3270.192(1) · A facility person's record shall include the name, address and telephone number of the facility person.

The address and telephone number of Staff #1 was not present at the facility.

Corrected Corrected by Oct 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(i) · A facility person's record shall include verification of age.

Verification of age for Staff #1was not present at the facility.

Corrected Corrected by Oct 25, 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. Facility Person #1 and #2 may not work in a childcare position at the facility.

The file for Staff #1, observed providing childcare, lacked complete and/or requests for PA State Police Clearances and FBI Clearance, National Sex Offender Registry (NSOR) Verification, Child Abuse Clearance, and Disclosure Statement as there was no record presented for Staff #1. The file for Staff #2 lacked a National Sex Offender Registry (NSOR) Verification and obtained a PA State Police Clearance after first day caring for children with no request in the file for Staff #2.

Corrected Corrected by Oct 25, 2025

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

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

In Room 3, the closet with washer and dryer located inside the classroom was open and had bottles of Downy Light, Purex and All Detergent that were labeled "keep out of reach of children" and were on the floor in the closet and were accessible to children.

Corrected Corrected by Oct 22, 2025

Marked corrected in the state record.

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

In the outdoor play space, the green outdoor carpet that was covering the ground was observed to be loose and creating a tripping hazard to children in care. In the outdoor play space, five green fence posts that were short enough to be accessible to the children in care were observed to have sharp edges which posed a cutting hazard.

Corrected Corrected by Oct 25, 2025

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

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

In Room 2, there was peeling paint in one area on back red wall below window and in Room 4, a couple areas of peeling paint on back yellow wall. In downstairs men's bathroom, there was peeling paint in one area near baseboard.

Corrected Corrected by Nov 13, 2025

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

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

In Room 1 multiple cardboard blocks were observed to be ripped and not in good repair.

Corrected Corrected by Oct 23, 2025

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

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

The Agreements in the files for Child #1, #2, and #3 lacked the amount of the fee to be charged.

Corrected Corrected by Oct 30, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The files for Child #1, #2, #3, and #4, whom have been enrolled for more than six months, lacked child service forms that provide information to the family about the child's growth and development in the context of the services being provided.

Corrected Corrected by Nov 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The Agreement in the file for Child #3 lacked the date of the child's admission.

Corrected Corrected by Oct 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The file for Child #3 lacked an emergency contact form including the information of who shall be contacted in an emergency.

Corrected Corrected by Oct 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form for Child #4 lacked the telephone number of the child's physician.

Corrected Corrected by Oct 24, 2025

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form for Child #4 lacked the enrolling parents work address and work phone number.

Corrected Corrected by Oct 24, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form in the file for Child #4 lacked written consent signed by a parent for emergency medical care.

Corrected Corrected by Oct 24, 2025

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.

Th emergency transportation plan was not posted in Room #1, #2, #3, and #4.

Corrected Corrected by Oct 24, 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 files for Child #1, #2, #3, and #4 contained emergency contact forms that had not been updated within the last 6 months.

Corrected Corrected by Oct 30, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The files for Staff #1 lacked a Health Assessment. Staff #1 was observed to be providing childcare.

Corrected Corrected by Nov 5, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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. 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 #1 lacked the results of a tuberculin skin test, x-ray or other medical documentation necessary to confirm freedom from communicable tuberculosis. Staff #1 was observed to be providing childcare.

Corrected Corrected by Nov 5, 2025

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

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

The files for Child #1, #2, #3, and #4 contained Agreements that had not been updated within the last 6 months.

Corrected Corrected by Nov 13, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for Child #4 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Nov 15, 2025

Category: ratio. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

There was no individual record provided for Staff #1 who was observed providing care for children.

Corrected Corrected by Nov 1, 2025

Category: recordkeeping. 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 #2 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. Due to Staff #1 not having a file, the 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 could not be verified.

Corrected Corrected by Nov 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff #2, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person. Staff #1 lacked a file and therefore, lacked the required two written, nonfamily references from individuals attesting to the suitability of Staff #1 to serve as a facility person.

Corrected Corrected by Oct 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.173(b) · The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported.

Staff person #1 transported an older toddler without another staff person in the vehicle.

Corrected Corrected by Apr 8, 2025

Category: ratio. Marked corrected in the state record.

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

The file for Staff #2 lacked a signed disclosure statement.

Corrected Corrected by Apr 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

The file for Staff #2, holding the title of Assistant Group Supervisor, included proof of high school diploma, but did not include 2500 hours of experience.

Corrected Corrected by Apr 30, 2025

Category: supervision. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff #1, qualified to be an Aide, was observed to be unsupervised, caring for children in Room 1.

Corrected Corrected by Apr 30, 2025

Category: supervision. Marked corrected in the state record.

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

At 11:15 AM Staff #1 an Aide, was observed alone in Room 1. At that time, Staff #1 stated they were responsible for the 1 Infant, 1 Young Toddler, 2 Older Toddlers, and 1 Preschool Age child in Room 1.

Corrected Corrected by Apr 30, 2025

Category: ratio. 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.

Observed four windows on the second floor that were accessible to children and were not modified to limit the opening to 6 inches or fewer.

Corrected Corrected by Jan 30, 2025

Category: physical safety. 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.

Room 1 lacked the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center posted by the telephone.

Corrected Corrected by Jan 31, 2025

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

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

In Room 3 there was a cracked plastic bin creating a pinching hazard to the children in care.

Corrected Corrected by Jan 30, 2025

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

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

In Room 1, Clorox Wipes and Hand sanitizer, labeled "keep out of the reach of children", was on a low table and accessible to children in care.

Corrected Corrected by Jan 30, 2025

Marked corrected in the state record.

3270.66(e) · Arts and crafts materials shall be nontoxic.

Observed a can of shaving cream, labeled keep out of the reach of children, in Room 4 with the other art/craft supplies. Staff stated they had used it for sensory activities.

Corrected Corrected by Jan 30, 2025

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 Agreements for Child #2 and #5 lacked the amount of the fee to be charged.

Corrected Corrected by Jan 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The file for Child #1 contained an Agreement which did not specify the child's arrival and departure times.

Corrected Corrected by Jan 30, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The Agreements for Child #2 and #3 lacked the date of the child's admission.

Corrected Corrected by Jan 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The Emergency Contact Form for Child #1 lacked the name of the child's physician. The Emergency Contact Form for Child #4 lacked the name, address, and phone number of the child's physician.

Corrected Corrected by Jan 30, 2025

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact Form for Child #4 lacked the enrolling parents work address and telephone number.

Corrected Corrected by Jan 30, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The Emergency Contact Form in the file for Child #4 lacked written consent signed by a parent for emergency medical care.

Corrected Corrected by Jan 30, 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 for Child #1 lacked the health insurance coverage and policy number for the child.

Corrected Corrected by Jan 30, 2025

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

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

The Emergency Contact Form for Child #4 lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jan 30, 2025

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.

Room 1, Room 2, Room 3, and Room 4 lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected Corrected by Jan 30, 2025

Category: transportation. 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 childcare group settings). Child #5 must be dismissed from care by close of business 1/30/25 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 #5, enrolled for more that 60 days at the facility, did not contain documentation of a 4th dose of the Pneumococcal vaccination, 1st dose of MMR vaccination, 1st dose of Varicella vaccination, and 2nd dose of the Hep A vaccination as required based on the child's age as per the ACIP recommended schedule.

Corrected Corrected by Jan 30, 2025

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The Health Report for Child #3 lacked a statement indicating the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Corrected Corrected by Jan 30, 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 #4 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jan 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 #1 lacked valid proof of education.

Corrected Corrected by Jan 30, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for Child #5, enrolled for more than 60 days lacked an initial health report.

Corrected Corrected by Jan 30, 2025

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

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility's emergency plan did not provide details regarding sheltering in place at the facility.

Corrected Corrected by Sep 18, 2024

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

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

Observed two bags of play sand labeled, "Keep out of Reach of Children, that were on the ground in the outdoor play space.

Corrected Corrected by Sep 18, 2024

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.

Observed four windows on the second floor that were accessible to children and were not modified to limit the opening to 6 inches or fewer.

Corrected Corrected by Sep 18, 2024

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit located in Room 1 lacked soap.

Corrected Corrected by Sep 18, 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.

In Room 1 there was an electrical cord running along the floor from the electrical outlet to the dehumidifier that posed a tripping hazard to the children in care.

Corrected Corrected by Sep 18, 2024

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

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

In Room 1 along the front wall near the gate was peeling yellow paint. On the top of the railing on the outdoor steps there was flaking red paint.

Corrected Corrected by Sep 18, 2024

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

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

The child sized table in Room 2 was very wobbly and created a toppling hazard for the children in care. The Grocery Store equipment in Room 3 had a screw that was sticking out and posed a scratching hazard to the children in care.

Corrected Corrected by Sep 18, 2024

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

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

Observed two metal rings and two zip ties that were in a pack n play in Room 1, posing a choking hazard to the children who are still placing items in their mouths.

Corrected Corrected by Sep 18, 2024

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

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

The Emergency Plan lacked plans for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Sep 18, 2024

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