3270.33(a)/3270.192(2)(iv) · 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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The staff file for Staff person #1, who is functioning as an assistant group supervisor, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position.

Corrected Corrected by Oct 10, 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 Gym, one ceiling tile located on the left side of the room nearest the built in shelving unit was observed to not be kept clean as evidence by having a water spot from a previous leak. In the hallway outside of the Toddler 2 Room one ceiling tile was observed to not be kept clean as evidence by having a water spot from a previous leak.

Corrected Corrected by Jul 21, 2025

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

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

The last two reviews of the facility emergency plan were not completed annually; those reviews were dated 8/21/23 and 11/16/24.

Corrected Corrected by Jan 13, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The child file for Child #1, who is a preschool age child, was observed to contain an updated health report dated 1/8/25 which was conducted more than 12 months from the previously dated 12/27/23 health report on file. The child file for Child #2, who is a preschool age child, was observed to contain an updated health report dated 11/1/24 which was conducted more than 12 months from the previously dated 10/30/23 health report on file.

Corrected Corrected by Jan 13, 2025

Category: health medication. 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 most recent emergency drill documented at the facility dated 8/7/24 was observed to lack mention of special accommodation used for any category of children and problems/observations encountered during the drill.

Corrected Corrected by Jan 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

In Kindergarten Prep Room a stapler was observed on a table and accessible to children in care. In the School Age Room a stapler was observed stored on an arts and crafts wood shelving unit and accessible to children in care.

Corrected Corrected by Aug 1, 2024

Category: health medication. 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.

*In the Preschool Room, at approximately 10:30am, two staff and 16 preschool age children were observed. During the onset of supervision and ratio, Staff person #1 identified and named 8 preschool aged children and Staff person #2 identified and named 7 preschool aged children thus leaving 1 child unaccounted for. Staff were again asked to identify and name the children whom they were responsible for; Staff person #1 identified and named 8 preschool aged children and Staff person #2 identified and named 7 preschool aged children thus still leaving 1 child unaccounted for.

Corrected Corrected by Aug 1, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · ***Director and all current employees will be required to schedule, attend, and participate in an in-person training with ELRC regarding the importance of supervision grouping and tools (i.e. tag system, face to name, etc.). Proof of participation will be submitted to the OCDEL Western Region Certification Rep upon completion. The training will count towards the mandatory 12 training hours required by the Department.

***In the Preschool Room, at approximately 10:30am, two staff and 16 preschool age children were observed. During the onset of supervision and ratio, Staff person #1 identified and named 8 preschool aged children and Staff person #2 identified and named 7 preschool aged children thus leaving 1 child unaccounted for. Staff were again asked to identify and name the children whom they were responsible for; Staff person #1 identified and named 8 preschool aged children and Staff person #2 identified and named 7 preschool aged children thus still leaving 1 child unaccounted for.

Corrected Corrected by Sep 26, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · **The director will conduct random supervision/ratio assessments of each classroom at least 3 times per week, at various times of the day, for the next 3 months. During the assessment, the director will ask each staff person in each classroom to identify the children that are in their assigned supervision group by naming each child and pointing to each child. The director will document all assessments in a log, including the date, time, name of staff person and the number and ages of children each staff are responsible for. The log will be submitted to the DHS representative prior to use. The completed logs will be made available to DHS representatives upon request. Assessments will begin immediately upon acceptance of the plan of correction.

**In the Preschool Room, at approximately 10:30am, two staff and 16 preschool age children were observed. During the onset of supervision and ratio, Staff person #1 identified and named 8 preschool aged children and Staff person #2 identified and named 7 preschool aged children thus leaving 1 child unaccounted for. Staff were again asked to identify and name the children whom they were responsible for; Staff person #1 identified and named 8 preschool aged children and Staff person #2 identified and named 7 preschool aged children thus still leaving 1 child unaccounted for.

Corrected Corrected by Nov 29, 2024

Category: supervision. 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 #1, Staff person #2, and Staff person #4--- will have until 2/10/24 to complete the required training.

Staff person #1, Staff person #2, and Staff person #4 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Revised 10hr Health and Safety Training 2022. Staff person #1, Staff person #2, and Staff person #4 contained the old ten-hour Health and Safety Training and the 1hr updated training were on file which are not acceptable for new staff hired after 10/4/22.

Corrected Corrected by Feb 10, 2024

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

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

The staff file for Staff person #3 contained a current National Sex Offender Registry check dated 7/20/23 which was applied for timely though not received within 45 days of hire [See IS CODE SHEET] as required for provisional hiring under the Child Protective Service Law (CPSL).

Corrected Corrected by Jan 24, 2024

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

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

The child file for Child #1 contained a current child service report dated 12/1/23 that was not completed every 6 months from the previous report dated 5/15/23. The child file for Child #2 contained a current child service report dated 12/4/23 that was not completed every 6 months from the previous report dated 5/30/23.

Corrected Corrected by Jan 24, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The child file for Child #2, who is a preschool age child, was observed to contain an updated health report dated 6/5/23 which was conducted more than 12 months from the previously dated 5/24/22 health report on file.

Corrected Corrected by Jan 24, 2024

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

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

At approximately 11:15am, outside in the toddler play space, 3 staff and 29 preschool age children were observed outside playing and a first-aid kit was not present.

Corrected Corrected by Aug 8, 2023

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.

During a swimming inspection, at approximately 10:15am, Staff person #1 and eleven young school aged children were observed. During the onset of supervision and ratio, Staff person #1 identified and named 6 young school aged children thus leaving 5 children unaccounted for. Staff person #2 was observed coming out of the restroom and claimed responsibility for the 5 young school aged children allowing all children to be accounted for. Staff person #2 was observed to not be physically present with their assigned group of children.

Corrected Corrected by Aug 8, 2023

Category: supervision. Marked corrected in the state record.

3270.115(a)(5) · The staff-child ratios while children are swimming are Infant 1:1; Young or older toddler 1:2; Preschool 1:5; Young school-age 1:6; Older school-age1:8.

During a swimming inspection, at approximately 10:15am, Staff person #1 and eleven young school aged children were observed resulting in the staff:child swim ratio being 1:11. Staff person #2 was observed coming out of the restroom and claimed responsibility for the 5 other young school aged children resuming compliance with staff-child ratios.

Corrected Corrected by Aug 8, 2023

Category: ratio. 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.

At approximately 11:15am, outside in the toddler play space, 3 staff and 29 preschool age children were observed outside playing and the emergency contact forms for all of the children were not present.

Corrected Corrected by Aug 8, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The staff file for Staff person #3 contained current first-aid/CPR training dated 11/5/22 which was not renewed on or before the expiration of the previous training certificate on file dated 1012/20.

Corrected Corrected by Jan 18, 2023

Category: ratio. 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 #4 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training; the health and safety training on file was completed prior to 9/30/16 and is not considered an acceptable training. Staff person #4 now has health and safety training on file dated 11/23/22.

Corrected Corrected by Jan 18, 2023

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 Staff person #1 was observed to lack documentation of having applied for and received a State sex offender check and State criminal background check from the State in which they resided in within the previous five years as required by the Child Protective Service Law (CPSL).

Corrected Corrected by Jan 19, 2023

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

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

The staff file for Staff person #4, contained a current health assessment dated 11/1/21 which was conducted more than 24 months from the previously dated 10/28/19 health assessment on file.

Corrected Corrected by Jan 18, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The staff file for Staff person #2, was observed to contain a tuberculosis screening test results dated 11/16/20 which was conducted more than 12 months prior to providing initial service in a childcare setting (See IS CODE SHEET).

Corrected Corrected by Jan 26, 2023

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

3270.51 · The director shall hold monthly staff meetings for a period of two months from the acceptance of the plan of correction, which shall include all staff persons to discuss staff: child ratio requirements and any current and previous violations under this regulation. Provider must keep documentation of a dated agenda along with a signed attendance sheet for each monthly meeting. Documentation of each monthly meeting will be made available to OCDEL-DHS representatives upon request.

*Based on staff interviews it was determined that a young toddler was left alone in the gym for approximately nine minutes with no adult supervision. During this time, staff: child ratio was 0:1.

Corrected Corrected by Mar 10, 2023

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.

Based on staff interviews it was determined that a young toddler was left alone in the gym for approximately nine minutes with no adult supervision. During this time, staff: child ratio was 0:1.

Corrected Corrected by Jan 5, 2023

Category: supervision. Marked corrected in the state record.

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

Based on staff interviews it was determined that a young toddler was left alone in the gym for approximately nine minutes with no adult supervision.

Corrected Corrected by Jan 5, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · **Director must arrange for all staff to complete the following one-hour training from Better Kid Care titled Supervision: Moving Children. Proof of training will be submitted upon completion and may be counted towards annual training hours. Compliance will be verified through an unannounced inspection.

**Based on staff interviews it was determined that a young toddler was left alone in the gym for approximately nine minutes with no adult supervision.

Corrected Corrected by Feb 20, 2023

Category: supervision. Marked corrected in the state record.

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

*Based on staff interviews it was determined that a young toddler was left alone in the gym for approximately nine minutes with no adult supervision.

Corrected Corrected by Jan 5, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · The director shall hold monthly staff meetings for a period of two months from the acceptance of the plan of correction, which shall include all staff persons to discuss supervision and grouping requirements and any current and previous violations under this regulation. Provider must keep documentation of a dated agenda along with a signed attendance sheet for each monthly meeting. Documentation of each monthly meeting will be made available to OCDEL-DHS representatives upon request.

***Based on staff interviews it was determined that a young toddler was left alone in the gym for approximately nine minutes with no adult supervision.

Corrected Corrected by Mar 10, 2023

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.

The facility had verification of annual testing on 8-30-21 of the fire detection system by a fire safety professional that lacked the required documentation showing that the deficiencies listed on the report were corrected and the fire detection system was in full compliance with 62 P.S. 1016(c)(3). A new report was submitted on 5-5-22 showing that the fire detection system was re-inspected on 5-3-22 and was in full compliance with 62 P.S. 1016(c)(3). The fire detection system was not in compliance between 8-30-21 to 5-3-22.

Corrected Corrected by May 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.64 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

At approximately 10:25 a.m., the patio and sidewalk outside the back exit doors from the preschool room were observed to be covered with snow.

Corrected Corrected by Jan 25, 2022

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

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

In the gym, the first-aid kit was in a cabinet with the lock not functioning and was unlocked resulting in the first-aid kit being accessible to children. The pre-k group was observed in the gym, and the backpack with the first-aid kit inside was on the floor and accessible to children.

Corrected Corrected by Jan 25, 2022

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 pre-k room, there was peeling paint in one area on the back right wall near the cots.

Corrected Corrected by Jan 25, 2022

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

3270.133(7)(i) · A medication log shall include the name of the medication.

In the pre-k room, there was Children's Advil for child #1, and the medication log lacked the name of the medication.

Corrected Corrected by Jan 25, 2022

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.

The facility lacked proof of purchase of the interconnected fire detection system in accordance with 62 P.S. 1016(c)(3).

Corrected Corrected by Feb 10, 2022

Category: recordkeeping. Marked corrected in the state record.