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.

During the renewal inspection, certification representative reviewed the policy for Shaken Baby Syndrome and Child Maltreatment did not address the identification of child maltreatment.

Corrected Corrected by Mar 10, 2026

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.

During the renewal inspection, certification representative reviewed the facility files and there was no record of current liability insurance.

Corrected Corrected by Mar 10, 2026

Category: recordkeeping. 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.

During the renewal inspection, certification representative reviewed 7 staff files and the files for staff #1, staff #4 and staff #7 did not include emergency plan training.

Corrected Corrected by Mar 10, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · 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 persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During the renewal inspection, certification representative reviewed 7 staff files and the file for staff #2, and staff #7 did not contain a PQAS certified pediatric cpr and first aid training.

Corrected Corrected by Mar 10, 2026

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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: STAFF #3 AND STAFF #7 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. STAFF #3 AND STAFF #7 may not work in a child care position at the facility.

During the renewal inspection, certification representative reviewed 7 staff files and the file for staff #3 is missing the NSOR clearance and staff #7 is missing the criminal and child abuse clearances.

Corrected Corrected by Mar 10, 2026

Category: supervision. 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.

During the renewal inspection, certification representative reviewed 7 staff file and the files for staff #1 did not contain an annual employee evaluation.

Corrected Corrected by Mar 10, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During the renewal inspection, certification representative conducted a facility walk through and there was chipped paint throughout in the following areas: pre k near coat cubbies Toddler C - throughout Intermediate B under community helper board, wall near cots and under mirror beginner A under community helper board

Corrected Corrected by Mar 10, 2026

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

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During the renewal inspection, the files for child #3 and child #7 was missing their physician phone number. The file for child #4 is missing the address and phone number for the physician on the emergency contact form.

Corrected Corrected by Mar 10, 2026

Category: health medication. 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.

During the renewal inspection, the emergency contact form for child # 3 does not include health insurance coverage and policy number for child #3.

Corrected Corrected by Mar 10, 2026

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.

During the renewal inspection, the emergency contact forms for child #4 did not have an address for the release person on the emergency contact form.

Corrected Corrected by Mar 10, 2026

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.

During the renewal inspection, the file for child #1, child #3 and child #6 did not include an updated health assessment.

Corrected Corrected by Mar 10, 2026

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

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

During the renewal inspection, there were no immunization records in the file of child #1, child #2 and child #6.

Corrected Corrected by Mar 10, 2026

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.

During the renewal inspection, certification representative reviewed 7 staff files and the files for staff #2, staff #6 did not include a health assessment and the file for staff #3 was missing a health assessment and TB results.

Corrected Corrected by Mar 10, 2026

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

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection, certification representative reviewed 7 staff files and the files for staff #1, staff #2, staff #3, staff #4, staff #5, staff #6 and staff #7 did not include a verification of childcare experience.

Corrected Corrected by Mar 10, 2026

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.

During the renewal inspection, certification representative reviewed 7 staff files and the file for staff #5, staff #6 and staff #7 did not include two non-family references.

Corrected Corrected by Mar 10, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility persons file in an electronic system as designated by the Department. Documentation of the completion of the professional development under § 3270.31(f) taken from September 30, 2016 forward satisfies this requirement.

During the renewal inspection, certification representative reviewed 7 staff files and the file for staff #7 did not contain the required health and safety professional development training(s).

Corrected Corrected by Mar 10, 2026

Category: health medication. 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)).

During the renewal inspection, certification representative conducted a facility walk through, and there was no fire system inspection report available.

Corrected Corrected by Feb 17, 2026

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

3270.117(a) · A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise.

COMPLAINT INVESTIGATION SHOWS THAT CHILD WAS ALLOWED TO LEAVE THE ROOM WITH AN UNAUTHORIZED PERON.

Corrected Corrected by May 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · 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 persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During the renewal inspection, certification representative reviewed 7 staff files and the files for staff #4 did not contain a PQAS certified pediatric cpr/first aid certification from an approved provider /approved course.

Corrected Corrected by Mar 10, 2025

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.

During the initial inspection, certification representative did a facility walk through, and the middle toilet in the Beginner B bathroom does not flush.

Corrected Corrected by Feb 28, 2025

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

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection, certification representative reviewed 7 staff files and the file for staff #1, staff #3 and staff #4 did not include a verification of childcare experience and the file for staff #2 did not include a verification of childcare experience or education.

Corrected Corrected by Mar 10, 2025

Category: recordkeeping. 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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

DURING THE COMPLAINT INVESTIGATION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH AND THE FACILITY WAS IN COMPLIANCE BUT THE DIRECTOR AND ASSISTANT DIRECTOR ADMITTED THAT ON THE DATE OF QUESTION THEY WERE OUT OF COMPLIANCE BECAUSE A STAFF PERSON WAS ALLOWED TO LEAVE EARLY DUE TO A LACK OF COMMUNICATION BETWEEN THE ASST DIRECTOR AND THE OFFICE ADMINISTRATOR.

Corrected Corrected by Feb 7, 2025

Category: ratio. 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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

During the complaint investigation, certification representative was confirmed that a child put their fingers inside the radiator guard while in the bathroom with staff #1.

Corrected Corrected by Feb 7, 2025

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · 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 persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During the complaint investigation, certification representative reviewed staff files and the files for staff #1 and staff #3 did not contain a PQAS certified pediatric cpr/first aid certification from an approved provider /approved course.

Corrected Corrected by Dec 27, 2024

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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS:Staff# -1may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

During the complaint inspection, certification representative reviewed staff files and the files for staff #1 is missing both the FBI and NSOR clearances.

Corrected Corrected by Nov 25, 2024

Category: supervision. Marked corrected in the state record.

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

During the complaint investigation, certification representative reviewed staff files and the files for staff #1 and staff #2 did not contain the 10 hr health and safety professional development training.

Corrected Corrected by Dec 27, 2024

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

3270.21/3270.124(b)(5) · Conditions at the facility may not pose a threat to the health or safety of the children. 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.

Child 1 who has a known fish allergy was given fish taco for lunch.

Corrected Corrected by Aug 13, 2024

Category: health medication. 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.

During unannounced visit certification rep reviewed staff files. Staff 1 was missing verification of education and 2 years experience with children.

Corrected Corrected by Aug 13, 2024

Category: supervision. 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.

During unannounced visit certification rep reviewed file for staff files. Staff 1 was missing two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Sep 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.19(a) · An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL.

During complaint investigation on 07/09/24 it was determined that staff person #2 witnessed and failed to report suspected child abuse to child line as mandated by the CPSL.

Corrected Corrected by Jun 26, 2024

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

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

During the complaint investigation on 07/09/24 it was determined that staff person #1 was physically aggressive with child #1 during incident that occurred on 06/25/24.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. 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.

During the complaint investigation on 07/09/24 it was determined that staff person #1 was observed yelling and using demeaning language towards children.

Corrected Corrected by Jun 26, 2024

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.

During the renewal inspection on 04/25/24 the first aid/CPR certificate reviewed for staff person #1 was not conducted by an approved PQAS certified instructor.

Corrected Corrected by May 31, 2024

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.

During the renewal inspection on 04/25/24 documentation of annual emergency drill was not submitted.

Corrected Corrected by May 8, 2024

Category: recordkeeping. 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)).

During the renewal inspection on 04/25/24 the fire report provided was dated 06/08/22. Provider unable to test fire system due to being connected to other businesses.

Corrected Corrected by May 1, 2024

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

3270.14/3270.31(f) · 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. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

During the renewal inspection on 03/21/23, the training record reviewed staff person #1, staff person #2, staff person #4, staff person #5, and staff #7 was missing Pennsylvania Health and Safety Update required by OCDEL by December 30, 2022.

Corrected Corrected by May 1, 2023

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.

During the renewal inspection on 03/21/23 the training record reviewed for staff #5 contained expired fire safety training (11/20/21). The training record reviewed for staff #6 was missing required annual fire safety training.

Corrected Corrected by May 1, 2023

Category: recordkeeping. 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 renewal inspection on 3/21/23 there was an uncovered electrical outlet observed in the Beginner A classroom accessible to children. Provider corrected on site.

Corrected Corrected by Mar 21, 2023

Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During the renewal inspection on 03/21/23 the fee agreements reviewed for child #2, child#12, and child #16 did not specify release person designated by parent.

Corrected Corrected by May 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During the renewal inspection on 03/21/23 the emergency contact form reviewed for child #1, child #17, and child #19 did not include name, address and telephone number for child's PCP.

Corrected Corrected by May 1, 2023

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

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

During the renewal inspection on 03/21/23 the emergency contact forms reviewed for child #4 and child #18 did not have written consents signed by parent for emergency medical care.

Corrected Corrected by May 1, 2023

Category: recordkeeping. 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.

During the renewal inspection on 03/21/23 the emergency contact forms reviewed for child #3, child #6, child #7, child #9, child#11, child #14, child #15, child #17 and child #18, child #19 and child #20 were missing health insurance coverage information and/or policy number.

Corrected Corrected by May 1, 2023

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.

During the renewal inspection on 03/21/23 the emergency contact forms reviewed for child #2, child #4, child #5, child #8, child #10, child #13, and child #16 did not contain name, address and number of emergency contact designated by parent.

Corrected Corrected by May 1, 2023

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.

During the renewal inspection on 03/21/23 the file reviewed for staff #5 did not include an initial health assessment required before working with children.

Corrected Corrected by May 1, 2023

Category: ratio. 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.

During the renewal inspection on 03/21/23 the health assessment reviewed for staff #4 did not include documentation of tuberculosis screening.

Corrected Corrected by May 1, 2023

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.

During the renewal inspection on 03/21/23 the fee agreement reviewed for child #3 was expired and not reviewed/updated within 6-month time period.

Corrected Corrected by May 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

During the renewal inspection on 03/21/23 the emergency contact forms reviewed for child #4 and child #11 did not have written consents signed by parent for administration of medical or special dietary needs.

Corrected Corrected by May 1, 2023

Category: ratio. Marked corrected in the state record.

3270.182(5) · 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.

During the renewal inspection on 03/21/23 the emergency contact forms reviewed for child #4 and child #11 did not have written consents signed by parent for administration of minor first aid procedures by staff.

Corrected Corrected by May 1, 2023

Category: ratio. 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.

During complaint investigation on 11/4/22, it was indicated that facility person #1 has been observed using harsh, demeaning and/or abusive language towards children.

Corrected Corrected by Nov 4, 2022

Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

During a renewal inspection on 04/15/2022, the file for child #2 did not contain a signed Financial Agreement.

Corrected Corrected by Apr 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: Health and Safety Training.

During a renewal inspection on 04/15/2022, the files for staff persons #2, #8, #9, #11 and #13 did not contain Health and Safety Training.

Corrected Corrected by May 4, 2022

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 Persons #1, 2, 3, 5, 6, 7, 8, 9, 10, 11, 12 and 13 may not work in a child care position at the facility.

During a renewal inspection on 04/15/2022, the file for staff person #1 did not contain an FBI Clearance or a National Sex Offender Registry Clearance; the file for staff person #3 did not contain an National Sex Offender Clearance; the file for staff person #5 did not contain an FBI Clearance; the file for staff person #6 did not contain a National Sex Offender Registry Clearance; the file for staff person #7 did not contain a National Sex Offender Registry Clearance nor a State Police Clearance; the file for staff person #8 did not contain National Sex Offender Registry Clearance; the file for staff person #9 did not contain a National Sex Offender Registry Clearance;the file for staff person #10 did not contain an FBI Clearance; the file for staff person #11 did not contain a National Sex Offender Registry Clearance, mandated reporter training, nor an FBI Clearance; the file for staff person #12 contained a Department of Education FBI Clearance, not a suitable Child Care Clearance; the file for staff person #13 did not contain a National Sex Offender Registry Clearance.

Corrected Corrected by Jun 4, 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).

During a renewal inspection on 04/15/2022, the one-year-old classroom contained 4 one-year-old children and one infant with one teacher.

Corrected Corrected by Apr 15, 2022

Category: ratio. 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.

During a renewal inspection on 04/26/2022, the file for child #3 did not contain a completed Emergency contact form to include the child's Health Care information.

Corrected Corrected by May 3, 2022

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

3270.131(e)/3270.131(e)(2)(i) · 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.Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During a renewal inspection on 04/15/2022, the file for children #1, 2 and 3 contained an influenza vaccination more than one year old.

Corrected Corrected by Jun 4, 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.

During a renewal inspection on 04/15/2022, the file for staff persons #2, #3, #11 and #13 did not contain a health assessment; the file for staff person #4 contained a health assessment more than 24 months old.

Corrected Corrected by May 12, 2022

Category: ratio. 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

During a renewal inspection on 004/15/2022, the file for staff person #11 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Apr 28, 2022

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.

During a renewal inspection on 04/15/2022, the file for child #3 did not contain a Health Assessment.

Corrected Corrected by Jun 4, 2022

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 - 4 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

A review of records conducted 3/7/2022 found that facility staff #1, who had a hire date of 2/15/2022 did not have a State Police, Child Abuse, FBI or NSOR clearance on file. There was a receipt for the NSOR request date 2/15/2022 but not other receipts for requested clearances. Facility staff #2, who had a hire date of 2/15/2022 did not have a State Police or Child Abuse clearances nor were there receipts for the requests of these clearances. Facility staff #3 who started the day of the inspection 3/7/2022 did not have any clearances or receipts on file at the facility. There was not an individual file onsite for facility staff #3 as required. Facility staff #4 had an FBI clearance with no rap sheet and a Child Abuse clearance that indicated the purpose for the clearance was "Adult Household Member" and not employee.

Corrected Corrected by Mar 21, 2022

Category: supervision. Marked corrected in the state record.

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

A toilet in the bathroom of the Pre-K room was not working at the time of inspection 3/7/2022.

Corrected Corrected by Mar 21, 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.

At the time of inspection on 3/7/2022 Certification Representative observed that a wall on the equipment at the top of the slide was not bolted into the equipment and was loose.

Corrected Corrected by Mar 8, 2022

Category: physical safety. 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).

During the course of the investigation on 3/7/2022 while interviewing the acting director about covid policies, it was acknowledged that the facility did not require children who tested positive for Covid to have the required medical documentation to return to the facility.

Corrected Corrected by Mar 9, 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.

There was not a health assessment in the records of facility staff #1, #2, #3 and #4. There was not an individual file onsite for facility staff #3 onsite at the time of inspection on 3/7/2022.

Corrected Corrected by Mar 21, 2022

Category: ratio. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

At the time of inspection on 3/7/2022 there was not an individual file onsite for facility staff #3 who was working in the Infant A classroom

Corrected Corrected by Mar 9, 2022

Category: recordkeeping. Marked corrected in the state record.