3270.95(a)/3270.95(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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. The fire alarm system at the facility must be manually tested and documented at least once every 30 days.

On 6/24/2025, the fire drill/fire detection log was up to date. However, the log showed a lapse in the 30-day testing requirement as follows: 12/10/2024 then again on 1/16/2025 and 3/14/2025 then again 4/23/2025.

Corrected Corrected by Jun 25, 2025

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). Only FBI clearances through DHS are acceptable for childcare employment purposes. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #1 may not work in a childcare position at the facility until the completed DHS FBI clearance is on file.

During the Renewal Inspection on 6/24/2025, the FBI clearance on file for Staff #1 was requested through the Department of Education. FBI clearances for staff are required to be from the Department of Human Services (DHS). See LIS code sheet.

Corrected Corrected by Jun 30, 2025

Category: background checks. 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.

On 6/24/2025, the most recent health report on file for Child #1, a preschool child was dated 2/8/2024.

Corrected Corrected by Jul 7, 2025

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

3270.151(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.

On 6/24/2025, the most recent health assessment on file for Staff #2 was dated 5/5/2023.

Corrected Corrected by Jul 18, 2025

Category: ratio. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff #3 did not complete training in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff #3 completed this training on 6/3/2025. See LIS code sheet.

Corrected Corrected by Jun 3, 2025

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

3270.69(a) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). TIERED LIS: 1. The legal entity must comply with the "do not drink order" until the order is lifted by the Department of Environmental Protection. This portion of the plan shall have an immediate correction date. 2. The operator shall submit an application to DEP and will work toward getting a letter from DEP to verify that they are in compliance with the SDWA. Once the provider receives the letter from DEP verifying compliance with the Safe Drinking Water Act, the operator will then be in compliance with this regulation. The operator shall provide a date for when this will be completed.

On 5/21/25, the Department of Environmental Protection issued a field order for lack of approval for the well at the facility as a public water system and a noncommunity water system. The field order also included "Do Not Drink" drinking water measures.

Corrected Corrected by Sep 5, 2025

Category: physical safety. 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)1-9. All staff must complete the required pre-service health and safety training within 90 days of hire.

Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training. Staff person #1 completed this training on 9/23/2024.

Corrected Corrected by Sep 23, 2024

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

3270.77(a)/3270.102(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. 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 6/5/2024, peeling paint was observed on the furnace cover on the outdoor playground. The top of a small playhouse was also cracked leaving sharp edges exposed.

Corrected Corrected by Jun 19, 2024

Category: physical safety. 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).

On 6/5/2024, Child #1, Child #2, Child #3 and Child #4 did not a child service report on file that was completed within the previous 6 months.

Corrected Corrected by Jun 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

On 6/5/2024, Staff #1 did not have any verification of education on file. See LIS code sheet.

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff #1 and Staff #2 did not complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) within 90 days of hire. They both completed it on 2/4/2024. See LIS code sheet.

Corrected Corrected by Feb 4, 2024

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

3270.131(a)/3270.131(e) · 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. 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.

On 6/5/2024, Child #1 and Child #2 had current health reports and updated immunizations in accordance with the recommendations of the ACIP on file as of 2/23/2024. However, the health reports and immunizations were not on file within 60 days of the first day of attendance at the facility. See LIS code sheet.

Corrected Corrected by Feb 23, 2024

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: Facility Person #1 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 has a volunteer child abuse on file. Staff person #1 has an incomplete state police clearance on file.

Corrected Corrected by Jun 8, 2023

Category: background checks. 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.

Cert Rep observed 2 stained ceiling tiles in the preschool room near the fan.

Corrected Corrected by Jul 5, 2023

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Child #3 is missing the parents work address and telephone number.

Corrected Corrected by Jun 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(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.

Child #1 is missing the health insurance policy number.

Corrected Corrected by Jun 8, 2023

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

3270.131(d)(5)/3270.131(e)(4) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Child #1 does not have a current flu vaccine for 2022, or an exemption letter on file. Child #2 does not have a current flu vaccine for 2022, date of last flu vaccine 11/16/18.

Corrected Corrected by Jun 12, 2023

Category: health medication. 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.

During the record review portion of the renewal inspection it was observed that the smoke detectors were tested on 4/28/23 and then again on 5/30/23 which is a span of 32 days which exceeds the requirement of testing every 30 days.

Corrected Corrected by Jun 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The facility's emergency plan has not been reviewed/updated annually, date of last review 6/3/21.

Corrected Corrected by Jun 15, 2022

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 toddlerA child's record shall contain initial and subsequent health reports.

Child #1 & 2 do not have updated health assessments on file.

Corrected Corrected by Jul 15, 2022

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.

Staff #1 does not have an updated health assessment on file, date of last health assessment 2/13/20. Staff #2 does not have an updated health assessment on file, date of last health assessment 6/20/18.

Corrected Corrected by Jul 15, 2022

Category: ratio. 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.

The facility has not completed fire system checks every 30 days. A fire system check was conducted on 2/11/22 and another on 3/11/22 this is a span of 31 days. A fire system check was conducted on 3/14/22 and another on 4/14/22 this is a span of 31 days. A fire system check was conducted on 4/14/22 and another on 5/31/22 this is a span of 47 days.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Operator has not notified the local traffic safety authorities annually in writing of the facility and the program's use of pedestrian and vehicular routes around the child care facility, date of last written notification 11/15/19.

Corrected Corrected by Jun 24, 2022

Marked corrected in the state record.