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

Per investigation and staff statements, staff #1 has been observed smacking children on the buttock and grabbing children roughly by the arms.

Corrected Corrected by Jun 19, 2026

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.

Per investigation and staff statements, staff #1 has been heard speaking to the children aggressively and telling children to shut-up.

Corrected Corrected by May 15, 2026

Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

An accident report was not written nor given to the parents of Child #1 regarding an injury that occurred while receiving care in March 2026.

Corrected Corrected by May 11, 2026

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

3270.151(a)/3270.151(c)(2) · 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. 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 file for staff #2 lacked a health report and TB test. Staff #2 was observed working and entering the different classrooms at the facility during the investigation.

Corrected Corrected by May 28, 2026

Category: ratio. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

An incident report was not located in child #1's file or in the facility accident file for an injury received by child #1 on 4/23/2026. In addition, according to staff interviews, an incident report was not provided to the child's parent on the day of the injury.

Corrected Corrected by May 14, 2026

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

3270.51 · Tier 1 - 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. This portion of the plan shall have an immediate correction date. Tier 2 - Ratio postings and the definitions of each age group are to be clearly visible in each classroom. The operator shall provide a date for when this will be completed. Tier 3 - The legal entity will conduct mandatory staff meetings at least once per month for a period of 3 months following the approval of this plan of correction. At each staff meeting, ratio requirements and the previous two (2) years of citations, will be reviewed and discussed with staff. The agenda for each of those three (3) staff meetings will be sent to the regional office/certification representative prior to each meeting. All staff will sign an attendance sheet, and a copy will be sent to the regional office/certification representative following each meeting. A copy shall be kept on file at the facility. The correction date for this portion of the plan shall be a minimum of 3 months from the date the regional office/certification representative approves this plan of correction.

On 4.16.26, while to be supervising children, Staff #2 left the line of children in the hall to retrieve a blanket. During that time, Staff #1 was alone supervising preschool children. Based on staff statements, there were approximately 13-15 preschool children in the group with one (1) staff, which exceeded the staff:child ratio of 1:10.

Corrected Corrected by Aug 10, 2026

Category: supervision. 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.

On 4.16.26, at approximately 9:50 AM, Child #1, who was to be supervised by Staff #1, was left alone in Room 5 when the class went to the playground, with staff unaware the child was missing. Child #1 was found and returned to the group by Staff #3.

Corrected Corrected by Apr 17, 2026

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.

On 4.16.26, at approximately 9:50 AM, Child #1, who was to be supervised by Staff #1, was left alone in Room 5 when the class went to the playground, with staff unaware the child was missing. Child #1 was found and returned to the group by Staff #3.

Corrected Corrected by Apr 17, 2026

Category: supervision. 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).

Per staff statements, on 4/9/26, at approximately 9:00 a.m., Staff #3 was working alone in the Pre-K Room with 17 children, consisting of Preschoolers, through School Aged. Staff # 2 and Staff #4 were working in the Young Toddler Room with 14 children, consisting of Young and Older Toddlers.

Corrected Corrected by May 1, 2026

Category: ratio. 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 was water damaged mark on the SA room ceiling.

Corrected Corrected by May 5, 2026

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

3270.113(a) · TIERED LIS: 1. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all childcare staff persons at the facility to complete an Active Supervision Training. The training must be offered by ELRC 5, in-person and a minimum of 2 hours. The training must be completed within 3 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete. 3. The legal entity will require all childcare staff to participate in technical assistance visits provided by the ELRC regarding classroom supervision/ratio and managing challenging behaviors in the classroom. The legal entity will complete a minimum of 3, in-person technical assistance visits provided by ELRC 5. The technical assistance visits must be completed within 4 months of the approval of this plan of correction. Upon completion of the visits, documentation will be provided to the OCDEL-DHS representative by email. The operator shall provide a date for when this training will be complete.

Per a facility self-report and staff statements, on 4/10/26 in the Pre-K room during nap time, Staff #1 was observed laying down between two children. Staff #1 was asleep while the staff was responsible for supervising the children in the room.

Corrected Corrected by Oct 30, 2026

Category: supervision. 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.

There was peeling paint on the buggy wheel in the toddler's playground.

Corrected Corrected by May 1, 2026

Category: physical safety. 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.

There were mobile infants and young toddlers in Infant B room. There was a drill, screws, pieces of wood and a tool box on the floor of Infant A room. The door between the two rooms was open. There was a cylinder shaped foam play roller, approximately 2 feet by 2 feet, propping open the door. The Infant A room was accessible to children.

Corrected Corrected by May 6, 2026

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

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

The facility emergency plan last reviewed was dated 2/10/25.

Corrected Corrected by Apr 3, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The operator did not post the emergency plan in the facility at a conspicuous location.

Corrected Corrected by May 1, 2026

Category: physical safety. 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 operator did not provide the parents of each enrolled child a letter explaining the emergency procedures.

Corrected Corrected by Jun 5, 2026

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 file for staff #1 contained a current NSOR clearance dated 2/12/26, that was obtained after staff #1 start date working with children. The file for staff #2 contained a current NSOR clearance dated 8/13/25, that was obtained after staff #2 start date working with children. The file for staff #3 contained a current NSOR clearance dated 10/7/25, that was obtained after staff #3 start date working with children. The file for staff #6 contained a current FBI clearance dated 4/8/25 that was obtained after staff #6 start date working with children.

Corrected Corrected by May 4, 2026

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for staff #11 contained a current evaluation dated 12/15/25, the file lacked documentation of the previous evaluation.

Corrected Corrected by May 5, 2026

Category: recordkeeping. 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 was an uncovered electrical outlet in the SA room, the room was being used by the Preschool /Pre-K children. The electrical outlet was accessible to children 5 years of age or younger. There was an uncovered electrical outlet by the fire alarm box above the cribs in the infant B room accessible to children 5 years of age or younger.

Corrected Corrected by May 1, 2026

Category: physical safety. 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 were 3 bottles of Elmer's Rubber Cement labeled, "keep out of reach of children," in the art /crafts cart i the Discovery preschool room, in the OT area accessible to children. There was a bottle of Febreze spray labeled, "keep out of reach of children", in the unlocked cabinet above the sink in the SA room accessible to children. There was a Desiline diaper rash cream and sanitizer wipes labeled, "keep out of reach of children", in a backpack that was laying on the floor in pre- K room. accessible to children.

Corrected Corrected by May 4, 2026

Category: health medication. 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 following rooms had trash contaminated by human secretions located in trash receptacles that lacked a plastic liner: 2 receptacles in Infant A; Toddler; and 2 receptacles in the Preschool bathrooms.

Corrected Corrected by May 1, 2026

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 the infant A room lacked tape and soap. The first-aid kit in the toddler room lacked soap. The first-aid kit in the SA room lacked bandages.

Corrected Corrected by May 1, 2026

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 was rubber baseboard pulling of the wall close to the exit door in the infant B room. The right-side of the sink attached to the changing table is deteriorated and peeling away, leaving a gap between the sink and the wall in the toddler room. There was a damaged metal wall detaching and creating a sharp edge in the toddler room. There was a metal spring about 12" long coming off the paper towel holder and a broken water shut-off valve by the toilet creating sharp edges in the first preschool bathroom. There was spilled trash in the preschool, and the toddlers' playgrounds. When CR asked how often the trash is removed from the facility ground staff were unable to respond.

Corrected Corrected by May 1, 2026

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

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

The sink faucet in the infant B classroom bathroom was leaking; both toilets were dirty with yellow and brown stains in the toilet bowl. The pipes under the sink in both discovery preschool room on the toddler side bathrooms were rusted. There was a hole on the wall under the sink between the rusted pipes, there were three lose metal pipe connections and the sink was stained and dirty. The first bathroom to the left in the pre-k room contained a leaking sink and a non-operable toilet. The sink was filled with wet paper towels, and the toilets bowl was soiled. The second bathroom to the left in the pre-k room toilet is leaking from under the toilet bowl. There was urine in the bowl. The pipes under the sink in the pre-k room bathroom were rusted. The pipes under the sink in both SA room bathrooms are rusted and corroded.

Corrected Corrected by May 6, 2026

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.

The second bathroom to the left in the pre-K room lacked washing hand sign above the toilet.

Corrected Corrected by May 4, 2026

Category: health medication. 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.

The second bathroom to the left in the PreK-room lacked a lidded waste receptacle. The SA bathroom lacked a lidded waste receptacle.

Corrected Corrected by May 1, 2026

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

There were stacked cots obstructing the doorway. The cots were stored in an unstable manner, creating potential tripping hazard and impede safe entry or exit during an emergency. The cots were in the toddler's playground.

Corrected Corrected by May 1, 2026

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.

There were two cracked clear bins in the infant B room. There was a cracked bin in the toddler room. There were two cracked bins in the SA room. There was a broken paper towel holder in the second bathroom to the left in the pre-k room. There were two bins filled with dirty water and a blue broken bin in the toddler 's playground.

Corrected Corrected by May 4, 2026

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

3270.106(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 sleeping cots in the pre-k room were not labeled for the use of a specific child and used only by the specified child.

Corrected Corrected by May 1, 2026

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

3270.106(f) · 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.

During naptime there were four cots with less than 2 feet of space on three sides of the cots while the equipment was in use, three in the pre-k and one in the toddler room.

Corrected Corrected by May 1, 2026

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

3270.106(h) · Soiled bedding shall be cleaned before it is reused.

There were two cribs with soiled sheets in the infant B room. CR observed a child sleeping in one of the soiled cribs.

Corrected Corrected by Apr 30, 2026

Category: physical safety. 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.

On 3/25/26 at approximately 10:29 am, Staff #5 was heard yelling "Sit Down!" in the Toddler Room. The Certification Representative looked into the Toddler Room and observed Staff #5 yelling directly into the face of Child #8. The child was holding a toy and the staff hit the toy in the child's hand twice while continuing to yell.

Corrected Corrected by Apr 13, 2026

Marked corrected in the state record.

3270.113(d) · TIERED LIS: 1. A facility person may not use harsh, demeaning or abusive language in the presence of children. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to complete a training regarding managing challenging behaviors in the classroom. The training must be offered by ELRC 5, in-person and a minimum of 2 hours. The training must be completed within 3 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete.

On 3/25/26 at approximately 10:29 am, Staff #5 was heard yelling "Sit Down!" in the Toddler Room. The Certification Representative looked into the Toddler Room and observed Staff #5 yelling directly into the face of Child #8. The child was holding a toy and the staff hit the toy in the child's hand twice while continuing to yell.

Corrected Corrected by Jun 15, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.114 · Weather permitting, children shall be taken out doors daily.

On 3/25/26 CR observed that children were not taken outdoors, weather was above 25-degree and there was no precipitation. Per staff statement children have not been going outside daily due to been cold outside.

Corrected Corrected by May 1, 2026

Category: physical safety. 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 file for child # 1lacked the amount of the fee to be charged per day or per week. on the agreement form.

Corrected Corrected by May 1, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The file for child #1 lacked the date on which the fee is to be paid on the agreement form.

Corrected Corrected by May 1, 2026

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 #3 lacked the information about the child's growth and development in the context of the services being provided.

Corrected Corrected by Apr 29, 2026

Category: recordkeeping. 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 file for child # 5 lacked the name and telephone number of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Apr 29, 2026

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 file for child #2 lacked the work address of the enrolling parent on the emergency contact form. The files for children # 4,5, lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Corrected Corrected by Apr 29, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The files for children #4,5,6 and 7 lacked written consent signed by a parent for emergency medical care on the emergency contact form.

Corrected Corrected by Apr 29, 2026

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 file for child #5 lacked the 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, on the Emergency contact form.

Corrected Corrected by Apr 29, 2026

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The files for children # 1,3,4,5,6 and 7 lacked the health insurance policy number on the emergency contact form.

Corrected Corrected by Apr 29, 2026

Category: health medication. 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 files for children #1,4,5 and 7 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Apr 29, 2026

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 emergency contact form for child #4 was not present in the pre-k room where the child was receiving care.

Corrected Corrected by May 1, 2026

Category: recordkeeping. 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 infant room A lacked emergency transportation plan.

Corrected Corrected by Apr 3, 2026

Category: transportation. 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 file for child #3 contained an emergency contact form that has not been reviewed. The last reviewed is dated 8/18/25. The file contained an agreement form dated 2/18/26 that was reviewed pass the 6 months prior from the previous review dated 4/14/25. The files for children #4, and #7 contained an emergency contact and agreement form that were not updated in a 6 month period.

Corrected Corrected by May 1, 2026

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 file for child #7 a school age lacked an initial health report. The child was in care longer that 60 days without initial health report.

Corrected Corrected by May 4, 2026

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 file for child #3, a preschooler contained a current health report dated 4/3/25. The report was obtained more than 12 months from the prior report dated 3/13/24.

Corrected Corrected by May 1, 2026

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

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Staff # 7 did not wash the child's hands after diapering. Staff #7 did not wash her hands after diapering a child.

Corrected Corrected by May 1, 2026

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Staff #7 kept a soiled diaper on the changing table until the staff was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

Corrected Corrected by Apr 30, 2026

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for staff #1 contained a current health report dated 2/23/26 that was not obtained withing 24 months of the previous health report dated 6/15/23. The file for staff #2 contained a current health report dated 8/1/25 that was obtained after providing initial service in a childcare setting. The file for staff #3 contained a current health report dated 10/6/25 that was obtained after providing initial service in a childcare setting. The file for staff #4 contained a current health report dated 7/29/25 that was obtained after providing initial service in a childcare setting. The file for staff #6 contained a current health report dated 3/28/25 that was obtained after providing initial service in a childcare setting. The file for staff #9 contained a current health report dated 2/5/26 that was obtained after providing initial service in a childcare setting. The file for staff #10 contained a current health report dated 6/25/25 that was not obtained within 24 months from the previous health report dated 4/5/23.

Corrected Corrected by Apr 29, 2026

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The file for staff #4 contained a health report that lacked an examination for communicable diseases and the results of that examination.

Corrected Corrected by Apr 29, 2026

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

At approximately 10:36 am 6 cups with milk were observed on top of the counter in the toddler room and 2 cups of milk in the pre-k room.

Corrected Corrected by Apr 29, 2026

Category: nutrition. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The files for children# 4,5,6 and 7 lacked signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

Corrected Corrected by Apr 29, 2026

Category: ratio. Marked corrected in the state record.

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

The files for staff #1 and #8 lacked verification of childcare experience.

Corrected Corrected by Apr 29, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(iii) · 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 #1 lacked verification of education.

Corrected Corrected by Apr 29, 2026

Category: recordkeeping. 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 files for staff #1 and #8 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Apr 29, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility emergency plan lacked accommodations for infants, toddlers.

Corrected Corrected by Jun 5, 2026

Category: physical safety. 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.

According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 9/19/25-11/19/25 and 2/10/26 to 3/25/26.

Corrected Corrected by May 4, 2026

Category: recordkeeping. 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.

A copy of the facility emergency plan was not sent to the local municipality and the county emergency management agency.

Corrected Corrected by Jun 5, 2026

Category: physical safety. 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 #1, an infant, contained a current health report dated 2/12/26. The file lacked an initial health report within 60 days of the first day of attendance. The file for child # 4, a preschooler, contained a current health report dated 10/30/25. The file lacked an initial health report within 60 days of the first day of attendance.

Corrected Corrected by May 4, 2026

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

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

The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

Corrected Corrected by Jun 5, 2026

Marked corrected in the state record.

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

Per staff statements and a facility self-report, on 7/10/25, Staff #1 used their arm to roughly stop and trip Child #1, an older toddler. Staff #1 then asked the child, "What the hell is your problem?" Child #1 was trying to run across the room to their parent at pick up.

Corrected Corrected by Jul 10, 2025

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. 1. A facility person may not use harsh, demeaning or abusive language in the presence of children. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff to attend a mandatory staff meeting to review the supervision regulations including; 3270.113(b), 3270.113(c) and 3270.113(d). The meeting agenda must be approved by the Department prior to the meeting. Documentation of each staff's attendance at the meeting will be provided to the OCDEL-DHS representative by email. The operator shall provide a date for when this training will be complete.

Per staff statements and a facility self-report, on 7/10/25, Staff #1 used their arm to roughly stop and trip Child #1, an older toddler. Staff #1 then asked the child, "What the hell is your problem?" Child #1 was trying to run across the room to their parent at pick up.

Corrected Corrected by Jul 10, 2025

Category: supervision. 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 training is completed, staff person #6 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Staff person # 6 was observed to be caring for children unsupervised. Staff person # 6 has not completed the following pre- service training required prior to caring for children unsupervised: Mandate Reporter Training.

Corrected Corrected by Aug 4, 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). Staff persons # 1,2,3,4,5 and 6 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons# 1,2,3,4,5, and 6 may not work in a child care position at the facility.

The file for staff # 1, #2, #3, #4 & #6 lacked an NSOR clearance. The file for staff # 5 Lacked an FBI clearance.

Corrected Corrected by Aug 10, 2025

Category: background checks. 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.

On 7/28/25 at 9:02 am, Child #1 and Child #2, preschoolers, were sitting on a bench in the hallway outside of the kitchen. The children were not being supervised by a staff. The children were waiting for Staff #6 to take them to their room. Staff #6 left the hallway to go into an office before returning to take the children to their rooms.

Corrected Corrected by Jul 28, 2025

Category: supervision. 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.

On 7/28/25 at 9:02 am, Child #1 and Child #2, preschoolers, were sitting on a bench in the hallway outside of the kitchen. The children were not being supervised by a staff. The children were waiting for Staff #6 to take them to their room. Staff #6 left the hallway to go into an office before returning to take the children to their rooms.

Corrected Corrected by Jul 28, 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.

On 7/28/25 at 9:02 am, Child #1 and Child #2, preschoolers, were sitting on a bench in the hallway outside of the kitchen. The children were not being supervised by a staff. The children were waiting for Staff #6 to take them to their room. Staff #6 left the hallway to go into an office before returning to take the children to their rooms. On 7/28/25 at 9:15 am in the Pre-K Room, Staff #7 and Staff #8 were supervising 13 children. When asked which children were in each staff's supervision group, the staff named 19 children, then named 14 children. Staff #7 could not correctly identify the children assigned to their supervision group.

Corrected Corrected by Jul 28, 2025

Category: supervision. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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 file for staff #1 lacked the TB test read date on the health report. The file for staff #2 lacked a health report. The file for staff #3 lacked a health report. The file for staff # 4 contained a health report that was obtained after staff #4 start date. The file for staff #5 lacked a health report. The file for staff #6 lacked a health report.

Corrected Corrected by Aug 10, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The file for staff # 4 contained a health report that lacked an examination for communicable diseases and the results of that examination.

Corrected Corrected by Jul 29, 2025

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

3270.151(c)(4) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The file for staff #4 contained a health report that lacked information regarding medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Corrected Corrected by Jul 29, 2025

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

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

The file for staff #2 lacked proof of education and verification of childcare experience. The file for staff # 6 lacked proof of education and verification of childcare experience. The file for staff #8 lacked proof of education and verification of childcare experience.

Corrected Corrected by Aug 4, 2025

Category: recordkeeping. 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 # 2, 3 and 6 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Aug 4, 2025

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. Until such time as the required pre- service trainings are completed, staff person #1 & #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1 & #2, staff person #1 & #2 may not work in a child-care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre- service training required prior to caring for children unsupervised: mandated reporter training and health and safety topics.

Corrected Corrected by Jun 30, 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 Person # 2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

The file for staff #2 lacked the FBI clearance and the application to obtain the clearance.

Corrected Corrected by Jun 21, 2025

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

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

The file for staff # 2 lacked verification of child care experience, education and training prior to service at the facility.

Corrected Corrected by Jun 21, 2025

Category: recordkeeping. 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 # 2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 21, 2025

Category: recordkeeping. 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 file for child # 4 lacked the name of the child's physician or source of medical care on the emergency contact form. The file for child # 4 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Mar 27, 2025

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

3270.192(2)(iii) · A facility person's record shall include verification of childcare experience, education and training following the outset of service at the facility.

The file for staff # 3 lacked verification of childcare experience and education.

Corrected Corrected by Mar 27, 2025

Category: recordkeeping. 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.

There was a sharp piece of metal on the preschool room bathroom sink.

Corrected Corrected by Mar 27, 2025

Category: health medication. 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 file for staff # 1 lacked an annual emergency plan training. The prior training was dated. 3/13/23. The file for staff # 4 lacked an annual basis emergency plan training. The prior training was dated. 1/22/24.

Corrected Corrected by Mar 27, 2025

Category: recordkeeping. 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.

Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Mandate Reporter training and Health and Safety training.

Corrected Corrected by Mar 27, 2025

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. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1may not work in a child care position at the facility.

The file for staff # 2 lacked Child Abuse clearance and FBI clearance. Staff #2 may not return to work in childcare position until the Child Abuse clearance and FBI clearance are in file.

Corrected Corrected by Mar 27, 2025

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.

There were 6 uncovered outlets accessible to children 5 years of age or younger in the TK room.

Corrected Corrected by Mar 27, 2025

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 a gasoline can filled with gasoline on top of the toy's storage box in the infant/toddler's playground accessible to children.

Corrected Corrected by Mar 27, 2025

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.

There was trash contaminated by human secretions in a garbage can without plastic-lined in the OT room 1. There was trash contaminated by human secretions in a garbage can without plastic-lined in the TK room 4

Corrected Corrected by Mar 27, 2025

Marked corrected in the state record.

3270.72(c) · Screens shall be in good repair.

There was a damage window screen in the Discovery Preschool room 2.

Corrected Corrected by Mar 27, 2025

Marked corrected in the state record.

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

There was a first-aid kit bag on top of a table accessible to children in the ps/pre-K playground.

Corrected Corrected by Mar 27, 2025

Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

The file for child # 5 lacked the parent's signature on the agreement form.

Corrected Corrected by Mar 27, 2025

Category: recordkeeping. 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 the Infant room B room lacked scissors. The first - aid kit in the Discovery PS room lacked soap. The first - aid kit in the Pre-K room lacked scissors.

Corrected Corrected by Mar 27, 2025

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 was a broken light cover in the Pre-k room. There was a vent coming off the wall in the Pre -k room. There was a broken bulletin board in the TK room. The Preschool door safety cover was broken creating sharp edges. There was a broken brown barrier grad in the toddler sidewalk playing area. There was a rusted cracked fence pole in the infant toddler's playground. There's an exposed sharp metal corner entering the TK room. There was a malfunctioning door in the infant B room.

Corrected Corrected by Mar 27, 2025

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was peeling paint on the back blue wall in the TK room.

Corrected Corrected by Mar 27, 2025

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

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

The toilet tank lid in the OT room was broken. The toilet in the 1st TK room bathroom was leaking water at the base. The bathroom floor and toilet were dirty with yellow stains and rusted powder on the base of the toilet bowl.

Corrected Corrected by Mar 27, 2025

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 2 toilets and 1 sink in the OT bathroom that lacked washing hands signs posted.

Corrected Corrected by Mar 27, 2025

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.

There was a broken clear bin in the Pre-k room. There was a cracked white bin in the TK room. There was cracked green bin in the infant/toddler's playground. The was a rusted cracked metal on the Preschool playground equipment step. There was a broken garbage can in the 2nd TK bathroom.

Corrected Corrected by Mar 27, 2025

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

3270.106(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 the OT, Discovery Preschool, Preschool and Pre-K room was not labeled for the use of a specific child and used only by the specified child.

Corrected Corrected by Mar 27, 2025

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

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The file for child # 5 lacked the date of the child's date of admission on the agreement form.

Corrected Corrected by Mar 27, 2025

Category: recordkeeping. 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 files for children # 2 and 4 lacked the work addresses of the enrolling parent on the emergency contact form. The files for children # 2,3 and 4 lacked the work telephone numbers of the enrolling parent on the emergency contact form.

Corrected Corrected by Mar 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file for child # 5 lacked written consent signed by a parent for emergency medical care on the emergency contact form.

Corrected Corrected by Mar 27, 2025

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 files for child # 2 and 3 lacked the 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, on the Emergency contact form.

Corrected Corrected by Mar 27, 2025

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file for child # 5 lacked the health insurance policy number on the emergency contact form.

Corrected Corrected by Mar 27, 2025

Category: health medication. 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 file for child #2 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. The file for child #4 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Mar 27, 2025

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 emergency contact form for child #6 was not present in the infant B room where the child was receiving care. The emergency contact form for child #7 was not present in the pre-k room where the child was receiving care.

Corrected Corrected by Mar 27, 2025

Category: recordkeeping. 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 file for child # 5 a preschooler contained a current health report dated 8/19/24. The report was not updated within 12 months. The previous report was dated. 9/22/22.

Corrected Corrected by Mar 27, 2025

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.

Staff # 3 did not wash the child's hands after diapering.

Corrected Corrected by Mar 27, 2025

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

3270.134(c) · Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

The bathroom in the preschool room lacked paper towels.

Corrected Corrected by Mar 27, 2025

Marked corrected in the state record.

3270.134(d) · Liquid or powdered soap shall be used for handwashing.

The bathroom in the TK room lacked soap.

Corrected Corrected by Mar 27, 2025

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

Corrected Corrected by Mar 27, 2025

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

3270.162(a) · If a child receives care for 4 or more consecutive hours, nutritional, appropriately-timed meals and snacks shall be served.

On 3/26/25 the lunch was served at 1:27pm. The children were in care for more than 4 hours after breakfast without a snack in between.

Corrected Corrected by Mar 27, 2025

Category: nutrition. Marked corrected in the state record.

3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

The operator was not maintaining a child file for child # 1.

Corrected Corrected by Mar 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(5) · A child's record shall 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 #5 lacked signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission on the emergency contact form.

Corrected Corrected by Mar 27, 2025

Category: ratio. Marked corrected in the state record.

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

The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Mar 27, 2025

Marked corrected in the state record.

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

On 3/14/25, the operator was notified that Child #1 was going to be treated at the emergency room after falling from a piece of climbing equipment while in child care. The operator failed to notify the regional office of the emergency room treatment.

Corrected Corrected by Jul 16, 2025

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

3270.20(b) · The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

On 3/14/25, the operator was notified that Child #1 was going to be treated at the emergency room after falling from a piece of climbing equipment while in child care. The operator failed to notify the regional office of the emergency room treatment.

Corrected Corrected by Jul 16, 2025

Category: physical safety. 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 staff statements made on 3/26/25, the facility has been out of ratio in the mornings due to being short staffed.

Corrected Corrected by Jul 16, 2025

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 staff statements, child #1 has left the preschool room on several occasions without staff noticing.

Corrected Corrected by Feb 25, 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.

Based on staff statements, child #1 has left the preschool room on several occasions without staff noticing.

Corrected Corrected by Feb 25, 2025

Category: supervision. Marked corrected in the state record.

3270.51 · TIERED LIS: 1.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. 2. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Western Region Office on a weekly basis for a period of one months after DHS approves the documentation format.

Based on staff statements, child #1 has left the preschool room unnoticed by staff. During opening on 2/25/25 Staff #2 was responsible for 17 preschoolers.

Corrected Corrected by Feb 25, 2025

Category: ratio. 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).

During opening on 2/25/25, Staff #3 was responsible for 6 children including toddlers and preschoolers, Staff #4 was responsible for 4 infants and 1 young toddler.

Corrected Corrected by Feb 25, 2025

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #-1must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1may not work in a child-care position at the facility

Staff person #-1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First-Aid, Pediatric CPR and Health and Safety trainings.

Corrected Corrected by Feb 25, 2025

Category: supervision. 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.

In Room #1, the young toddler room, a bottle of multi-purpose cleaner was observed on the counter next to the young toddler food.

Corrected Corrected by Feb 25, 2025

Category: ratio. 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.

In the hallway by Room #6, Infant B, there was an unlidded trash can that contained trash contaminated by human secretions.

Corrected Corrected by Feb 25, 2025

Marked corrected in the state record.

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

On 2/25/25 at approximately 9:05 am, Child #1, a young toddler, was observed awake in a crib. Per staff #1, Child #1 was in the crib for a time-out because Child #1 was hitting other children.

Corrected Corrected by Feb 25, 2025

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.

Based on a review of the facility's Fire Detection System Test log, the fire system was not tested within the past 30 days. The last test was recorded on 11/25/24.

Corrected Corrected by Feb 25, 2025

Category: recordkeeping. 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.

It was verified that Staff #1 screams at the children, using harsh language and a loud voice, several times per month.

Corrected Corrected by May 15, 2024

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.

Staff #1 was supervising 14 preschool children, when Staff #2 left the play yard to get Child #1, a preschool child, after he eloped from the play yard gate. Staff:Child ratio was 1:14.

Corrected Corrected by Mar 15, 2024

Category: supervision. 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.

Peeling drywall and paint were located, on the wall to the right of the door frame, in the Preschool restroom.

Corrected Corrected by Apr 16, 2024

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.

A handwashing sign was not posted at the toilet, in the left restroom, in the Transitional K room.

Corrected Corrected by Apr 1, 2024

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

3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #1 contained documentation of Emergency Plan training on 2.28.23 and 3.1.24, which exceeded the annual requirement.

Corrected Corrected by Apr 1, 2024

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.

The file for Staff #2 contained documentation of Pediatric First-Aid/CPR training which expired in April 2023, and it was not renewed until 9.28.23.

Corrected Corrected by Apr 1, 2024

Category: ratio. 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 #2 contained documentation of FBI Clearances dated 5.3.18 and 5.18.23, which exceeded the 60-month renewal requirement. The file for Staff #3 (see IS Code Sheet) contained documentation of the State Police Clearance and application dated 3.4.24, which was after the initial start date.

Corrected Corrected by Apr 1, 2024

Category: background checks. 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.

A one (1) quart, spray bottle of Kay Restroom Cleaner, which stated Keep Out of Reach of Children, was located on a shelf outside of the Transitional K restroom, which was accessible to children.

Corrected Corrected by Apr 1, 2024

Category: physical safety. 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 Infant - A, the rubber baseboard was pulled away from the walls in the following areas: back wall (approximately 12"), right wall (entire strip - 6' to 8'), and left section by door (approximately 6"), which was in need of repair and created a tripping hazard.

Corrected Corrected by Apr 16, 2024

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The Emergency Contact form, in the file for Child #3, did not contain the health insurance policy number.

Corrected Corrected by Apr 1, 2024

Category: health medication. 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 files for Child #1, Child #2, and Child #3 did not contain documentation of a parent review/update of the Emergency Contact Form and Financial Agreement, at least once in a 6-month period.

Corrected Corrected by Apr 1, 2024

Category: recordkeeping. 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 (2) most recent Health Assessments in the file for Staff #2 exceeded the 24-month renewal requirement.

Corrected Corrected by Apr 1, 2024

Category: ratio. 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 Fire Detection System Testing Log contained documentation of testing on 10.1.23 - 11.1.23, and also 12.1.23 - 1.3.24, which exceeded the 30-day requirement.

Corrected Corrected by Apr 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

The following open inspections were not posted at the facility: SIN-00225522 and SIN-00226020. Regulatory noncompliance cited on the inspection summaries was not yet verified as corrected.

Corrected Corrected by Jul 27, 2023

Marked corrected in the state record.

3270.106(f) · 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.

Three cribs, in use by children, lacked 2 feet of space on 3 sides. Cribs #1 and #2 were obstructed on one side by a low shelf positioned between them. Crib #2 also had a trash can at one end. Crib #3 was obstructed by another crib on one side an an adult rocking chair on another.

Corrected Corrected by Jul 27, 2023

Category: physical safety. 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 statements made by staff, staff #1 and staff #2 used physical discipline described as "tapping" or "popping" a child on the stomach after that child had hit another student.

Corrected Corrected by Jun 1, 2023

Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Based on the facility's fire drill log, fire drills have not been conducted and documented every 60 days. The last 2 fire drills on record were dated 1/17/23 and 5/26/23.

Corrected Corrected by Jun 17, 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.

Based on documentation at the facility, tests of the fire alarm system have not been conducted and documented every 30 days as required. The last 2 tests on record were dated 1/17/23 and 5/26/23.

Corrected Corrected by Jun 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.106(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.

During nap time in the Toddler room, children were observed being placed on rest mats that were labeled with a different child's name on the mat.

Corrected Corrected by Apr 17, 2023

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

3270.106(f) · 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.

During nap time in the Toddler room, it was observed that the rest mats were not placed so that there was 2 feet on 3 sides of the mat.

Corrected Corrected by Apr 17, 2024

Category: physical safety. 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.

Continued noncompliance from Renewal inspection conducted on 3/3/23: On 4/10/23, at time of virtual inspection, Staff #2 file did not contain annual Fire Safety Training.

Corrected Corrected by Apr 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Continued noncompliance from Renewal inspection conducted on 3/3/23: On 4/10/23, at the time of virtual inspection, Staff #2 file did not contain an annual evaluation.

Corrected Corrected by Apr 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.34(b)/3270.34(c) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Continued Noncomplaince: On 4/10/23, the facility is operating without a qualified director on site a minimum 30 hours per week.

Corrected Corrected by May 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.106(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.

Continued Noncompliance from Renewal inspection conducted on 3/3/23: On 4/10/23, at the time of inspection, the preschool cots were labeled with numbers corresponding with a chart hanging in the classroom containing the child assigned to the specific cot number. During the inspection, preschool children were observed using cots that were not assigned to the specific intended child.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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.

Continued Noncompliance from Renewal inspection conducted on 3/3/23: On 4/10/23, at the time of virtual inspection, emergency contact information for one child was not observed in the childcare space where children in the Toddler Room were receiving care. Additionally, emergency contact information for 2 children was not observed in the childcare space where children in the PS classroom were receiving care.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

3270.135(a)(4) · A soiled diaper that is not in a tied bag may not be placed in an unlined outdoor trash container.

On 3/3/23, at time of inspection, soiled pull ups were observed in an unlined trash container in the boy's bathroom located in the PK room.

Corrected Corrected by Mar 3, 2023

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

3270.14 · 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.

On 3/3/23, at the time of inspection, Staff #2 and Staff #4 files did not contain the 1-hour Health & Safety Update required by OCDEL.

Corrected Corrected by Mar 4, 2023

Category: ratio. Marked corrected in the state record.

3270.27(b)/3270.27(f) · 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 operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

On 3/3/23, at the time of inspection, the facility's emergency plan was not updated in writing at least annually. Additionally, no evidence that the facility's emergency plan was sent to the local municipality and the county emergency management agency was observed on file.

Corrected Corrected by Mar 20, 2023

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.

On 3/3/23, at the time of renewal, annual Fire Safety training was not observed in the file belonging to Staff #2.

Corrected Corrected by Mar 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3, #4 and #5-- may not work in a child care position at the facility.

On 3/3/23, at time of renewal, Staff #3 file did not contain a completed NSOR Clearance. Staff #4 file did not contain a completed FBI and Child Abuse Clearance (the child abuse clearance on file was for a Household Member). Staff #5 file did not contain a completed FBI Clearance and NSOR Clearance.

Corrected Corrected by Mar 3, 2023

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

3270.34(a) · A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6).

On 3/3/23, at time of inspection, an annual evaluation was not observed in the file belonging to Staff #1.

Corrected Corrected by Mar 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.34(b)/3270.34(c) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

On 3/3/23, at time of inspection, the facility is operating without a qualified director present at the facility site for a minimum of 30 hours per week.

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. Marked corrected in the state record.

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

On 3/3/23, at time of inspection, the first aid kit hanging on the back wall of the PS Classroom was accessible to children.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

On 3/3/23, at time of renewal inspection, trash and debris was observed on the outdoor playspace used by infants/toddlers. Additionally, damaged plaster was observed on the bottom wall of the boy's bathroom located in the Preschool Room.

Corrected Corrected by Mar 31, 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.

On 3/3/23, at time of inspection, a handwashing sign specifying the requirement for hands to be washed after toileting and before eating was not posted at each sink, toilet and diapering area in the facility.

Corrected Corrected by Mar 10, 2023

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

3270.102(a)/3270.115(c) · 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 water play table or a container used for water play that contains unfiltered water shall be emptied daily.

On 3/2/23, at time of inspection, a water play table filled with dirty unfiltered standing water was observed on the Infant/Toddler outdoor play space. The toys located in the water play table were also dirty.

Corrected Corrected by Mar 6, 2023

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

3270.106(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.

On 3/3/23, at time of inspection, seven preschool children were observed asleep on rest equipment that was not labeled for individual use of a specific child.

Corrected Corrected by Mar 6, 2023

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

On 3/3/23, at time of inspection, the health insurance information located on the emergency contact information belonging to Child #2 did not contain a policy number.

Corrected Corrected by Mar 16, 2023

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

3270.124(c)/3270.181(e) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

On 3/3/23, at time of inspection, emergency contact information was not present in the childcare space for 5 children receiving care in the Toddler Room. Emergency contact information was not present for 4 of 7 children receiving care in the Preschool classroom. Emergency contact information was not present for 6 of 8 children receiving care in the PK classroom. Additionally, the emergency contact information that was present in the childcare space where children were receiving care, was not updated at least once in a 6-month period.

Corrected Corrected by Mar 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

On 3/3/23, at time of inspection, Child #3, #4 and #5 have been enrolled at the facility for more than 60 days. Documentation of annual influenza vaccine was not observed in the files belonging to Child #3, #4 and #5.

Corrected Corrected by Mar 9, 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.

On 3/3/23, at time of inspection, the file belonging to Staff #1 and Staff #3 did not contain an initial health assessment, including results of tuberculosis testing.

Corrected Corrected by Mar 24, 2023

Category: ratio. 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.

On 3/3/23, at time of inspection, the Financial Agreements belonging to Child #1 and Child 3 were not updated at least once in a 6-month period. (Child #1 agreement was dated 8/12/22, Child #3 agreement was dated 8/22/22.)

Corrected Corrected by Mar 24, 2023

Category: recordkeeping. 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.

On 3/3/23, at time of inspection, an annual emergency drill was not conducted at the facility.

Corrected Corrected by Mar 13, 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.

On 3/3/23, at time of inspection, the facility did not have an operable fire detection system as required by the Fire and Panic Act 62. The alarms system did not sound when two pull stations were engaged.

Corrected Corrected by Mar 6, 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.

On 3/3/23, at time of inspection, a fire alarm test was not logged in the last 30 days. The last test was logged 1/23/23.

Corrected Corrected by Mar 6, 2023

Category: recordkeeping. 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.

On 3/3/23, at time of inspection, Child #2 has been enrolled at the facility for more than 60 days. An initial health assessment was not observed on file for Child #2.

Corrected Corrected by Mar 16, 2023

Category: health medication. 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.

Staff #1 intimidated children in care when she smacked a related child (child #1) in the mouth in front of a classroom full of children.

Corrected Corrected by Feb 27, 2023

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.

Staff #1 used harsh language in the presence of children when she cussed at a related child (child #1).

Corrected Corrected by Feb 27, 2023

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).

In the Department of Education kindergarten room at approximately 9:30am, staff #1 identified his supervisory group to include 13 children enrolled in the Department of Education kindergarten program and 4 preschoolers totaling 17 children which exceeded the maximum staff child ratio of 1:10.

Corrected Corrected by Jun 1, 2022

Category: supervision. Marked corrected in the state record.

3270.61(f) · Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

In the Department of Education Kindergarten classroom at approximately 9:30am staff #1 identified his supervisory group to include 13 children enrolled in the Department of Education kindergarten program and 4 preschoolers totaling 17 children which exceeded the maximum staff child ratio of 1:10. The Department of Education Kindergarten classroom is a separate service from child care that is certified by the Department of Human Services at this location.

Corrected Corrected by Jun 1, 2022

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.

All of the following outlets were accessible to children under the age of five: In room #2 one outlet was not covered in the back right portion of the room. In room #1 one outlet was not covered in the back of the room. In room #6 located on the right side of the front wall one outlet was not covered.

Corrected Corrected by Jun 1, 2022

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 Room #2 a cracked, sharp clear plastic guard was observed on the bathroom door and could cause a laceration to occur in a child.

Corrected Corrected by Jun 1, 2022

Category: ratio. 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 had verification of annual testing of the fire detection system by a fire safety professional that lacked the required documentation showing that the fire detection system was in full compliance with 62 P.S. 1016(c)(3).

Corrected Corrected by Apr 7, 2022

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 file for staff person #5 lacked emergency plan training at the time of initial employment and requires current training.

Corrected Corrected by Mar 3, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(h) · 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. All staff persons shall complete the professional development under subsection (f): Pediatric First Aid and Pediatric CPR.

The file for staff person #1 lacked current pediatric first-aid and CPR training completed by 6-17-21 as required by the regulations for staff persons with a start date prior to 12-19-20.

Corrected Corrected by Mar 25, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.

The file for staff person #11, with a start date of 3-31-21, lacked health and safety training, covering topics #1-9, within 90 days of their start date and requires current training. The file for staff person #6, with a start date of 8-16-21, had health and safety training dated 1-6-22 that was over 90 days after their start date, with the health and safety training covering topics #1-9.

Corrected Corrected by Mar 22, 2022

Category: ratio. Marked corrected in the state record.

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.

Staff person #5, with a start date of 6-15-21, and staff person #10, with a start date of 3-24-21, lacked mandated reporter training within 90 days of their start date and require current training. Staff person #12 had mandated reporter trainings dated 1-30-17 and 3-9-22 that were over 5 years between trainings.

Corrected Corrected by Mar 9, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2, Staff Person #4, Staff Person #5, Staff Person #6, Staff Person #7, Staff Person #9, Staff Person #10, Staff Person #11, and Staff Person #12 may not work at the facility.

The file for staff person #2, with a start date of 12-2-21, lacked an NSOR verification certificate at their start date and requires a current NSOR verification certificate. The files for staff person #4, hired provisionally with a start date of 6-24-21, staff person #5, hired provisionally with a start date of 6-15-21, and staff person #10, hired provisionally with a start date of 3-24-21, had proof of application for the NSOR verification certificate at their start date and lacked the NSOR verification certificate within 45 days of their start date as required for a provisional hire and requires a current NSOR verification certificate. The file for staff person #6, with a start date of 8-16-21, had a Department of Education FBI clearance dated 4-5-21 and lacked a DHS FBI clearance and an NSOR verification certificate at their start date as required. The file for staff person #7, hired provisionally with a start date of 1-24-22, lacked verification of application for the child abuse clearance at their start date to be a provisional hire and requires a current child abuse clearance. The file for staff person #9 had a child abuse clearance dated 1-23-17 and an FBI clearance dated 1-17-17 and lacked current child abuse and FBI clearances updated within the last 60 months. The file for staff person #11, with a start date of 3-31-21, had a Department of Education FBI clearance dated 10-13-20 and lacked a DHS FBI clearance and an NSOR verification certificate at their start date as required. The file for staff person #12 had state police clearances dated 1-18-17 and 3-5-22 that were over 60 months between clearances, and they had a child abuse clearance dated 2-8-17 and an FBI clearance dated 1-17-17 and lacked child abuse and FBI clearances updated within the last 60 months.

Corrected Corrected by Apr 22, 2022

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 file for staff person #2, functioning as an assistant group supervisor with a start date of 12-2-21, lacked verification of education/experience to qualify as an assistant group supervisor.

Corrected Corrected by Jun 22, 2022

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for staff person #1 had a staff evaluation that exceeded 12 months between evaluations.

Corrected Corrected by Mar 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(3)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. 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 #3, functioning as an assistant group supervisor with a start date of 8-16-21, lacked verification of 1 year of experience working with children to qualify as an assistant group supervisor.

Corrected Corrected by Mar 9, 2022

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #11, functioning as an assistant group supervisor with a start date of 3-31-21, lacked verification of education to qualify as an assistant group supervisor.

Corrected Corrected by Mar 9, 2022

Category: supervision. Marked corrected in the state record.

3270.72(c) · Screens shall be in good repair.

In the preschool room, the screen in the window was torn and had a large hole.

Corrected Corrected by Mar 9, 2022

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 pre-k room in the 2nd bathroom, there was an exposed bolt on the base of the toilet that was protruding up and was a potential hazard.

Corrected Corrected by Mar 9, 2022

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was peeling paint in multiple areas on the red storage closet door on the outdoor preschool play space, on the 2 red storage closet doors on the outdoor toddler play space, and on the 3 classroom doors near the handles on the toddler play space.

Corrected Corrected by Apr 15, 2022

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

3270.106(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.

In the preschool room, the cots were not labeled for the use of a specific child.

Corrected Corrected by Mar 9, 2022

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file for child #5 had an emergency contact form that lacked the health insurance policy number.

Corrected Corrected by Mar 10, 2022

Category: health medication. 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.

In the preschool room, there were 11 children receiving care in the room that lacked an emergency contact form in the room. In the pre-k room, there were 3 children receiving care in the room that lacked an emergency contact form in the room.

Corrected Corrected by Mar 9, 2022

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 file for child #8, a school-age child, lacked an initial school-age health assessment.

Corrected Corrected by Apr 7, 2022

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 file for child #2 had a health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Apr 29, 2022

Category: health medication. 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.

The file for child #1, a 5 year old, child #2, a 2 year old, child #3, a 3 year old, child #5, a 23 month old, and child #6, a 2 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #5, a 23 month old, had an immunization record that lacked documentation of the 4th dose of the DTAP vaccination by age 18 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Apr 29, 2022

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for staff person #1 lacked a current health assessment within the last 24 months. The files for staff person #8 and #12 had a health assessment that exceeded 24 months between assessments.

Corrected Corrected by Mar 10, 2022

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 file for staff person #4, with a start date of 6-24-21, had a valid reason for a delayed TB test at their start date and lacked a current TB test in the required timeframe.

Corrected Corrected by Mar 13, 2022

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

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The file for staff person #2 had a health assessment that said "Yes" to having communicable diseases and lacked an explanation of the results. The file for staff person #4 had an initial health assessment that lacked an examination for communicable diseases and the results of that examination.

Corrected Corrected by Mar 13, 2022

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for staff person #4 had an initial health assessment that lacked the physician's or CRNP's assessment of the person's suitability to provide child care. The file for staff person #11 had an initial health assessment that said "No" to the individual being suitable to provide child care.

Corrected Corrected by Apr 29, 2022

Category: health medication. 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.

The files for child #4, #5, #6, and #7 lacked an emergency contact form and agreement updated within the last 6 months. The file for child #8 lacked an emergency contact form updated within the last 6 months.

Corrected Corrected by Apr 29, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall 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 #1 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Mar 21, 2022

Category: ratio. Marked corrected in the state record.

3270.182(8) · A child's record shall 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 #2 lacked an initial agreement and requires a current agreement.

Corrected Corrected by Mar 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10)/3270.31(h) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. All staff persons shall complete the professional development under subsection (f).

The file for staff person #2, with a start date of 12-2-21, lacked pediatric first-aid and CPR training within 90 days of their start date and requires current training. The files for staff person #4, with a start date of 6-24-21, and staff person #5, with a start date of 6-15-21, had pediatric first-aid and CPR training dated 10-11-21 that was over 90 days after their start date.

Corrected Corrected by Mar 29, 2022

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