3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At approximately 4:15pm, Staff #3 greeted the Cert. Rep. at the door to allow entry into the facility. Upon entering the gym, 29 young school-age and preschool age children along with three staff were observed. During the onset of supervision and ratio, when each staff were asked to identify and name the children whom they were responsible for, Staff person #1 identified and named 12 young school aged children, Staff person #2 identified and named 9 preschool age children, and Staff person #3 identified and named 8 preschool age children. Therefore, since no other staff were present at the facility, ratio was determined to have been 2:29 when Staff #3 left the gym.

Corrected Corrected by May 13, 2025

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.

At approximately 4:15pm, Staff #3 greeted the Cert. Rep. at the door to allow entry into the facility. Upon entering the gym, 29 young school-age and preschool age children along with three staff were observed. During the onset of supervision and ratio, when each staff were asked to identify and name the children whom they were responsible for, Staff person #1 identified and named 12 young school aged children, Staff person #2 identified and named 9 preschool age children, and Staff person #3 identified and named 8 preschool age children. Therefore, It was determined that staff #3 was not physically present with the children in their group during the time staff left to answer the door.

Corrected Corrected by May 16, 2025

Category: supervision. 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's annual fire detection system report by a fire professional dated 4/30/24 was observed to be more that 12 months old.

Corrected Corrected by Jun 9, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file for Child #1 through Child #10, who are preschool age children, lacked a child service report.

Corrected Corrected by Mar 24, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Six-month reviews of the Emergency Contact Forms and Financial Agreements for Child #1 was deemed invalid due to Staff person #1, who stated that they are in charge of child files, disclosure that they entered the parent's name and backdated the review date to avoid a citation for noncompliance.

Corrected Corrected by Jan 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.181(d) · **Legal Entity and Assistant Director shall complete the following Better Kid Care training titled 'Ethics: A Guide for Professional Behavior'. Proof of training will be submitted to the OCDEL Western Region Certification Rep upon completion and may be counted towards annual training hours.

**Six-month reviews of the Emergency Contact Forms and Financial Agreements for Child #1 was deemed invalid due to Staff person #1, who stated that they are in charge of child files, disclosure that they entered the parent's name and backdated the review date to avoid a citation for noncompliance.

Corrected Corrected by Jan 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

*Six-month reviews of the Emergency Contact Forms and Financial Agreements for Child #1 was deemed invalid due to Staff person #1, who stated that they are in charge of child files, disclosure that they entered the parent's name and backdated the review date to avoid a citation for noncompliance.

Corrected Corrected by Jan 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.181(d) · ***Facility shall require parents of all currently enrolled children, and children enrolling in the future, to review their child's Financial Agreements, Emergency Contact Information forms, and if applicable, Child Service Reports and have the parents attest to those reviews by affixing a handwritten signature and date on the day the review occurred. The owner will keep a log of all newly submitted child-related documents and subsequent reviews of documents for a period of 3 months. This log will include the date the form was submitted by the parent, the child's name, the name of form and the owner's signature and date attesting to the authenticity of the document. This log and corresponding documents will be available to the Certification Representative upon request for the next three months, beginning with the acceptance of the plan of correction.

***Six-month reviews of the Emergency Contact Forms and Financial Agreements for Child #1 was deemed invalid due to Staff person #1, who stated that they are in charge of child files, disclosure that they entered the parent's name and backdated the review date to avoid a citation for noncompliance.

Corrected Corrected by Apr 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The staff file for Staff person #1 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 1/19/23 and 2/7/24.

Corrected Corrected by Dec 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

The two trash receptacles used in the Gymnasium were observed to contain used yogurt containers, spoons, and milk cartons that have been contaminated by human secretions and to they did not have lids.

Corrected Corrected by Dec 10, 2024

Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The child file for Child #1 was observed to have a current financial agreement form that lacked the specific fee amount to be charged.

Corrected Corrected by Dec 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(4) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The initial health assessment on file for Child #2, who is a school aged, was not dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Corrected Corrected by Jan 10, 2025

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

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The facility emergency plan was observed to lack the evacuation routes to exit the school building and to a location away from the facility premises.

Corrected Corrected by Dec 10, 2024

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility's emergency plan did not address continuity of operations in the event of an emergency.

Corrected Corrected by Nov 20, 2023

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

There was no documentation of completion of the required health & safety update training on file for Facility Persons #1 and #4. The health & safety update training completed and documented on file for Facility Persons #2, #3, #5 and #6 were completed after the required due date of 12/30/22.

Corrected Corrected by Nov 20, 2023

Category: ratio. Marked corrected in the state record.

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

The letter to the parents that explains the facility's emergency plan did not include information regarding a lockdown or accommodations in the event of an emergency.

Corrected Corrected by Nov 20, 2023

Category: physical safety. 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.

There were two uncovered outlets on the wall in the hallway , outside the restrooms.

Corrected Corrected by Nov 20, 2023

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

There were no handwashing signs posted in the boys restroom at a sink and a toilet.

Corrected Corrected by Nov 20, 2023

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

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The pick-up and drop off procedures were not posted at the facility.

Corrected Corrected by Nov 20, 2023

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 most recent fire alarm inspection report on file at the facility was dated 8/1/22. Act 62 requires an annual inspection when an operator is unable to test the facility's smoke alarms.

Corrected Corrected by Oct 10, 2023

Category: recordkeeping. 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 most recent fire alarm inspection report on file at the facility was dated 8/1/22. Act 62 requires an annual inspection when an operator is unable to test the facility's smoke alarms.

Corrected Corrected by Oct 20, 2023

Category: recordkeeping. 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. Emergency plan must include a plan for the continuity of operations in the event of an emergency.

The emergency plan did not include a plan for continuity of operations in the event of an emergency.

Corrected Corrected by Dec 18, 2022

Category: ratio. Marked corrected in the state record.

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

The most recent review date documented on the emergency plan was 1/25/19.

Corrected Corrected by Dec 14, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The letter to be provided to the parents regarding the emergency plan does not include the facility's plan for a lockdown.

Corrected Corrected by Dec 19, 2022

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Upon entry to the facility alongside Facility Person #1, at approximately 3:55 PM, it was observed there were 12 young schoolagers and 9 preschoolers present in the hallway outside of the gym/cafeteria with no staff person in the hallway to supervise them until the arrival of Facility Person #1. Current children's agreements on file notate that program begins at 3:50 PM.

Corrected Corrected by Dec 19, 2022

Category: supervision. Marked corrected in the state record.

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

There was hand sanitizer and a spray bottle containing a cleaner on a chest refrigerator in the gym, in reach of the children.

Corrected Corrected by Dec 19, 2022

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.

There was a spray bottle containing a cleaner in the gym, not labeled with the contents.

Corrected Corrected by Dec 19, 2022

Category: ratio. Marked corrected in the state record.

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

The daily activity schedule was located in a folder in a backpack taken by staff to child care spaces when in use, not posted in the child care spaces.

Corrected Corrected by Dec 19, 2022

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.

Upon entry to the facility alongside Facility Person #1, at approximately 3:55 PM, it was observed there were 12 young schoolagers and 9 preschoolers present in the hallway outside of the gym/cafeteria with no staff person in the hallway to supervise them until the arrival of Facility Person #1. Current children's agreements on file notate that program begins at 3:50 PM.

Corrected Corrected by Dec 19, 2022

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.

Upon entry to the facility alongside Facility Person #1, at approximately 3:55 PM, it was observed there were 12 young schoolagers and 9 preschoolers present in the hallway outside of the gym/cafeteria with no staff person in the hallway to supervise them until the arrival of Facility Person #1. Current children's agreements on file notate that program begins at 3:50 PM.

Corrected Corrected by Dec 19, 2022

Category: supervision. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

There were no child service reports that were completed. and a copy given to parents, on file for children #1 and #3, both enrolled at the facility more than 6 months

Corrected Corrected by Dec 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

The children's emergency contact forms are accessible to staff electronically via the use of an app installed on an ipad. The ipad was located in the hallway while the children were in the cafeteria/gym. Staff supervising children in the cafeteria/gym were unable to access the emergency contact information for the children in care on their devices while in the child care space with them.

Corrected Corrected by Dec 19, 2022

Category: supervision. Marked corrected in the state record.

3270.124(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 medical emergency transportation plan was located in a folder in a backpack taken by staff to child care spaces when in use, not posted in the child care spaces.

Corrected Corrected by Dec 19, 2022

Category: transportation. Marked corrected in the state record.

3270.131(a)(4) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The initial health assessment on file for child #2, a schoolager, was not dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Corrected Corrected by Nov 23, 2022

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

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

The most recent health assessments on file for children #1 and #3 (preschoolers) were completed more than 12 months prior.

Corrected Corrected by Dec 19, 2022

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

The children in care did not wash their hands prior to having their snack.

Corrected Corrected by Dec 19, 2022

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

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

There was no documentation that an emergency drill had been conducted.

Corrected Corrected by Dec 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

According to staff, the information on how to access the regulations electronically had not yet been shared with the parents.

Corrected Corrected by Dec 19, 2022

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.

There was no documentation that the current emergency plan was sent to the county emergency management agency and the local municipality.

Corrected Corrected by Dec 19, 2022

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

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

The first-aid kit was in a backpack on the table accessible to children in care.

Corrected Corrected by Oct 25, 2021

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 file of facility person #1 contained an NSOR verification certificate dated 10/7/2021 which was after the provisional hire period and their start date of 9/8/2021 at this location. Facility person #1 now has a current NSOR verification certificate.

Corrected Corrected by Oct 25, 2021

Category: background checks. 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.

Ten electrical outlets in the gym were not covered with protective receptacle covers.

Corrected Corrected by Oct 25, 2021

Marked corrected in the state record.

3270.124(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 form of child #4 did not contain the address and telephone number and child #5 did not contain the telephone number of their physician or source of medical care.

Corrected Corrected by Nov 4, 2021

Category: health medication. 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 of child #1 and 3 did not contain the home telephone number and child #4 did not contain the home telephone number and work address of the enrolling parent.

Corrected Corrected by Nov 4, 2021

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 of child #2 and 5 did not address information on the child's special needs.

Corrected Corrected by Nov 4, 2021

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

An Epi-Pen and Zyrtec were in a backpack on the table accessible to children.

Corrected Corrected by Oct 25, 2021

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