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.

At the time of the inspection, the file of staff person #5 did not include a health and safety training, mandated reporter training and Pediatric CPR and First Aid.

Corrected Corrected by Jul 7, 2025

Category: ratio. 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.

At the time of the inspection, the file of staff person #5 did not include training regarding the emergency plan at the time of initial employment.

Corrected Corrected by Jul 17, 2025

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.

At the time of the inspection, the file of staff person #2, #3 and #4 did not include the completion of the Pediatric CPR and First Aid.

Corrected Corrected by Jul 15, 2025

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #5 -- may not work in a child care position at the facility until completed State Police, Child Abuse, FBI and the NSOR clearances results are obtained. A facility's person's record shall include a copy of the competed clearances information required under CPSL.

At the time of the inspection, the file of staff person #5 did not include the State Police, Child Abuse, DHS FBI, and the NSOR clearances.

Corrected Corrected by Jul 22, 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.

At the time of the inspection, the file of staff person #2 did not include a staff evaluation.

Corrected Corrected by Jul 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(iv) · 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 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.

At the time of the inspection, the file of staff person #5 did not include verification of experience and education.

Corrected Corrected by Jul 18, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)(2) · The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

At the time of the inspection, the certification representative staff observed staff #1 not actively supervising the children in their care during nap time and looking at personal cell phone.

Corrected Corrected by Jul 21, 2025

Category: supervision. 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.

At the time of the inspection, the file of staff person #5 did not include a health assessment.

Corrected Corrected by Jul 17, 2025

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.

At the time of the inspection, the file of staff person #5 did not include a tuberculosis screening.

Corrected Corrected by Jul 17, 2025

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

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

At the time of the inspection, the file of staff person #5 was not observed in the facility. Staff person #5 was unsupervised giving care to 4 children.

Corrected Corrected by Jul 17, 2025

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.

At the time of the inspection, the file of staff person #5 did not include 2 written nonfamily references.

Corrected Corrected by Jul 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

During the renewal inspection conducted on 1/4/2024 observed the operator did not post the facility's emergency plan at a conspicuous location.

Corrected Corrected by Feb 18, 2024

Category: physical safety. 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). 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 renewal inspection conducted on 1/4/2024 observed staff person #4's criminal history record did not have an outcome. It stated, "Request still pending". Corrected on 1/9/2024.

Corrected Corrected by Feb 18, 2024

Category: supervision. Marked corrected in the state record.

3270.63 · 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.

During the renewal inspection conducted on 1/4/2024 observed metal poles sticking out of the ground in the outside play space.

Corrected Corrected by Feb 18, 2024

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

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

During the renewal inspection conducted on 1/4/2024 observed disinfectant spray under the sink in the men and women's bathroom. Corrected on-site 1/4/2024.

Corrected Corrected by Feb 18, 2024

Marked corrected in the state record.

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

During the renewal inspection conducted on 1/4/2024 observed the hot water temperature in the men's and women's bathroom measured at 135° F. Corrected on-site 1/4/2024.

Corrected Corrected by Feb 18, 2024

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 the renewal inspection conducted on 1/4/2024 observed the rest equipment was not labeled for the use of a specific child. Corrected on site 1/4/2024.

Corrected Corrected by Feb 18, 2024

Category: physical safety. 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 conducted on 1/4/2024 observed staff #1's last health assessment on file is dated 2/22/2021. Corrected on 1/29/2024. Observed staff #2's last health assessment on file is not dated. Observed staff person #3's last health assessment on file is dated 11/10/2021.

Corrected Corrected by Feb 18, 2024

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 conducted on 1/4/2024 observed written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

Corrected Corrected by Feb 18, 2024

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 inspection conducted on 1/4/2024 observed the operator did not have verification that a copy of the facility's emergency plan was sent to the local municipality.

Corrected Corrected by Feb 18, 2024

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

3270.21/3270.31(f) · Conditions at the facility may not pose a threat to the health or safety of the children. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

During the renewal inspection on 2/13/23, it was observed that the records of staff person #3 did not include the correct Pre-service Health and safety training. It was observed that the records of staff person #2, and staff person #5 did not include the Health and Safety updates.

Corrected Corrected by Mar 2, 2023

Category: health medication. 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 1/19/23-2/13/23, it was observed that the records of staff person #2 did not contain a written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Corrected Corrected by Feb 21, 2023

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 2/13/22, it was observed that the records of child #2 did not include an updated health report at least every 12 months for a preschool child.

Corrected Corrected by Mar 2, 2023

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

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

During the renewal inspection on 2/13/23, it was observed that the records of child #3 did not include a review of the child's immunized status according to recommendations of the ACIP.

Corrected Corrected by Mar 2, 2023

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

3270.131(e)(4) · The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

During the renewal inspection on 2/13/23, it was observed that the records of child # 1 and child #2 did not include the influenza vaccine in accordance with the annual immunization reporting requirements.

Corrected Corrected by Mar 2, 2023

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

3270.192(2)(i) · A facility person's record shall include verification of age.

During the renewal inspection on2/13/23, it was observed that the records of staff person #3 and staff person #4 did not include verification of age.

Corrected Corrected by Feb 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection on 2/13/23, it was observed that the records of staff person #3 did not include verification of childcare experience, prior to service at the facility.

Corrected Corrected by Mar 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(4) · 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 may not work in a child care position at the facility.

During the renewal inspection on 2/13/23, it was observed that the records of staff person #1, staff person #2, staff person #3 and staff person #5 did not include a copy of the disclosure statement.

Corrected Corrected by Feb 21, 2023

Category: background checks. 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 2/13/23, it was observed that the records of staff person #3 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The records of staff person #4 included one non-family reference.

Corrected Corrected by Mar 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During the renewal inspection on 2/13/23, it was observed that the emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Feb 21, 2023

Category: physical safety. 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 1/19/23-2/13/23, it was observed that there was no documentation on file that an Emergency drill was conducted annually.

Corrected Corrected by Feb 21, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection on 2/13/23, it was observed that the records of staff person #3 included Pediatric First Aid training in an approved curriculum, but the trainer could not be verified as an approved trainer. Trainer name missing on certificate.

Corrected Corrected by Mar 2, 2023

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

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

During the renewal inspection on 1/19/23-2/13/23, it was observed that there was no documentation that the emergency plan and subsequent plan updates was submitted to the local municipality and to the county emergency management agency.

Corrected Corrected by Feb 21, 2023

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the renewal inspection on 2/13/23, it was observed that the records of staff person 2 did not include an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Mar 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(a) · 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.

During the self reported complaint inspection on 3/10/22, it was reported that two children left the outdoor play space on 9/30/21 unsupervised, through an opening in the gate which the staff's view was blocked by a Sukkot structure. Children were found and returned to the center.

Corrected Corrected by Mar 10, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a) · 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 self reported complaint inspection on 3/10/22, it was reported that two children left the outdoor play space on 9/30/21 unsupervised, through an opening in the gate which the staff's view was blocked by a Sukkot structure. Children were found and returned to the center.

Corrected Corrected by Apr 11, 2022

Category: supervision. Marked corrected in the state record.

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

During the self reported complaint inspection on 3/10/22, it was reported that two children left the outdoor play space on 9/30/21 unsupervised, through an opening in the gate which the staff's view was blocked by a Sukkot structure. Children were found and returned to the center.

Corrected Corrected by Mar 10, 2022

Category: supervision. 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 2/3/22, it was observed that the records of facility persons #1, #4, and #5 did not include training regarding the emergency plan at the time of initial employment, and on an annual basis.

Corrected Corrected by Feb 28, 2022

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 # 5 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 2/3/22 it was observed that - the records of facility person #5 did not include the National Sex offender Registry (NSOR) certificate as required by the CPSL-no provisional waiver at the time of inspection -the records of facility person #3 did not include an updated Mandated Reporter training as required by the CPSL-document submitted dated 6/11/2015

Corrected Corrected by Feb 28, 2022

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

3270.131(e)(2)(i)/3270.131(e)(4) · 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.The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

During the renewal inspection on 2/3/22, it was observed that the records of child #2 did not include the annual immunization reporting requirements namely for influenza or an exemption statement.

Corrected Corrected by Feb 28, 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 the renewal inspection on 2/3/22, it was observed that the records of facility person #5 did not include a health assessment conducted within 12 months prior to providing initial service in a child care setting

Corrected Corrected by Feb 28, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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 2/3/22, it was observed that the records pf facility person #5 did not include tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Feb 28, 2022

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

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

During the renewal inspection on 2/3/22, it was observed that the records of child #1 and child #2 did not contain updated emergency contact information at least once in a 6-month period-document dated 2/24/21 and 5/19/2021 respectively.

Corrected Corrected by Feb 28, 2022

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 2/3/22, it was observed that the records of facility person #5 did not include verification of child care experience for an AGS prior to service at the facility.

Corrected Corrected by Feb 28, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection on 2/3/22, it was observed that the records of facility person #1 did not include training by a professional in the field of pediatric first-aid and cardiopulmonary resuscitation (CPR)

Corrected Corrected by Feb 28, 2022

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the renewal inspection on 2/3/22, it was observed that the records of facility persons ##2, #3, and #4 did not contain an annual minimum of 12 clock hours of child care training-submitted 8, 2 and 10 hours respectively.

Corrected Corrected by Feb 28, 2022

Category: recordkeeping. Marked corrected in the state record.