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 unannounced investigation, it was observed in the preschool room that Staff #1 & #2 were unable to name the children in their groups.

Corrected Corrected by Sep 11, 2025

Category: supervision. 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.

During unannounced investigation, it was observed that Staff #2 had a health assessment form on file dated for 11/3/22. This date indicates that an updated form was not obtained prior to Staff #2 working with children. (See code sheet for date of hire).

Corrected Corrected by Sep 11, 2025

Category: ratio. Marked corrected in the state record.

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

During unannounced investigation, fire safety logs were requested. The director had a timeline spread sheet on her computer of the drills being completed, however, did not have all of the necessary information that pairs with the drills, such as hypothetical location, evacuation time, & the number of children and participating facility persons

Corrected Corrected by Sep 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

During renewal inspection, it was observed that Staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by May 31, 2025

Category: ratio. Marked corrected in the state record.

3270.123(a)/3270.181(c) · An agreement shall be signed by the operator and the parent. 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.

During renewal inspection, it was observed that Child #1 and Child #3's financial agreement was not updated within the required 6-month period. The following was also observed: Child #1's financial agreement was not signed by the operator or parent. Child #2 and #4's agreement was not signed by the operator.

Corrected Corrected by May 9, 2025

Category: recordkeeping. 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.

During renewal inspection, it was observed that the facility did not have documentation of any annual emergency drills completed.

Corrected Corrected by May 9, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During renewal inspection it was observed that the following dates indicate that fire alarm testing was not done within the 30-day requirement: 7/12/24, 8/12/24, 10/7/24, 11/11/24, 3/7/25, 4/9/25.

Corrected Corrected by Apr 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · Staff person #4 shall complete the required one-hour 2022 update to the health and safety training by 5/15/24.

Staff person #4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by May 15, 2024

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

3270.32(a)/3270.192(4) · The director will begin sending all new hire packets including all the clearance requests, completed clearances, disclosure statements, health assessments and TB screenings (as noted in other violation description) to the Northeast Regional Office for all new hires for the next two months beginning 04/30/24 and will allow new staff to work in childcare once the file has been approved by DHS.

During the course of the renewal inspection on 4/17/24 the inspector observed staff files and found that staff #2 had an initial Pa Mandated Reporter training dated 12/06/18 and has not updated this training as is required every 60 months. The PA Mandated Reporting Training was required to be updated on or before 12/02/23. Staff #1 had an initial Pa Child Abuse Clearance dated for 7/11/18 and then not again until 3/28/24. This PA Child Abuse clearance was required to be updated on or before 7/11/23. Staff #3 had been employed over 90 days and did not have any proof of applying for or obtaining the required FBI. Staff #3 also did not have any proof of the required NSOR since hire (see LIS Code Sheet for hire date).

Corrected Corrected by Jun 30, 2024

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

3270.32(a)/3270.192(4) · The legal entity must arrange for the director to schedule and attend Existing Provider Training held in the Northeast Regional Office of DHS, Scranton Office.

During the course of the renewal inspection on 4/17/24 the inspector observed staff files and found that staff #2 had an initial Pa Mandated Reporter training dated 12/06/18 and has not updated this training as is required every 60 months. The PA Mandated Reporting Training was required to be updated on or before 12/02/23. Staff #1 had an initial Pa Child Abuse Clearance dated for 7/11/18 and then not again until 3/28/24. This PA Child Abuse clearance was required to be updated on or before 7/11/23. Staff #3 had been employed over 90 days and did not have any proof of applying for or obtaining the required FBI. Staff #3 also did not have any proof of the required NSOR since hire (see LIS Code Sheet for hire date).

Corrected Corrected by May 15, 2024

Category: background checks. 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 childcare position at the facility.

During the course of the renewal inspection on 4/17/24 the inspector observed staff files and found that staff #2 had an initial Pa Mandated Reporter training dated 12/06/18 and has not updated this training as is required every 60 months. The PA Mandated Reporting Training was required to be updated on or before 12/02/23. Staff #1 had an initial Pa Child Abuse Clearance dated for 7/11/18 and then not again until 3/28/24. This PA Child Abuse clearance was required to be updated on or before 7/11/23. Staff #3 had been employed over 90 days and did not have any proof of applying for or obtaining the required FBI. Staff #3 also did not have any proof of the required NSOR since hire (see LIS Code Sheet for hire date).

Corrected Corrected by Apr 17, 2024

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

3270.151(a)/3270.151(c)(2) · 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. 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.

During the course of the renewal inspection on 4/17/24 the inspector observed staff files and found that staff #3 began direct care (see LIS Code Sheet) with children and did not have a health assessment or TB screening on file since employment.

Corrected Corrected by May 3, 2024

Category: ratio. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

On 5/13/23 staff #1 was observed to have picked up child #1 and while holding child #1 became upset, yelling at child #1 stating "don't "**cking spit on me" and then intentionally dropped child #1 onto the ground. This was witnessed by both staff #2, and #3.

Corrected Corrected by Jul 7, 2023

Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. The facility director will develop and implement a behavioral policy that will ensure staff fully understand proper, age appropriate, redirection of children, as well as outlining staff behaviors that are unacceptable regarding redirection of children. This policy must be submitted to DHS prior to implementation for approval. Once this policy is accepted by DHS the director will ensure all current staff and facility persons sign off on this policy and all new hires moving forward.

On 5/13/23 staff #1 was observed to have picked up child #1 and while holding child #1 became upset, yelling at child #1 stating "don't "**cking spit on me" and then intentionally dropped child #1 onto the ground. This was witnessed by both staff #2, and #3.

Corrected Corrected by Jul 7, 2023

Marked corrected in the state record.

3270.31(f) · Staff person #1, staff person #2, and #3 shall complete the required one-hour 2022 update to the health and safety training by 05/17/23.

Staff person #1, staff person #2 and staff #3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by May 17, 2023

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person # 1 will have until 5/17/23 to complete the required 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 available to supervise staff person # 1, staff person #1 may not work in a child-care position at the facility.

Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person # 1 has not completed any of the required pre-service training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by May 17, 2023

Category: supervision. Marked corrected in the state record.

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

While at the facility unannounced for the renewal visit on 4/12/23 the inspector observed the file for staff #1 and noted that the staff had been working for over 90 days (Please see LIS Code Sheet for DOH) without having completed the required Pa Mandated Reporter training.

Corrected Corrected by Apr 12, 2023

Category: recordkeeping. Marked corrected in the state record.

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

While at the facility unannounced for the renewal visit on 4/12/23 the inspector observed that the facility did not have a first aid kit in the young toddler room.

Corrected Corrected by Apr 25, 2023

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.

While at the facility unannounced for the renewal visit on 4/12/23 the inspector observed that the facility did not have any documented proof of having held the required annual emergency drill on file at the facility.

Corrected Corrected by Apr 20, 2023

Category: recordkeeping. 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.

While at the facility unannounced for the renewal visit on 4/12/23 the inspector observed that the facility last conducted a fire drill on12/11/23. Fire drill are required to be conducted at least once every 60 days.

Corrected Corrected by Apr 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

While at the facility unannounced for the renewal visit on 4/12/23 the inspector observed that the facility last conducted a manual test of the fire alarm system on12/11/23. Manual testing of the fire alarm system is required to be conducted at least once every 30 days.

Corrected Corrected by Apr 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1)/3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

While at the facility unannounced on 6/15/22 the inspector asked the director to review the fire drill/detection log and the director was only able to produce an older fire drill/detection log dated for 3/16/22.

Corrected Corrected by Jun 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

While at the facility unannounced on 6/15/22 the inspector asked the director to review the fire drill/detection log and the director was only able to produce an older fire drill/detection log dated for 3/16/22.

Corrected Corrected by Jun 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in all necessary topics within 90 days of hire.

While at the facility unannounced on 4/29/22 the inspector observed staff files #3 and #4 and noted that both employees had been employed over 90 days on this date and did not have proof of professional development in all necessary topics within 90 days of hire.

Corrected Corrected by May 16, 2022

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. Facility Person # 5 may not work in a child care position at the facility.

While at the facility unannounced on 4/29/22 the inspector observed staff file #5 and noted that this staff did not have a NSOR on file as is required. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry(NSOR) clearance effective 9/30/2019. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain this clearance.

Corrected Corrected by Apr 29, 2022

Category: background checks. 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.

While at the facility unannounced on 4/29/22 the inspector observed staff file #1 and noted that this staff did not have a health assessment on file until after hire. The inspector reviewed the file for staff #4 and observed that there was no health assessment on file as is required and the TB screening was conducted after beginning direct work with children.

Corrected Corrected by May 4, 2022

Category: ratio. Marked corrected in the state record.

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

While at the facility unannounced on 4/29/22 the inspector observed staff file #4 and noted that the file did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by May 4, 2022

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.

While at the facility unannounced on 4/29/22 the inspector observed staff files #1, #2, #3, #4, and #5, and noted that all five employees had been employed over 90 days on this date and did not have proof of completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Corrected Corrected by May 19, 2022

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

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: Health and safety and mandated reporter training.

While at the facility unannounced for the renewal inspection the inspector observed staff #8 began direct care on 12/20/19 and did not obtain health and safety training until 4/23/20. Staff #2 began direct care on 12/23/19 did not obtain mandated reporter training until 6/29/20.

Corrected Corrected by Jul 20, 2021

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

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.

While at the facility unannounced for he renewal inspection the inspector observed staff #2 began direct care with children and did not have annual fire safety until 4/14/21.

Corrected Corrected by Jul 20, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 6 may not work in a child care position at the facility. .

While at the facility unannounced for the renewal inspection the inspector observed staff #3 began direct care with children on 9/9/20 and did not obtain a PA child abuse until 10/30/20. Staff #4 began direct care with children on 6/17/21 and did not obtain a Pa State Police until 7/14/20, Pa Child Abuse 6/29/20, and a FBI until 7/9/20. Staff #5 began direct care with children on 4/5/32 and did not have an FBI on file until 5/11/21. Staff #6 began direct care with children on 6/5/21 and has no proof of having obtained her New York clearances as are required. Staff #7 began direct care with children on 9/9/20 and did not have a PA Child Abuse on file until 11/10/20, and an FBI until 1/30/21.

Corrected Corrected by Jul 30, 2021

Category: background checks. 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.

While at the facility unannounced for he renewal inspection the inspector observed the kick plate to the toddler room exit door to be peeled back and creating a sharp exposed edge. The inspector also observed that the outdoor protective surfacing mats were separating near the stairs and smaller slide creating gapping that could entrap a child's foot and created a tripping hazard.

Corrected Corrected by Jul 20, 2021

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.

While at the facility unannounced for the renewal inspection the inspector observed a ripped changing mat in the toddler area that cannot be sanitized/cleaned due to this rip.

Corrected Corrected by Jul 20, 2021

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

3270.151(a)/3270.151(c)(2) · 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.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.

While at the facility unannounced for the renewal inspection the inspector observed that staff #1 began direct care with children on 6/7/21 and did not have a health assessment and TB screening until 7/6/2. Staff #2 began direct care with children on 12/23/19 and did not have a physical and TB screening 1/24/20.

Corrected Corrected by Jul 20, 2021

Category: ratio. Marked corrected in the state record.