3270.27(c)/3270.192(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 and kept on file at the facility. 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 Wednesday, 08/06/25.

Corrected Corrected by Sep 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

In review of children's files, child 1, whom is of young toddler age, failed to have an updated health report completed within 6 months. Health report contained in file was completed on 12/12/24.

Corrected Corrected by Sep 5, 2025

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

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

In review of children's files, child 2, enrolled more than 60 days, file failed to include documentation of rotavirus vaccinations, as required based on the child's age, per the ACIP recommended schedule.

Corrected Corrected by Aug 6, 2025

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

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child receiving care in the facility is lost or missing from the facility.

The operator failed to notify OCDEL's regional office, within 24 hours, that a child receiving care in the facility was lost from the facility.

Corrected Corrected by Jun 3, 2025

Marked corrected in the state record.

3270.113(a)/3270.113(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. TIERED LIS: 1. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 2. Children must be supervised at all times. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

During a compliant inspection on Tuesday, 06/03/25, cert rep determined through compliant investigation via staff interviews, that a child was left unattended in the facility's outdoor play space on 05/27/25.

Corrected Corrected by Sep 1, 2025

Category: supervision. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

At compliant inspection on Tuesday, 06/03/25, cert rep determined by way of staff interviews that a group of preschool age children was out of ratio on 06/02/25. At the time of the inspection on 06/03/25, facility was in staff:child ratio.

Corrected Corrected by Jun 3, 2025

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person 1 must be supervised, when interacting with children at a minimum by, an AGS, 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 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 has not completed the following pre- service training required prior to caring for children unsupervised: Health and Safety Topics

Corrected Corrected by Jun 4, 2025

Category: supervision. Marked corrected in the state record.

3270.31(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 1 must be supervised, when interacting with children at a minimum by, an AGS, 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 1, staff person 1 may not work in a child-care position at the facility.

Staff person 1 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

Corrected Corrected by Jun 4, 2025

Category: supervision. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

During a compliant inspection on Wednesday, 02/19/25, cert rep was informed that a staff was observed to be speaking aggressively to children in her group.

Corrected Corrected by Feb 26, 2025

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. Facility Person 4 may not work in a child care position at the facility.

In review of staff files, staff person 4 file failed to include PA state police clearance.

Corrected Corrected by Aug 26, 2024

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

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years 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 5 file failed to include verification of education and 2 years (2500 hours) of experience working with children prior to employment at the facility. Staff persons 1, 2 and 3 file failed to include years (2500 hours) of experience working with children prior to employment at the facility.

Corrected Corrected by Sep 16, 2024

Category: supervision. 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 renewal inspection on Monday, 08/26/24, cert rep observed an aide working unsupervised.

Corrected Corrected by Aug 26, 2024

Category: supervision. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

During renewal inspection on Monday, 08/26/24, cert rep observed the boy's bathroom's hot water temperature exceeded 110° F. Hot water temperature read at 120° F.

Corrected Corrected by Aug 26, 2024

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

3270.76/3270.82(g) · 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. Toilet areas and fixtures shall be cleaned daily and be in good repair.

During renewal inspection on Monday, 08/26/24, cert rep observed a whole in the wall in the SA1 area. Cert rep also observed a sink in the girl's bathroom had a loose faucet.

Corrected Corrected by Sep 16, 2024

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 renewal inspection on Monday, 08/26/24, cert rep observed chip paint throughout the facility.

Corrected Corrected by Sep 16, 2024

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

3270.106(a) · The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

During renewal inspection on Monday, 08/26/24, cert rep observed rest equipment used in the Busy Bees' room failed to be labeled with child's name.

Corrected Corrected by Aug 26, 2024

Category: physical safety. 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.

In review of staff files, staff persons 3 and 5 file failed to include two nonfamily letters of references. Staff person 3 file only contained 1 letter of reference.

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

During renewal inspection on Friday, 08/25/23, cert rep observed in the facility's outdoor play space some of the wood fencing panels was damage and the outdoor play equipment and tables was unclean.

Corrected Corrected by Oct 12, 2023

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 renewal inspection on Friday, 08/25/23, cert rep observed peeled paint above the sinks in the girl's bathroom.

Corrected Corrected by Oct 12, 2023

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person 2 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 2, staff person 2 may not work in a child care position at the facility.

In review of health and safety documents, staff person 2 had not completed mandated reporter training within the last 60 months. Mandated reporter training in file was last completed on 10/12/17.

Corrected Corrected by Sep 18, 2023

Category: supervision. Marked corrected in the state record.

3270.27(c)/3270.192(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 and kept on file at the facility. 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 had not received annual training on the facility's emergency plan at the time of the renewal inspection on Friday, 09/15/23. Staff last received training on 05/3/22.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety 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. 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 fire safety documents, staff person 4 failed to have completed annual fire safety training.

Corrected Corrected by Sep 18, 2023

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). 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 had not completed mandated reporter training within the last 60 months. Mandated reporter training included in file was last completed on 10/12/17.

Corrected Corrected by Sep 18, 2023

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

3270.52/3270.113(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 in § 3270.51 (relating to similar age level). The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

During renewal inspection on Friday, 09/15/23, upon arrival at the facility, cert rep observed a staff member leave her assigned group out of ratio, leaving a 2nd staff alone with 10 children (8 younger toddlers and 2 older toddlers).

Corrected Corrected by Sep 15, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(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 Friday, 09/15/23, upon arrival at the facility, cert rep observed a staff member leave her assigned group out of ratio, leaving a 2nd staff alone with 10 children (8 younger toddlers and 2 older toddlers).

Corrected Corrected by Sep 15, 2023

Category: supervision. 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.

In review of staff files, staff person 1 file failed to include an updated health assessment. Staff person 1 health assessment was last completed on 01/02/21. Staff person 3 file failed to contain a health assessment.

Corrected Corrected by Sep 18, 2023

Category: ratio. Marked corrected in the state record.

3270.176(f) · In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van.

During renewal inspection on Friday, 09/15/23, it was determined that facility uses a 11-15 passenger van to transport children.

Corrected Corrected by Sep 28, 2023

Category: transportation. Marked corrected in the state record.