3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

According to staff statement, staff #1 has been observed using a harsh, abusive, and demeaning tone in the presence of children on a weekly basis. Staff #1 often becomes frustrated and raises their voice, and screams mean things to the children. Staff #1 has been observed stating, "You are 4 years old, you shouldn't be having accidents."

Corrected Corrected by Nov 14, 2025

Marked corrected in the state record.

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

Although the file for Staff #1 had current Pediatric First Aid/CPR at the time of inspection, it was observed the most recent Pediatric First Aid/CPR was not obtained prior to expiration of the previous training.

Corrected Corrected by Oct 30, 2025

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #4 may not work in a childcare position at the facility.

The disclosure statement in the file for Staff #2 lacked a witness. The file for Staff #2contained an FBI clearance that was not obtained within 60 months of the previous clearance. Although the file for Staff #3 contained a signed disclosure statement at the time of inspection, it was observed that Staff #3 lacked a signed disclosure statement prior to working in a childcare position. The file for Staff #4, who has lived in Ohio in the past five years lacked a Child Abuse Clearance and a Sex Offender Registry verification from Ohio.

Corrected Corrected by Nov 14, 2025

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.

Staff #2 lacked an annual written evaluation that was conducted within the past 12 months.

Corrected Corrected by Nov 14, 2025

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.

In PreK 2 classroom there was an electrical outlet along the back wall that lacked a protective receptacle cover. This outlet was accessible to children 5 years of age and younger.

Corrected Corrected by Nov 4, 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.

In the Preschool Classroom, a bottle of Glass Cleaner which was labeled, "Keep out of the reach of children" was accessible to children while they were in the room as it was hanging on a low shelf next to the eating area. In the Infant Classroom a diaper changing table was observed to be unlocked making a bottle of glass cleaner, 2 bottles of disinfectant, two containers of Aquaphor, and 1 container if A + D Ointment labeled, "Keep out of the reach of children" accessible to children in the room.

Corrected Corrected by Nov 14, 2025

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.

In the Preschool Classroom there was a dollhouse and a bookshelf obstructing one of the exit doors from the classroom.

Corrected Corrected by Nov 14, 2025

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.

According to statements made by staff, staff #6 has been observed singling out and ridiculing children in the presence of the other children. As an example, Staff #6 has been observed saying, "You are four years old, you should not be having accidents," while sending the child to the restroom and not helping the child.

Corrected Corrected by Nov 14, 2025

Category: physical safety. 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 #5 contained a health assessment that was not conducted within 24 months of the previous assessment.

Corrected Corrected by Oct 30, 2025

Category: ratio. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for Staff #3 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.

Corrected Corrected by Dec 19, 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 #3, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person.

Corrected Corrected by Nov 14, 2025

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).

The two most recent mandated reporter trainings on file for Staff #1 are dated 7/2/20 and 7/3/25, more than 60 months apart. The two most recent mandated reporter trainings on file for Staff #2 are dated 1/23/20 and 2/6/25, more than 60 months apart.

Corrected Corrected by Sep 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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.

Although the files for Staff #1, #2, #4, and #6 contained current State Police Clearances at the time of Renewal Inspection, it was observed that Staff #1, #2, #4, and #6 did not obtain State Police Clearances within 60 months of the previous clearance. The file for Staff #3 contained State Police, Child Abuse, and FBI Clearances that were updated in an interval greater than 60 months. The file for Staff #8 contained a State Police Clearance Request. The file for Staff #9 contained an FBI Clearance that was updated in an interval greater than 60 months. (SEE LIS CODE SHEET)

Corrected Corrected by Apr 10, 2025

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the PreK Room, both a red and clear plastic bin were observed to be cracked posing a cutting hazard to the children in care.

Corrected Corrected by Apr 16, 2025

Category: physical safety. 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 Emergency Contact Form in the file for Child #2 lacked written consent signed by a parent for emergency medical care.

Corrected Corrected by Apr 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The Emergency Contact Forms for Child #2 and #7 lacked the address of the individual designated by the parent to whom the child may be released. The Emergency Contact Form for Child #3 lacked the telephone number of the individual designated by the parent to whom the child may be released. The Emergency Contact Form for Child #5 lacked the name, address, and telephone number of the individual designated by the parent to whom the child may be released. The Emergency Contact Form for Child #6 lacked the address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Although the file for Child #6 contained a valid Health Reports at the time of the Renewal Inspection, it was observed that the health reports for Child #6 was updated in an interval greater than 12 months.

Corrected Corrected by Apr 10, 2025

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

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 and #4 must be dismissed from care by close of business 4/10/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for Child #1, enrolled for more that 60 days at the facility, did not contain documentation of a 2nd dose of the Rotavirus vaccination, a 2nd dose of the DTAP vaccination, a 2nd dose of the HIB vaccination, a 2nd dose of the Pneumococcal vaccination, and 2nd dose of the Polio vaccination as required based on the child's age as per the ACIP recommended schedule. The file for Child #4, enrolled for more that 60 days at the facility, did not contain documentation of a Hepatitis A vaccination as required based on the child's age as per the ACIP recommended schedule.

Corrected Corrected by Apr 14, 2025

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 #5 contained a Health Assessment that stated they had a communicable disease. There was no accompanying documentation stating the condition and the risk it might pose to other exposed to this individual.

Corrected Corrected by Apr 13, 2025

Category: health medication. 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 Emergency Contact form for Child #2 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Apr 11, 2025

Category: ratio. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for Staff #7 contained a degree and foreign transcripts and therefore their credentials could not be determined. (See LIS Code Sheet)

Corrected Corrected by Apr 19, 2025

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.

The Emergency Plan Delivery documentation that was submitted during the renewal inspection lacked information on the local municipality that the emergency plan was shared.

Corrected Corrected by Apr 16, 2025

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

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

The files for Child #2 and #3, enrolled for more than 60 days lacked an initial health report

Corrected Corrected by May 1, 2025

Category: health medication. 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 or (g)1-10. Until such time as the required training has been completed, staff person #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 #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality.

Corrected Corrected by Mar 7, 2025

Category: supervision. Marked corrected in the state record.

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

Staff person #1 completed her current mandated reporter training on 2.6.25, more than 60 months after the previous training dated 1.23.20.

Corrected Corrected by Mar 5, 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 #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training. Staff person #3 has since completed the training on 1/2/24.

Corrected Corrected by Apr 10, 2024

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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

The file for Staff person #1 was observed to contain a National Sex Offender Registry (NSOR) check on file dated 1/3/24 which was not obtained within 90 days of hire (See IS CODE SHEET) as required for provisional hiring under the CPSL.

Corrected Corrected by Apr 10, 2024

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

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

The child file for Child #3 contained a current financial agreement form that lacked the fee amount.

Corrected Corrected by Apr 22, 2024

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 child file for Child #1 contained a current child service report dated 1/30/24 which was not completed every 6 months. The child file for Child #2, Child #4, and Child #5 contained a child service report on file that lacked a date therefore it cannot be determined if it was completed every 6 months. The child file for Child #6 lacked an updated child service report; the last one on file is dated 4/28/22. The child file for Child #7 contained a current child service report dated 1/23/24 which was not completed every 6 months.

Corrected Corrected by May 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The child file for Child #1, who is a young toddler, was observed to contain health reports that were conducted more than 6 months apart; those health report dates are dated 2/1/23 and 1/31/24.

Corrected Corrected by Apr 10, 2024

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 child file for Child #1 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the financial agreement and emergency contact form were reviewed and signed on 5/19/23 and 12/14/23. The child file for Child #2 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the financial agreement were reviewed and signed on 8/28/22 and 12/13/23 and the emergency contact form was reviewed and signed on 11/30/22 and 12/13/23. The child file for Child #4 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the financial agreement and emergency contact form were reviewed and signed on 5/30/23 and 12/19/23. The child file for Child #5 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the financial agreement were reviewed and signed on 5/19/23 and 12/18/23 and the emergency contact form was last reviewed and signed on 5/22/23 which is more than 6 months. The child file for Child #6 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the financial agreement and emergency contact form were reviewed and signed on 5/18/23 and 12/14/23. The child file for Child #7 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the financial agreement and emergency contact form were reviewed and signed on 5/28/23 and 12/13/23.

Corrected Corrected by May 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The child file for Child #2, who is a preschool child, was observed to lack an updated health report; the most recent health report on file is dated 1/19/22 which is more than 12 months old. The child file for Child #4, who is a preschool child, was observed to lack an updated health report; the most recent health report on file is dated 1/20/23 which is more than 12 months old.

Corrected Corrected by Apr 11, 2024

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in childcare group settings). Child #5 must be dismissed from care by close of business 4/10/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The child file for Child #5 contained a current immunization record that was observed to lack the Hep B vaccination and there was not exemption on file.

Corrected Corrected by Apr 15, 2024

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The staff file for Staff person #2, contained a current health assessment dated 11/8/23 which was conducted more than 24 months from the previously dated 6/4/21 health assessment on file. The staff file for Staff person #3 contained a current health assessment dated 5/9/23 which was not conducted prior to providing initial service in a childcare setting. The staff file for Staff person #4, lacked a current health assessment; the last health assessment on file is dated 3/15/22 which is more than 24 months old. The staff file for Staff person #5, contained a current health assessment dated 3/24/23 which was conducted more than 24 months from the previously dated 6/25/20 health assessment on file. The staff file for Staff person #7, contained a current health assessment dated 3/10/23 which was conducted more than 24 months from the previously dated 2/3/20 health assessment on file. The staff file for Staff person #8, lacked a current health assessment; the last health assessment on file is dated 12/6/21 which is more than 24 months old.

Corrected Corrected by Apr 24, 2024

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 staff file for Staff person #3 contained a current tuberculosis screening and results dated 5/9/23 which was not conducted prior to providing initial service in a childcare setting.

Corrected Corrected by Apr 10, 2024

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 staff file for Staff person #6 contained a current health assessment dated 3/30/23 that had 'Yes' checked off to having a communicable disease and additional information describing the condition and the risk it might pose was not provided.

Corrected Corrected by Apr 12, 2024

Category: health medication. 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 child file for Child #3 that contained a current emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Apr 24, 2024

Category: ratio. 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.

During a complaint investigation conducted on 2/21/24, it was confirmed that Child #1 received an injury while in care on 11/10/23 and had gone to the emergency room for stitches and Western Region was not notified within 24 hours of the incident.

Corrected Corrected by Mar 6, 2024

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.

During a complaint investigation conducted on 2/21/24, it was confirmed that Child #1 received an injury while in care on 11/10/23 and had gone to the emergency room for stitches and the operator had not sent Western Region the written incident report until 11/14/23 which was more than 72 hours after the emergency room treatment.

Corrected Corrected by Mar 6, 2024

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

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

Staff person #1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. Staff person #1 has since obtained Pediatric First Aid/CPR on 10/10/23.

Corrected Corrected by Feb 21, 2024

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 child file for Child #9 contained an emergency contact information form that was observed to lack the health insurance policy number.

Corrected Corrected by Apr 27, 2023

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

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

The facility emergency plan lacked information regarding a continuity of operations plan. Staff person #4 and Staff person #5 had not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06. Staff person #4 completed the training on 1/2/23 and Staff person #5 completed the training on 1/5/23.

Corrected Corrected by May 19, 2023

Category: ratio. Marked corrected in the state record.

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

The staff file for Staff person #6 contained current Pediatric First Aid/CPR training dated 3/29/22 which was not updated prior to the previous Pediatric First Aid/CPR certificate on file expiring on 2/18/22.

Corrected Corrected by Apr 18, 2023

Category: ratio. Marked corrected in the state record.

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

The staff file for Staff person #6 was observed to not have completed fire safety training on annual basis as evidence by the last two documented fire safety trainings were dated 10/11/21 and 4/5/23.

Corrected Corrected by Apr 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #4 will have until 5/12/23 to complete the required training. Until such time as the required training has been completed, Staff person #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise Staff person #4, Staff person #4 may not work in a child-care position at the facility.

Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hr. health and safety training.

Corrected Corrected by Apr 20, 2023

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). 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 staff file for Staff person #2 was observed to contain a valid disclosure statement dated 2/1/23 which was not signed at time of hire (See IS CODE SHEET). The staff file for Staff person #3 was observed lack a National Sex Offender Registry (NSOR) certificate within 45 days of hire (See IS CODE SHEET); a NSOR certificate on file is dated 1/31/23.

Corrected Corrected by Apr 18, 2023

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

3270.35(b)/3270.192(2)(ii) · A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The staff file for Staff person #6, who is functioning as a group supervisor, lacked proper documentation of education and childcare experience to qualify as a group supervisor.

Corrected Corrected by May 18, 2023

Category: supervision. Marked corrected in the state record.

3270.36(b)(1)/3270.192(2)(iv) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The staff file for Staff person #4 and Staff person #5, who is functioning as an assistant group supervisor, contained a foreign degree that lacked additional documentation to show that the degree had been evaluated to determine its validity and whether or not it meets qualifications for the position.

Corrected Corrected by Jul 13, 2022

Category: supervision. 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 staff file for Staff person #7, who is functioning as an assistant group supervisor, was observed to lack one year of childcare experience.

Corrected Corrected by May 15, 2023

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 staff file for Staff person #1 and Staff person #3, who is functioning as an assistant group supervisor, was observed to lack two years of childcare experience.

Corrected Corrected by Apr 25, 2023

Category: supervision. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

In Preschool A Room the door to the restroom inside the classroom was observed to have a section of damaged wood on the exterior of the door causing it not to be in good repair.

Corrected Corrected by May 15, 2023

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At approximately 1:15pm, during naptime in the Discovery 2 and PreK Room, depending on where staff were positioned in the room, they could not adequately supervise one of the napping children due to where the child's mat was placed and furniture obstructing the Staff's ability to see and assess that child who was napping.

Corrected Corrected by Apr 19, 2023

Category: supervision. Marked corrected in the state record.

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

The child file for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, Child $7, Child #8, and Child #10 all lacked a current child service report on file at least once every 6 months.

Corrected Corrected by Jun 5, 2023

Category: recordkeeping. 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 child file for Child #5, Child #6 and Child #10 contained an emergency contact information form that was observed to lack the address for one of the designated release persons listed. The child file for Child #7 contained an emergency contact information form that was observed to lack the address for four of the designated release persons listed.

Corrected Corrected by Apr 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The child file for Child #1, who is a young toddler, contained two health reports on file dated 5/16/22 and 12/1/22 that were not conducted every 6 months from the previously dated health report. The child file for Child #2, who was a young toddler at the time, contained two health reports on file dated 4/20/23 and 4/20/22 that were not conducted every 6 months from the previously dated health report. The child file for Child #3, was observed to lack an updated health report; the most recent health report on file is dated 6/27/22. The child file for Child #4, who was a young toddler at the time, lacked an updated health report every 6 months; the dates of the two most recent health reports on file were dated 8/19/22 and 5/3/21.

Corrected Corrected by Jun 5, 2023

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 child file for Child #5, who is a preschool aged child, was observed to lack an updated health report; the most recent health report on file is dated 12/15/21. The child file for Child #7, who is a preschool aged child, was observed to contain two health reports dated 3/5/21 and 5/3/22 that were not obtained at least every 12 months from the previously dated health report.

Corrected Corrected by Jun 5, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in childcare group settings). Child #5 and Child #8 must be dismissed from care by close of business 4/25/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The child file for Child #5 and Child #8 lacked a flu shot for 2022.

Corrected Corrected by Apr 26, 2023

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

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 3/17/23 - 4/18/23.

Corrected Corrected by May 17, 2023

Category: recordkeeping. 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 staff file for Staff person #8, contained a current health assessment dated 6/15/22 which was conducted more than 24 months from the previously dated 6/12/20 health assessment on file. The staff file for Staff person #9, contained a current health assessment dated 9/29/22 which was conducted more than 24 months from the previously dated 3/31/20 health assessment on file.

Corrected Corrected by Apr 18, 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.

The child file for Child #1 contained a financial agreement that was not reviewed and updated by the parent at least once in a 6-month period and needs reviewed; the dates of the most recent reviews for the financial agreement were 8/3/22 and 12/2/21. The child file for Child #2 contained an emergency contact information form that was not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent review for the emergency contact information form were 11/29/22 and 3/24/22. The child file for Child #3 contained a financial agreement that was not reviewed and updated by the parent at least once in a 6-month period; the date of the most recent review for the financial agreement was 8/9/22. The child file for Child #4 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent review for the financial agreement was 8/3/22 and for the emergency contact information form were 12/6/22 and 3/26/22. The child file for Child #5 contained a financial agreement that was not reviewed and updated by the parent at least once in a 6-month period and needs reviewed; the dates of the most recent review for the financial agreement was 9/8/22. The child file for Child #6 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent review for the financial agreement was 8/10/22 and for the emergency contact information form were 12/1/22 and 3/28/22. The child file for Child #8 contained a financial agreement that was not reviewed and updated by the parent at least once in a 6-month period and needs reviewed; the dates of the most recent review for the financial agreement was 8/10/22. The child file for Child #10 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent review for the financial agreement was 8/2/22 and for the emergency contact information form were 3/27/22 and 11/30/22.

Corrected Corrected by Jun 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.182(1) · A child's record shall contain initial and subsequent health reports.

The child file for Child #3, was observed to lack an updated health report; the most recent health report on file is dated 6/27/22. The child file for Child #5, who is a preschool aged child, was observed to lack an updated health report; the most recent health report on file is dated 12/15/21. The child file for Child #10 was observed to lack an initial health report.

Corrected Corrected by Jun 5, 2023

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The staff files for Staff person #4 and Staff person #5 contained two pages identified as the two nonfamily references. However, one of the two references in each staff's file appeared to be identical, with the exact same wording placement on the page and typeface. Therefore, one reference in each file were deemed unacceptable and, as result, each lacks one nonfamily reference.

Corrected Corrected by Apr 28, 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.

An annual emergency drill conducted on 11/9/22 lacked the total number of children who participated, time it took to complete drill, special accommodations the facility used for any category of children, and any problems encountered that is required to be documented when conducting the emergency drill, per announcement C-22-04.

Corrected Corrected by Apr 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The child file for Child #10 was observed to lack an initial health report.

Corrected Corrected by Jun 30, 2023

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

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

The staff file for Staff person #7 contained current pediatric first-aid/CPR training dated 9/29/20 which was not renewed on or before the previously dated 9/17/18 pediatric first-aid/CPR certification expired.

Corrected Corrected by Apr 29, 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.

The staff file for Staff person #2 contained current mandated reporter training dated 7/2/20 which was not renewed within 60 months of the previously dated 5/18/15 training certificate on file. The staff file for Staff person #4 contained current mandated reporter training dated 3/20/22 which was not renewed within 60 months of the previously dated 10/11/16 training certificate on file.

Corrected Corrected by Apr 29, 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.

The staff file for Staff person #1 contained an updated Child Abuse clearance dated 3/5/21 and an updated FBI clearance dated 3/4/21, both of which were not renewed within 60 months of the previously dated 1/7/16 Child Abuse clearance and previously dated 10/8/15 FBI clearance expiring. The staff file for Staff person #2 contained an updated Child Abuse clearance dated 3/8/21 which was not renewed within 60 months of the previously dated 1/5/16 Child Abuse clearance expiring.

Corrected Corrected by Apr 29, 2022

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

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

The child file for Child #4, an older toddler, contained a current health report dated 4/9/22 which was not updated at least every 12 months from the previously dated 3/16/21 health report. The child file for Child #7, an older toddler, lacked a current health report for 2022; the last health report on file is dated 3/5/21.

Corrected Corrected by May 3, 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 child file for Child #7 lacked a flu shot for 2021.

Corrected Corrected by May 4, 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 staff file for Staff person #2 contained a current health assessment dated 12/28/21 which was conducted more than 24 months from the previously dated 9/5/19 health assessment. The staff file for Staff person #3 contained a current health assessment dated 10/10/21 which was conducted more than 24 months from the previously dated 9/15/19 health assessment. The staff file for Staff person #4 contained a current health assessment dated 6/25/20 which was conducted more than 24 months from the previously dated 4/24/18 health assessment. The staff file for Staff person #5 contained a current health assessment dated 3/30/22 which was conducted more than 24 months from the previously dated 3/3/20 health assessment. The staff file for Staff person #6 contained a current health assessment dated 9/28/21 which was conducted more than 24 months from the previously dated 4/23/19 health assessment. The staff file for Staff person #7 contained a current health assessment dated 10/19/21 which was conducted more than 24 months from the previously dated 4/1/19 health assessment. The staff file for Staff person #8 contained a current health assessment dated 4/24/21 which was conducted more than 24 months from the previously dated 3/27/19 health assessment. The staff file for Staff person #9 contained a current health assessment dated 11/5/21 which was conducted more than 24 months from the previously dated 11/1/19 health assessment. The staff file for Staff person #10 contained a current health assessment dated 12/29/21 which was conducted more than 24 months from the previously dated 11/13/19 health assessment. The staff file for Staff person #11 contained a current health assessment dated 3/29/22 which was conducted more than 24 months from the previously dated 2/12/20 health assessment.

Corrected Corrected by Apr 29, 2022

Category: ratio. 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 staff file for Staff person #12 contained a health assessment that indicated the individual was not suitable to provide child care.

Corrected Corrected by May 3, 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 child file for Child #1 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the two most recent dates of review were 8/29/21 and 3/27/22. The child file for Child #2 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the two most recent dates of review were 8/3/21 and 3/25/22. The child file for Child #3 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the two most recent dates of review were 7/28/21 and 3/24/22. The child file for Child #4 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the two most recent dates of review were 8/1/21 and 3/27/22. The child file for Child #5 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the two most recent dates of review were 7/28/21 and 3/25/22. The child file for Child #6 contained a emergency contact information form that was not reviewed and updated by the parent at least once in a 6 month period; the two most recent dates of review were 8/3/21 and 3/25/22. The child file for Child #7 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the two most recent dates of review were 8/2/21 and 3/27/22.

Corrected Corrected by Apr 29, 2022

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.

Upon review of the facility's 30 day testing log of the fire detection system, the following tests were observed to be more than 30 days apart: 6/11/21 - 7/22/21, 7/22/21 - 8/31/21, 10/7/21 - 11/9/21, and 2/10/22 -3/22/22,

Corrected Corrected by Apr 29, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The staff file for Staff person #1, Staff person #2, Staff person #4, Staff person #6, and Staff person #7 contained 5 out of 12 hours of child care training for 12/19/20-12/19/21.

Corrected Corrected by Apr 29, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The child file for Child #1 (See LIS Code sheet) contained an initial health assessment on file dated 10/27/21 which was not provided within 90 days following first day of attendance. The child file for Child #3 (See LIS Code sheet) contained an initial health assessment on file dated 3/15/21 which was not provided within 90 days following first day of attendance.

Corrected Corrected by Apr 29, 2022

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

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

At approximately 4:22 p.m., a preschool child was observed leaving a bathroom located around the corner from the Kindergarten room, with the staff person located near the middle of the Kindergarten room where they were unable to see, hear, direct, or assess the child. Then, the child washed their hands at the sink that was located immediately outside of the bathroom where the staff person could not see the child. The child returned to the Kindergarten classroom where staff person #1 was located. The child was alone in what was determined to be unlicensed space without a staff person present.

Corrected Corrected by Jul 12, 2021

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.

At approximately 4:22 p.m., a preschool child was observed leaving a bathroom located around the corner from the Kindergarten room, with the staff person located near the middle of the Kindergarten room where they were unable to see, hear, direct, or assess the child. Then, the child washed their hands at the sink that was located immediately outside of the bathroom where the staff person could not see the child. The child returned to the Kindergarten classroom where staff person #1 was located.

Corrected Corrected by Jul 12, 2021

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At approximately 4:22 p.m., a preschool child was observed leaving a bathroom located around the corner from the Kindergarten room, with the staff person located near the middle of the Kindergarten room where they were unable to see, hear, direct, or assess the child. Then, the child washed their hands at the sink that was located immediately outside of the bathroom where the staff person could not see the child. The child returned to the Kindergarten classroom where staff person #1 was located.

Corrected Corrected by Jul 12, 2021

Category: supervision. Marked corrected in the state record.