Corrected Corrected by Apr 24, 2023

Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

During the renewal inspection dated 4/24/2023, certification representative reviewed files for staff person #1, and the most recent health assessment was completed prior to the 24 month period required by the regulations. The most recent health assessment for staff person #1 is dated 11/13/2020.

Corrected Corrected by May 5, 2023

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

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

During renewal inspection dated 4/24/2023, certification representative reviewed documentation onsite. The provider did not have an updated letter with a copy of the current emergency plan sent to the local municipality and county emergency management agency.

Corrected Corrected by May 5, 2023

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.

During renewal inspection dated 4/24/2023, certification representative reviewed documentation onsite. The provider did not have an updated letter to the local traffic safety authorities.

Corrected Corrected by May 5, 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.

During the complaint investigation on 11/17/2022, certification representative observed that there was plaster coming off both walls in the entranceway near the cubbies, also downstairs in the bathroom there was a hole in the plaster. On first floor, after the cubbies on the right the paint was peeling, and also on the black wall near the tables the paint was peeling.

Corrected Corrected by Nov 28, 2022

Category: physical safety. 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.

During the complaint investigation dated 11/17/2022, certification representative observed that there were 4 electrical outlets downstairs and one electrical outlet on first floor that did not have protective receptacle covers on them and the outlets were accessible to children.

Corrected Corrected by Nov 28, 2022

Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The most recent annual emergency plan training for all staff exceeded 12 months between trainings: 7/2/20-11/8/21.

Corrected Corrected by Jun 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The current Pediatric First Aid/CPR certification in the file for Staff Person #4 was conducted on 4/12/22 after the previous certification expired on 1/1/22.

Corrected Corrected by Jun 16, 2022

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 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 Disclosure statements in the files for Staff Person #1 and #2, who began child care in the past 12 months, were on an outdated form. The disclosure statement in the file for Staff Person #1 was not dated. The NSOR application and certificate date in the file for Staff Person #1 were after the staff person's first day in child care. Fingerprint date for FBI and application date for NSOR certificate in the file for Staff Person #2 were after the staff person's first day in child care. NSOR Certificate in the file for Staff Person #3, who was working prior to September, 2019, was dated 9/17/20, which was after the 7/1/20 deadline.

Corrected Corrected by Jul 13, 2022

Category: background checks. 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 files for Staff Person #3 and #4 did not include a written evaluation from the Director within the past year. The first written evaluation in the file for Staff Person #6 was conducted on 10/7/21, which was more than one year after the staff person's first day working in child care.

Corrected Corrected by Jun 21, 2022

Category: recordkeeping. 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.

Building surfaces: observed metal poles and broken pieces of wood in the pathway that serves as the exit from the outdoor play space to the main entrance. Observed two loose screws on the wooden panel in the S/A bathroom, which caused the panel to separate from the wall.

Corrected Corrected by Jun 17, 2022

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

3270.102(a)/3270.103 · 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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Observed tears on two boppies in the Infant Room, which exposed the inner foam. This presents a potential hazard for children who are still placing objects in their mouths.

Corrected Corrected by Jun 16, 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 refrigerator in the infant room lacked a working thermometer.

Corrected Corrected by Jun 16, 2022

Category: nutrition. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

There were no emergency contact forms in the infant room for Child #2 and #3 who were receiving care in this room.

Corrected Corrected by Jun 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record shall contain initial and subsequent health reports.

The most recent updated health reports in the file for Child #1 exceeded 12 months between reports.

Corrected Corrected by Jun 16, 2022

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 most recent Health Assessments in the files for Staff Person #3 and #5 exceeded 24 months between assessments. The initial health assessment and TB screening in the file for Staff Person #4 was conducted after the staff person's first day working in child care.

Corrected Corrected by Jun 16, 2022

Category: ratio. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

Bottles were not labeled in the infant room.

Corrected Corrected by Jun 16, 2022

Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.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 #4 included 6 hours of annual training for the period 12/19/20 through 12/19/21. The file for Staff Person #5 included 8 hours of annual training for the period 12/19/20 through 12/19/21.

Corrected Corrected by Jun 16, 2022

Category: recordkeeping. Marked corrected in the state record.