3270.113(b)/3270.113(e) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

During the complaint investigation it was found. Staff #1 forcibly grabbed Child #1 arms and his left leg in an attempt to seat him, then physically restrained the child by wrapping her leg around his lower waist.

Corrected Corrected by Aug 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Certification rep reviewed children #1, #2, #3, #4 and #5 record and observed emergency contact did not contain signed parental consent for transportation.

Corrected Corrected by Feb 12, 2025

Category: transportation. Marked corrected in the state record.

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

During complaint investigation certification rep reviewed video and verified staff #1 forcibly grabbed child #1 by his left arm and then forcibly grab child #1 underneath both his arms and chest area.

Corrected Corrected by Jul 25, 2024

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 # -- 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.

Certification rep reviewed staff #4 record and observed Criminal State Police Clearance in record is expired; date of expiration: 1/20/2019 and Child Abuse Clearance in record is expired: date of expiration: 1/24/19. Staff #5 State Police Criminal Clearance in record is pending for control.

Corrected Corrected by May 13, 2024

Category: supervision. 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.

Certification rep reviewed staff #1 and #2 record and observed level of education is not translated in record.

Corrected Corrected by May 13, 2024

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.

Certification rep reviewed staff #1, #2 and #3 record and observed the following, staff #1 and #3 are missing one written reference letter in record. Staff #2 is missing two written references in record.

Corrected Corrected by May 13, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Operator did not report suspected child abuse to ChildLine as mandated by the CPSL.

Corrected Corrected by Apr 18, 2024

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

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

Staff #1 grabbed/mishandled a child by the arm.

Corrected Corrected by Apr 18, 2024

Marked corrected in the state record.

3270.21/3270.31(f)(10) · Conditions at the facility may not pose a threat to the health or safety of the children. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Certification rep reviewed Staff #1 record and observed Pediatric First Aid/CPR certificate of completion in record is not from an approved PQUAS certified trainer. Staff #1 was observed working unsupervised with a total of 6 children, child youngest in age was 3.4 years old.

Corrected Corrected by Apr 15, 2024

Category: supervision. 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 certification rep reviewed staff #3 and #4 record and observed staff did not complete one hour health and safety update.

Corrected Corrected by Feb 8, 2024

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator have 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 # -- 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 certification rep reviewed staff #1 and #2 record and observed Staff #1 record does not have an NSOR certificate on record within 45 days of hire, date of hire: 11/6/23. Staff #2 does not have an NSOR clearance in record within 45 days of hire, date of hire: 9/13/2023.

Corrected Corrected by Feb 8, 2024

Category: supervision. 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 certification rep reviewed staff #6 record and observed High school diploma was not in record.

Corrected Corrected by Feb 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection certification rep reviewed staff #5 record and observed staff #5 did not obtain an 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. Date of physical in record 9/27/21, date of tb test: 9/30/21 and date of hire: 1/8/2024.

Corrected Corrected by Feb 8, 2024

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

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

During the renewal inspection certification rep observed provider did not have documentation of fire alarm testing every 30 days.

Corrected Corrected by Feb 22, 2024

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

3270.21/3270.133(6) · Conditions at the facility may not pose a threat to the health or safety of the children. A parent shall provide written consent for administration of medication or a special diet.

At the time of the complaint investigation on 7/6/23, staff person #1 was administering unknown substance to child #1, #2, #3, and #4 as observed on the video footage from 6/13/23, 6/14/23, 6/15/23, 6/21/23. Written consent for administration was not provided by parents.

Corrected Corrected by Jun 21, 2023

Category: ratio. Marked corrected in the state record.

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

At the time of the complaint investigation on 7/6/23, staff person #1 was administering unknown substance to child #1, #2, #3, and #4 as observed on the video footage from 6/13/23, 6/14/23, 6/15/23, 6/21/23. Written consent for administration was not provided by parents.

Corrected Corrected by Jun 21, 2023

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. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children by an assistant group supervisor, who has completed the required training related to this citation. If there are no staff person's available to supervise, staff person #1 may not work in a child-care position at the facility.

At the time of unannounced monitoring inspection on 6/29/23, staff person #1, who does not have completed pre-service training in pediatric first aid/ CPR, was working unsupervised in infant room as observed on the video footage from 6/19/23.

Corrected Corrected by Jul 20, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff person #1 shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1 will have until 7/13/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

At the time of unannounced monitoring inspection on 6/29/23, staff person #1, has not completed required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid /CPR.

Corrected Corrected by Jul 20, 2023

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.

At the time of unannounced monitoring inspection on 6/29/23 observed children sleeping in Bumblebee room in a complete darkness. Staff person #2 was not able to see and assess children due to the complete darkness.

Corrected Corrected by Jun 29, 2023

Category: supervision. Marked corrected in the state record.

3270.162(d) · A child may not be forced to eat food.

At the time of the complaint investigation on 6/29/23, staff person #1 was forcing child #1 to eat by placing hands on child's face, holding child #1 head back and placing hands on child's neck for child to swallow as observed on the video footage from 6/19/23.

Corrected Corrected by Jul 12, 2023

Category: nutrition. Marked corrected in the state record.

3270.21/3270.113(a) · Conditions at the facility may not pose a threat to the health or safety of the children. 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.

At the time of the complaint investigation on 6/29/23, it was observed on the video footage from 6/19/23 that staff person #1 was leaving child #1 unsupervised on the diaper changing table while turning her back to discard diaper by placing the diaper into a covered can. It was observed on the video footage from 6/19/23 that staff person #1 shut the door of diaper changing table not noticing that child #2 fingers were in the crease of the door.

Corrected Corrected by Jun 29, 2023

Category: supervision. Marked corrected in the state record.

3270.113(b)/3270.113(c) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

At the time of the complaint investigation on 6/29/23, staff person #1 was pushing child #1, throwing child #1 on the mat, aggressively turning child #1 in the crib, measuring temperature by aggressively pressing ear thermometer into child #1 ears as observed on the video footage from 6/19/23.

Corrected Corrected by Jun 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

At the time of the complaint investigation on 6/29/23, staff person #1 straddles child #1legs and holds child #1 hands while administering unknown substance five times as observed on the video footage from 6/19/23.

Corrected Corrected by Jun 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.133(2)/3270.133(6) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. A parent shall provide written consent for administration of medication or a special diet.

At the time of the complaint investigation on 6/29/23, staff person #1 was administering unknown substance to child #1 five times as observed on the video footage from 6/19/23. Written consent for administration was not provided by parents.

Corrected Corrected by Jun 21, 2023

Category: ratio. Marked corrected in the state record.

3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

At the time of the complaint investigation on 06/22/23 at around 11:30 AM, staff of Bumblebee and Caterpillar rooms were not able to show in writing when diapers where changed. The diaper changing documents provided by the end of the day showed that diapers of some children were not checked at least every 2 hours.

Corrected Corrected by Jun 23, 2023

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