3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

During unannounced visit certification rep reviewed asked to see medication log for child 1. Child 1 did not have a medication log

Corrected Corrected by Jun 17, 2025

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 unannounced visit certification rep reviewed observed chipped paint throughout the room on the first floor. Plaster in the first and second bathrooms.

Corrected Corrected by Jun 28, 2025

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

During renewal inspection, certification rep observed missing handwashing signs in the second bathroom.

Corrected Corrected by Jun 6, 2025

Category: health medication. 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.

During unannounced visit certification rep observed 3 year old child in a high chair.

Corrected Corrected by Jun 6, 2025

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 unannounced visit certification rep reviewed emergency drill log. Last documented emergency drill was 4-15-24

Corrected Corrected by Jun 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

During unannounced visit certification rep reviewed fire drill log. Last documented fire drill was 3-6-25

Corrected Corrected by Jun 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(2) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at different times of the day or night, or both, if applicable.

During unannounced visit certification rep reviewed fire drill log. Fire drill log did not have dates of when the fire alarm was tested.

Corrected Corrected by Jun 16, 2025

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.

File records for Staff #1 and Staff #2 did not include a written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Corrected Corrected by Dec 20, 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.

Certification Representative observed chipped/peeled paint/plaster in the children's bathroom

Corrected Corrected by Dec 20, 2024

Category: physical safety. 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.

File record for Child #1 did not include the addresses of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Dec 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Certification Representative observed the facility play area did not include play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Corrected Corrected by Dec 15, 2023

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

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

File record for Child #3 did not include the persons designated by a parent to whom the child may be released.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

File record for Child #1 did not include the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Dec 15, 2023

Category: health medication. 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.

File record for Child #1 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits

Corrected Corrected by Dec 15, 2023

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.

File records for Child #1 and Child #2 did not include the addresses of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f) · 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.

File records for Child #1, Child #2, and Child #3 did not include an update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Corrected Corrected by Dec 15, 2023

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.

File record for Child #4 did not include signed parental consent for emergency medical care for the child.

Corrected Corrected by Dec 15, 2023

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.

File record for Child #4 did not include signed parental consent for administration of minor first-aid procedures by facility staff

Corrected Corrected by Dec 15, 2023

Category: ratio. Marked corrected in the state record.

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

On 1/27/23, during the renewal inspection, located in front room childcare space, the blue shelving unit that was holding dolls was not sturdy and broken on the bottom shelf causing a potential falling hazard for the children.

Corrected Corrected by Jan 28, 2023

Category: physical safety. 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.

On 01/27/2023, during the renewal inspection, the facility's emergency plan did not address continuity of operations after an emergency situation has occurred.

Corrected Corrected by Jan 30, 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.

On 01/27/2023, during the renewal inspection, there was no evidence of a facility policy addressing Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment.

Corrected Corrected by Feb 1, 2023

Category: ratio. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

On 01/27/2023, during the renewal inspection, the facility's emergency plan did not indicate the method facility persons will use to contact parents when an emergency situation arises and what method facility persons will used to inform parents that an emergency has ended and how parents can safely be reunited with their children.

Corrected Corrected by Jan 30, 2023

Category: physical safety. 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.

On 01/27/2023, during the renewal inspection, Staff person #2 was left alone in the facility with 8 napping children when Staff person # 1 left out of the building for break and Staff person #3 left out of the building to go to their car.

Corrected Corrected by Jan 30, 2023

Category: recordkeeping. 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.

On 1/27/23, during the Renewal Inspection, The facility's outdoorplay area is unavailable for use due to safety hazards and unsafe conditions.

Corrected Corrected by Jan 28, 2023

Category: physical safety. 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.

On 1/27/23, during the Renewal Inspection, there was a missing outlet cover located in the bathroom near the changing table and in the back classroom.

Corrected Corrected by Jan 28, 2023

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.

On 1/27/23, during the Renewal Inspection, - There was a total of 6 hand industrial hand sanitizer dispensers located in the front classroom area. The dispensers are all accessible to the children to use independently. -There was a candle and a can of air freshener located on top of the front cubbies that are accessible to children. -There was a total of 2 bottles of hand sanitizer on the teacher's desk in the front classroom area and another bottle located in the bottom black crate located next to the teacher's desk. -There was perfume lotion and hand sanitizer located on the teacher's desk in the back classroom area accessible to the children.

Corrected Corrected by Jan 28, 2023

Marked corrected in the state record.

3270.75(b)/3270.133(4) · A first-aid kit must be inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

On 1/27/23, during the Renewal Inspection, a first aid kit located in the black bookbag was hanging on a lower hook in the front of the main classroom accessible to the children. The first aid kit also contained a bottle of Aspirin.

Corrected Corrected by Jan 27, 2023

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

On 1/27/23, during the Renewal Inspection, soap was missing from the first aid kit located in the front classroom and gauze was missing from the first aid kit located in the bag used for excursions.

Corrected Corrected by Jan 27, 2023

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

3270.75(d) · 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).

On 1/27/23, during the Renewal Inspection, a bottle of water was missing from the first aid kit located in the black bookbag that was taken by staff on the walking excursion with the children.

Corrected Corrected by Jan 27, 2023

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

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. -

On 01/27/2023, during the renewal inspection, the following non-compliance was observed with facility surfaces: - on the wall by the bathroom whole in the sheetrock and chipped paint was present and protruding screws that are accessible.to children - large folding tables, folding chairs, crates. and storage items boxes were present in the back classroom space. - dirt was present along the parameter and the floor of the back classroom. - classoom rug in the back room was dirty -In the bathroom used by the children, the changing table front panel was broken - the outdoor play space area had large wood panels on the ground, broken fencing, where there were open spaces of panels that are missing, exposed and protruding nails on the wooden fence, broken areas in the wired gate and leaves and debris throughout the play space area which is a hazard and is unsafe for the children.

Corrected Corrected by Jan 28, 2023

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

3270.92(a) · Portable space heaters are not permitted.

On 1/27/23, during the Renewal Inspection, there was a portable space heater located in the back classroom near the teacher's desk.

Corrected Corrected by Jan 27, 2023

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

On 01/27/2023, during the renewal inspection, multiple plastic bags were observed throughout the facility and accessible to the children. bags on shelves, in the drawers by the teacher's desk and encasing the children's blankets in the back cubbies. A plastic sheet was covering materials located in front cubby by the teacher's desk.

Corrected Corrected by Jan 27, 2023

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.

On 01/27/2023, during the renewal inspection, staff person #2 was observed assisting two children inside the bathroom, while the remainder of their group of children was playing in the back of the classroom. Staff person #1 and #3 were in the front half of the classroom preoccupied with another group of children and copying emergency contact documents.

Corrected Corrected by Feb 2, 2023

Category: supervision. 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.

On 1/27/23, during the time of the renewal inspection, 8 children were present in the childcare space, however, only 7 children were identified by staff person #1 and staff person #2 when asked to identify their specific children assigned to them for the responsibility of supervision.

Corrected Corrected by Feb 2, 2023

Category: supervision. Marked corrected in the state record.

3270.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

On 01/27/2023, during the renewal inspection, the facility handbook did not address the responsibility of meals.

Corrected Corrected by Jan 30, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

On 01/27/2023, during the renewal inspection, the agreement for child #1 was not signed by the parent.

Corrected Corrected by Jan 27, 2023

Category: recordkeeping. 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).

On 01/27/2023, during the renewal inspection, updated child service reports were not completed for child #1 and child #2.

Corrected Corrected by Feb 16, 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.

On 1/27/23, during the Renewal Inspection, the emergency contact information for Child #2 and #3 did not include health insurance policy numbers.

Corrected Corrected by Jan 31, 2023

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)).

On 01/27/2023, during the renewal inspection, proof of purchase was not on file for the fire detection system.

Corrected Corrected by Jan 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

On 01/27/2023, during the renewal inspection, emergency contact information was not in the childcare space for children receiving care in the space.

Corrected Corrected by Jan 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f) · 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.

On 01/27/2023, during the renewal inspection, the emergency contact information for child #1 was not updated within a 6 month period.

Corrected Corrected by Jan 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

On 01/27/2023, during the renewal inspection, the file of Child #2 did not contain an updated health assessment.

Corrected Corrected by Feb 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.

On 01/27/2023, during the renewal inspection, Child #2 and Child #3 did not have the recommended influenza vaccinations.

Corrected Corrected by Jan 27, 2023

Category: health medication. 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.

On 01/27/2023, during the renewal inspection, the heath assessment for Child #1 and Child #4 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Feb 6, 2023

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

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

On 01/27/2023, during the renewal inspection, the menu was not conspicuously posted at least 1 week in advance.

Corrected Corrected by Jan 30, 2023

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.

On 01/27/2023, during the renewal inspection, there was no documentation on file that an annual drill of the facility's emergency plan was conducted.

Corrected Corrected by Feb 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

On 1/27/23, during the Renewal Inspection, the facility did not provide the parent of each child enrolled with information on how to access the regulations and information for contacting the appropriate regional child care office.

Corrected Corrected by Jan 30, 2023

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.

On 1/27/23, during the renewal Inspection, there was no evidence on file to confirm the facility's emergency plan was sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Jan 31, 2023

Category: recordkeeping. 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.

The play space was unavailable for children to play on as there was severe debris in the exterior field.

Corrected Corrected by Mar 4, 2022

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

3270.62(c) · Outdoor or indoor play space shall be safe for large muscle activity.

The play space was unavailable for children to play on as there was severe debris in the exterior field.

Corrected Corrected by Mar 4, 2022

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

3270.63/3270.64 · 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.

There were twigs; cans and other debris in the exterior yard (play space) at the time of the renewal inspection.

Corrected Corrected by Mar 4, 2022

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

3270.61 · Measurement and use of indoor child care space

The rear child care room was not set up for child care with proper equipment and instead appeared to be an empty room with a few chairs.

Corrected Corrected by May 6, 2022

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