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

Staff Person #4 has not completed the following required pre-service training within 90 days of their date of hire (See LIS Code Sheet): PA Required Health and Safety for Centers-Group Child Care Part 1.

Corrected Corrected by Jan 28, 2026

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for Staff Person #1 contained PA State Police clearance results dated 10/16/25 but were after the staff person's first day working in a child care setting (See LIS Code Sheet). The file is now current. The file for Staff Person #5 contained NSOR clearance results dated 9/22/25 but was after the staff person's first day working in a child care setting (See LIS Code Sheet). The file is now current. The file for Staff Person #8 contained Child Abuse clearance results that were not renewed prior to the expiration date of the most current certificate: 7/23/20 and 7/31/25. The file is now current. The files for Staff Persons #9 and #10 contained Child Abuse and NSOR clearance results that were not renewed prior to the expiration date of the most current certificate. The files are now current. The file for Staff Person #11 contained NSOR clearance results that were not renewed prior to the expiration date of the most current certificate: 2/1/20 and 7/1/25. The file is now current.

Corrected Corrected by Jan 28, 2026

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). Facility Persons #2, #3, #5, #6, #7 and #12 may not work in a child care position at the facility.

The files for Staff Persons #2 and #3, who lived in Maryland during the previous 5 years of employment, lacked the out of state's Child Abuse and Sex Offender clearances as required under CPSL prior to working in a child care setting (See LIS Code Sheet). The FBI clearance results in the files for Staff Persons #5 and #6 were observed to be completed under the Department of Education and therefore are not valid. The file for Staff Person #7 contained PA State Police clearance results dated 6/8/22 indicating a Record of Control; however, the required corresponding rap sheet was not on file. In addition, the file contained FBI clearance results but did not include the required Disposition Statement. The file for Staff Person #12, who lived in Florida during the previous 5 years of employment, lacked the out of state's Child Abuse and Sex Offender clearances as required under CPSL prior to working in a child care setting (See LIS Code Sheet).

Corrected Corrected by Jan 28, 2026

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.

*SECOND VIOLATION In the small outdoor play space, several pickets to the wooden fence surrounding the play space were observed to be broken causing splintering and were not in good repair. Previously cited on 5/1/25. SIN-00265488.

Corrected Corrected by Aug 1, 2025

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 pre-service trainings are completed, Staff Persons #1 and #7 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff persons available to supervise Staff Persons #1 and #7, Staff Persons #1 and #7 may not work in a child-care position at the facility.

Staff persons #1 and #7 were observed to be caring for children unsupervised. Staff persons #1 and #7 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

Corrected Corrected by Jul 30, 2025

Category: supervision. Marked corrected in the state record.

3270.24(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

On July 31, 2025, the facility failed to provide the Certification Representative with immediate and unrestricted access to staff files. Between 10:15 AM and 11:45 AM, Staff Person #6 sent several electronic folder links by email; however, the files were not shared in a way that permitted access. When the Certification Representative attempted to open the links again at 1:10 PM, access was restricted and denied, resulting in a delay in the review of staff files.

Corrected Corrected by Sep 30, 2025

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.

The files for Staff Persons #1, #3, and #9 did not contain documentation of emergency plan training at initial hire.

Corrected Corrected by Aug 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. 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 #2 does not have current Pediatric First Aid/CPR training. This is evidenced by the previously documented Pediatric First Aid/CPR training expiration date of August 31, 2024. On July 30, 2025, it was determined the Pediatric First Aid/CPR certificate on file for Staff Person #2 was invalid. The printed name listed Staff Person #2; however, scanning the QR code showed the certificate belonged to Staff Person #5.  Staff Person #2 does not have a valid Pediatric First Aid/CPR certificate.

Corrected Corrected by Oct 9, 2025

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required trainings have been completed, staff persons #1, #3, #4, #7 and #8 must be supervised, when interacting with children, by an AGS who has completed the required trainings related to this citation. If there are no staff available to supervise staff persons #1, #3, #4, #7 and #8, staff persons #1, #3, #4, #7 and #8 may not work in a child-care position at the facility.

Staff persons #7 and #8 have not completed Pediatric First Aid/CPR within 90 days of their hire date (See LIS Code Sheet).   On July 22, 2025, Staff Person #6 submitted a Pediatric First Aid/CPR certificate for Staff Person #1 dated August 22, 2023. The font of the individual's name was inconsistent when compared to other certificates, and the QR Code would not scan. The training center verified that the Ecard Number on the certificate is linked to Staff Person #5. Staff statements confirmed Staff Person #1 did not attend training on that date, and the training center verified that the certificate was invalid.  Staff Person #1 does not have a valid Pediatric First Aid/CPR certificate within 90 days of hire.   On July 22, 2025, Staff Person #6 submitted a Pediatric First Aid/CPR certificate for Staff Person #3 dated November 24, 2024. Staff statements confirmed Staff Person #3 did not attend training on that date, and the training center verified that no Pediatric First Aid/CPR training was offered by the listed instructor on that date. This certificate was invalid. Staff Person #3 does not have a valid Pediatric First Aid/CPR certificate within 90 days of hire. On July 30, 2025, it was determined that Staff Person #4 did not have a valid Pediatric First Aid/CPR certificate. The certificate on file contained a QR code; however, the image was too blurry to scan. When submitted to the training facility for verification, the response was "No Record Found," and the certificate was determined invalid.  Staff statements confirmed that Staff Person #4 did not attend training on that date August 22, 2023, and the training center verified the certificate was invalid. Staff Person #4 does not have a valid Pediatric First Aid/CPR certificate within 90 days of hire.

Corrected Corrected by Oct 9, 2025

Category: supervision. 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). Facility Persons #3 and #7 may not work in a child care position at the facility.

The file for Staff Person #3 did not contain documentation of Child Abuse and Neglect Clearance results for the state of Florida where the staff person resided within 5 years prior to their date of hire (See LIS Code Sheet). The file for Staff Person #7 contained documentation of PA State Police Clearance results dated March 7, 2022; however, the clearance was issued for volunteer purposes making the clearance invalid for employment. In addition, the file for Staff Person #7 did not contain documentation of the Child Abuse and Neglect Clearance results for the state of New Jersey where the staff person resided within 5 years prior to their date of hire (See LIS Code Sheet).

Corrected Corrected by Oct 1, 2025

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for Staff Person #1 did not contain documentation of a signed disclosure statement prior to date of hire (See LIS Code Sheet). The file for Staff person #3 contained documentation of NSOR clearance results dated November 25, 2024 but was after the staff person's date of hire (See LIS Code Sheet).

Corrected Corrected by Aug 25, 2025

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for Staff Persons #3 and #8 (identified as assistant group supervisors) lacked qualification documents for the position in which the staff persons are performing. The file for Staff Person #9 (identified as an assistant group supervisor) contained documentation of a foreign diploma that has not been translated and evaluated to determine the staff person's qualifications.

Corrected Corrected by Oct 30, 2025

Category: supervision. Marked corrected in the state record.

3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

In Room 108, two large areas of sealant foam (an expanding chemical spray used for insulation and gap-filling, labeled "Keep out of reach of children") were observed along the baseboard on the back wall and were accessible to children in care. Based on staff statements, the sealant foam had been sprayed earlier that morning and was still in the process of drying at the time of inspection. It was further noted that Staff Person #10 attempted to conceal the presence of the foam from the Certification Representative by covering it with a rug.

Corrected Corrected by Oct 9, 2025

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.

A determination could not be made on when the health assessment in the file for Staff Person #7 was conducted due to the health assessment was not dated by the physician. The file for Staff Person #8 did not contain documentation of a health assessment at initial employment. The file for Staff Person #9 contained documentation of a health assessment dated July 9, 2025 but was after the staff person's date of hire (See LIS Code Sheet).

Corrected Corrected by Oct 10, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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.

The files for Staff Persons #1 and #8 did not contain documentation of a TB screening at initial employment. The file for Staff Person #9 contained documentation of a TB screening on July 11, 2025 but was after the staff person's date of hire (See LIS Code Sheet).

Corrected Corrected by Sep 30, 2025

Category: health medication. 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.

The file for Staff Person #8 contained documentation of one written, nonfamily reference.

Corrected Corrected by Aug 25, 2025

Category: recordkeeping. Marked corrected in the state record.

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

On July 22, 2025, Staff Person #6 submitted a Pediatric First Aid/CPR certificate for Staff Person #1 dated August 22, 2023. The font of the individual's name was inconsistent when compared to other certificates, and the QR Code would not scan. The training center verified that the Ecard Number on the certificate is linked to Staff Person #5. Staff statements confirmed Staff Person #1 did not attend training on that date, and the training center verified that the certificate was invalid. Therefore, Staff Person #1 does not have a valid Pediatric First Aid/CPR certificate within 90 days of hire.   On July 30, 2025, it was determined the Pediatric First Aid/CPR certificate on file for Staff Person #2 was invalid. The printed name listed Staff Person #2; however, scanning the QR code showed the certificate belonged to Staff Person #5.  Staff Person #2 does not have a valid Pediatric First Aid/CPR certificate. Staff person #2 does not have current Pediatric First Aid/CPR training. This is evidenced by the previously documented Pediatric First Aid/CPR training expiration date of August 31, 2024.   On July 22, 2025, Staff Person #6 submitted a Pediatric First Aid/CPR certificate for Staff Person #3 dated November 24, 2024. Staff statements confirmed Staff Person #3 did not attend training on that date, and the training center verified that no Pediatric First Aid/CPR training was offered by the listed instructor on that date. This certificate was invalid. Therefore, Staff Person #3 does not have a valid Pediatric First Aid/CPR certificate within 90 days of hire.   On July 30, 2025, it was determined that Staff Person #4 did not have a valid Pediatric First Aid/CPR certificate. The certificate on file contained a QR code; however, the image was too blurry to scan. When submitted to the training facility for verification, the response was "No Record Found," and the certificate was determined invalid.  Staff statements confirmed that Staff Person #4 did not attend training on that date August 22, 2023, and the training center verified the certificate was invalid.

Corrected Corrected by Oct 9, 2025

Category: ratio. Marked corrected in the state record.

3270.69(c) · Safe drinking water shall be made available to children of all ages throughout the day.

Based on conversations with staff, children were in the outdoor play space pouring water from their water bottles onto the ground. Staff Person #1 became frustrated and collected the children's water bottles, placed them in a milk crate, and refused to give the children back their water bottles that are used for drinking water for the remaining time the class was outside.

Corrected Corrected by May 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

Based on staff conversation with staff, Staff Person #1 was reported to have demonstrated aggressive behavior toward children. It was reported that Staff Person #1 yanked and pulled a child by the arm and wrist to prevent the child from climbing a slide, pulled a chair out from under a child, and abruptly lifted a child under the arms and forcefully relocated them to another area in the room.

Corrected Corrected by May 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Based on staff conversation, Staff Person #1 reportedly denied children access to food on multiple occasions as a form of discipline for not meeting behavior expectations. It was determined that Staff Person #1 refused to allow a child to eat from a lunchbox because the child would not eat their chicken nuggets first. Additionally, Staff Person #1 was observed discarding food that children were actively eating, stating the children were not listening and had stood up from their seats too many times.

Corrected Corrected by May 1, 2025

Category: nutrition. 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.

Based on staff conversation, Staff Person #1 was reported to interact with children using an aggressive, harsh, and overpowering tone, causing fear amongst the children. It was determined that Staff Person #1 screamed in children's faces and made statements such as, "You're a bad kid! Go sit in a chair! Get out of my way!

Corrected Corrected by May 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.162(c) · Food may not be withheld from a child for purposes of discipline.

Based on staff conversation, Staff Person #1 reportedly denied children access to food on multiple occasions as a form of discipline. It was determined that Staff Person #1 refused to allow a child to eat from a lunchbox because the child would not eat their chicken nuggets first. Additionally, Staff Person #1 was observed discarding food that children were actively eating, stating the children were not listening and had stood up from their seats too many times.

Corrected Corrected by May 1, 2025

Category: nutrition. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The files for Staff Persons #2 and #4 contained documentation of mandated reporter training that was not renewed before the expiration date of the most current certification on file. Staff person #2: 3/4/20 and 3/12/25. Staff person #4: 1/5/20 and 1/30/25.

Corrected Corrected by May 1, 2025

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff persons #3 and #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff persons available to supervise staff persons #3 and #5, staff persons #3 and #5 may not work in a child-care position at the facility.

Staff Persons #3 and #5 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter trainings on file being dated 4/14/20.

Corrected Corrected by May 1, 2025

Category: supervision. 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.

In the small outdoor play space, several pickets to the wooden fence surrounding the play space were observed to be broken causing splintering and were not in good repair.

Corrected Corrected by Jun 16, 2025

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

3270.113(a) · 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.

At approximately 10:40am in Room 110, 4 infants and 3 young toddlers were observed napping in their cribs on the right side of the room. Staff Persons #1 and #6 were observed sitting on a sofa and chair on the opposite side of the room. Due to where Staff Persons #1 and #6 were positioned in the room and furniture blockage, Staff Persons #1 and #6 were not able to properly supervise their assigned groups of children.

Corrected Corrected by May 1, 2025

Category: supervision. Marked corrected in the state record.

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The facility's fire drill log did not contain documentation of the names of the facility persons and the number of children who participated in the fire drills on 12/2/24 and 12/31/24.

Corrected Corrected by May 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #1 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Continued Non-Compliance: On 11/12/24, a renewal inspection was conducted at the facility. Staff person #1 had acceptable pediatric first aid/CPR training in an approved curriculum, however the trainer had not provided documentation that they are PQAS-certified in that training topic. The facility's acceptable plan of correction indicated the correction would be implemented by 12/31/24. On 1/9/25, an unannounced inspection was conducted. Staff person #1 has acceptable pediatric first aid/CPR training in an approved curriculum, however the trainer still has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Jan 20, 2025

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The files for staff persons #4 and #5 did not include documentation of current pediatric first aid/CPR training. The most recent training in the file for staff person #4 is dated 8/18/2022 and staff person #5 is dated 10/3/22.

Corrected Corrected by Dec 31, 2024

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #1 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Dec 31, 2024

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.

The files for staff persons #7, #10 and #12 had documentation of pediatric first aid/CPR training dated 8/2024 but was not completed within 90 days of hire. Staff person #8, who has worked at the facility for more than 90 days, lacked training in the 10 required health and safety training topics.

Corrected Corrected by Dec 3, 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). Facility Person #1 may not work in a child care position at the facility.

The file for staff person #1 did not have documentation of child abuse clearance results from the state of New York, where the staff person resided in the 5 years prior to employment (See IS CODE SHEET).

Corrected Corrected by Nov 26, 2024

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for staff person #2 had documentation of completing Mandated Reporter training on 7/11/19 and 10/28/24, which is more than 60 months apart. The file for staff person #3 had documentation of PA Child Abuse clearance results dated 9/5/19 and 11/1/24, which is more than 60 months apart. The file for staff person #9 had documentation of PA State Police clearance results dated 10/26/18 and 7/18/24 and FBI clearance results dated 3/15/19 and 5/2/24, which are more than 60 months apart.

Corrected Corrected by Dec 3, 2024

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for staff persons #5, #6 and #7, identified as an Assistant Group Supervisors, did not include qualification documents for the position they are performing.

Corrected Corrected by Dec 6, 2024

Category: supervision. 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.

A handwashing sign was not posted near the toilet in Room 114.

Corrected Corrected by Dec 6, 2024

Category: health medication. 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.

The lid to the trash receptacle in the outdoor play area was observed to be cracked with sharp edges and was not in good repair.

Corrected Corrected by Dec 6, 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.

The emergency contact form in the file for child #4 lacked the phone numbers of the individuals designated by the parent to whom the child may be released. The emergency contact forms in the file for children #5 and #6 lacked the addresses of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Dec 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(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 emergency contact forms in the files for children #1, #2, #3, #4, #5, and #6 have not been reviewed/updated by the parent within the last 6 months.

Corrected Corrected by Dec 31, 2024

Category: recordkeeping. 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.

The file for child #1, preschool aged, does not include a health report that was conducted within the last 12 months. The most current health report on file is dated 10/24/23.

Corrected Corrected by Dec 6, 2024

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.

The two most recent health assessments in the files for staff persons #2 and #11 are dated more than 24 months apart. Staff person #2: 5/24/22 and 6/19/24. Staff person #11: 11/22/21 and 12/8/23.

Corrected Corrected by Dec 6, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(1) · An adult health assessment must include a physical examination.

The health assessment on file for staff person #6 did not include a physical examination.

Corrected Corrected by Dec 6, 2024

Category: health medication. 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.

The file for staff person #10 had documentation of one written, nonfamily reference.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(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.

The file for child #6 had documentation of a health report dated 5/2/24 but was not within 60 days following the first day of attendance at the facility.

Corrected Corrected by Dec 6, 2024

Category: health medication. 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.

Based on statements from the director and multiple staff, on the morning of 12/28/23 Staff Person #1 fell asleep while carrying for 10 preschool children in the preschool classroom.

Corrected Corrected by Feb 16, 2024

Category: ratio. Marked corrected in the state record.

3270.113(a) · 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.

Based on statements from the director and multiple staff, on the morning of 12/28/23 Staff Person #1 fell asleep while carrying for 10 preschool children in the preschool classroom.

Corrected Corrected by Feb 16, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · 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.

Based on statements from the director and multiple staff, on the morning of 12/28/23 Staff Person #1 fell asleep while carrying for 10 preschool children in the preschool classroom.

Corrected Corrected by Feb 16, 2024

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

It was observed in the hallway that there was an outlet without protective coverings.

Corrected Corrected by Nov 21, 2023

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.

The One-Hour Health and Safety professional development training on file for Staff Person #7 is dated 11/13/23, which is after the deadline date of 12/30/22.

Corrected Corrected by Nov 21, 2023

Category: ratio. 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.

Loose crib sheets were observed on cribs in the Infant Room, causing the risk of suffocation.

Corrected Corrected by Dec 1, 2023

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

3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. 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 person #1 includes verification of Pediatric First Aid/CPR training dated 8/22/23, after the expiration date of 6/21/23. The file for Staff person #4 includes verification of Pediatric First Aid/CPR training dated 8/18/22, after the expiration date of 2/16/22. The file for Staff person #5 includes verification of Pediatric First Aid/CPR training dated 8/22/23, after the expiration date of 6/21/23.

Corrected Corrected by Nov 21, 2023

Category: ratio. 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.

The file for Staff Person #3, was observed not to have completed pre-service training, Get Started with Center Based Care: Building Blocks for Quality, within 90 days of hire (see LIS code sheet). The pre-service training on file for Staff Person #3 was dated 6/22/22.

Corrected Corrected by Nov 21, 2023

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.

The State Police Clearance on file for Staff Person #2 is dated 11/5/23 which is after initial hire date (See LIS Code sheet). The two most recent State Police Clearances for Staff Person #6 are dated 6/22/17 and 7/28/22 which are more than 60 months apart. The two most recent Child Abuse Clearances for Staff Person #6 are dated 6/28/17 and 8/12/22 which are more than 60 months apart.

Corrected Corrected by Nov 21, 2023

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

3270.75(b) · A first-aid kit must be inaccessible to children.

In room #107 it was observed that the to go bag that contained the first-aid kit was on the floor in front of the children's cubbies making it accessible to the children.

Corrected Corrected by Nov 21, 2023

Marked corrected in the state record.

3270.75(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 in Room #104 was lacking tape. The first-aid kit in Room #109 was lacking soap.

Corrected Corrected by Nov 21, 2023

Category: health medication. 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.

It was observed in Room #105 in the back comfy corner that there was peeling and chipping paint on the wall.

Corrected Corrected by Dec 1, 2023

Category: physical safety. 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.

In Rooms #102, #107 and #108 it was observed that there was a bin of magnetic tiles that had cracks in the tiles with some missing magnetics. In Room #108 there were foam letters that had bite marks in them.

Corrected Corrected by Nov 21, 2023

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

There was not a daily schedule posted in Rooms #103, #105, and #109.

Corrected Corrected by Nov 22, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The immunization record on file for Child #1 and Child #2 does not include a current influenza vaccination that is recommended annually by the ACIP.

Corrected Corrected by Nov 22, 2023

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

3270.131(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 on file for Child #3 does not indicate if the child is free from contagious disease and may be participate in child care.

Corrected Corrected by Dec 20, 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.

The two most recent health assessment on file for Staff Person #7 are dated 7/22/21 and 8/23/23 which are more than 24 months apart.

Corrected Corrected by Nov 22, 2023

Category: ratio. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

An empty bottle for an infant in care did not contain the name of the child that it was fed too.

Corrected Corrected by Nov 22, 2023

Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The initial health assessment for Child #4 is dated 8/17/22 which is more than 60 days after enrollment (see LIS code sheet for enrollment date).

Corrected Corrected by Dec 20, 2023

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

3270.75(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.

Observed the first aid kit in room 101 and room 107 were missing soap.

Corrected Corrected by Dec 5, 2022

Category: health medication. 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.

Observed in room 108, a ceiling vent which needed to be cleaned. Observed in room 107, a damaged ceiling tile and 2 ceiling vents which needed to be cleaned. Observed in room 106, a detached electrical wall outlet and ceiling fans which needed to be cleaned. Observed in room 101, a detached heater front. Observed in the outdoor play area, exposed nails and bolts by the outside wooden door.

Corrected Corrected by Dec 5, 2022

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -1, 3, and 4- may not work in a child care position at the facility until the required clearances are obtained.

Observed staff file #1 contained a volunteer child abuse clearance which is not accepted for child care employment. Observed staff file #2 contained an initial CPSL required mandated reporter training which was dated more than 90 days after staff #2 start date (See LIS Code Sheet) in a child care position. Observed staff file #3 and #4, who had lived out of state within the last 5 years, did not contain the required out of state child abuse clearance.

Corrected Corrected by Dec 5, 2022

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

3270.66(b) · 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 stored away from food, food preparation areas and child care spaces.

Observed in room 102, Lysol cleaner on the same shelf as food.

Corrected Corrected by Dec 5, 2022

Category: ratio. 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.

Observed damaged plaster or paint flakes on the floor by the swings in room 104. Observed peeling paint on the slide support in the young toddler area.

Corrected Corrected by Dec 7, 2022

Category: physical safety. 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.

Observed trash cans which did not have a lid in the sink or toilet area in room 108, 103, 105, 101, and 102.

Corrected Corrected by Dec 8, 2022

Category: health medication. 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.

Observed in room 101, a white chair with a loose back creating a pinch point. Observed in room 100, a loose/separating manipulative shelve unit. Observed in room 103, a torn diaper changing pad, a white and a blue chair with loose back or support screw, and a split in the wood of the blue chairs back support. Observed in room 107, a wooden chair with a loose back creating a pinch point and a sand table with a peeling cover. Observed in room 108, a blue couch with exposed foam.

Corrected Corrected by Dec 8, 2022

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Observed in room 100, which provides care for toddlers, several small particles/plastic with a diameter of less than one inch on the floor by a tablet. Observed in room 104, an infant room, small plastic/particles with a diameter of less than one inch on the floor by the swing.

Corrected Corrected by Dec 8, 2022

Marked corrected in the state record.

3270.106(f)/3270.106(j) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Observed the cribs which were in use in room 104, did not have 2 feet of space on three sides. Observed an infant sleeping with a pacifier toy in room 106.

Corrected Corrected by Dec 6, 2022

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

3270.131(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.

Observed on 11/22/22, child file #1 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Dec 8, 2022

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

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Observed the facility did not have medication logs for Benadryl and an epi pen which are stored and maintained at the facility.

Corrected Corrected by Dec 8, 2022

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

3270.166(3) · Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Based on information obtained in room 104, it was determined that the bottles used to feed the infants were being washed by hand and not in a dishwasher.

Corrected Corrected by Dec 6, 2022

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. The operator to provide documentation that the trainer has become PQAS-certified or at least is on the waiting list.

Observed the required child care staff files which documented these staff have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Nov 17, 2022

Category: health medication. 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.

Observed the operator did not have documentation of submitting a copy of the emergency plan to the local municipality and to the county emergency management agency.

Corrected Corrected by Dec 9, 2022

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). 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 State Police Criminal History clearance on file for Staff person #4 is dated 7/21/19, more than 60 months after the previous clearance, dated 7/11/12.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The 2 most recent completed Mandated Reporter training certificates for Staff person #2 are dated 3/10/15 and 4/14/20, more than 60 months apart. The 2 most recent completed Mandated Reporter training certificates for Staff person #3 are dated 3/10/15 and 4/14/20, more than 60 months apart. The 2 most recent completed Mandated Reporter training certificates for Staff person #5 are dated 8/19/16 and 8/24/21, more than 60 months apart.

Corrected Corrected by Dec 7, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff person #4, classified as a Group supervisor, does not include verification of a Bachelor or Associates degree in Education or a related human services field, or a Bachelor degree or Associates degree with the appropriate number of related credits and experience.

Corrected Corrected by Dec 7, 2021

Category: supervision. 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.

There were cracked floor tiles in Room 103, causing a potential tripping hazard.

Corrected Corrected by Dec 7, 2021

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

3270.107 · 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 in Room 108 and Room 107 measured more than 45 degrees during the inspection.

Corrected Corrected by Dec 7, 2021

Category: nutrition. 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.

The emergency contact form on file for Child #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 does not include the work address and telephone number for the enrolling parent.

Corrected Corrected by Feb 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact form on file for Child #7 does not indicate whether or not the child has special medical needs, as required in the event of an emergency.

Corrected Corrected by Feb 1, 2022

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.

The current immunization record on file for Child #1, who is 3 years old, includes 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age. The current immunization record on file for Child #1 also does not include an annual influenza vaccination, which is recommended annually by the ACIP.

Corrected Corrected by Feb 17, 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.

The 2 most recent health assessments on file for Staff person #1 are dated 7/18/19 and 7/21/21, more than 24 months apart.

Corrected Corrected by Dec 7, 2021

Category: ratio. Marked corrected in the state record.

3270.31(h)/3270.192(2)(iii) · All staff persons shall complete the professional development under subsection (f). 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 #4, an existing staff member, lacked documentation of health and safety training numbers 1 - 9, as listed in the regulation 3270.31(f). Training was required within 180 days following the implementation of the current regulations, 6/17/21.

Corrected Corrected by Dec 14, 2021

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

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 facility does not have proof of purchase for the interconnected fire alarm system.

Corrected Corrected by Feb 16, 2022

Category: recordkeeping. Marked corrected in the state record.