Loading
Loading facility…
Pulling inspections, violations, and complaints.
Loading
Pulling inspections, violations, and complaints.
Home › PA › Pittsburgh › Little Explorers Learning Academy
2005 Sarah St, Pittsburgh PA 15203 · License #CER-00242282 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
According to video evidence and staff statements, Child #1 fell after they tipped a seesaw on to its side to dump water out, stood on top of the seesaw while on its side, and fell to the ground on their arm when the seesaw tipped over. This resulted in Child #1 receiving an injury (see LIS Code Sheet) after the fall.
Corrected Corrected by Oct 2, 2025
Category: health medication. 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.
According to video evidence and staff statements, Child #1 was not being supervised while Staff person #1 had their back to the children in the outside play space and did not observe Child #1 turn a seesaw on its side, stand on top of it and fall to the ground when the seesaw wobbled. This resulted in Child #1 receiving an injury (see LIS Code Sheet) after the fall. According to staff statements, on 9.23.25, Staff person #1 sent Child #1 up a 1/2 flight of steps from the outside play space to the school-age classroom at the top of the steps. Staff person #1 did not accompany the child to the classroom or notify any staff person in the school-age classroom that Child #1 was coming back inside.
Corrected Corrected by Oct 2, 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. TIERED LIS: 1) Each staff person shall be assigned the responsibility for supervision of specific children, know the name and whereabouts of children in their assigned group and be physically present with the children in their group. This portion of the plan shall have an immediate correction date. 2) Each staff member will complete DHS training on the topic of Supervision provided by the ELRC. Documentation of the completed training will be submitted to the certification representative within 1 week of completion of the training. This portion of the plan will have a date within one week of the completion of the approved training. 3) The legal entity will create a form to be used to conduct supervision and ratio checks. The form will include the name of the classroom, the time and date the check was performed, the staff present and the number of children present by age and a notation indicating if staff knew the whereabouts of the children in their supervisory group. The director(s) will conduct random supervision and ratio checks in all classrooms a minimum of 3 times each week for a minimum of 3 months. The legal entity will record the results on the DHS approved form and will submit the forms to the certification representative biweekly. This portion of the plan will have a correction date 3 months after the approval of the supervision monitoring form.
Disposition: Needs Verification
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
According to video evidence and staff statements, the whereabouts and activities of Child #1 were not known to Staff person #1 while Staff person #1 had their back to the children in the outside play space. Staff #1 did not observe Child #1 turn a seesaw on its side, stand on top of it and fall to the ground when the seesaw wobbled. This resulted in Child #1 receiving an injury after the fall. According to staff statements, on 9.23.25, Staff person #1 sent Child #1 up a 1/2 flight of steps from the outside play space to the school-age classroom at the top of the steps. Staff person #1 did not accompany the child to the classroom or notify any staff person in the school-age classroom that Child #1 was coming back inside.
Corrected Corrected by Jan 19, 2026
Category: supervision. Marked corrected in the state record.
3270.132(a) · If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent. TIERED LIS: 1. If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent. (This portion of the plan will have an immediate correction date.) 2. The legal entity will ensure that all facility persons complete the PA Required Health and Safety for Centers-Group Child Care Part 1 and PA Required Health and Safety for Centers-Group Child Care Part 2 trainings found on Penn State Better Kid Care website within 21 calendar days of the acceptance of this plan of correction. All facility persons who have already completed PA Required Health and Safety for Centers-Group Child Care Part 1 and PA Required Health and Safety for Centers-Group Child Care Part 2 trainings will be required to take the trainings again and provide documentation of completion after the date of the acceptance of this plan of correction. Once all facility persons have completed these required trainings, the legal entity will submit the training certificates for all facility persons to the Western Regional Office within 5 business days of the last date of completion. (The operator will provide a date for when this training will be completed and submitted.) 3. Once the requirement in Tier #2 is met, the legal entity will ensure that all facility persons complete the 1 hour training entitled 911-Responding to Medical Emergencies found on Penn State Better Kid Care website within 21 calendar days. Once all facility persons have completed the required training, the legal entity will submit the training certificates for all facility persons to the Western Regional Office within 5 business days of the last date of completion. (The operator will provide a date for when this training will be completed and submitted.) 4.:The Legal Entity will work with the ELRC staff to draft an emergency medical care policy. Once the requirement in Tier #3 is met, the legal entity will ensure that the facility director and other legal entity representatives in a leadership role participate in technical assistance for a minimum of 3 hours with the PA Key and ECELS (The Early Childhood Linkage System at the PA Chapter of the American Academy of Pediatrics) to develop a plan that includes but is not limited to training staff to recognize when a child may need emergency medical care, how staff should recognize and respond to child injuries, how staff should respond when a child receives a potential injury to bone, and how the administration can support staff in implementing the plan. The legal entity will submit the plan to the Regional Office within 5 business days of completion. (The operator will provide a date for when the plan will be completed and submitted.) 5. Once the requirement in Tier #4 is met, the legal entity will ensure that all facility persons participate in a minimum of 2 hours of training conducted by the PA Key and ECELS. The training will include but will not be limited to the plan that was developed in Tier #4. All facility persons will be required to complete an assessment after the training to assess their knowledge of the information given in the training. All facility persons will be required to obtain at least a 90% score on the assessment. The legal entity will submit the training sign in sheet and assessment for all facility persons to the Regional Office within 5 business days of completion. (The operator will provide a date for when this training will be completed and submitted.) 6. Once the requirement in Tier #5 is met, the legal entity will ensure that all facility persons participate in a monthly staff meeting for 3 consecutive months. The staff meeting agenda will include discussion and debriefing on how the plan written in Tier #3 is being implemented as well as a review of the citations that were issued since April 2025. The meeting agenda and sign in sheet will be submitted to the Regional Office for review within 5 business days after the completion of the meeting. (The operator will provide a date for when the staff meetings will be completed and submitted.)
According to staff interviews, when Child #1 fell on the playground and injured their arm (see LIS Code Sheet) and showed evidence of being in pain, the facility staff did not contact the parent or emergency services. Child #1 was later taken to the ER in the evening and was found to have an injury (see LIS Code Sheet) requiring medical care.
Corrected Corrected by May 31, 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.
Child #1 suffered an injury (see LIS Code Sheet) that required a visit to the ER after a fall from a see saw on the playground. The parent of child #1 was not provided with a written accident report until the following day.
Corrected Corrected by Sep 23, 2025
Category: health medication. 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 #1, who is classified as an aide, does not include a high school diploma or a general educational development certificate; or a minimum of an 8th grade education and 2 years of experience with children. The file for Staff person #5, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children
Corrected Corrected by Dec 30, 2025
Category: supervision. 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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. 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 -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.
While assessing supervision/ratio, the CR observed Staff person #1 in the Middlers room with 7 older toddlers. Nap time had ended and Staff person #6 had stepped out of the room, but multiple children were awake and off their cots, and walking around the room, so naptime ratios were not in effect. According to staff statements, on 9.23.25, Staff person #1 sent Child #1 up a 1/2 flight of steps from the outside play space to the school-age classroom at the top of the steps. Staff person #1 did not accompany the child to the classroom or notify any staff person in the school-age classroom that Child #1 was coming back inside.
Corrected Corrected by Dec 12, 2025
Category: supervision. Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
In the outside playground there was a water spigot protruding from the wall about 1-2 feet off the ground that was not covered, making it a potential hazard for a child to be injured on.
Corrected Corrected by Oct 2, 2025
Category: physical safety. Marked corrected in the state record.
3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.
There was an Epi-pen in the Early Preschool classroom labeled for use by a specific child that had an expiration date of 8.2024.
Corrected Corrected by Oct 2, 2025
Category: ratio. Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
There was an Epi-pen in the Early Preschool room that was labeled for use by a specific child that does not have written parental permission to administer.
Corrected Corrected by Oct 2, 2025
Category: ratio. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file for staff person #4 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for staff person #4 was dated 9.25.25.
Corrected Corrected by Oct 1, 2025
Category: ratio. Marked corrected in the state record.
3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
The file for Staff person #1, #2, #3, #4, #5 does not include 2 written non-family references attesting to the staff person's suitability to work in childcare.
Corrected Corrected by Oct 2, 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.
The fire alarm 30-day test log includes test dates 8.29.25 and 9.29.25, more than 30 days apart
Corrected Corrected by Oct 1, 2025
Category: recordkeeping. 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 a supervision and ratio check in the school-age room on 7.17.25 at 12:40 PM, Staff person #1 named 11 children, including 5 preschool children and 6 school-age children, resulting in Staff person #1 being over ratio.
Corrected Corrected by Jul 17, 2025
Category: supervision. 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.
RECITED FROM SIN-00263973: Children were observed throwing lunch food remains, plates, and utensils in an unlidded trashcan in the school-age room.
Corrected Corrected by Jul 23, 2025
Category: nutrition. 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.
RECITED FROM SIN-00263973: Preschool (Room 202) contained rest equipment that was not labeled for the use by a specific child.
Corrected Corrected by Jul 18, 2025
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.
RECITED FROM SIN-00263973: Several rest mats did not have 2 feet of clearance on 3 sides, being placed too close together, in Room 005.
Corrected Corrected by Jul 18, 2025
Category: background checks. 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.
While assessing compliance with supervision and ratio in the school-age classroom on 7.17.25 at approximately 12:00 PM, Staff person #1 stated there were 31 children in the room. Staff person #1 named 9 children, Staff person #2 named 11 children, and Staff person #3 named 6 children, leaving 5 children unnamed. While in the school-age classroom, the CR observed a staff member standing in the doorway of the classroom while children were going to the bathroom in the hallway bathroom outside the classroom door, so that the staff person was not physically present with the child in the bathroom.
Corrected Corrected by Jul 22, 2025
Category: supervision. 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.
Through staff interviews and reviewing submitted documentation, it was determined that Staff person #1 did not report to the regional childcare certification office that Child #1 was taken to the emergency room for evaluation by the parent after the child fell and hit their head at the childcare center.
Corrected Corrected by Jul 3, 2025
Category: recordkeeping. 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.
According to staff statements and document review, the facility did not provide the parent of Child #1 with a written incident report following an incident on 4.9.25, when child #1 fell and bumped their head then later vomited on until 4.21.25.
Corrected Corrected by Jul 3, 2025
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 Shaken Baby Policy submitted by the facility does not include language regarding the prevention and identification of child maltreatment.
Corrected Corrected by May 8, 2025
Category: ratio. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
During the inspection, the certification representative observed the door to the 1st floor kitchen was open, with no facility person present, and there were adult scissors sitting on a counter, accessible to children.
Corrected Corrected by Apr 10, 2025
Category: health medication. Marked corrected in the state record.
3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
The letter to the parents of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by May 5, 2025
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 #8 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 10.3.24. Staff person #11 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; PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2 was completed on 4.9.25.
Corrected Corrected by Apr 10, 2025
Category: health medication. 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. Until such time as the required training has been completed, staff person #7, #14 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 #7, #14, staff person #7, #14 may not work in a child-care position at the facility.
Staff person #7 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum. Staff person #14 has not competed the following required pre-service training within 90 days of their hire date (See LIS Code sheet): Get Started with Center-based Care: Building Blocks for Quality; Health and Safety Basics: Requirements for Certification (6 hours) was taken previously but is not dated between 9/30/2016 -- 6/30/2018.
Corrected Corrected by Apr 16, 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). 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 #6, #7, #9, #11, #12, #13 may not work in a childcare position at the facility.
The file for Staff person #5 includes criminal history clearances dated 10.9.19 and 2.3.25; child abuse clearances dated 10.9.19 and 2.3.25 and FBI clearances dated 10.14.19 and 10.25.24, all more than 60 months apart. The file for Staff person #6 did not contain documentation of application of a Texas state criminal history clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #7 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid. The signed disclosure statement on file for Staff person #9 is not dated and does not include a witness signature, making it invalid. The disclosure statement on file for Staff person #11 is not signed and dated. The file for Staff person #12, who was rehired does not include a new signed Disclosure Statement (See LIS Code Sheet). The file for Staff person #13, a facility person, does not include a complete PA Criminal History clearance or NSOR certificate within 45 days of hire (See LIS Code sheet).
Corrected Corrected by Apr 11, 2025
Category: background checks. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The file for Staff person #3, #10, #11, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children. The file for Staff person #12, who is classified as an aide, does not include a high school diploma or a general educational development certificate; or a minimum of an 8th grade education and 2 years of experience with children.
Corrected Corrected by Apr 18, 2025
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.
Two uncovered outlets were observed on an adapter in Toddler/Middler (Room 005). Three uncovered outlets were observed on a power strip in the facility entrance.
Corrected Corrected by Apr 10, 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.
During the inspection, the certification representative observed the door to the kitchen was open, with no facility person present, and there was a bottle labeled as bleach water on a counter, accessible to children. In Toddler/Middler (Room 005) a Swiffer Jet Set mop with cleaning fluid labeled "Keep out of reach of children" was by the sink and accessible to children. In Older Toddler (Room 004) a Swiffer Jet Set mop with cleaning fluid labeled "Keep out of reach of children" was by the changing table and accessible to children. In the Men's Room on the 2nd floor, off Room 5, Lysol Disinfectant, labeled "Keep out of reach of children" was observed in an unlocked cabinet under the changing table, accessible to children. In the entrance to the facility, a hand sanitizer dispenser was on the wall and accessible to children.
Corrected Corrected by Apr 10, 2025
Category: physical safety. 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 no lidded trashcan in Early Preschool (Room 201) and in the Flex Room (Room 6) which contained soiled facial tissues.
Corrected Corrected by Apr 11, 2025
Marked corrected in the state record.
3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.
The water in the classroom sink in the Preschool room (Room 202) measured 130° F. The water in the bathroom sink off Early PS (Room 201) measured 135° F.
Corrected Corrected by Apr 10, 2025
Category: physical safety. Marked corrected in the state record.
3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.
There was a pipe on the wall on the right of the entrance to the School-Age room, accessible to children, which measured 121° F on the surface, posing a burn hazard to children.
Corrected Corrected by Apr 25, 2025
Category: physical safety. Marked corrected in the state record.
3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.
A window was observed in the blue stairwell on the 2nd floor; in the 2nd floor Preschool (Room 202); in the 2nd floor Pre-K (Room 203); and in the unlocked 2nd floor staff lounge, which were all accessible to children, and were not restricted to opening 6" or less.
Corrected Corrected by Apr 23, 2025
Category: physical safety. Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
The excursion bag containing the first aid kit in Older Toddler (Room 004) was on a hook next to the changing table and accessible to children.
Corrected Corrected by May 5, 2025
Category: health medication. Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
There were stained ceiling tiles from a recent leak in the 2nd floor kitchen.
Corrected Corrected by May 5, 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 was no handwashing sign at the toilet in the Women's bathroom, off the Flex Room, on the basement level.
Corrected Corrected by May 2, 2025
Category: health medication. Marked corrected in the state record.
3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.
A source of running water was not present in the diapering area the Young Toddler (Room 108) and Toddlers/Middlers (Room 005).
Corrected Corrected by Apr 30, 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.
The hallway and stairs leading to Older Toddler (Room 004) is obstructed by the water table and a large box.
Corrected Corrected by Apr 11, 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 Toddler Room (Rm 003), Early Preschool (Room 201), Preschool (Room 202) contained rest equipment that was not labeled for the use by a specific child.
Corrected Corrected by Apr 11, 2025
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.
Several rest mats did not have 2 feet of clearance on 3 sides, being placed too close together.
Corrected Corrected by Apr 11, 2025
Category: background checks. Marked corrected in the state record.
3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.
The refrigerator in School-age room (Room 108) and in Early Preschool (Room 201), where refrigerated snacks were stored, did not have an operating thermometer.
Corrected Corrected by Apr 14, 2025
Category: nutrition. Marked corrected in the state record.
3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.
There was no written daily activity schedule in the Toddler room (Rm 003).
Corrected Corrected by Apr 14, 2025
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.
During naptime, the certification representative observed 2 children sleeping with blankets covering their faces in the Middler Room (Rm 003), and the room was also observed to be too dark for all of the children to be able to be seen during naptime. During naptime the certification representative observed Staff person #2 in Pre-K (Room 201) was cleaning chairs on the other side of the room where she was unable to see 2 of the 7 children she was assigned to supervise.
Corrected Corrected by Apr 14, 2025
Category: supervision. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The file for Child #6, with an enrollment date of 10.10.24, does not include a signed Agreement
Corrected Corrected by Apr 15, 2025
Category: recordkeeping. 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 current health assessment on file for Staff person #11 does not indicate if the staff person was assessed for communicable/contagious disease.
Corrected Corrected by Apr 11, 2025
Category: health medication. 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 most recent Child Service Report on file for Child #1, #2 is dated more than 6 months ago. The file for Child #3, #5, #8, who began receiving care more than 6 months ago, does not include any Child Service reports.
Corrected Corrected by Apr 15, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.
The agreement on file for Child #1, #2, #3, #4, #5, #6, #7, #8, #9, #10 does not include the persons to whom the child can be released. The agreement used by the facility includes the names of emergency contact persons, but not the persons the child can be released to.
Corrected Corrected by May 5, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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 agreement on file for Child #7, #10 is the original agreement, which is to be given to the enrolling parent.
Corrected Corrected by May 5, 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 emergency contact form on file for Child #1 does not include the work telephone number for the enrolling parent.
Corrected Corrected by May 5, 2025
Category: recordkeeping. 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 on file for Child #6 does not include the policy number for the child's health care benefits. The emergency contact form on file for Child #9 does not include the child's health insurance coverage and policy number for the child's health care benefits.
Corrected Corrected by May 5, 2025
Category: health medication. 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.
There was no emergency transportation plan posted in a conspicuous location in the Older Toddler (Room 004); the Toddlers (Rm 003), and School-age (Rm 101) classrooms, or in the Gross Motor room.
Corrected Corrected by Apr 21, 2025
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, who has been enrolled for more than 6 months does not include a 6-month parental review signature for the agreement. The most recent 6-month review signature for the emergency contact form and the agreement on file for Child #4, #5, #8 is dated more than 6 months ago. The most recent 6-month review signature for the agreement on file for Child #7 is dated more than 6 months ago.
Corrected Corrected by May 5, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.
The most recent health assessment on file for Child #10, who is 21 months old, is dated 8.20.24, more than 6 months ago.
Corrected Corrected by Apr 29, 2025
Category: health medication. 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 most recent health assessment on file for Child #2, who is an older toddler, is dated 2.1.24, more than 12 months ago. The most recent health assessment on file for Child #3, who is a preschool age child, is dated 8.28.23, more than 12 months ago.
Corrected Corrected by Apr 29, 2025
Category: health medication. Marked corrected in the state record.
3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.
There was no medication log in Early Preschool (Room 201) for a prescription ointment that the staff apply to a specific child for whom the medication is intended.
Corrected Corrected by Apr 14, 2025
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 file for staff person #6 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET).
Corrected Corrected by Apr 10, 2025
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 health assessment on file for Staff person #11 does not include the physician or health care professional's assessment of the person's suitability to provide childcare.
Corrected Corrected by Apr 11, 2025
Category: health medication. Marked corrected in the state record.
3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.
There were no written feeding plans on file submitted by the parent for the children under the age of 12-months in the infant room.
Corrected Corrected by Apr 11, 2025
Category: nutrition. Marked corrected in the state record.
3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
The file for Staff person #4, #5 includes only 1 written nonfamily reference. The file for Staff person #10, #11 does not include 2 written non-family references attesting to the staff person's suitability to work in childcare.
Corrected Corrected by Apr 11, 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.
The fire alarm 30-day test log includes test dates 4.24.24-5.27.24, 8.7.24-9.7.24, more than 30 days apart, and the most recent 30-day test is dated 3.6.25, more than 30 days ago.
Corrected Corrected by May 9, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)/3270.131(e) · 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 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. Child(ren) #4, #5 must be dismissed from care by close of business 4.29.25 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 #4, with an enrollment date of 8.27.24, which is more than 60 days ago, does not include an initial health report. The file for Child #5, with an enrollment date of 3.18.24, which is more than 60 days ago, does not include an initial health report.
Corrected Corrected by Apr 29, 2025
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. Until such time as the required pre-service trainings are completed, facility person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise Facility Person #1, they- may not work in a child-care position at the facility.
Facility Person #1 was observed to be caring for children unsupervised. Facility Person #1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid & CPR training
Corrected Corrected by Aug 7, 2024
Category: supervision. Marked corrected in the state record.
3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
There was no documentation the operator has tested the fire alarm system at least every 30 days. Previously it was determined that the disruption to other programs in the building provided a valid reason for the operator not to do so and instead have the system professionally inspected annually. However as the same legal entity owns the building and the child care program, this is not a valid reason for an operator to not test the fire alarm system at least every 30 days and document the testing.
Corrected Corrected by Aug 7, 2024
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.
Adult scissors were accessible to children on a desk in the lobby.
Corrected Corrected by May 17, 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 #3 did not contain documentation of completing emergency plan training in the last 12 months.
Corrected Corrected by May 8, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
The facility's parent letter explaining the emergency procedures did not include the accommodations made for infants and toddlers.
Corrected Corrected by May 8, 2024
Category: physical safety. 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 #10 will have until 5/22/24 to complete the required training. Until such time as the required training has been completed, staff person #10 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 #10, then staff person #10 may not work in a child-care position at the facility.
Staff person #10 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid.
Corrected Corrected by May 15, 2024
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. Staff #1, #4, #7, and facility person #14 may not work in a position at the facility that includes direct contact with children.
The file for staff #1 did not contain proof of applying for all required out of state clearances and contained a disclosure statement dated 9/11/23, which is after their date of hire. The file for staff #4, who requires out of state clearances, did not contain documentation of applying for those clearances. The file for staff #5 contained an NSOR dated 12/22/23 which is after their date of hire. The file for staff #7 contained a child abuse clearance for the purpose of volunteering, The file for staff #10 contained a child abuse clearance for the purpose of volunteering and an NSOR certificate dated 1/09/24 which is after their date of hire. The application for the NSOR was not on file. The file for facility person #14 did not contain applications for or completed state police or FBI clearances. Facility person #14 was observed having direct contact with children during the inspection. (SEE LIS CODE SHEET)
Corrected Corrected by May 8, 2024
Category: background checks. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The files for staff #2, #6, #8, and #11 designated as assistant group supervisors on the staff data sheet, did not contain documentation of the qualifications required for the position. The files for staff #9 and #10, designated as group supervisors on the staff data sheet, did not contain documentation of the qualifications required for the position.
Corrected Corrected by Apr 23, 2024
Category: supervision. Marked corrected in the state record.
3270.61(b) · Indoor child care space may not be used simultaneously as play space.
In the school age room, 3 children were observed playing dodge ball while other children were painting, drawing, and participating in other small motor activities. The space is measured as care space.
Corrected Corrected by Apr 23, 2024
Category: physical safety. Marked corrected in the state record.
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
Two electrical power strips in the lobby area, accessible to children 5 years of age or younger, were not covered by protective caps.
Corrected Corrected by Apr 23, 2024
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.
Cleaning materials, cans of paint, and other toxics were accessible to children in the school age room. The door to the supply closet was locked, however the key was observed in the lock while children were present in the room. Hand sanitizer was accessible to children in the infant room. The bottle was observed attached to a diaper bag on a floor level shelf.
Corrected Corrected by Apr 23, 2024
Category: health medication. 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.
An unlabeled reusable spray bottle containing cleaning material was observed under the sink in the infant room.
Corrected Corrected by Apr 23, 2024
Category: ratio. Marked corrected in the state record.
3270.66(e) · Arts and crafts materials shall be nontoxic.
In the older toddler room, shave foam labeled keep out of reach of children was observed with stored art materials.
Corrected Corrected by Apr 23, 2024
Marked corrected in the state record.
3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.
The emergency phone number list, posted near the phones in the new toddler room and the new preschool room, did not include the phone number for the poison control center.
Corrected Corrected by May 16, 2024
Category: physical safety. Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
First aid kits were accessible to children in the following spaces; in the gross motor room on a seat, in the school age room hanging on an equipment storage cart, and in the new preschool room hanging on a cabinet knob that allowed the bag to be low enough to be accessible.
Corrected Corrected by Apr 23, 2024
Category: health medication. Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
A large pile of packaging materials including, but not limited to, cardboard boxes and plastic wrap was observed in the newly added preschool room.
Corrected Corrected by May 15, 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.
Multiple sinks and toilets in the restrooms on the basement level and the staff restroom on the first floor lacked hand washing signs.
Corrected Corrected by May 6, 2024
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 sink area in the new toddler room lacked a lidded waste receptacle.
Corrected Corrected by Apr 24, 2024
Category: health medication. Marked corrected in the state record.
3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
An empty plastic grocery bag was accessible to children in a low cubby in the young toddler room. A teacher's folding floor chair with exposed foam padding was observed in the hall outside the young toddler room. The cover for the seat of the chair, which would cover the foam, was not in place.
Corrected Corrected by Apr 23, 2024
Marked corrected in the state record.
3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.
The refrigerator in the toddler room located behind the STEM room lacked a thermometer.
Corrected Corrected by Apr 24, 2024
Category: nutrition. Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
Written plans of daily activities were not posted in the following rooms; school age, STEM, newly added toddler room and the newly preschool room.
Corrected Corrected by May 17, 2024
Category: physical safety. Marked corrected in the state record.
3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
The file for child #1, enrolled for over 6 months, lacked a child service report. The files for school age children #5 and #6, who are in care for more than 15 hours a week based on their financial agreements, did not contain service reports completed in the past 6 months. The files for children #2 and #3 contained service reports dated more than 6 months after start, but are now current.
Corrected Corrected by May 17, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.
The agreements for child #1 and child #5 did not specify the persons designated by a parent to whom the child may be released.
Corrected Corrected by May 17, 2024
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 child #5 did not include the address for the person designated by the parent to whom the child may be released. The emergency contact form for child #5 also lacked the phone number for the person designated by the parent to whom the child may be released.
Corrected Corrected by May 17, 2024
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.
A medical emergency transportation plan was not posted in the following rooms; STEM, the newly added toddler room and the newly preschool room.
Corrected Corrected by May 17, 2027
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 emergency contact form for children #4 and #6 have not been reviewed and signed by the parent in more than 6 months.
Corrected Corrected by Apr 23, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
Hydrocortisone and Tacrolimus ointment were observed in the young toddler room. The medications were stored in a labeled plastic baggie; however the containers of medication were not labeled with the name of the child they were intended for.
Corrected Corrected by Apr 23, 2024
Category: health medication. Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
Hydrocortisone, Tacrolimus ointment and Nystatin, all which lacked written consent for administration, were observed in the young toddler room.
Corrected Corrected by Apr 23, 2024
Category: ratio. 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.
While changing a diaper, a staff person in the young toddler room did not immediately place the soiled diaper in the trash can, the soiled diaper was first placed on the changing table surface. The diapering area in the new toddler room lacked a hands-free lidded trash can.
Corrected Corrected by Apr 23, 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 files for staff #5 and #11 contained initial health assessments and TB test results which were more than 12 months old at hire. The files now contain current health assessments, but lack valid TB test results.
Corrected Corrected by May 17, 2024
Category: ratio. Marked corrected in the state record.
3270.181(c)/3270.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.
The agreements for children #2, #4 and #6 have not been signed and dated by the parent in the past 6 months. The agreement for child #1 was not signed and dated by the parent at the initial review at enrollment. The child's date of admission was 6/12/23, the agreement was not signed and dated until 12/27/23. The agreement is now current.
Corrected Corrected by May 17, 2024
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 #9 and facility person #14 did not contain written references. The file for staff #13 contained only 1 written reference.
Corrected Corrected by Apr 23, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. 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 CPR and first aid training dated more than 90 days after their date of hire.
Corrected Corrected by May 24, 2024
Category: health medication. Marked corrected in the state record.
3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
A two-year-old child in the Midler's classroom was cleaning the table with a spray bottle of water and paper towels. The adjustable nozzle to the bottle which controls the spray/stream was detached from the bottle and on the table. The child picked up the nozzle, which was less than an inch in diameter, and started lifting it to his mouth until he noticed the certification rep looking his way. He pulled his hand down, and staff #4 went over and took the nozzle and spray bottle off the child and made them inaccessible to the children.
Corrected Corrected by Mar 6, 2024
Category: physical safety. 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 9:50 am, 3 staff were caring for 10 young toddlers and 1 older toddler in the young toddler classroom. Staff person #1 identified 4 children, staff person #2 identified 4 children and staff person #3 was unable to name the 3 children in their primary supervisory group and stated they were new staff.
Corrected Corrected by Mar 6, 2024
Category: supervision. Marked corrected in the state record.
3270.70(a) · The indoor temperature shall be at least 65° F.
Based on statements made by staff, the temperature in some classrooms on the top floor of the facility has been under 65° on more than one occasion over a period of several weeks from December 2023 through January 2024.
Corrected Corrected by Jan 30, 2024
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.
The annual tests of the facility's fire detection system were conducted more than 12 months apart. The reports were dated 9/15/22 and 9/19/23.
Corrected Corrected by Apr 4, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
Based on discussion with staff, facility person #1 took a child by the leg and pulled him across the carpet where their lip rubbed against the carpet causing it to bleed.
Corrected Corrected by Dec 11, 2023
Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 and #2 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 person(s) available to supervise staff person #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.
Staff person #1 and #2 were 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 pediatric CPR. Staff person #2 had mandated reporter training which expired on 8/3/2023 and did not have updated training.
Corrected Corrected by Dec 20, 2023
Category: supervision. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.
Documentation of the health and safety topics listed in subsections (f)1-9 for facility person #3 was documented as being completed on 12/18/2023, which was more than 90 days from their start date at the facility (see coded LIS sheet).
Corrected Corrected by Dec 18, 2023
Category: health medication. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2 will have until 1/4/2024 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 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 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 mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 8/3/2017.
Corrected Corrected by Dec 18, 2023
Category: supervision. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #3 will have until 1/4/2024 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #3 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 person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.
Facility person #3 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).
Corrected Corrected by Dec 18, 2023
Category: supervision. 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.
A child was lying in his crib which was placed against a wall and the changing table. 2 feet of space was on 2 sides of the crib and not 3 sides, as regulation requires.
Corrected Corrected by Dec 18, 2023
Category: physical safety. 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.
Based on conversations with the staff and review of documentation, an injury occurred on 12/11/2023 and the parent was not notified nor was an incident provided to the parent on the day of the incident. The notification and injury report were provided on 12/14/2023, 3 days after its occurrence.
Corrected Corrected by Dec 18, 2023
Category: health medication. Marked corrected in the state record.
3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.
Though the facility stated they have been conducting fire drills, a written record of the fire drills was not provided at the time of the inspection.
Corrected Corrected by Dec 22, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons #2, #3, #4, and #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #2, #3 #4, and #5, then staff persons #2, #3, #4, and #5- may not work in a child-care position at the facility.
Staff persons #2 and #3 were observed to be caring for children unsupervised in the preschool room. Staff persons #2 and #3 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric CPR/First Aid. Staff persons #4 and #5 were observed to be caring for children unsupervised in the young toddler room. Staff persons #4 and #5 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric CPR/First Aid, mandated reporter training, and health and safety topics 1-9.
Corrected Corrected by Aug 31, 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. Facility Person #2 may not work in a child care position at the facility.
The file for staff #2 (SEE LIS CODE SHEET) did not contain documentation of applying for a DHS FBI clearance. Staff #2 was observed caring for children.
Corrected Corrected by Aug 29, 2023
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 #1, designated as an assistant group supervisor by the director, did not contain documentation of the qualifications required to perform the position.
Corrected Corrected by Aug 31, 2023
Category: supervision. Marked corrected in the state record.
3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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 #1 contained a health assessment which lacked the results of an examination for communicable diseases lacked a statement regarding the physician's assessment of the person's suitability to provide child care.
Corrected Corrected by Sep 1, 2023
Category: health medication. 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 agreement for child #3 did not specify the amount of the fee to be charged.
Corrected Corrected by Jun 9, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.
The agreement for child #3 did not specify the child's departure times.
Corrected Corrected by Jun 9, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
The facility did not have a written policy for the prevention and identification of shaken baby syndrome, abusive head trauma, and child maltreatment as required by Announcement C-22-03.
Corrected Corrected by Jun 8, 2023
Category: ratio. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are 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 person(s) available to supervise staff person #4, then staff person #4 may not work in a child-care position at the facility.
Staff person # 4 was observed to be caring for children unsupervised. Staff person #4 did not have documentation of completing the following pre-service training on file for review during the inspection: mandated reporter training.
Corrected Corrected by Jun 9, 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. Staff # 2, #5, and #6 may not work in a child care position at the facility.
The file for staff #2 did not contain a valid state police clearance. An invoice for the clearance dated 12/26/22 was on file, but the completed clearance was not present. The file for staff #5 did not contain a valid state police clearance. The clearance on file, dated 1/25/23, did not have a purpose listed. The file for staff #6 contained an FBI clearance and a state police clearance which indicated a record, however the attachments were not present in the file for review.
Corrected Corrected by Jun 9, 2023
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 #3, designated as a group supervisor on the staff data sheet, did not contain documentation of the qualifications required for the position.
Corrected Corrected by Jul 31, 2023
Category: supervision. Marked corrected in the state record.
3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.
The sink in the young toddler room lacked platforms or steps to allow children to easily wash hands.
Corrected Corrected by Jun 12, 2023
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 diapering areas in the young toddler and infant rooms lacked handwashing signs.
Corrected Corrected by Jun 8, 2023
Category: health medication. Marked corrected in the state record.
3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.
Based on the manufacturer's description, scissors observed in the preschool room are intended for use by children 5 years of age and older. The description was obtained from the website where the Colorations brand scissors were purchased: Discount School Supply.
Corrected Corrected by Jun 8, 2023
Category: ratio. 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.
A washer was observed to be missing on a bolt on a support piece under the plastic slide in the gross motor room.
Corrected Corrected by Jun 9, 2023
Category: physical safety. Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
The young toddler, infant and school age rooms lacked a posted written plan of daily activities.
Corrected Corrected by Jun 8, 2023
Category: physical safety. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The files for child #1 and child #4 did not contain agreements.
Corrected Corrected by Jun 12, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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 files for children #2, #3, and #5 contained the original agreements.
Corrected Corrected by Jun 12, 2023
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 emergency contact form for child #1 did not include the telephone number of the child's physician or source of medical care.
Corrected Corrected by Jun 13, 2023
Category: health medication. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The emergency contact forms for child #1 and child #2 did not include the work telephone number of the enrolling parent.
Corrected Corrected by Jun 13, 2023
Category: recordkeeping. 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 forms for child #1, #2, and #4 did not include health insurance coverage and policy numbers.
Corrected Corrected by Jun 13, 2023
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 emergency contact forms for child #2 and child #4 did not include the addresses of the individuals designated by the parent to whom the child may be released.
Corrected Corrected by Jun 13, 2023
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 young toddler, infant, preschool, and school age rooms lacked a posted plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency .
Corrected Corrected by Jun 13, 2023
Category: transportation. Marked corrected in the state record.
3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).
The file for child #2, now 7 months old, did not include documentation of receiving the influenza vaccine. A written exemption was not on file.
Corrected Corrected by Jun 13, 2023
Category: health medication. Marked corrected in the state record.
3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.
An epi-pen which lacked the original container was observed in the young toddler room. The medication was labeled for child #6.
Corrected Corrected by Jun 13, 2023
Category: health medication. Marked corrected in the state record.
3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.
Written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.
Corrected Corrected by Jun 8, 2023
Marked corrected in the state record.
3270.182(2) · A child's record shall contain the dates of application, admission and withdrawal of the child.
The files for children #1 and #4 did not contain the date of admission.
Corrected Corrected by Jun 13, 2023
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, #4, and #7 contained only one written reference. The files for staff #3 and #8 did not contain written references.
Corrected Corrected by Jun 13, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
Staff #7 did not complete training in pediatric first aid and CPR within 90 days of hire. The training on file was dated 5/30/23 (SEE LIS CODE SHEET).
Corrected Corrected by May 30, 2023
Category: health medication. Marked corrected in the state record.
3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.
The facility's fire drill log did not indicate the specific time of day the drills were conducted.
Corrected Corrected by Jun 13, 2023
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 operator provided documentation of submitting the the emergency plan to the county EMA, but lacked documentation of submitting the plan locally.
Corrected Corrected by Jun 8, 2023
Category: physical safety. Marked corrected in the state record.
3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.
Windows in the two lobby areas, the young toddler room, and at the top of the stairs lacked visual strips. The windows are floor to ceiling.
Corrected Corrected by Feb 6, 2023
Category: physical safety. Marked corrected in the state record.
3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.
A source of running water was not located in close proximity to the diapering areas in the infant and young toddler rooms.
Corrected Corrected by Feb 10, 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.
Proof of purchase/installation for the fire alarm system was not available at the initial inspection.
Corrected Corrected by Feb 10, 2023
Category: recordkeeping. Marked corrected in the state record.