3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

There was an infant asleep in a crib in the infant room with a pacifier in their mouth that was connected to a small stuffed animal.

Corrected Corrected by Oct 23, 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.

The required preservice health and safety training documented and on file for Facility Person #3 was completed more than 90 days after their start date.

Corrected Corrected by Dec 1, 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 out of state child abuse and sex offender clearances on file for Facility Person #1, required as they resided in this state within the 60 months prior to hire, were completed after their start date. The NSOR clearance on file for Facility Person #2 was completed after their start date.

Corrected Corrected by Dec 2, 2025

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 current child service report on file for child #1 was completed and a copy given to the parent more than 6 months after the previous child service report on file (reports dated 10/28/24 and 5/1/25),

Corrected Corrected by Oct 23, 2025

Category: recordkeeping. 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.

There was no documentation of the results of a TB test on file for Facility Person #2.

Corrected Corrected by Dec 2, 2025

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 operator has a valid reason they are unable to test the smoke detectors in the facility. The most recent professional inspection of the fire alarm system was conducted on 10/10/2024.

Corrected Corrected by Nov 25, 2025

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 in subsection (a). 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 families explaining the emergency plan does not include information regarding the accommodations for infants and toddlers in the event of an emergency.

Corrected Corrected by Oct 31, 2024

Category: physical safety. 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 #3 may not work in a child care position at the facility without all required completed clearances on file.

There was no child abuse clearance, or proof of application for this clearance, on file for Facility Person #3 from a state in which Facility Person #3 resided within the previous 60 months.

Corrected Corrected by Oct 31, 2024

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 current staff evaluations completed and on file for Facility Persons #1 and #2 were completed more than 12 months after their previous evaluations on file.

Corrected Corrected by Oct 31, 2024

Category: recordkeeping. 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.

There was a sink in the infant room used by walking young toddlers in care to wash hands. There is no stool at the sink. Staff state they must hold the children at the sink in order for them to reach it to wash their hands.

Corrected Corrected by Nov 7, 2024

Marked corrected in the state record.

3270.102(f) · Indoor play equipment for climbing shall be installed or used over a protective surface covering which does not interfere with the stability of the equipment.

There were two pieces of climbing equipment in the indoor gross motor space without any protective surface covering underneath them.

Corrected Corrected by Nov 7, 2024

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

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreements on file for children #1 and #2 did not specify the date on which the fee is to be paid.

Corrected Corrected by Oct 24, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The current child service reports on file for children #1 and #3 were completed and a copy given to the parent more than 6 month after the previous child service reports on file.

Corrected Corrected by Oct 24, 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 form on file for child #3 did not include the addresses and phone numbers for all release persons.

Corrected Corrected by Oct 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

There were two prescription medications - both albuterol inhalers, one in the young toddler room and one in the preschool room - without written instructions from the prescriber.

Corrected Corrected by Oct 25, 2024

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 current health assessment on file for Facility Person #1 was completed more than 24 months after the previous health assessment.

Corrected Corrected by Oct 31, 2024

Category: ratio. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

There was an infant's bottle not labeled with the child's name in the infant room.

Corrected Corrected by Oct 24, 2024

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 operator has a valid reason they are unable to test their smoke detectors. The documentation on file of the current professional inspection of the smoke detectors indicates the inspection was conducted on 10/10/24. Inspections are required annually. The previous inspection on file was dated 10/4/23.

Corrected Corrected by Oct 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

There was documentation of 4 hours of child care training on file completed during the most recent review year (9/2023-9/2024) for Facility Person #1.

Corrected Corrected by Oct 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #1 did not complete training in health and safety topics 1-9 within 90 days of hire. (SEE LIS CODE SHEET) The training was dated 9/11/23.Staff #5 did not complete training in health and safety topics 1-9 within 90 days of hire. (SEE LIS CODE SHEET) The training was dated 9/29/23. Staff #7 did not complete training in health and safety topics 1-9 within 90 days of hire. (SEE LIS CODE SHEET) The training was dated 10/03/23. Staff #9 did not complete training in health and safety topics 1-9 within 90 days of hire. (SEE LIS CODE SHEET) The training was dated 2/07/23.

Corrected Corrected by Nov 16, 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 protective services). Staff person #1 will have until 15 days from POC requested date to complete the mandated reporter training. Until such time as the required training has been completed, staff 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 staff person #1, then staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the mandated reporter training from an approved source within 90 days of their date of hire (SEE LIS CODE SHEET)

Corrected Corrected by Nov 17, 2023

Category: supervision. Marked corrected in the state record.

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

The file for staff #4, hired provisionally (SEE LIS CODE SHEET), contained an NSOR application dated 12/18/22 and a completed NSOR dated 107 days later on 4/26/23. No record of suspension after 45 days was on file. The file for staff #6, hired provisionally (SEE LIS CODE SHEET), contained an NSOR application dated 6/09/23 and a completed NSOR dated 115 days later on 10/06/23. No record of suspension after 45 days was on file.

Corrected Corrected by Nov 17, 2023

Category: background checks. 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 approximately 9:15 AM, staff #2 was observed answering the front door of the facility which resulted in staff #8 being alone in the OT room with 7 children; 4 older toddlers and 3 preschoolers.

Corrected Corrected by Nov 16, 2023

Category: ratio. 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.

Emergency numbers were not posted by the telephone in the infant room.

Corrected Corrected by Oct 19, 2023

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

3270.102(a)/3270.103 · 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. 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 broken plastic mechanical toy spider was observed on a low shelf in the OT room. The small broken leg piece was accessible to children. A sleeping mat with a split seam that exposed the inner foam filling was observed in the PS room. (mat #9)

Corrected Corrected by Oct 19, 2023

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.

Multiple bins of art stampers with a diameter of less than 1 inch were accessible to children in the OT room.

Corrected Corrected by Oct 19, 2023

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 #1 did not contain record of the child receiving the influenza vaccine at anytime in 2022 or yet in 2023. A written exemption was not on file.

Corrected Corrected by Oct 20, 2023

Category: health medication. 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.

An epi pen and an inhaler, which were not labeled with the name of the child for whom the medication was intended, were observed in the preschool room. The epi pen was not in the labeled prescription box. The inhaler was in a plastic bag, however the name was illegible and the inhaler itself was not labeled.

Corrected Corrected by Oct 19, 2023

Category: health medication. 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.

An inhaler observed in the preschool room expired 7/2023. The medication was intended for child #3.

Corrected Corrected by Oct 20, 2023

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 #9 contained consecutive health assessments conducted more than 24 months apart. The most recent health assessment on file is now current.

Corrected Corrected by Nov 17, 2023

Category: ratio. 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 person #3 did not complete training in pediatric first aid and pediatric CPR within 90 days of hire. (SEE LIS CODE SHEET) The training was dated 10/06/23.

Corrected Corrected by Oct 25, 2023

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 #2 did not contain documentation of completing emergency plan training within 90 days of hire (SEE LIS CODE SHEET). The only documented training on file was dated 9/7/22.

Corrected Corrected by Oct 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. 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 #7 contained consecutive fire safety training documentation dated more than 12 months apart; 8/21/21 and 9/02/22.

Corrected Corrected by Oct 27, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Staff persons #1, #3, #4, #5, and #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/FA. Current training is now on file.

Corrected Corrected by Oct 27, 2022

Category: health medication. 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.

Multiple packages of Wipes Plus brand disinfecting wipes were accessible to children in the bottom drawer of an unlocked storage cabinet in the preschool room. An open can of wall paint and a rolling tray with paint still inside were observed on the floor of an unlocked maintenance closet.

Corrected Corrected by Oct 6, 2022

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 file for child #3 contained an agreement which was not updated within a 6 month period. The document is now current.

Corrected Corrected by Oct 6, 2022

Category: recordkeeping. 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 following items were observed in the OT room; a wooden chair with loose legs that created a pinch point , a protruding screw on one leg of the sensory table, and a broken yellow helmet. The following items were observed in the PS room; a blue #10 car with a broken wheel, a loose hinge creating a pinch point on the door of the pretend market stand, and cracked sharp clear plastic also on the door of the market stand. Multiple baskets with broken sharp edged weave were observed in the YT and PS rooms.

Corrected Corrected by Oct 6, 2022

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

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The files for children #1-5 contained agreement which did not specify the date on which the fee is to be paid.

Corrected Corrected by Oct 6, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The files for children #1-5 contained agreements which did not specify the child's arrival and departure times.

Corrected Corrected by Oct 6, 2022

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.

Th file for child #2 contained emergency contact information which was not updated within a 6 month period. The document is now current.

Corrected Corrected by Oct 6, 2022

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 file for child #2, now an older toddler, contained consecutive health reports which were not conducted within 6 months of each other. The previous health report was not updated by the deadline of 1-06-22. The most recent health report on file for child #2 is now current.

Corrected Corrected by Oct 7, 2022

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #5 contained an immunization record which did not include documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. A written exemption was not on file.

Corrected Corrected by Oct 21, 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 has not had the fire detection system inspected on an annual basis. The previous inspection report was dated 3/24/21. A current inspection has not been conducted. Based on statements made by staff, an inspection is scheduled for 10/11/22.

Corrected Corrected by Nov 11, 2022

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.

A loose crib sheet was observed on 2 infant cribs in the Infant Room, causing suffocation hazards.

Corrected Corrected by Dec 7, 2021

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

3270.31(e)(4)(i)/3270.192(2)(iii) · 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.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 contained consecutive certifications in Pediatric First-Aid and CPR in which had a lapse of time between certifications.

Corrected Corrected by Nov 19, 2021

Category: ratio. 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 in the YT Room was observed to lack gauze.

Corrected Corrected by Oct 28, 2021

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 last stalls of the OT and PS bathrooms lacked handwashing signs.

Corrected Corrected by Oct 28, 2021

Category: health medication. 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.

3 cots in the OT room and 1 crib in the Infant Room were observed to lack 2 feet on 3 sides while children were sleeping.

Corrected Corrected by Oct 29, 2021

Category: physical safety. 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 Infant Room was observed to lack a thermometer.

Corrected Corrected by Oct 28, 2021

Category: nutrition. 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 file for Child #1 contained an emergency contact form which lacked the name, address and telephone number of the child's medical provider.

Corrected Corrected by Oct 28, 2021

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.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the PS Room.

Corrected Corrected by Oct 28, 2021

Category: transportation. 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.

During an observed diaper change in the Infant Room, a staff member used her hand to lift the lid of the can to dispose of the soiled diaper and did not use the hands-free mechanism.

Corrected Corrected by Oct 28, 2021

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

3270.31(f)(10)/3270.192(2)(iii) · Pediatric first aid and pediatric cardiopulmonary resuscitation. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for Staff #2 and #5, existing staff members, contained certification in Pediatric First-Aid and CPR which were dated more than 180 days after the implementation of the current regulations. The files for Staff #1 and #4, new staff members, contained certification in Pediatric First-Aid and CPR which were dated more than 90 days after the first day of employment in child care.

Corrected Corrected by Nov 24, 2021

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

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The observed fire drill log contained drills conducted ore than 60 days apart.

Corrected Corrected by Dec 14, 2021

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 proof of purchase for the interconnected fire detection system was not available at the time of inspection.

Corrected Corrected by Dec 16, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Documentation of notification to local traffic safety authorities of the location of the facility and the use of pedestrian and vehicular routes around the child care facility was not available at the time of inspection.

Corrected Corrected by Dec 9, 2021

Marked corrected in the state record.