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.

Based on investigation and interviews with staff and children on 4/17/2025, it was verified that staff had previously used a high chair as a way to put children in time out. Equipment cannot be used to restrain a child, confine a child and/or restrict their movements.

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.115(a)(6) · When children are swimming, supervision shall include one person certified in lifeguard training, as described in § 3270.31(e)(4)(iii) (relating to age and training).

Based on investigation on 4/17/2025, it was substantiated that the operator had previously taken children to swimming activities and there was not a staff person who was certified in lifeguard training as required.

Corrected Corrected by Apr 18, 2025

Category: supervision. Marked corrected in the state record.

3270.175(a) · A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

Based on investigation on 4/17/2025, it was substantiated that the facility staff had previously transported children who were not properly seat-belted in the vehicle due to too many children in one vehicle.

Corrected Corrected by Apr 18, 2025

Category: transportation. 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.

Facility staff #1 did not have acceptable verification of education on file. The staff's education was from a foreign country and did not include an evaluation for the US equivalency.

Corrected Corrected by May 5, 2025

Category: recordkeeping. 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.

At the time of inspection on 4/8/2025, Certification Representative observed the upstairs classroom was out of ratio. There was 1 staff supervising 11 children when a second staff left the room.

Corrected Corrected by Apr 8, 2025

Category: supervision. 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.

At the time of inspection on 4/8/2025, Certification Representative observed a closed containing cleaning supplies was not locked or made inaccessible

Corrected Corrected by Apr 8, 2025

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.

At the time of inspection on 4/32024, Certification Representative observed a hand sanitizer dispenser hanging on a wall, that contained hand sanitizer that was not locked or made inaccessible to children.

Corrected Corrected by Apr 3, 2024

Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

At the time of inspection on 4/3/2024, Certification Representative observed in the upstairs classroom several children napping on rest equipment that did not have at least 2 feet of space on three sides.

Corrected Corrected by Apr 8, 2024

Category: physical safety. 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).

At the time of inspection, the records for facility child #1 did not have the required Child Service Report or any other approved growth and development assessment completed every 6 months.

Corrected Corrected by Apr 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health assessment on file for facility child #1 did not have a statement that the child is able to participate in child care and appears to be free from contagious or communicable diseases.

Corrected Corrected by Apr 15, 2024

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

At the time of inspection on 4/3/2024 Certifcation Representative observed two non-prescription medications in an unlocked closet/bathroom area sitting in two car seats that were on the floor and not made inaccessible.

Corrected Corrected by Apr 8, 2024

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

3270.162(b)/3270.165 · Meals and snacks may be provided by the parent, upon agreement between the parent and the operator. An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

At the time of inspection on 4/3/2024, the operator had a menu posted in the kitchen but informed Cert Reps that this menu is not followed. The operator stated parents are supposed to provide lunches but only two parents did that day and they would feed the remaining children. The operator stated this is an ongoing issue with parents not providing lunches for the children. On the day of inspection, the operator provided children with water, beefaroni and fruit for lunch which was different than the posted menu.

Corrected Corrected by Apr 15, 2024

Category: nutrition. 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.

At the time of inspection, the diploma that was in the file for facility staff #1 was not an approved educational entity. The online school did was not an accredited program offering a high school diploma. Facility staff #1 did not have the required acceptable verification of education on file.

Corrected Corrected by Apr 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

At the time of inspection, the operator did not have written documentation of monthly fire system checks.

Corrected Corrected by Apr 8, 2024

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.

During the renewal inspection conducted on 4/26/2023 observed staff person #1, #2, #3, and #4's files did not include verification of emergency plan training at the time of initial employment and on an annual basis.

Corrected Corrected by May 5, 2023

Category: recordkeeping. 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 4/26/2023 observed air freshener sprays child accessible under the changing table. Corrected on site 4/26/2023.

Corrected Corrected by May 5, 2023

Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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 conducted on 4/26/2023 observed child #1's emergency contact information and financial agreement were not reviewed within the 6-month time frame. The last time they were reviewed was 8/17/2022.

Corrected Corrected by May 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

During the renewal inspection conducted on 4/26/2023 observed child #1's health report did not include an up-to-date influenza vaccine. The last vaccine on file is from 12/14/2018.

Corrected Corrected by May 5, 2023

Category: health medication. 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 allocated unannounced monitoring inspection conducted on 7/21/2022 observed damaged paint at the entrance hallway and and in the 2nd floor indoor play space.

Corrected Corrected by Jul 29, 2022

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

3270.115(a)(6) · When children are swimming, supervision shall include one person certified in lifeguard training, as described in § 3270.31(e)(4)(iii) (relating to age and training).

During allocated unannounced monitoring inspection conducted on 7/21/2022 observed 2 inflatable pools in the outside play space. The provider stated that they are used for wading and sitting in.

Corrected Corrected by Jul 29, 2022

Category: supervision. 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 3/4/2022 observed an infant asleep in a bouncy chair on top of a play pen.

Corrected Corrected by Apr 11, 2022

Category: physical safety. 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 conducted on 3/4/2022 observed staff person #1 and #2's records did not contain emergency plan training verification.

Corrected Corrected by Apr 11, 2022

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 conducted on 3/4/2022 observed staff person #1's first-aid and CPR training is not pediatric. Observed staff person #2's record did not contain pediatric first-aid and CPR training.

Corrected Corrected by Apr 11, 2022

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

During the renewal inspection conducted on 3/4/2022 observed staff person #2's file did not contain firesafety training.

Corrected Corrected by Apr 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: Health & Safety training.

During the renewal inspection conducted on 3/4/2022 observed staff person #1 and #2's files did not contain Health & Safety training.

Corrected Corrected by Apr 11, 2022

Category: health medication. 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 3/4/2022 observed staff person #2's file did not include State Police clearance, disclosure statement, FBI clearance and Mandated Reporter training.

Corrected Corrected by Apr 11, 2022

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 conducted on 3/4/2022 observed staff person #2's record did not contain a written evaluation.

Corrected Corrected by Apr 11, 2022

Category: recordkeeping. 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 the renewal inspection conducted on 3/4/2022 observed 15 children with 2 staff with the youngest child being 5 months old in the downstairs child care space.

Corrected Corrected by Apr 11, 2022

Category: ratio. Marked corrected in the state record.

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

During the renewal inspection conducted on 3/4/2022 observed the front door did not have a visual strip or other visual identification placed on the glass.

Corrected Corrected by Apr 11, 2022

Category: physical safety. 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 conducted on 3/4/2022 observed trash bags obstructing the facility's back door.

Corrected Corrected by Apr 11, 2022

Marked corrected in the state record.

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

During the renewal inspection conducted on 3/4/2022 observed 4 children in high chairs that were not strapped into the high chair.

Corrected Corrected by May 11, 2022

Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

During the renewal inspection conducted on 3/4/2022 observed the rest equipment on the second floor had 4 inches of space on three sides of the equipment.

Corrected Corrected by Apr 11, 2022

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During the renewal inspection conducted on 3/4/2022 observed child #2, #3 and #5's emergency contact information did not include the work address and telephone numbers of the enrolling parent.

Corrected Corrected by Apr 11, 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.

During the renewal inspection conducted on 3/4/2022 observed child #1, #3 and #5's emergency contact information did not include the address of the individual designated by the parent to whom the child may be released. Observed child #1's emergency contact information did not include the telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 11, 2022

Category: recordkeeping. 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 conducted on 3/4/2022 observed child #1, #3 and #4's emergency contact information was not reviewed and updated in a 6-month period. Observed child #1 and #4's financial agreement was not reviewed and updated in a 6-month period.

Corrected Corrected by Apr 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

During the renewal inspection conducted on 3/4/2022 observed child #3 and #5's record did not contain signed parental consent for emergency medical care for the child.

Corrected Corrected by Apr 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

During the renewal inspection conducted on 3/4/2022 observed child #1, #3 and #5's record did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Apr 11, 2022

Category: ratio. Marked corrected in the state record.

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

During the renewal inspection conducted on 3/4/2022 observed staff person #1's record did not contain verification of age.

Corrected Corrected by Apr 11, 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 conducted on 3/4/2022 observed staff person #2's record did not include verification of child care experience, education and training prior to service at the facility.

Corrected Corrected by Apr 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · 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 conducted on 3/4/2022 observed staff person #2's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Apr 11, 2022

Category: recordkeeping. Marked corrected in the state record.