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

During unannounced monitoring on 7/28/25, Cert Rep observed the following: the facility's hot water tested 117 degrees

Corrected Corrected by Aug 1, 2025

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.

During unannounced monitoring on 7/28/25, Cert Rep observed the following: The facility's thermometer in the refrigerator read 48 degrees

Corrected Corrected by Aug 1, 2025

Category: nutrition. 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.

During renewal inspection on 6/23/25, Cert Rep observed the following: The facility's shaken baby syndrome policy did not include prevention and identification of child maltreatment

Corrected Corrected by Jul 7, 2025

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 renewal inspection on 6/23/25, Cert Rep observed the following: Staff #1's fire safety training was dated 3.11.24

Corrected Corrected by Jun 23, 2025

Category: recordkeeping. 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3-- may not work in a childcare position at the facility. 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 #-3-- may not work in a childcare position at the facility.

During renewal inspection on 6/23/25, Cert Rep observed the following: Staff # 3 listed as AGS had a volunteer Child abuse dated 9.20.23

Corrected Corrected by Jul 7, 2025

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.

During renewal inspection on 6/23/25, Cert Rep observed the following: Staff #2's staff evaluation was dated 3.4.24

Corrected Corrected by Jul 7, 2025

Category: recordkeeping. 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 renewal inspection on 6/23/25, Cert Rep observed the following: Staff # 3 did not have documentation of 2500 hours of childcare experience to qualify as AGS. Staff # 3 had 450 hours documented in file

Corrected Corrected by Jul 7, 2025

Category: supervision. Marked corrected in the state record.

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

During renewal inspection on 6/23/25, Cert Rep observed the following: The facility's hot water tested at 119 degrees

Corrected Corrected by Jul 7, 2025

Category: physical safety. 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.

During renewal inspection on 6/23/25, Cert Rep observed the following: The facility did not have the proper handwashing sign posted at the sink and in the facility's bathroom

Corrected Corrected by Jun 23, 2025

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

3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

During renewal inspection on 6/23/25, Cert Rep observed the following: The facility did not have play equipment and materials appropriate to meet the needs of the infant present in the childcare facility

Corrected Corrected by Jul 7, 2025

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.

During renewal inspection on 6/23/25, Cert Rep observed the following: The facility had a green chair that was soiled and needed cleaning

Corrected Corrected by Jul 7, 2025

Category: physical safety. 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.

During renewal inspection on 6/23/25, Cert Rep observed the following: Cert Rep observed the infant in the pack n play that was not labelled for the use of the specific child

Corrected Corrected by Jun 23, 2025

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.

During renewal inspection on 6/23/25, Cert Rep observed the following: The facility's thermometer in the refrigerated was at 50 degrees

Corrected Corrected by Jul 7, 2025

Category: nutrition. Marked corrected in the state record.

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

During renewal inspection on 6/23/25, Cert Rep observed the following: The infant's bottle was not labelled with the child's name

Corrected Corrected by Jun 23, 2025

Marked corrected in the state record.

3280.14/3280.20 · 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 renewal inspection on 7/8/24, while doing a walkthrough of the facility, Cert Rep observed the following: - The facility did not have a complete shaken baby syndrome policy (missing strategies for coping with a crying, fussing, distraught child and the prevention and identification of child maltreatment) - The facility's emergency plan did not address continuity of operations

Corrected Corrected by Jul 22, 2024

Category: ratio. Marked corrected in the state record.

3280.63/3280.76 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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 renewal inspection on 7/8/24, while doing a walkthrough of the facility, Cert Rep observed the following: -The fence in the facility's backyard was falling down and held up by a piece of wood and some bricks. -The facility's backyard had some debris and needed cleaning

Corrected Corrected by Jul 22, 2024

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

3280.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

During renewal inspection on 7/8/24, while reviewing children's files, Cert Rep observed the following: Child # 2's child service report was dated 12/21/23.

Corrected Corrected by Jul 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

During renewal inspection on 7/8/24, while doing a walkthrough of the facility, Cert Rep observed the following: - Emergency contacts were not present in the childcare space for children receiving care. emergency contacts were in the office.

Corrected Corrected by Jul 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

During renewal inspection on 7/8/24, while reviewing children's files Cert Rep observed the following: Child # 2' health assessment did not include all of the immunization according to recommendations of the ACIP

Corrected Corrected by Jul 22, 2024

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

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During renewal inspection on 7/8/24, while doing a walkthrough of the facility, Cert Rep observed the following: The children did not wash hands before eating morning snacks.

Corrected Corrected by Jul 8, 2024

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

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

On 06/07/2023, during the renewal inspection, the file for Staff person #1 contained verification for only 7 hours of the required 12 annual hours of child care training.

Corrected Corrected by Jun 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 2 may not work in a child care position at the facility.

On 6/07/2023, during the renewal inspection, the file of Staff person #2 did not contain a completed NSOR clearance, the PA State Police Criminal Clearance and the PA Child Abuse were both applied for under volunteer status.

Corrected Corrected by Jul 21, 2023

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

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

On 06/07/2023, during the renewal inspection, an unused outlet on the extension cord by the office door was not covered by a protective receptacle cover.

Corrected Corrected by Jun 26, 2023

Marked corrected in the state record.

3280.66(a) · 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

On 06/07/2023, during the renewal inspection, a bottle of hand sanitizer was present on top of the half wall of the indoor play space and accessible to the children in care.

Corrected Corrected by Jun 26, 2023

Category: ratio. Marked corrected in the state record.

3280.75(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.

On 06/07/2023, during the renewal inspection, tape was missing from the first aid kit hanging in the front vestibule.

Corrected Corrected by Jun 26, 2023

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

3280.76 · 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.

On 06/07/2023, during the renewal inspection, two ceiling tiles in front of the classroom were stained and damaged; evidence of mice droppings were present in the lower cabinet of the kitchen sink; a metal rodent trap was present in the unlocked lower cabinet of the kitchen sink accessible to the children; a loose panel of wood was present on the door of the back yard fence; the parameter of the floor in the bathroom was dusty and dirty;

Corrected Corrected by Jun 26, 2023

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

On 06/07/2023, during the renewal inspection, chipping paint was present on the orange colored wall outside in the play yard under the electrical boxes.

Corrected Corrected by Jun 26, 2023

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

3280.103 · 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.

On 06/07/2023, during the renewal inspection, a small toy car with small wheels less than 1 inch in diameter was present in one of the toy bins accessible to toddler aged children.

Corrected Corrected by Jun 26, 2023

Marked corrected in the state record.

3280.106 · 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.

On 06/07/2023, during the renewal inspection, the facility refrigerator was not clean. A sticky residue was present on some of the shelves in the refrigerator.

Corrected Corrected by Jun 26, 2023

Category: nutrition. Marked corrected in the state record.

3280.108(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

On 06/07/2023, during the renewal inspection, the black shelving unit next to the refrigerator that houses the microwave is not sturdy and poses a potential tipping hazard in the childcare space

Corrected Corrected by Jul 21, 2023

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

3280.113(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.

On 06/07/2023, during the renewal inspection, the lighting of the childcare space during nap time was insufficient and did not allow staff to adequately see each child during this activity.

Corrected Corrected by Jun 26, 2023

Category: supervision. Marked corrected in the state record.

3280.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

On 06/07/2023, during the renewal inspection, there was no evidence on file that an updated child service report was completed within 6 months for Child #1. (Last report completed on 9/10/22).

Corrected Corrected by Jun 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(4) · A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

On 06/07/2023, during the renewal inspection, the health assessment for Child #2 did not include hearing, vision and developmental screenings.

Corrected Corrected by Jun 26, 2023

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

3280.131(e) · 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.

On 06/07/2023, during the renewal inspection, Child #1 was missing a Hep B and Influenza vaccination and Child #2 was missing a Polio vaccination according to the immunization reports on file.

Corrected Corrected by Jun 26, 2023

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

3280.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

On 06/07/2023, during the renewal inspection, medication cream prescribed for Child#4 expired as of 05/12/2023.

Corrected Corrected by Jun 26, 2023

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

3280.181(e) · If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

On 06/07/2023, during the renewal inspection, emergency contact information located in the emergency bag for Child #2 and Child # 3 was not updated in a 6-month period.

Corrected Corrected by Jul 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

ON MAY 10, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #1 DID NOT INCLUDE THE ANNUAL TWELVE CLOCK HOURS OF CHILD CARE TRAINING.

Corrected Corrected by Jun 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.20/3280.64 · Conditions at the facility may not pose a threat to the health or safety of the children. Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

ON MAY 10, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE FOUNDATION GROUND LOCATED DIRECTLY OUTSIDE THE BACK DOOR WAS BROKEN AND IN DANGEROUS CONDITION. THE OUTDOOR WALKWAY USED FOR EMERGENCY EXIT WAS IN DIS-REPAIR AND A SAFETY HAZARD TO THE CHILDREN.

Corrected Corrected by Jun 16, 2022

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

3280.32(a)/3280.192(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: Facility Person #2 & #3 may not work in a child care position at the facility.

ON MAY 10, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2 DID NOT INCLUDE STATE POLICE CLEARANCE. THE RECORD FOR STAFF PERSON #3 NEEDED AN UPDATED CHILD ABUSE CLEARANCE.

Corrected Corrected by May 24, 2022

Category: supervision. Marked corrected in the state record.

3280.69(a) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

ON MAY 10, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE WATER TEMPERATURE IN THE CHILDREN'S BATHROOM WAS 112.2 (CORRECTED ON SITE).

Corrected Corrected by May 10, 2022

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

ON MAY 10, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. BATHROOM #1 HAD PEELING CHIPPED PAINT LOCATED ON THE WALLS. THERE WAS ALSO A HOLE IN THE BATHROOM WALL THAT NEEDED TO BE REPAIRED.

Corrected Corrected by Jun 16, 2022

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

3280.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

ON MAY 10, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE FLOOR LOCATED AT THE BACK EXIT (RIGHT BEFORE LEAVING OUTSIDE) WAS WEAK AND IN POOR CONDITION.

Corrected Corrected by Jun 16, 2022

Marked corrected in the state record.

3280.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

ON MAY 10, 2022, CERTIFICATION REP CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR CHILD #1, #2 AND #4 DID NOT HAVE AN UPDATED CSR ASSESSMENT ON FILE.

Corrected Corrected by May 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.151(c)(2)/3280.192(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.

ON MAY 10, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #4 DID NOT INCLUDE A HEALTH ASSESSMENT OR TUBERCULOSIS SCREENING. THE HEALTH ASSESSMENT FOR STAFF #2 DID NOT INCLUDE TUBERCULOSIS SCREENING BY THE MANTOUX METHOD.

Corrected Corrected by May 24, 2022

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

3280.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

ON MAY 10, 2022, CERTIFICATION REP CONDUCTED A RENEWAL INSPECTION. STAFF PERSON #1 DID NOT CHANGE GLOVES OR WASH THEIR HANDS INBETWEEN DIAPERING CHILDREN AND HELPING WITH TOILETING.

Corrected Corrected by May 24, 2022

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

3280.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

ON MAY 10, 2022, CERTIFICATION REP CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR CHILD #4 DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST AID.

Corrected Corrected by May 24, 2022

Category: ratio. Marked corrected in the state record.

3280.192(2)(iv) · 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.

ON MAY 10, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2 DID NOT INCLUDE PROOF OF EDUCATION.

Corrected Corrected by May 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.192(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

ON MAY 10, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2, #3 AND #4 DID NOT INCLUDE TWO NON FAMILY REFERENCE LETTERS.

Corrected Corrected by Jun 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

ON MAY 10, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE EMERGENCY PLAN POSTED DID NOT INCLUDE A LOCKDOWN PLAN.

Corrected Corrected by May 24, 2022

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

3280.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: Health & Safety Training.

ON MAY 10, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #3 DID NOT INCLUDE HEALTH AND SAFETY TRAINING.

Corrected Corrected by May 24, 2022

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

3280.52(c) · 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 at §3280.52(b). 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.

ON NOVEMBER 18TH 2021, CERTIFICATION REPRESENTATIVE CONDUCTED AN INVESTIGATION FOLLOWING FROM AN INITIAL COMPLAINT. AT THE TIME OF INVESTIGATION STAFF PERSON #1 WAS WORKING ALONE WITH 8 CHILDREN. THIS WAS A MIXED AGE GROUP OF CHILDREN, THE YOUNGEST CHILD IN THIS GROUP WAS 8 MONTHS OLD.

Corrected Corrected by Nov 24, 2021

Category: ratio. Marked corrected in the state record.