3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). IF USING TIERED LIS: The required staff:child ratios must be maintained at all times.The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

During the complaint investigation on 07/16/25, Cert Rep observed staff person #1 alone in the Preschool classroom with 8 Preschool Children and 2 Young Toddlers.

Corrected Corrected by Jul 16, 2025

Category: ratio. Marked corrected in the state record.

3270.26 · A legal entity must comply with The Pennsylvania Human Relations Act (43 P. S. §§951-962.2), the Age Discrimination Act of 1975 (42 U.S.C.A. §§6101-6107), Title VI of the Civil Rights Act of 1964 (42 U.S.C.A. §§2000d-2000d-4a). Title VII of the Civil Rights Act of 1964 (42 U.S.C.A. §§2000e-2000e-5), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C.A. §794), the Americans with Disabilities Act of 1990 (42 U.S.C.A. §§12101-12514).

During the renewal inspection on 05/30/24, Cert Rep observed that the BEO form was not submitted by the provider prior to the start of the inspection or by COB on the day of the inspection.

Corrected Corrected by Jun 7, 2024

Marked corrected in the state record.

3270.75(c)/3270.75(d) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

During the renewal inspection on 05/30/24, Cert Rep did not observe gloves and bandages in the first aid kit in the toddler classroom. Cert Rep also did not observe bandages, tweezers, and a bottle of water in the first aid kit the facility takes on excursions.

Corrected Corrected by Jun 7, 2024

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

3270.123(a)(3) · 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 in § 3270.124(f) (relating to emergency contact information).

During the renewal inspection on 05/30/24, Cert Rep did not observe child growth and development reports in the child records of child #1 - #5.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. 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.

During the renewal inspection on 5/30/24, Cert Rep did not observe a completed health assessment in the staff file of staff person #3.

Corrected Corrected by Jun 21, 2024

Category: ratio. Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

During the renewal inspection on 05/30/24, Cert Rep observed that the child records were not stored in a locked cabinet onsite at the facility.

Corrected Corrected by Jun 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

During the renewal inspection on 05/30/24, Cert Rep observed that the staff records were not stored in a locked cabinet onsite at the facility.

Corrected Corrected by Jun 7, 2024

Category: recordkeeping. 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 05/30/24, Cert Rep did not observe the annual minimum of 12 clock hours of child care training in the files of staff person #1 and staff person #2.

Corrected Corrected by Jun 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

During my investigation it was found that staff 1 did not provider proper supervision.

Corrected Corrected by Nov 9, 2023

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.

During my complaint investigation It was found that the provider had 1 staff member in the facility providing care for more than two children.

Corrected Corrected by Nov 10, 2023

Category: recordkeeping. 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.

While reviewing the staff's files I observed that staff 2, did not have fire safety training.

Corrected Corrected by Jul 7, 2023

Category: recordkeeping. 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.

While reviewing the staff's files I observed that staff 2, did not have their annual written evaluation.

Corrected Corrected by Jul 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

While reviewing the children's files I observed that child 1, did not have his policy number on his emergency contact sheet.

Corrected Corrected by Jul 7, 2023

Category: health medication. 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.

While reviewing the staff's files I observed that staff 1, 3, did not have verification of the child care experience.

Corrected Corrected by Jul 7, 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 Person # 2 may not work in a child care position at the facility.

While reviewing the staff's files I observed that staff 2, did not have their mandated reporter training.

Corrected Corrected by Jul 7, 2023

Category: background checks. 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 my inspection I observed that the facility did not have all required accommodation.

Corrected Corrected by Jul 7, 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 my inspection I observed that the facility has not sent their emergency plan to their local municipality and to the county emergency management agency.

Corrected Corrected by Jul 7, 2023

Category: physical safety. 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.

While conducting my investigation I observed that the kitchen was not clean. The refrigerator was nasty and dirty. The counters, and trash can were also very dirty and sticky.

Corrected Corrected by May 23, 2022

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.

While reviewing the children's files I observed that child 3 did not have their health insurance coverage and policy on their emergency contact sheet.

Corrected Corrected by Jun 17, 2022

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

3270.62(a) · A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

While conducting my inspection I observed that the facility was using their indoor play space as a class room.

Corrected Corrected by Jun 17, 2022

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

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

While conducting my inspection I observed that the water temperature exceeded 110 degree.

Corrected Corrected by Jun 17, 2022

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.

While conducting my inspection I observed that the rest equipment in the main room was not labeled.

Corrected Corrected by Jun 17, 2022

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

While conducting my inspection I observed that the facility did not have a play space schedule posted.

Corrected Corrected by Jun 17, 2022

Category: physical safety. 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.

While conducting my inspection I observed that staff 3 used a high chair to restrain a child.

Corrected Corrected by Jun 17, 2022

Category: recordkeeping. 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.

While reviewing the children's files I observed that child 2 did not have their address of whom they could be released to on their emergency contact sheet.

Corrected Corrected by Jun 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(3) · The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

While reviewing the children's files I observed that child I observed that child 1, 4, did not have current physical.

Corrected Corrected by Jun 17, 2022

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

While conducting my inspection I observed that staff 3 did not wash the child's hands after diapering.

Corrected Corrected by Jun 17, 2022

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

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

While conducting my inspection I observed that staff 3 did not wipe down the changing table after changing a child.

Corrected Corrected by Jun 17, 2022

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

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

While conducting my inspection I observed that the facility did not label their bottles.

Corrected Corrected by Jun 17, 2022

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.

While reviewing the children's files I observed that child 3 did not have all the required signature on the bottom of their emergency contact sheet.

Corrected Corrected by Jun 17, 2022

Category: transportation. 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.

While reviewing the staff's files I observed that staff 2 did not have a current health assessment.

Corrected Corrected by Jun 17, 2022

Category: health medication. 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 Person # 3 may not work in a child care position at the facility.

While reviewing the staff's files I observed that staff 3, hired on August, 2021, did not have a current child abuse clearance.

Corrected Corrected by Jun 17, 2022

Category: background checks. 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.

While conducting my inspection I observed that the facility was not conducting emergency drill and documenting them.

Corrected Corrected by Jun 17, 2022

Category: recordkeeping. 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.

While reviewing the staff's files I observed that staff 1 did not have their 12 clock hours of child care training.

Corrected Corrected by Jun 17, 2022

Category: recordkeeping. Marked corrected in the state record.