20.71(a)(7) · The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.

At the time of the renewal inspection on 9/25/25, three staff health assessments were observed on file for staff person #1. Two of the assessments were filled out but had the signature dates whited out. Staff person #1 confirmed that the health assessment dated 9/23/24 was correct. However, upon further review and confirmation received from the physician office, it was determined that the health assessment from 9/23/24 is not valid.

Corrected Corrected by Sep 25, 2025

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

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

At the time of renewal inspection on 9/25/25, file of staff person #1 did not include 12 annual clock hours of child care training. File of staff person #1 included only 11 clock hours.

Corrected Corrected by Dec 1, 2025

Category: recordkeeping. 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). 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. Staff Person #2 may not work in a child care position at the facility.

At the time of renewal inspection on 9/25/25, file of staff person #2, who is not a provisional hire, did not include DHS required FBI clearance.

Corrected Corrected by Oct 1, 2025

Category: background checks. 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. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

At the time of renewal inspection on 9/25/25 observed cots were not labeled.

Corrected Corrected by Sep 25, 2025

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

3280.111(b) · The written plan of daily activities and routines shall be posted in a traffic area used by parents.

At the time of renewal inspection on 9/25/25, a written plan of daily activities and routines was not posted in a traffic area used by parents.

Corrected Corrected by Nov 18, 2025

Marked corrected in the state record.

3280.124(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.

At the time of renewal inspection on 9/25/25, emergency contact information of child #3 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Nov 28, 2025

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

3280.131(b)(2)/3280.182(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 must contain initial and subsequent health reports.

At the time of the renewal inspection on 9/25/25, the files of child #2 and child #4 did not include updated health reports. The health report on file for child #2 is dated 1/25/24, and the health report on file for child #4 is dated 3/12/24.

Corrected Corrected by Nov 7, 2025

Category: health medication. 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.

At the time of renewal inspection on 9/25/25, file of staff person #2 and #4 did not include a health assessment conducted within 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Nov 19, 2025

Category: ratio. Marked corrected in the state record.

3280.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

At the time of the renewal inspection on 9/25/25, the health assessment for staff person #1, dated 9/23/24, was verified as not being completed by the physician's office whose signature appears on the form and is not valid.

Corrected Corrected by Sep 25, 2025

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

3280.192(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.

At the time of renewal inspection on 9/25/25, file of staff person #3 did not include a copy of the disclosure statement.

Corrected Corrected by Sep 25, 2025

Category: background checks. 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.

At the time of renewal inspection on 9/25/25 observed that emergency drill was not conducted annually, written documentation was not available.

Corrected Corrected by Oct 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.131(a)/3280.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

At the time of renewal inspection on 9/25/25, file of child #1 did not include an initial health report within 60 days of enrollment.

Corrected Corrected by Sep 26, 2025

Category: health medication. 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). 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. Staff Person #1 may not work in a child care position at the facility.

At the time of the inspection on 6/26/25, file of staff person #1 did not include the results of child abuse clearance from the state of Delaware in which staff #1 resided within the last 5 years. Staff person #1 is not provisional hires and was observed in the room with children. Non-compliance continues since 5/9/25.

Corrected Corrected by Jul 2, 2025

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

3280.191 · An individual record is required for each facility person.

At the time of the inspection on 6/26/25, facility person #2 was observed being with children in main room, did not have a complete file for volunteers.

Corrected Corrected by Jul 2, 2025

Category: recordkeeping. 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). 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. Staff Person #1 and #2 may not work in a child care position at the facility.

At the time of the inspection on 5/9/25, file of staff person #1 did not include PA State police clearance and NSOR certificate. File of staff person #2 did not include the results of child abuse clearance from the state of Delaware in staff #2 resided within the last 5 years. Staff person #1 and #2 are not provisional hires.

Corrected Corrected by May 19, 2025

Category: background checks. 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.

At the time of the inspection on 5/9/25, file of staff person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by May 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(1) · The primary staff person 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.

At the time of the inspection on 5/9/25, verification that fire drill is conducted at least every 60 days was not observed. The last fire drill logged on file was dated 1/28/25

Corrected Corrected by May 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.31(f)/3280.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1 and #2 will have until 5/25/25 to complete the required training. Until such time as the required training has been completed, staff person #1 and #2 must be supervised, when interacting with children, by primary staff who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

At the time of the inspection on 5/9/25, file of staff person #1 and #2 did not include verification that staff person #1 and #2 have completed pre-service training that includes Health and Safety topic as well as Pediatric First Aid/CPR, from a PQAS-approved trainer and PQAS approved curriculum within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by May 19, 2025

Category: supervision. Marked corrected in the state record.

3280.52(c) · 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). Two staff must be present with 7 children ranging in age from infant to preschool.

At the time of renewal inspection observed 71 children ranging in age from infant to preschool with only one primary staff persons present in the room.

Corrected Corrected by Oct 1, 2024

Category: ratio. 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.

At the time of renewal inspection observed vinyl floor tiles cracked and had missing pieces in the bathroom used by children.

Corrected Corrected by Oct 6, 2024

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. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

At the time of renewal inspection observed that rest equipment is not labeled.

Corrected Corrected by Oct 6, 2024

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

3280.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

At the time of renewal inspection cert rep observed child #1 sleeping in a bouncer seat, which is not a sleeping position recommended by the American Academy of Pediatrics.

Corrected Corrected by Oct 1, 2024

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

3280.124(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.

At the time of renewal inspection, emergency contact information of child #1 did not include health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Oct 6, 2024

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

3280.124(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.

At the time of the inspection, emergency contact information of child #2 and #3 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 6, 2024

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.

At the time of renewal inspection, file of staff person #1 did not include a health assessment.

Corrected Corrected by Oct 6, 2024

Category: ratio. Marked corrected in the state record.

3280.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

At the time of renewal inspection, a written infant meal statements and feeding schedule obtained from the parents were not observed for child #1.

Corrected Corrected by Oct 6, 2024

Category: nutrition. Marked corrected in the state record.

3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

At the time of renewal inspection, a record of child #4 didn't contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

Corrected Corrected by Oct 6, 2024

Category: ratio. Marked corrected in the state record.

3280.94(a)(1) · The primary staff person 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.

At the time of renewal inspection, verification that fire drill is conducted at least every 60 days was not observed. The last fire drill logged on file was dated 06/21/24.

Corrected Corrected by Oct 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.95(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)).

At the time of renewal inspection observed that a service label of fire extinguisher in the kitchen area expired in 2022.

Corrected Corrected by Oct 1, 2024

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

3280.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

At the time of the complaint investigation observed on the video footage that staff person #1 grabbed child #1 by the arm and put in the bathroom in the darkness for approximately one minute while holding the door closed.

Corrected Corrected by Dec 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.113(c)/3280.113(e) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. 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.

At the time of the complaint investigation observed on the video footage that staff person #1 grabbed child #1 by the arm and put in the bathroom in the darkness for approximately one minute while holding the door closed.

Corrected Corrected by Dec 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)(4)(i) · 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.

At the time of the unannounced monitoring inspection, staff person #2 did not renew pediatric first aid/CPR training in an approved PQAS curriculum. Non-compliance continues since 10/19/23.

Corrected Corrected by Dec 19, 2023

Category: ratio. Marked corrected in the state record.

3280.31(f)/3280.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At the time of the unannounced monitoring inspection, file of staff person #1 included Pediatric first aid and CPR training obtained on 5/2/23 but was not from an approved curriculum. Non-compliance continues since 10/19/23.

Corrected Corrected by Dec 19, 2023

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.

At the time of renewal inspection, emergency plan did not contain a statement regarding volunteers participating in emergency plan training and emergency drills, continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. At the time of renewal inspection, file of staff person #2 did not include Pennsylvania Health and Safety Update 2022 1 hour professional development training required by OCDEL within the prescribed timeframe which is by December 30, 2022.

Corrected Corrected by Oct 19, 2023

Category: ratio. Marked corrected in the state record.

3280.26(a)(3)/3280.26(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.

At the time of renewal inspection, emergency plan did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises, 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.

Corrected Corrected by Oct 20, 2023

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

3280.26(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

At the time of renewal inspection observed that the emergency plan was not reviewed or updated annually. Written verification of emergency plan review was not observed.

Corrected Corrected by Oct 19, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.26(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.

At the time of renewal inspection, document that staff person #1 received training regarding the emergency plan at the time of initial employment was not observed.

Corrected Corrected by Oct 26, 2023

Category: recordkeeping. Marked corrected in the state record.

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

At the time of renewal inspection file of staff person #2 did not include verification that staff obtained an annual minimum of 12 clock hours of child care training. Staff person #2 had only 4 hours of child care training.

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)(4)(i) · 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.

At the time of renewal inspection, staff person #2 did not renew pediatric first aid/CPR training in an approved PQAS curriculum.

Corrected Corrected by Oct 31, 2023

Category: ratio. 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: Staff Person #3 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. Staff person # 2 and #3 must be removed from child care position by close of business. State police clearance for staff person #2 and PA Child abuse clearance for staff person #3 must be obtained before they may resume a child care position.

At the time of renewal inspection, file of staff person #2 did not include current PA state criminal history check. LAst state police clearance on file was from 12/21/17 and was more than 60 months old. File of staff person #3, who is not a provisional hired, did not include PA state child abuse clearance.

Corrected Corrected by Oct 26, 2023

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

3280.124(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.

At the time of the renewal inspection, emergency contact information of child #1 and #2 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 26, 2023

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.

At the time of renewal inspection, the file for staff person #3 did not include an initial health assessment.

Corrected Corrected by Oct 26, 2023

Category: ratio. Marked corrected in the state record.

3280.26(a)(2)/3280.26(a)(5) · The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by § 3280.94 (relating to fire drills). The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

At the time of renewal inspection, the facility's emergency plan did not include a location for children to be sheltered away from the facility in the event of an emergency requiring relocation. Emergency plan did not include information about accommodations for infants and toddlers.

Corrected Corrected by Oct 20, 2023

Category: physical safety. 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. Staff person #1 will have until 11/3/23 to complete pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer and health and safety training. Until such time as the correction is implemented, staff person #1 must be supervised, when interacting with children, by a primary staff, who has completed the required training related to this citation. If there no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

At the time of the renewal inspection, file of staff person #1 did not include verification that staff person #1 has completed pre-service training that includes Health and Safety topic within 90 days of their date of hire (see LIS code sheet). Staff of person #1 included Pediatric first aid and CPR training obtained on 5/2/23 but was not from an approved curriculum.

Corrected Corrected by Oct 26, 2023

Category: supervision. Marked corrected in the state record.

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

At the time of renewal inspection, verification that local traffic safety authorities were notified in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was not observed.

Corrected Corrected by Oct 19, 2023

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.

AT THE TIME OF THE INSPECTION STAFF 1 DID NOT HAVE PROOF OF PEDIATRIC FIRST AID AND CPR AND WAS PAST THEIR 90 PERIOD.

Corrected Corrected by Oct 14, 2022

Category: ratio. Marked corrected in the state record.

3280.151(a) · 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.

STAFF 2 DID NOT HAVE PROOF OF A PHYSICAL ON FILE AT THE TIME OF THE INSPECTION.

Corrected Corrected by Oct 26, 2022

Category: ratio. Marked corrected in the state record.

3280.151(a) · 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.

STAFF 1 DID NOT HAVE A PHYSICAL LESS 24 MONTHS (PHYSICAL DATE 5/23/2019).

Corrected Corrected by Nov 4, 2021

Category: ratio. 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.

CENTER DO NOT HAVE PROOF OF PURCHASE FOR THE FIRE ALARM.

Corrected Corrected by Nov 4, 2021

Category: recordkeeping. Marked corrected in the state record.