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

The most recent fire safety training on file for Staff #3 is dated 8/1/23, more than 12 months prior.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility's emergency plan parent letter lacked information on a method to contact parents during an emergency and after the emergency has ended.

Corrected Corrected by May 13, 2025

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The files for Staff #3, Staff #4, and Staff #5 did not contain documentation of emergency plan training.

Corrected Corrected by May 13, 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. Staff #3--- may not work in a childcare position at the facility.

The file for Staff #3 lacked a PA State Police clearance.

Corrected Corrected by May 9, 2025

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

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

The files for Staff #3 and Staff #4 lacked a written staff evaluation.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(3) · An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

The file for Staff #5, observed working alone in the Main Room, did not include a high school diploma or 2500 hours of childcare experience.

Corrected Corrected by May 13, 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.

On 5/7/25 at approximately 9:45am, Staff #1 left the Art Room to open the front door leaving two children unsupervised.

Corrected Corrected by May 7, 2025

Category: supervision. Marked corrected in the state record.

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

On 5/7/25 at approximately 12:20pm, Staff #2 left the facility leaving only one staff member on the premises, alone with 6 children.

Corrected Corrected by May 7, 2025

Category: recordkeeping. Marked corrected in the state record.

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

A bottle of sunscreen was observed in a cubby and accessible to children. A container of Ice Melt was observed on the floor near the front entrance and accessible to children. A bottle of Purell was observed on a shelf in the Main Room and accessible to children.

Corrected Corrected by May 7, 2025

Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

On 5/7/25 at approximately 12:20pm, Staff #2 left the facility taking the Main Room's emergency to go bag, which contained the first aid kit for the childcare space.

Corrected Corrected by May 7, 2025

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

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

The first aid kit in the Gross Motor Room was observed to be hanging on the door handle and accessible to children. The first aid kit in the Art Room was hanging on hook near the front window and accessible to children.

Corrected Corrected by May 7, 2025

Category: health medication. 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 the Main Room above a metal outlet, broken plaster/drywall was observed.

Corrected Corrected by May 7, 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 the Resource Room, the Main Room, and the Art Room white shelving units were observed to have sharp corners. In the Main Room, a cracked purple bin with a sharp edge was observed. In the Main Room, two wooden chairs were observed to have loose screws, and not in good repair. In the Gross Motor Room, a blue cushion was observed to ripped along the seem, and not in good repair. In the Gross Motor Room, a black mat was observed to contain rips, and not in good repair.

Corrected Corrected by May 7, 2025

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

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

On 5/7/25 at approximately 9:45am, Staff #1 left the Art Room to open the front door leaving two children unsupervised.

Corrected Corrected by May 7, 2025

Category: supervision. Marked corrected in the state record.

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

On 5/7/25 at approximately 9:45am, Staff #1 left the Art Room to open the front door leaving two children unsupervised.

Corrected Corrected by May 7, 2025

Category: supervision. Marked corrected in the state record.

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

The files for Child #1, Child #2, Child #3, Child #4, and Child #5 lacked a Child Service Report to provide information to families about the child's growth and development.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for Child #3 lacked a complete address for the listed release persons. The emergency contact form for Child #5 lacked addresses for the listed release persons.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

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

On 5/7/25 at approximately 12:20pm, Staff #2 left the facility taking the Main Room's emergency to go bag, which contained the emergency contact forms for the children in care at the facility.

Corrected Corrected by May 7, 2025

Category: recordkeeping. Marked corrected in the state record.

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

An albuterol inhaler for Child #1 was observed in a cubby and accessible to children.

Corrected Corrected by May 7, 2025

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.

An albuterol inhaler for Child #1 lacked written parental consent for administration.

Corrected Corrected by May 13, 2025

Category: ratio. Marked corrected in the state record.

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

The file for Staff #5 contained a health assessment dated 8/21/23, more than 12 months prior to the date of hire. (SEE LIS CODE SHEET)

Corrected Corrected by May 30, 2025

Category: ratio. Marked corrected in the state record.

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

At the time of inspection, the children's lunchboxes containing potentially hazardous foods from home were observed in the cubbies, not refrigerated.

Corrected Corrected by May 8, 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 #3 and Staff #4 lacked two written, nonfamily references.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The facility's emergency plan parent letter lacked the accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by May 13, 2025

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

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

The facility did not contain documentation of completing an emergency drill.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The fire for Staff #4 contained a First Aid/CPR certificate dated 11/17/24, more than 90 days after the date of hire. (SEE LIS CODE SHEET)

Corrected Corrected by May 9, 2025

Category: health medication. 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 #1 contained a health report form dated 4/30/25, more than 60 days after the child's start date.

Corrected Corrected by May 7, 2025

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for facility person #1 does not include a dated disclosure statement.

Corrected Corrected by Jun 2, 2024

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

3270.35(b)(2)/3270.192(2)(iv) · A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include 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.

Staff person #3 lacked verification of 1 year of experience working with children.The file for staff person #2 and #3 lacked the appropriate verification of experience.

Corrected Corrected by Jun 2, 2024

Category: supervision. Marked corrected in the state record.

3270.35(b)(3)/3270.192(2)(iv) · A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. 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.

Staff person #2 did not have verification of 2 years of previous childcare experience.The file for staff person #2 and #3 lacked the appropriate verification of experience.

Corrected Corrected by Jun 2, 2024

Category: supervision. Marked corrected in the state record.

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

A can of Barbisol shaving cream which was labeled "Keep out of reach of children" was observed to be on the shelf in the art room and was stated to be used by the children for art projects.

Corrected Corrected by May 22, 2024

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 #1, Child #2, Child #3, Child #4, and Child #5 was the original and not a copy.

Corrected Corrected by Jun 2, 2024

Category: recordkeeping. 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 following children's records indicated that there were more than 6 months between the parent review of the emergency contact information and financial agreement: Child #2 (EC 6/19/23-4/24/24 & FA 8/29/23-4/16/24), Child #4 (EC 8/7/23-4/24/24 & FA 8/25/23-4/15/24).

Corrected Corrected by Jun 2, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The parent letter portion of the emergency plan at the facility lacked information addressing children with disabilities and children with chronic medical conditions.

Corrected Corrected by Jun 2, 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.

There were more than 12 months between the last fire detection report on 12/28/22 and the most recent report on 5/2/2024. Per Chapter 3270 Act 62 regulation updates on May 24, 2021, the fire detection device or system must be tested annually by a fire safety professional.

Corrected Corrected by Jun 2, 2024

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.

While at the facility the operator could not provide proof of the emergency plan and subsequent updates being sent to the local municipality or to the county emergency management agency.

Corrected Corrected by Jun 2, 2024

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

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

The health assessment on file for Child #3 was dated 4/16/24 which was past 60 days of their enrollment date.

Corrected Corrected by Jun 2, 2024

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

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Only one (1) staff/facility person was present in the facility when eight (8) pre-school and young school-age children were in care.

Corrected Corrected by Aug 11, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The Emergency Contact form, in the files for Child #1, Child #2, and Child #3, did not contain the release person's address.

Corrected Corrected by Aug 11, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Eight (8) children were receiving care in the Main room, and Emergency Contact information was not present in that child care space.

Corrected Corrected by Aug 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The Health Assessment, in the file for Child #2, did not contain the signature, title, or date of the physician, physician's assistant, or a CRNP.

Corrected Corrected by Aug 11, 2023

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

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

As confirmed by the Operator, information was not provided to the parent of each enrolled child, on how to access the regulations electronically.

Corrected Corrected by Aug 11, 2023

Marked corrected in the state record.