3280.192(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.

In review of staff files, staff person 2's file failed to include two nonfamily letters of references.

Corrected Corrected by Jan 19, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · 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 2 must be supervised, when interacting with children at a minimum by, a primary staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person 2, staff person 2 may not work in a child-care position at the facility.

Staff person 2 was observed to be caring for children unsupervised. Staff person 2 has not completed the following pre- service training required prior to caring for children unsupervised: health and safety topics, Pediatric First Aid and CPR, and mandated reporter training.

Corrected Corrected by Jan 19, 2026

Category: supervision. Marked corrected in the state record.

3280.26(c)/3280.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff persons 1 and 2 had not been trained on the facility's emergency plan at the time of the renewal inspection on Friday. 12/19/25.

Corrected Corrected by Jan 19, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)/3280.192(2)(iii) · A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

In review of staff files, staff person 1's file failed to include 12 hours of annual child care training,

Corrected Corrected by Jan 19, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, staff person 2 must be supervised, when interacting with children at a minimum by, a primary staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person 2, staff person 2 may not work in a child-care position at the facility.

Staff person 2 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Jan 19, 2026

Category: supervision. Marked corrected in the state record.

3280.34(b)(5)/3280.192(2)(ii) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

In review of staff files, staff person 2's file failed to include verification of education and 2 years of experience caring for children.

Corrected Corrected by Jan 19, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.105(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 renewal inspection on Friday, 12/19/25, cert rep observed rest equipment in use was not spaced with 2 feet on three sides.

Corrected Corrected by Jan 19, 2026

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

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

In review of children's files, child 1 enrolled 6 months or more, failed to have an updated service report providing information about the child's growth and development. Child service report on file was last completed on 11/11/24.

Corrected Corrected by Jan 19, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During renewal inspection on Friday, 12/19/25, cert rep observed that children did not wash their hand before eating lunch.

Corrected Corrected by Jan 19, 2026

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

3280.95(a)/3280.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met

During renewal inspection on Friday, 12/19/25, fire safety documents was reviewed, facility failed to have tested their smoke detection system once every 30 days. The last documented tested was recorded on 11/02/25.

Corrected Corrected by Dec 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person 2 must be supervised, when interacting with children at a minimum by, a primary staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person 2, staff person 2 may not work in a child-care position at the facility.

Staff person 2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): health and safety topics and Pediatric First Aid and CPR.

Corrected Corrected by Jan 19, 2026

Category: supervision. Marked corrected in the state record.

3280.134(a)/3280.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

During unannounced inspection on Monday, 01/13/24, cert rep observed a child and staff failed to wash their hands after a diaper change.

Corrected Corrected by Jan 13, 2025

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

3280.14/3280.20 · 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 2 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person 2, staff person 2 may not work in a child-care position at the facility.

Staff person 2 was observed to be caring for children unsupervised. Staff person 2 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety topics.

Corrected Corrected by Jan 10, 2025

Category: supervision. Marked corrected in the state record.

3280.26(a) · The facility shall have an emergency plan.

During renewal inspection on Tuesday, 12/10/24, provider failed to locate facility's emergency plan.

Corrected Corrected by Jan 10, 2025

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

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

During renewal inspection on Tuesday, 12/10/24, cert rep observed cleaning materials under the sink in the 2nd floor bathroom.

Corrected Corrected by Jan 10, 2025

Category: ratio. Marked corrected in the state record.

3280.26(c)/3280.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person 1 had not been trained on the facility's emergency plan at the time of the renewal inspection on Tuesday. 12/10/24.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.26(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

During the renewal inspection on Tuesday, 12/10/24, cert rep observed the facility's emergency plan failed to be posted.

Corrected Corrected by Jan 10, 2025

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

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person 2 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.

In review of staff files, staff person 2, employed more than 45 days, file failed to include child abuse clearance for employment. Child abuse clearance contained in file was for a volunteer. At unannounced inspection on Monday, 01/13/25, in review of staff files, staff person 2, who was present at the facility, file did not contain the child abuse clearance for employees.

Corrected Corrected by Jan 13, 2025

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

3280.34(c) · A primary staff person shall supervise the performance of a secondary staff person.

During renewal inspection on Tuesday, 12/10/24, cert rep observed a secondary staff member working unsupervised.

Corrected Corrected by Dec 10, 2024

Category: supervision. Marked corrected in the state record.

3280.52(a)(2) · At least two facility persons shall accompany any number of children on an excursion away from a facility.

During the renewal inspection on Tuesday, 12/10/24, cert rep observed a secondary staff member leave the facility alone with 2 children on a walking excursion to pick up a child from school.

Corrected Corrected by Dec 10, 2024

Marked corrected in the state record.

3280.52(c)/3280.113(a)(2) · 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 at §3280.52(b). The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3280.51--3280.53.

During renewal inspection on Tuesday, 12/10/24, cert rep observed 2 staff members with 10 children (2 infants, 4 young toddlers, 1 older toddler and 3 preschoolers). At unannounced inspection on Monday, 01/13/25, cert rep observed 2 staff members with 9 children (1 infant 4 young toddlers, 2 older toddlers and 2 preschoolers).

Corrected Corrected by Jan 13, 2025

Category: supervision. Marked corrected in the state record.

3280.75(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 §3280.75(c).

During renewal inspection on Tuesday, 12/10/24, cert rep observed a staff member leave on a walking excursion and failed to have a first-aid kit present.

Corrected Corrected by Jan 10, 2025

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

3280.76 · 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.

During renewal inspection on Tuesday, 12/10/24, cert rep observed a damaged closet door in the basement childcare space.

Corrected Corrected by Jan 10, 2025

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

3280.105(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.

During renewal inspection on Tuesday, 12/10/24, cert rep observed an infant child asleep in a swing.

Corrected Corrected by Jan 10, 2025

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

3280.113(a)/3280.113(a)(1) · 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. 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.

During renewal inspection on Tuesday, 12/10/24, cert rep observed children using the bathroom on the 2nd floor unsupervised.

Corrected Corrected by Dec 10, 2024

Category: supervision. Marked corrected in the state record.

3280.124(b)(4)/3280.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

In review of children's files, child 1 and 2 emergency contact and file failed to have signed parental consent for emergency medical care.

Corrected Corrected by Jan 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(d) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

During renewal inspection on Tuesday, 12/10/24, cert rep observed a staff member failed to take children's emergency contact information on a walking excursion.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During renewal inspection on Tuesday, 12/10/24, cert rep observed facility failed to have a written plan identifying the means of transporting a child to emergency care and staffing provisions, accompany a staff person who was on a walking excursion with children.

Corrected Corrected by Jan 10, 2025

Category: transportation. Marked corrected in the state record.

3280.124(f)/3280.181(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.

In review of children's files, child 2's emergency contact and fee agreement failed to be updated within a 6-month period.

Corrected Corrected by Jan 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.151(a)/3280.192(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.

In review of staff files, staff person 2 file failed to include a staff health assessment.

Corrected Corrected by Jan 10, 2025

Category: ratio. Marked corrected in the state record.

3280.151(c)(2)/3280.192(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.

In review of staff files, staff person 2 file failed to include results of the TB screening by the results Mantoux method.

Corrected Corrected by Jan 10, 2025

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

3280.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

In review of children's file, cert rep observed an individual record was not provided for each child. Children who were in the same family shared a file.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

In review of children files, child 1 and 2 file failed to have signed parental consent for administration of minor first-aid procedures.

Corrected Corrected by Jan 27, 2025

Category: ratio. Marked corrected in the state record.

3280.192(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.

In review of staff files, staff person 2 file failed to include two nonfamily letters of references. File only contained 1 letter of reference.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

In review of fire safety documents, facility failed to have tested their smoke detection system once every 30 days and document testing or have verification the smoke detection system was inspected by a fire safety professional.

Corrected Corrected by Dec 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.31(f)/3280.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person 2 will have until 12/25/24 to complete the required training. Until such time as the required training has been completed, staff person 2 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person 2, staff person 2 may not work in a child-care position at the facility. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Staff person 2 has not completed the following required pre-service training within 90 days of their date of hire: health and safety training topics.

Corrected Corrected by Dec 25, 2024

Category: supervision. Marked corrected in the state record.

3280.14/3280.20 · 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 trainings are completed, staff person 1 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person 1, staff person 1 may not work in a child care position at the facility.

Staff person 1 was observed to be caring for children unsupervised. Staff person 1 did not have current pediatric first-aid/CPR training. Previously documented pediatric first-aid/CPR training expired on 10/21/23.

Corrected Corrected by Dec 11, 2023

Category: supervision. Marked corrected in the state record.

3280.14/3280.20 · 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.

In review of emergency plan and health and safety documents, facility's emergency plan failed to include statement regarding continuity of operations and have a policy addressing signs and symptoms of shaken baby syndrome and abusive head trauma and the prevention and identification of child maltreatment.

Corrected Corrected by Jan 22, 2024

Category: ratio. Marked corrected in the state record.

3280.26(c)/3280.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person 1 had not been trained on the facility's emergency plan at the time of the renewal inspection on Monday, 12/11/23.

Corrected Corrected by Jan 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)(4)(i)/3280.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person 1 did not have current pediatric first-aid/CPR training. Previously documented pediatric first-aid/CPR training expired on 10/21/23.

Corrected Corrected by Jan 22, 2024

Category: ratio. Marked corrected in the state record.

3280.124(b)(4)/3280.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

In review of children's files, emergency contacts and files failed to contain parent's signed consent for emergency medical care.

Corrected Corrected by Jan 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During renewal inspection on Monday, 12/11/23, cert rep observed a written plan identifying the means of transporting a child to emergency care and staffing provisions failed to be posted at the facility.

Corrected Corrected by Jan 22, 2024

Category: transportation. Marked corrected in the state record.

3280.151(a)/3280.192(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.

In review of staff files, staff person 1 file failed to a health assessment.

Corrected Corrected by Jan 22, 2024

Category: ratio. Marked corrected in the state record.

3280.151(c)(2)/3280.192(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.

In review of staff files, staff person 1 file failed to include TB results.

Corrected Corrected by Jan 22, 2024

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

3280.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

In review of children's files, files failed to contain parent's signed written consent for administration of minor first-aid.

Corrected Corrected by Jan 22, 2024

Category: ratio. Marked corrected in the state record.

3280.26(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.

In review of facility's emergency plan, emergency plan failed to provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jan 22, 2024

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

In review of emergency plan documents, facility failed to have conducted an annual drill on the facility's emergency plan.

Corrected Corrected by Jan 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.95(b) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

In review of fire safety documents, facility failed to have document testing of their smoke detection system once every 30 days.

Corrected Corrected by Dec 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

In review of facility's emergency plan, emergency plan failed to address lock-down procedures.

Corrected Corrected by Jan 22, 2024

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

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

File Record for Staff #1 and Staff #2 did not include 12 clock hours of child care training

Corrected Corrected by Jan 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.181(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.

File records for Child #1, Child #2, and Child #3 did not include a review and update of the emergency contact information at least once in a 6 month period

Corrected Corrected by Jan 6, 2022

Category: recordkeeping. Marked corrected in the state record.