3280.123(a) · An agreement shall be signed by the operator and the parent.

The financial agreement on file for Child #4 and Child #5 lacked the operator's signature.

Corrected Corrected by Jan 23, 2026

Category: recordkeeping. 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.

The facility's most recent annual emergency drill is dated 11/9/24, more than 12 months prior.

Corrected Corrected by Jan 23, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(5) · Evacuation routes are posted in a conspicuous location on each floor of the facility.

An evacuation route was not posted in the child care space in the basement.

Corrected Corrected by Jan 23, 2026

Category: physical safety. 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.

The facility lacked Shaken Baby, Child Maltreatment, and Abusive Head Trauma policies. The facility's emergency plan lacked policies regarding volunteer emergency preparedness training, and continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

Corrected Corrected by Jan 23, 2026

Category: ratio. Marked corrected in the state record.

3280.20 · Conditions at the facility may not pose a threat to the health or safety of the children.

Electrical cords were observed to be accessible in a bag on the floor of the basement child care space, which could cause injury.

Corrected Corrected by Dec 18, 2025

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

3280.26(a)(3) · 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's emergency plan lacked a method for the facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Corrected Corrected by Jan 23, 2026

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

3280.26(a)(4) · 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.

The facility's emergency plan lacked a method for facility persons to inform parents that the emergency plan has ended and how the facility will provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Jan 14, 2026

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

3280.26(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

At the time of inspection, the emergency plan was not posted in a conspicuous location.

Corrected Corrected by Jan 23, 2026

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

3280.26(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.

The facility's emergency plan lacked a letter to parents explaining the emergency procedures for the following topics: shelter and lockdown, evacuation, method to contact parents during an emergency, method to inform parents the emergency has ended and instructions on how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities and chronic medical conditions.

Corrected Corrected by Jan 23, 2026

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

3280.26(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.

At the time of inspection, the facility did not have documentation that the current emergency plan was sent to local municipality and to the county emergency management agency.

Corrected Corrected by Jan 14, 2026

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

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

The file for Staff #1 contained 4.5 of 12 annual childcare training hours within the training timeframe of 8/3/24-8/3/25.

Corrected Corrected by Jan 10, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.102(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.

A cracked toy stroller handle was observed in the basement, which could cause injury to children. Multiple small couches and a stuffed pillow were observed containing dark spots and were not in good repair.

Corrected Corrected by Jan 11, 2026

Category: physical safety. 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.

The most recent Pennsylvania State Police clearance on file for Staff #1 is dated 8/21/20, more than 60 months prior. The file for Staff #2, who were provisionally hired after 2/1/25 (SEE IS CODE SHEET), did not contain an NSOR certificate at time of hire, as required by Announcement C-25-01.

Corrected Corrected by Dec 19, 2025

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

3280.34(b)(5)/3280.192(2)(iii) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #2, classified as a primary staff member, lacked documentation of a high school diploma or general education development certificate and 2 years of experience with children.

Corrected Corrected by Jan 30, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

The outlet behind the counter in the basement childcare space was missing an outlet cover.

Corrected Corrected by Dec 19, 2025

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

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Lysol disinfecting wipes were observed on a shelving unit next to the changing table and were accessible to children. A bottle of clog remover in an unlocked cabinet under the sink and fly tape labeled "Keep out of reach of children" were observed accessible and could be harmful to children.

Corrected Corrected by Dec 18, 2025

Category: ratio. Marked corrected in the state record.

3280.75(b) · A first-aid kit shall be inaccessible to children.

The first aid kit was observed behind the counter area in the basement and was accessible to children.

Corrected Corrected by Dec 18, 2025

Category: health medication. 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.

A partially detached baseboard was observed protruding from the wall near the toy kitchen in the basement. An uneven area around the floor drain in the basement was observed under a carpet and can cause injury.

Corrected Corrected by Jan 23, 2026

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Damaged drywall and peeling paint was observed by the toy tool bench in the basement.

Corrected Corrected by Jan 23, 2026

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

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

The files for Child #1, Child #2, Child #3, Child #4, and Child #5 did not contain any child service reports and is beyond 6 months from the date of enrollment.

Corrected Corrected by Jan 23, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(6)/3280.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

The financial agreement forms on file for Child #3 and Child #4 lacked the child's date of admission at the facility.

Corrected Corrected by Jan 23, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.123(b)/3280.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The file for Child #1, Child #4, and Child #5 contained the original financial agreement when the parent is to receive the original agreement.

Corrected Corrected by Jan 23, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact forms for Child #2 and Child #3 lacked the phone number of the child's physician or source of medical care.

Corrected Corrected by Jan 23, 2026

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form on file for Child #2 lacked the enrolling parent's home phone number. The emergency contact form on file for Child #4 lacked the enrolling parent's work phone number.

Corrected Corrected by Jan 23, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(4)/3280.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The emergency contact form on file for Child #4 and Child #5 lacked the parent's signature giving the facility written consent to obtain emergency medical care.

Corrected Corrected by Jan 23, 2026

Category: recordkeeping. 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.

The emergency contact form for Child #1 lacked the child's health insurance/MA policy number for the child's health care benefits.

Corrected Corrected by Jan 2, 2026

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.

The emergency contact form for Child #1 lacked complete addresses for all listed release persons.

Corrected Corrected by Jan 2, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The child care space in the basement lacked a posted emergency transportation plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected Corrected by Jan 23, 2026

Category: transportation. Marked corrected in the state record.

3280.124(f)/3280.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

The two most recent parent review and signatures for the emergency contact form on file for Child #1 are dated 10/2/22 & 2/22/25, more than 6 months prior and beyond 6 months apart. The most recent parent review and signature for the emergency contact forms on file for Child #2 (2/22/25) and Child #3 (12/28/24) are dated more than 6 months prior. The two most recent parent review and signature for the emergency contact forms on file for Child #4 and Child #5 (4/22/25 & 11/22/25) are dated more than 6 months apart.

Corrected Corrected by Jan 23, 2026

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.

The file for Staff #1 lacked a health assessment at the time of inspection. The initial health assessment on file for Staff #2 was dated 11/7/25, which is after Staff #2's date of hire (SEE IS CODE SHEET).

Corrected Corrected by Jan 28, 2026

Category: ratio. Marked corrected in the state record.

3280.151(c)(2)/3280.192(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.

The file for Staff #2 contained a tuberculosis screening dated 11/7/25, which is after Staff #2's date of hire (SEE IS CODE SHEET).

Corrected Corrected by Nov 7, 2025

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

3280.151(c)(3)/3280.192(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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.

The current health assessment on file for Staff #2 does not indicate if the staff person was assessed for communicable/contagious disease.

Corrected Corrected by Jan 28, 2026

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

3280.151(c)(5)/3280.192(3) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. 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.

The current health assessment on file for Staff #2 does not include the physician or health care professional's assessment of the staff person's suitability to provide child care.

Corrected Corrected by Jan 28, 2026

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

3280.181(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.

The only parent review and signature for the financial agreement form on file for Child #1 is dated 2/22/25, more than 6 months prior and beyond 6 months from the child's date of enrollment (SEE IS CODE SHEET). The most recent parent review and signature for the financial agreement forms on file for Child #2 (2/22/25) and Child #3 (12/28/24) are dated more than 6 months prior. The two most recent parent review and signature for the financial agreement forms on file for Child #4 and Child #5 (4/22/25 & 11/22/25) are dated more than 6 months apart.

Corrected Corrected by Jan 23, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.182(5) · 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.

The emergency contact form on file for Child #4 and Child #5 lacked the parent's signature giving the facility written consent to administer minor first aid.

Corrected Corrected by Jan 23, 2026

Category: ratio. 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.

The file for Staff Person #2 only contained one written non-family reference.

Corrected Corrected by Jan 28, 2026

Category: recordkeeping. 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

The fire alarm 30-day test log includes test dates 7/1/25-8/6/25 and 8/6/25-9/12/25, more than 30 days apart. The most recent documented fire alarm testing was dated 11/7/25, more than 30 days prior.

Corrected Corrected by Jan 23, 2026

Category: recordkeeping. 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.

The facility lacked written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Jan 23, 2026

Marked corrected in the state record.

3280.102(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.

In the main room, on the left wall under the glass block window, the magnetic catch was broken posing a cutting hazard.

Corrected Corrected by Jan 27, 2025

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

3280.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The Fee Agreement Form for Child File #3 lacked the "Date Fee to be Paid." (SEE LIS CODE SHEET)

Corrected Corrected by Feb 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The Fee Agreement Form for Child File #2 lacked the Release Person's Name. (SEE LIS CODE SHEET)

Corrected Corrected by Jan 27, 2025

Category: recordkeeping. 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.

The Emergency Contact Form for child #3 lacked the "Release Person's Name," "Release Person's Address" and "Release Person's Phone Number." (SEE LIS CODE SHEET)

Corrected Corrected by Jan 27, 2025

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.

The files for staff persons #1 and #2 are lacking documentation of emergency plan training.

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Observed the window in the bathroom and 2 windows in the front childcare room all located above ground level were lacking a modification or adaptation preventing them from opening more than 6 inches.

Corrected Corrected by Jan 2, 2024

Category: physical safety. 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.

Observed the latch on the play space gate to be broken preventing the gate from remaining closed. Observed on the fence 12 bolts exposed and protruding into the play space. Observed a ceiling tile at the bottom of the basement stairs to be missing and a ceiling tile to be damaged. Observed the floor tile area around the counter in the basement to be missing a trim piece exposing a sharp edge. Observed protruding exposed bolts at the base of the toilet in the upstairs bathroom.

Corrected Corrected by Jan 2, 2024

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

3280.102(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.

Observed on the outdoor play space 2 riding toys with sharp metal and plastic edges and observed a tall basketball hoop that was unstable and not anchored to prevent falling. In the basement childcare space observed a wooden playhouse that had 4 exposed protruding screws.

Corrected Corrected by Jan 2, 2024

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

3280.123(b)/3280.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for children #3, #5 and #6 contain the original agreement.

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(4)/3280.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file for child #3 is lacking written consent signed by a parent for emergency medical care.

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. 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.

The files for children #2, #3 and #6 are lacking complete health insurance policy information.

Corrected Corrected by Jan 31, 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.

The file for child #3 is lacking the address and phone number for parent designated emergency release persons.

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

The files for children #2, #3 and #4 are lacking emergency contact and financial agreements updated during the previous 6-month period.

Corrected Corrected by Jan 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.133(2) · 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.

Observed an EpiPen in the emergency bag to be lacking the written instruction from the individual who prescribed the medication.

Corrected Corrected by Jan 2, 2024

Category: ratio. Marked corrected in the state record.

3280.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Observed an EpiPen in the emergency bag to be lacking the name of the child for whom it was intended.

Corrected Corrected by Jan 2, 2024

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

3280.133(6) · A parent shall provide written consent for administration of medication or a special diet.

The facility was lacking written parental consent for administration of the EpiPen that was observed in the emergency bag and identified by the director as belonging to child #1.

Corrected Corrected by Jan 31, 2024

Category: ratio. Marked corrected in the state record.

3280.182(5) · 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.

The file for child #3 is lacking signed parental consent for administration of minor first-aid procedures.

Corrected Corrected by Jan 31, 2024

Category: ratio. 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.

The file for staff person #1 is lacking 2 written non-family references attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. 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.

There was no documentation on file regarding an emergency drill having been conducted during the previous 12- month period.

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. 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.

The facility fire alarm test log showed the last alarm test was conducted 11/3/2023 which was greater than 30 days ago and the alarm test prior to 11/3/2023 was conducted on 9/2/2023 which also exceeded 30 days.

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement in the file for child #2 did not specify the date on which the fee is to be paid.

Corrected Corrected by Mar 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Based on conversation with the operator, a wall was removed from the front child care room and the larger space was being used for child care in which only a portion of that space had been measured.

Corrected Corrected by Mar 8, 2023

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

3280.14/3280.21 · 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. The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent.

The facility did not have a shaken baby syndrome policy. The facility's emergency plan did not include information regarding continuity of operations. A large flat screen television in the basement child care space was not anchored.

Corrected Corrected by Mar 7, 2023

Category: ratio. 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.

The only documented review of the facility's emergency plan was dated August 2021.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.26(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The facility's emergency plan was not posted for parents.

Corrected Corrected by Mar 8, 2023

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

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

In the first floor bathroom, there was a container of Style Factor Edge Booster in a low drawer, making it accessible to children. The directed included instructions to keep out of the reach of children.

Corrected Corrected by Mar 8, 2023

Category: ratio. Marked corrected in the state record.

3280.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

The basement bathroom trash can was not lidded.

Corrected Corrected by Mar 8, 2023

Marked corrected in the state record.

3280.71 · 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.

The wall heater in the basement bathroom was accessible to children and measured more than 110 degrees was not equipped with guards or insulation to prevent children from direct contact.

Corrected Corrected by Mar 8, 2023

Category: physical safety. 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.

In the first floor bathroom, the heating register was becoming detached from the wall. The play house in the basement of the facility has areas of splintering wood. The carpeting was removed from the steps leading down to the basement, exposing the sharp end of a handful of nails.

Corrected Corrected by Mar 8, 2023

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was an area of chipping paint on the wall at the bottom of the basement steps.

Corrected Corrected by Mar 8, 2023

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

3280.123(a) · An agreement shall be signed by the operator and the parent.

The agreement in the file for child #3 was not signed by a parent.

Corrected Corrected by Mar 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement in the file for child #2 did not specify the fee.

Corrected Corrected by Mar 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

The file for child #1 through #4, enrolled more than 6 months, did not include a child service report.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement in the file for child #4 did not specify the release persons.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact information in the file for child #2 did not include a city or zip code for the physician.

Corrected Corrected by Apr 7, 2023

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information in the file for child #2 did not include a city or zip code for mom's work address. The emergency contact information in the file for child #4 did not include a phone number or a city or zip code for mom's work information.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. 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.

The emergency contact information in the file for child #3 did not include a policy number for the child's health insurance.

Corrected Corrected by Apr 7, 2023

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.

The emergency contact information in the file for child #3 did not include a city or zip code for either release persons.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. 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.

Based on conversation with the operator, an emergency drill was conducted in the last twelve months, but was not documented.

Corrected Corrected by Mar 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

The last written review by a parent on the emergency contact information and agreement form in the file for child #1 was dated 11/6/21. The last written review by a parent on the emergency contact information and agreement form in the file for child #2 was dated 6/17/22 and 5/16/22, respectively. There was a parent signature on the emergency contact information and agreement form in the file for child #3, but there was no date, so timeliness could not be assessed.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

There was no signature or title on the health report for child #5.

Corrected Corrected by Apr 7, 2023

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

3280.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health report in the file for child #5 did not include a statement that the child is able to participate in child care and appears to be free from communicable disease.

Corrected Corrected by Apr 7, 2023

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

3280.131(e)(1) · 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.

The last flu shot documented in the file for child #2, an older toddler, was 2020 and there was no written statement of exemption by a parent on file.

Corrected Corrected by Apr 7, 2023

Category: health medication. 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.

There was only one letter of reference in the file for staff person #1. There were no letters of reference in the file for staff person #2.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.23(f) · A valid photo identification of the primary staff person or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

The PA driver's license belonging to staff person #1, the operator, had expired 12/31/22.

Corrected Corrected by Mar 8, 2023

Category: recordkeeping. 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.

Based on conversation with the operator, the facility's smoke detectors were being tested, but the tests were not documented.

Corrected Corrected by Mar 30, 2023

Category: recordkeeping. 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.

The only acceptable First-aid/CPR training in the file for staff person #1, the operator, who began working with children on 9/17/21, was dated 12/14/22.

Corrected Corrected by Mar 8, 2023

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

3280.131(a) · 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.

There was no date on the initial health report in the file for child #2 and #3, so timeliness could not be assessed.

Corrected Corrected by Apr 7, 2023

Category: health medication. 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.

Based on conversation with the operator, a letter regarding the location of the facility and walking/vehicular routes was not sent to Pitcairn municipality.

Corrected Corrected by Apr 7, 2023

Marked corrected in the state record.

3280.17 · The legal entity shall have comprehensive general liability insurance to cover all persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Operator does not have comprehensive general liability insurance to cover all persons on the premises at this time.

Corrected Corrected by Mar 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

One uncovered outlet was observed in the downstairs child care space.

Corrected Corrected by Feb 7, 2022

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

3280.102(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.

The netting on the side of a pack and play was observed to be torn, resulting in a large hole.

Corrected Corrected by Feb 7, 2022

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.

The rest equipment in place for the children was not labeled for use of a specific child.

Corrected Corrected by Mar 11, 2022

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

3280.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The thermometer in the refrigerator was observed to be in disrepair resulting in the temperature gage showing a red line across the whole thermometer. This did not allow verification that the refrigerator was capable of maintaining food at 45° F or below.

Corrected Corrected by Feb 28, 2022

Category: nutrition. Marked corrected in the state record.

3280.123(a) · An agreement shall be signed by the operator and the parent.

The agreement form for Child #1 lacked a parent signature.

Corrected Corrected by Mar 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement form for Child #2 lacked the release persons designated by the parent to whom the child may be released.

Corrected Corrected by Mar 11, 2022

Category: recordkeeping. 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.

The emergency contact forms for Children #1,#2, #3, #4 and #5 lacked the complete addresses for the release persons listed. The emergency contact form for Child #2 lacked the name of the release persons designated by the parent to whom the child may be released.

Corrected Corrected by Mar 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The written emergency plan for transporting a child to emergency care and staffing provisions in the event of the emergency were not posted in each child care space.

Corrected Corrected by Feb 28, 2022

Category: transportation. Marked corrected in the state record.

3280.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

Children #4 and #5 were observed to share a file, including one agreement form. This does not meet the requirement of establishing an individual record for each child in the facility.

Corrected Corrected by Mar 11, 2022

Category: recordkeeping. 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.

The emergency contact form for Child #2 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid procedures by facility staff.

Corrected Corrected by Mar 11, 2022

Category: ratio. Marked corrected in the state record.

3280.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Facility Person #1 lacked verification of education and experience to qualify them for the position they were observed be to performing.

Corrected Corrected by Mar 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(2)/3280.94(a)(4) · 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 different times of the day or night, or both, if applicable. The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The fire drills completed have all occurred at 9am. The hypothetical location was mistakenly listed at the evacuation location and not the location of the fire.

Corrected Corrected by Feb 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The evacuation routes were not posted on the downstairs floor.

Corrected Corrected by Feb 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.171(a)/3280.171(c) · 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. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Operator has not notified the local traffic safety authorities in writing of the location of the facility and the use of pedestrian and vehicular routes around the group child care facility. Written safe routes were not posted in a conspicuous location at the facility.

Corrected Corrected by Mar 11, 2022

Marked corrected in the state record.

3290.64(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

An unlabeled spray bottle containing a cleaning solution was observed in the restroom sink cabinet.

Corrected Corrected by Sep 17, 2021

Category: ratio. Marked corrected in the state record.

3290.73(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit was missing tweezers, scissors, soap and tape.

Corrected Corrected by Sep 17, 2021

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

3290.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

An operating thermometer was not in place in the refrigerator.

Corrected Corrected by Sep 17, 2021

Category: nutrition. Marked corrected in the state record.

3290.95(a)/3290.95(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 operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Operator lacked proof of purchase for the interconnected wifi smoke detectors in the home.

Corrected Corrected by Sep 17, 2021

Category: recordkeeping. Marked corrected in the state record.