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.

During renewal inspection on 5/7/25, plastic bags accessible to infants and toddler children were observed in cubbies in the main room, the toddler room, and the indoor play space, and in the infant room under the unlocked changing table.

Corrected Corrected by May 9, 2025

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.

At time of renewal inspection on 5/7/25, the two cribs in the infant room were not labeled.

Corrected Corrected by May 9, 2025

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

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

During renewal inspection on 5/7/25, the agreements observed in the child files were the original signed and dated agreements, not copies of the agreement.

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(c)/3270.124(d) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. 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 5/7/25, complete emergency information for each child was not present in the classrooms where the children were receiving care. Only partial emergency information was available in each room.

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

During renewal inspection on 5/7/25, the health assessment on file for staff person #1 had a statement from the physician that indicated a communicable disease, with no documentation on if there is any risk to children in care.

Corrected Corrected by May 30, 2025

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

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

During renewal inspection on 5/7/25, the facility had not requested a formula and feeding schedule from the parents for the enrolled infants.

Corrected Corrected by May 12, 2025

Category: nutrition. 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a 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. Facility Person #--- may not work in a child care position at the facility.

At time of unannounced inspection on 3/6/25, during facility staff file review, staff person #1, who is past the provisional hiring period, was observed working with children and did not have a complete PA criminal clearance on file.

Corrected Corrected by Mar 7, 2025

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

3270.151(c)(2) · 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.

At time of unannounced inspection on 3/6/25, during facility staff file review, it was observed that staff person #1 did not have a TB test date or date of results on the initial health assessment dated 12/7/24, so it was unable to be determined if the TB testing was completed within the past year.

Corrected Corrected by Mar 24, 2025

Category: health medication. 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.

At time of unannounced inspection on 3/6/25, the facility's initial certificate of compliance was posted in a conspicuous location at the facility.

Corrected Corrected by Mar 10, 2025

Marked corrected in the state record.