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. Until such time as the required pre- service trainings are completed, staff persons#2 #3 #4 #5 and #6- must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home 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 persons #2 #3 #4 #5 and #6, staff person #2 #3 #4 #5 and #6 may not work in a child-care position at the facility.

During the inspection on 1/13/26 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: Mandated Reporters Training. Staff person#3 and #4 were observed to be caring for children unsupervised (together). Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: Health and Safety Pt 1 and Pediatric First Aid and CPR. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety Pt 1 Pediatric First aid and CPR and Mandated Reporters Training. Staff persons #5 and #6 were observed to be caring for children unsupervised. (Together) Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid. Staff person #6 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Pt 1 and Pediatric first aid and CPR.

Corrected Corrected by Jan 30, 2026

Category: supervision. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

During the inspection on 1/13/26 staff persons #3 #6 and #8 do not have verification of Training in the Emergency Plan.

Corrected Corrected by Jan 16, 2026

Category: recordkeeping. Marked corrected in the state record.

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

On 1/13/26 staff person #8 did not have verification of fire safety training on file at the facility.

Corrected Corrected by Jan 16, 2026

Category: recordkeeping. 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: Staff Person #1 #7 and $4 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 #1 #4 and #7may not work in a child care position at the facility.

During the inspection on 1/13/26 Staff person #1 had an expired Child Abuse and NSOR clearance. Staff person #7 had an expired PA state police clearance and NSOR. Staff person #4 did not have a PA State Police Clearance, PA Child Abuse Clearance, FBI or NSOR clearance on file at the facility.

Corrected Corrected by Jan 30, 2026

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

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

During the inspection on 1/13/26 staff person #5 was observed working alone with a group of older toddlers in the playroom. Continued non-compliance transferred to SIN-00284089

Corrected Corrected by Jan 13, 2026

Category: supervision. Marked corrected in the state record.

3270.52 · 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 in § 3270.51 (relating to similar age level).

During the inspection on 1/13/26, staff person #1 was observed working alone with 4 infants and two young toddlers. Staff person #5 was observed working alone in the playroom with 7 older toddlers.

Corrected Corrected by Jan 13, 2026

Category: ratio. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

During the inspection on 1/13/26 industrial wall paint was observed in a storage room that did not have a door and was accessible to the children. Continued non-compliance transferred to SIN-00284089

Corrected Corrected by Jan 16, 2026

Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

During the inspection on 1/13/26 the heater in the upstairs bathroom, exceeding 110F did not have a protective guard.

Corrected Corrected by Jan 30, 2026

Category: physical safety. 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.

During the renewal inspection on 1/13/26 missing baseboard (cove base) was observed in the indoor playroom.

Corrected Corrected by Jan 30, 2026

Category: physical safety. 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 the inspection on 1/13/26 damage paint and plaster was observed in the indoor playroom.

Corrected Corrected by Jan 30, 2026

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 the inspection on 1/13/26 the diaper changing table in the upper-level hallway area did not have the required handwashing sign.

Corrected Corrected by Jan 13, 2026

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

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

During the inspection on 1/13/26 the upstairs bathroom trashcan did not have a lid.

Corrected Corrected by Jan 13, 2026

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

3270.151(a)/3270.192(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.

During the inspection on 1/13/26 staff persons #2 #3 and #4 did not have a health assessment on file at the facility. Continued non-compliance transferred to SIN-00284089

Corrected Corrected by Jan 30, 2026

Category: ratio. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the inspection on 1/13/26 staff persons #3 #4 #6 and #8 do not have verification of education. Continued non-compliance transferred to SIN-00284089

Corrected Corrected by Jan 30, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.192(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.

During the inspection on 1/13/26 staff persons#3 #4 and #6 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jan 20, 2026

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 ensure fire drills are conducted at least once every 60 days.

A review of the fire drill log on 1/13/26 revealed a drill had not been conducted and or logged since 6/26/25.

Corrected Corrected by Jan 14, 2025

Category: recordkeeping. Marked corrected in the state record.

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

A review of the fire alarm test log on 1/13/26 revealed the fire alarms had not been tested and or logged since 6/26/25.

Corrected Corrected by Jan 14, 2026

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

During the inspection on 8/14/25 Staff person #1 did not have a current child abuse clearance on file at the facility. Staff person #2 did not have an FBI clearance on file at the facility. Facility Person #4 did not have an NSOR on file. On 9/16/25 Staff person #2 was observed working at the facility and did not have an FBI clearance on file at the facility. This is continued non-compliance transferred from SIN-00271849

Corrected Corrected by Sep 16, 2025

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

3270.14 · 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. Staff person #3 must complete (PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2/ PA Required Health and Safety for Family Child Care Parts 1 and 2).

During the inspection on 8/14/25 staff person #3 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality 10 hours but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by Aug 14, 2025

Category: ratio. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

During the inspection on 8/14/2025 the operator could not locate the parent letter explaining the emergency procedures.

Corrected Corrected by Sep 9, 2025

Category: physical safety. 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: Staff Persons #1 and #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. Staff Person #1 and #2 may not work in a child care position at the facility. Facility Person #4 may not be present in the child care space.

During the inspection on 8/14/25 Staff person #1 did not have a current child abuse clearance on file at the facility. Staff person #2 did not have an FBI clearance on file at the facility. Facility Person #4 did not have an NSOR on file.

Corrected Corrected by Aug 14, 2025

Category: background checks. 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.

During the inspection on 8/14/25 a black shelf with a tipping hazard was observed at the top of the stairs.

Corrected Corrected by Aug 14, 2025

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

3270.151(c)(2)/3270.192(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.

During the inspection on 8/14/2025 the file for facility person #4 did not include TB testing dates and results.

Corrected Corrected by Aug 29, 2025

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

3270.27(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.

During the inspection on 8/14/25 the operator was unable to locate the complete emergency plan The section that provides for accommodations for infants, toddlers during an emergency was missing.

Corrected Corrected by Sep 9, 2025

Category: physical safety. 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 the inspection on 8/14/25 the operator could not locate the drill log for the emergency plan drill held in the past year.

Corrected Corrected by Sep 9, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations 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.

During the inspection on 8/14/25 the operator was unable to locate her complete emergency plan. Accommodations for lock-down procedures was missing.

Corrected Corrected by Sep 9, 2025

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

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

The operator self-reported that on 7/22/25 child #1 found a small plastic bag of white power and had it in their hand while in the infant classroom. Staff person #1 took the bag from the child.

Corrected Corrected by Jul 23, 2025

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

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

The operator confirmed that the parent of child #1 did not receive a written incident report on the day of incident (7/22/25)

Corrected Corrected by Jul 22, 2025

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

3270.31(f)/3270.31(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.

During the renewal inspection on 3/14/25 staff person #8 did not have the required health and safety one hour update. Staff person #10 did not have the required health and safety part one and part two health and safety training or Pediatric First aid and CPR.

Corrected Corrected by Apr 14, 2025

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Persons #1 #2#4 #6 #7 #10 and #11 -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 #1 #2#4 #6 #7 #10 and #11 may not work in a child care position at the facility.

During the renewal inspection on 3/14/25 Staff person #1 did not have an NSOR or A Child Abuse Clearance on file. Staff person #2 did not have an NSOR or child abuse clearance on file. Staff person #had an expired Child Abuse clearance and an expired FBI clearance on file and an expired mandated reporters training on file. Staff person #6 did not have a PA State Police Criminal Clearance on file. Staff person #7 did not have an NSOR on file Staff person #10 did not have an FBI or mandated reporters training on file. Staff person #11 did not have an NSOR on file.

Corrected Corrected by Mar 15, 2025

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

3270.34(b) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4).

During the renewal inspection on 3/14/25 staff person #5 (serving as facility director) did not have educational qualifications on file to qualify as facility director.

Corrected Corrected by Apr 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.64 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

During the renewal inspection on 3/14/25 the back walkway was partially blocked by play items and equipment no longer being used by the facility.

Corrected Corrected by Mar 29, 2025

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

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

During the renewal inspection cleaning products were observed in an unlocked cabinet under the sink in the bathroom across from the children's bathroom. The bathroom door was open and this area was accessible to the children.

Corrected Corrected by Mar 29, 2025

Marked corrected in the state record.

3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

During the renewal inspection on 3/14/25 mouse droppings were observed in the kitchen drawers by the sink area.

Corrected Corrected by Apr 11, 2025

Marked corrected in the state record.

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

During the renewal inspection on 3/14/25 the downstairs bathroom near the indoor playroom was not clean and had areas of dirt and rust.

Corrected Corrected by Apr 13, 2025

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

During the renewal inspection on 3/14/25 a cubbie unit was blocking a door to the large lower level classroom

Corrected Corrected by Apr 13, 2025

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.

During the renewal inspection on 3/14/25 cubbie units with a narrow base and tipping hazard were observed on the main level hallway area.

Corrected Corrected by Apr 13, 2025

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

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

During the renewal inspection on 3/14/25 the file for child #1 contained a health assessment over 6 months old.

Corrected Corrected by Apr 9, 2025

Category: health medication. 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.

During the renewal inspection on 3/14/25 the file for child #3 and #5 did not contain a current health assessment as required.

Corrected Corrected by Apr 22, 2025

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

During the renewal inspection on 3/14/25 staff were observed bringing a soiled diaper in a bag through the kitchen to a hallway trashcan and placing the soiled diaper in trash can that was not hands-free.

Corrected Corrected by Mar 17, 2025

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

3270.151(a)/3270.192(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.

During the renewal inspection on 3/14/25 the file for staff persons #1 #2 #6 #8 #9 and #12 did not include a current health assessment as required by regulation.

Corrected Corrected by Apr 18, 2025

Category: ratio. Marked corrected in the state record.

3270.181(c)/3270.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

During the renewal inspection on 3/14/25 the emergency contact forms, and Agreement forms for Child #1 #2 #3 #4 and #5 had not been updated for over a 6 month period.

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection on 3/14/25 the file for staff persons #2 and #11 did not include verification of education.

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.192(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.

During the renewal inspection on 3/14/25 the file for staff person #1 #2 #8 #10 and #12 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the renewal inspection on 3/14/25 staff persons #4 #5 #7 #9 did not have verification of 12 clock hours of training for the past year.

Corrected Corrected by Apr 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

During the renewal inspection on 3/5/24 medication for child #6 was observed at the facility and was not in the original box.

Corrected Corrected by Apr 8, 2024

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

3270.14/3270.31(f) · 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. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

During the renewal inspection on3/15 The file for staff persons #2 #3 and #4 did not contain the required Health and safety training ( Get Started in Center based care building blocks to quality).

Corrected Corrected by Mar 18, 2024

Category: ratio. 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: Staff Persons #6 #7 and #8 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 Persons #6 #7 and #8--- may not work in a child care position at the facility.

During the renewal inspection on 3/15/24 the file for staff persons #6 #7 and #8 did not have the Child Abuse Clearance on file or the NSOR Clearance on file.

Corrected Corrected by May 8, 2024

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

3270.37(b)(3) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

During the renewal inspection on 3/15/24 the file for staff person #2 did not contain verification of education or verification of 2 years of experience with children (2, 500 clock hours).

Corrected Corrected by Apr 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

During the renewal inspection on 3/15/24 a spring for a large spring toy was missing the seat on the outdoor playground and exposed bolts were observed on the fence and gates of the outdoor playground. A damaged Winnie the Pooh cutout with splintered wood was observed on the outdoor playground.

Corrected Corrected by Apr 8, 2024

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

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

During the renewal inspection on 3/15/2024 the operator could not find the ASTMF test data for the unitary surface for the embedded equipment on the outdoor playground.

Corrected Corrected by Apr 2, 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.

During the renewal inspection on 3/15/2024 the emergency contact form for child #2 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.133(2)/3270.133(6) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. A parent shall provide written consent for administration of medication or a special diet.

During the renewal inspection on 3/15/24 medication for child #5 did not have an action plan for use (written instructions) and did not have written consent for administration from the parent.

Corrected Corrected by Apr 8, 2024

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.192(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.

During the renewal inspection on 3/15/24 the file for staff person #1 #6 #7 and #8 did not have a health assessment and/or TB testing dates and results on file as required.

Corrected Corrected by May 8, 2024

Category: ratio. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

During the renewal inspection on 3/15/24 the emergency contact and agreement forms have not been updated for over a 6-month period for child #1 #2 #3 and #4

Corrected Corrected by Apr 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.181(d)/3270.181(e) · Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Emergency contact information in the classrooms had not been updated for over a 6 month period.

Corrected Corrected by Apr 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection on 3/15/24 the file for staff persons #6 #7 and #8 did not have verification of education on file as required by regulation.

Corrected Corrected by May 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(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.

During the renewal inspection on 3/15/24 the file for staff persons #2 and #4 #6 #7 and #8 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Apr 8, 2024

Category: recordkeeping. 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.

During the renewal inspection on 3/15/24 the operator did not have verification that the emergency plan had been sent to emergency management agency as required.

Corrected Corrected by Apr 4, 2024

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.

During a renewal inspection on 03/01/2023, the emergency plan did not contain a continuity of operations plan; the The facility did not have a Shaken Baby Syndrome Policy and Abusive head Trauma implemented; the files for facility person's #1, 2, 3, 4, 5, and 6 did not contain verification of the Pennsylvania Health and Safety update training.

Corrected Corrected by Mar 6, 2023

Category: ratio. 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).

During a renewal inspection on 03/01/2023, the file for children #1, 2, 3, 4, and 5 did not include 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.

Corrected Corrected by Mar 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

During a renewal inspection on 03/01/2023, the files for children #1 and 3 contained a health record dated more than 6-months old.

Corrected Corrected by Mar 6, 2023

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

3270.131(e)/3270.131(e)(2)(i) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During a renewal inspection on 03/01/2023, the files for children #1, 3 and 4 did not contained a current record of influenza vaccination.

Corrected Corrected by Mar 6, 2023

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

3270.151(a)/3270.192(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.

During a renewal inspection on 03/01/2023, the file for staff person #6 contained a health assessment more than 24 months old.

Corrected Corrected by Mar 4, 2023

Category: ratio. Marked corrected in the state record.

3270.192(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.

During a renewal inspection on 03/01/2023, the file for staff person #5 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Mar 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During a renewal inspection on 03/01/2023, the files for staff persons #4 and 6 did not contain verification of 12 clock hours of childcare training.

Corrected Corrected by Mar 9, 2023

Category: recordkeeping. 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 a renewal inspection on 04/01/2022, the files for children #1 and 3 did not contain a financial agreement.

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)/3270.131(e)(2)(i) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During a renewal inspection on 04/01/2022, the file for child #3 contained a record of influenza vaccination more than one year old.

Corrected Corrected by Apr 5, 2022

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

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

During a renewal inspection on 04/01/2022, the files for children #1 and #3 contained an emergency contact form more than 6 months old; the file for child #2 contained an emergency contact form and financial agreement more than 6 months old.

Corrected Corrected by Apr 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

During a renewal inspection on 1/11/22, the files for staff persons # 2 and 3 did not contain documentation of Emergency Plan training.

Corrected Corrected by Jan 12, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During a renewal inspection on 1/11/22, the file for staff person #1, hired 3/29/21, did not contain documentation of health and safety training.

Corrected Corrected by Jan 18, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 Persons #1 and 2 may not work in a child care position at the facility.

During a renewal inspection on 1/11/22, the file for staff person # 1, hired 3/29/21, did not contain documentation of the National Sex Offender Registry clearance nor Mandated Reporter Training; the file for staff person #2 did not contain an FBI clearance.

Corrected Corrected by Jan 13, 2022

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

3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education 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.

During a renewal inspection on 1/11/22, the file for staff person #3 did not contain verification of education for the position in which the staff person was working (Aide).

Corrected Corrected by Jan 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During a renewal inspection on 1/11/22, the file for child #4 contained a health assessment more than one-year-old, dated 11/30/20.

Corrected Corrected by Jan 19, 2022

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

3270.131(e)/3270.131(e)(2)(i) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During a renewal inspection on 1/11/22, the file for child #4 did not contain record of a current influenza vaccine.

Corrected Corrected by Jan 19, 2022

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

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

During a renewal inspection on 1/11/22, the files for children # 1, 2, 3, and 4 contained an emergency contact form and financial agreement that was not reviewed and signed by a parent in the past 6 months.

Corrected Corrected by Jan 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · 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.

Duirng a renewal inspection on 1/11/22, the file for staff person #3 did not contain documentation of a TB test.

Corrected Corrected by Jan 12, 2022

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