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 # 1 may not work in a childcare 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.

Continued non-compliance was observed on 4/9/25 in that the records of staff person #1 did not contain the application for, or the Federal Bureau of Investigations (FBI) clearance.

Corrected Corrected by Apr 22, 2025

Category: supervision. 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.

Continued non-compliance was observed on 4/9/25 in that the records of staff #1 did not contain an initial health assessment.

Corrected Corrected by Apr 22, 2025

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

During the unannounced inspection on 3/13/25 staff person #1 was observed to be caring for children unsupervised. Staff person # 1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety Part1 and Part 2 and Pediatric First Aid training

Corrected Corrected by Mar 18, 2025

Category: supervision. 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 # 1 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. Facility Person #--- may not work in a child care position at the facility.

During the unannounced inspection on 3/13/25, it was observed that staff person #1 was working unsupervised. The records of staff person #1 did not contain the application for, or the Federal Bureau of Investigations (FBI) clearance.

Corrected Corrected by Mar 15, 2025

Category: supervision. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

During the unannounced inspection on 3/13/25, child #1 was observed to be asleep in a position not recommended by the Academy of Pediatrics. Child was asleep in a bouncy seat.

Corrected Corrected by Mar 13, 2025

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

3270.151(a)/3270.151(c)(2) · 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. 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.

During the unannounced inspection on 3/13/25, it was observed that the records of staff #1 did not contain an initial health assessment and record of Tuberculosis screening.

Corrected Corrected by Apr 4, 2025

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the unannounced inspection on 3/13/25, it was observed that the records of staff #1 did not include verification of education.

Corrected Corrected by Mar 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the renewal inspection on 8/13/24 it was observed that the records of child #1 did not include an updated health assessment. Document dated 8/9/2023.

Corrected Corrected by Aug 13, 2024

Category: health medication. 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.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter training.

Corrected Corrected by Aug 14, 2024

Category: supervision. 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 # -- 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. Facility Person #--- may not work in a child care position at the facility.

During the renewal inspection on 8/13/24, it was observed that the records of staff person #1 did not include and updated Mandated reporter. Document dated 3/3/2019 It was observed that the records of staff person #3 did not include the Application for the Federal Bureau of investigations (FBI) clearance, the PA State Police criminal clearance, and the National Sex Offender registry clearance as required by the CPSL.

Corrected Corrected by Sep 4, 2024

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 on 8/13/24, it was observed that the records of staff person #2 did not contain a staff evaluation.

Corrected Corrected by Sep 4, 2024

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.

During the renewal inspection on 8/13/24, it was observed that there were holes in the walls in the hallway.

Corrected Corrected by Aug 13, 2024

Category: physical safety. 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 8/13/24 it was observed that the records of child #1, child #3, child #4 & child #5 did not include the policy number.

Corrected Corrected by Sep 4, 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.

During the renewal inspection on 8/13/24, it was observed that the records of child #1, child #3, and child #5 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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.

During the renewal inspection on 8/13/24 and the records of staff person #3 did not include a health assessment and screening for Tuberculosis. The records of staff person #2 did not include an updated health assessment. Documents dated 2/8/2022.

Corrected Corrected by Sep 4, 2024

Category: ratio. 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 8/13/24, it was observed that the records of child #3 did not include an updated emergency contact and the records of child #4 did not include an updated fee agreement.

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the renewal inspection on 8/13/24, it was observed that the records of staff person #3 did not include verification of education.

Corrected Corrected by Aug 20, 2024

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 # 1 & facility person #2 may not work in a child care 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 #--- may not work in a child care position at the facility.

During the inspection on 12/28/23, Continued non-compliance was observed in that the records of staff person #1 did not include the applications for the Federal Bureau of Investigations (FBI), National Sex Offender Registry (NSOR) clearances as required by the CPSL. The records of staff person #2 did not include the applications for the Federal Bureau of Investigations (FBI) as required by the CPSL.

Corrected Corrected by Jan 3, 2024

Category: background checks. 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.

Continued non-compliance was observed on 11/8/23 during the unannounced inspection in that the records of staff person #1 did not include updated Fire safety training.

Corrected Corrected by Nov 21, 2023

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 #1 and #2 -- 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.

During the inspection on 11/8/23, staff person #1 was observed working alone with children and the records of Staff person #1 did not include the State Police Criminal Record, Child Abuse clearance, Federal Bureau of Investigations (FBI), National Sex Offender Registry (NSOR) clearances and Disclosure statement or applications for clearances as required by the CPSL. The records of staff person #2 did not include the state Child Abuse, Federal Bureau of Investigations (FBI), National Sex Offender Registry (NSOR), out of state clearances (Florida) and disclosure statement or applications for clearances as required by the CPSL.

Corrected Corrected by Dec 1, 2023

Category: supervision. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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.

During the inspection on 11/8/23, it was observed that the records of staff person #1 and staff person #2 did not include a health assessment and record of Tuberculosis testing.

Corrected Corrected by Dec 5, 2023

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the inspection on 11/8/23, it was observed that the records of staff person #1 and staff person #2 did not include verification of childcare experience.

Corrected Corrected by Nov 8, 2023

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 inspection on 11/8/23, it was observed that the records of staff person #1 and staff person #2 did not include two written, nonfamily references.

Corrected Corrected by Nov 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Continued non-compliance was observed on 10/17/23 in that there was no written policy to address the recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, Strategies for coping with crying, fussy or distraught child, and the prevention and identification of child maltreatment.

Corrected Corrected by Nov 6, 2023

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.

Continued non-compliance was observed on 10/17/23 in that there was no document presented to verify that there was comprehensive general liability insurance to cover the persons who are on the premises.

Corrected Corrected by Oct 17, 2023

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.

Continued non-compliance was observed during the unannounced inspection on 10/17/23, in that the records of staff person #1, and staff person #3 did not include training regarding the emergency plan.

Corrected Corrected by Oct 31, 2023

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.

Continued non-compliance was observed on 10/17/23 during the unannounced inspection in that the records of the records of Staff person #2 did not include an acceptable Pediatric First Aid training. The records of staff person #3 did not include training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR).

Corrected Corrected by Nov 3, 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.

Continued non-compliance was observed on 10/17/23 during the unannounced inspection in that the records of staff person #1 did not include updated Fire safety training. Training dated 4/1/21. The records of staff person #2 and staff person #3 did not include fire safety training conducted by a fire protection professional.

Corrected Corrected by Nov 6, 2023

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). 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 and #3 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. Facility Person #--- may not work in a child care position at the facility.

Continued non-compliance was observed on 10/17/23 during the unannounced inspection in that the records of staff person #2 did not contain the Federal bureau of Investigations (FBI) clearance and the National Sex Offender Registry (NSOR) clearance as required by the CPSL. The records of staff person #3 did not contain the State Police clearance, the Federal Bureau of Investigations (FBI) clearance, the National Sex Offender Registry (NSOR) clearance, The Disclosure statement, and Mandated reporter training as required by the CPSL.

Corrected Corrected by Nov 3, 2023

Category: supervision. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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.

Continued non-compliance was observed during the unannounced inspection on 10/17/23, in that the records of staff person #3 did not contain a health assessment and record of Tuberculosis screening.

Corrected Corrected by Nov 1, 2023

Category: ratio. 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.

Continued non-compliance was observed during the unannounced inspection on 10/17/23 in that there was no written notification of safe routes document posted in the facility.

Corrected Corrected by Nov 13, 2023

Marked corrected in the state record.

3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

Continued non-compliance was observed during the unannounced inspection on 10/17/23 in that there was no individual file for child #3, child #4, and child #5.

Corrected Corrected by Nov 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Continued non-compliance was observed during the unannounced inspection on 10/17/23 in that the record of staff person #2 and staff Person #3 did not include verification of child care experience prior to service at the facility.

Corrected Corrected by Nov 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(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.

Continued non-compliance was observed during the unannounced inspection on 10/17/23 in that the records of staff person #2 and staff person #3 did not include verification of education for a Group supervisor.

Corrected Corrected by Nov 3, 2023

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.

Continued non-compliance was observed during the unannounced inspection on 10/17/23 in that the records of staff person #2 and staff person #3 did not include two written, nonfamily references.

Corrected Corrected by Nov 3, 2023

Category: recordkeeping. 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.

Continued non-compliance was observed during the unannounced inspection on 10/17/23, in that there was no document on file at the facility to verify that an Emergency drill was conducted annually.

Corrected Corrected by Nov 2, 2023

Category: recordkeeping. 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 on 8/23/23, it was observed that the entrance to the basement (shelter in place location) was blocked by boxes and cots and two exits to the side yard were blocked by boxes of unknown items.

Corrected Corrected by Aug 23, 2023

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 the renewal inspection on 8/23/23, it was observed that there was no written policy to address the recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, Strategies for coping with crying, fussy or distraught child, and the prevention and identification of child maltreatment.

Corrected Corrected by Aug 30, 2023

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 on 8/23/23, it was observed that there was no document presented to verify that there was comprehensive general liability insurance to cover the persons who are on the premises.

Corrected Corrected by Aug 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.21/3270.95(a) · Conditions at the facility may not pose a threat to the health or safety of the children. 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 8/23/23, it was observed that there was no document presented to verify the annual inspection of the fire detection system and the smoke detector in the basement appeared to be broken- cover was off and wires exposed.

Corrected Corrected by Sep 26, 2023

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

During the renewal inspection on 8/23/23, it was observed that the records of staff person #1, staff person #2 and staff person #3 did not include training regarding the emergency plan.

Corrected Corrected by Aug 23, 2023

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 8/23/23, it was observed that the records of the records of Staff person #2 did not include an acceptable Pediatric First Aid training. The records of staff person #3 did not include training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR).

Corrected Corrected by Aug 23, 2023

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 8/23/23, it was observed that the records of staff person #1 did not include updated Fire safety training. Training dated 4/1/21. The records of staff person #2 and staff person #3 did not include fire safety training conducted by a fire protection professional.

Corrected Corrected by Oct 18, 2023

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 # 2 & #3 may not work in a child care 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.

During the renewal inspection on 8/23/23, it was observed that the records of staff person #2 did not contain the Federal bureau of Investigations (FBI) clearance and the National Sex Offender Registry (NSOR) clearance as required by the CPSL. The records of staff person #3 did not contain the State Police clearance, the Federal Bureau of Investigations (FBI) clearance, the National Sex Offender Registry (NSOR) clearance, The Disclosure statement, and Mandated reporter training as required by the CPSL.

Corrected Corrected by Aug 23, 2023

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

3270.34(a) · A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6).

During the renewal inspection on 8/23/23, it was observed that the Director was not present at the facility during the inspection, nor was the staff person (#3) designated by the Director present at the time of the inspection in the Director's absence.

Corrected Corrected by Aug 23, 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 8/23/23, it was observed that the outlets in the front room were uncovered next to mantel and near entrance.

Corrected Corrected by Aug 23, 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 on 8/23/23, it was observed that there was peeling paint on the radiator under window in front room.

Corrected Corrected by Oct 5, 2023

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

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the renewal inspection on 8/23/23, it was observed that the records of child #2 did not contain an updated health report. Report dated 6/7/21.

Corrected Corrected by Sep 8, 2023

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

3270.151(a)/3270.151(c)(2) · 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. 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.

During the renewal inspection on 8/23/23, it was observed that the records of staff person #2 and staff person #3 did not contain a health assessment and record of Tuberculosis screening.

Corrected Corrected by Aug 21, 2023

Category: ratio. 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.

During the renewal inspection on 8/23/23, it was observed that there was no written notification of safe routes document posted in the facility.

Corrected Corrected by Aug 23, 2023

Marked corrected in the state record.

3270.176(a) · A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

During the renewal inspection on 8/23/23, it was observed that no document presented to verify the current insurance and registration for vehicle listed used to transport children.

Corrected Corrected by Aug 23, 2023

Category: ratio. Marked corrected in the state record.

3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

During the renewal inspection on 8/23/23, it was observed that there was no individual file for child #3, child #4, and child #5.

Corrected Corrected by Aug 23, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection on 8/23/23, it was observed that there was no record on file at the facility for staff person #4 and staff person #5.

Corrected Corrected by Aug 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the renewal inspection on 8/23/23, it was observed that the record of staff person #2 and staff Person #3 did not include verification of child care experience prior to service at the facility.

Corrected Corrected by Aug 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(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.

During the renewal inspection on 8/2323, it was observed that the records of staff person #2 and staff person #3 did not include verification of education for a Group supervisor.

Corrected Corrected by Oct 19, 2023

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 the renewal inspection on 8/23/23, it was observed that the records of staff person #2 and staff person #3 did not include two written, nonfamily references.

Corrected Corrected by Aug 23, 2023

Category: recordkeeping. 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 8/23/23, there was no document on file at the facility to verify that an Emergency drill was conducted annually.

Corrected Corrected by Aug 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations 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.

During the renewal inspection on 8/23/23, it was observed that the location designated by the legal Entity on the Emergency plan for Shelter in place was not appropriate to provide care, since the air in the basement was not controlled and the top step to access the basement was shaky and not secure.

Corrected Corrected by Aug 30, 2023

Category: physical safety. 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 the renewal on 8/23/23, it was observed that there was no document presented to verify that the operator sent a copy of the emergency plan to the county emergency management agency.

Corrected Corrected by Sep 15, 2023

Category: physical safety. 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 a follow up visit facility person #2 was in a ratio of 1:9 (2 infants, 4 younger toddler and 2 older toddlers) when the ratio should have been 1:4 (infants) and 1:5 (younger toddlers) and 1:6 (older toddlers). During a second follow up visit 6 children (older and younger toddlers) were alone in the dark in the back room sleep with mask on unsupervised.

Corrected Corrected by Apr 5, 2022

Category: supervision. Marked corrected in the state record.

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

At the time of the unannounced visit only facility person #2 was present with 9 children.

Corrected Corrected by Apr 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

During a follow up visit child #1,2,3,4,5 and 6 were left alone in the backroom napping with mask on. There were no staff assignment sheets as facility person #2 stated they both watching all children.

Corrected Corrected by Apr 5, 2022

Category: supervision. Marked corrected in the state record.