3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

During complaint investigation on 10/15/25, it was discovered that a staff utilized inappropriate, harsh & demeaning language towards a child. The facility acted upon the incident by terminating the staff member the same day.

Corrected Corrected by Sep 29, 2025

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.

During renewal inspection, it was observed in the Pre-K (H) and the School Age (M) room did not have an emergency transportation plan posted.

Corrected Corrected by Nov 19, 2024

Category: transportation. 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.

During renewal inspection, it was observed in the Young Toddler F room that there were no band aids in the first aid kit.

Corrected Corrected by Nov 19, 2024

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.

During renewal inspection, it was observed that Staff #1 did not obtain an updated health assessment within the 24-month requirement. Previous assessment is dated for 8/16/22 and update was not obtained until 10/13/24. It was also observed that Staff #2 did not have an updated health assessment on file. Last assessment is dated for 11/3/22.

Corrected Corrected by Dec 31, 2024

Category: ratio. 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.

During an unannounced visit on 9/16/24, it was observed in the older infant room that it was out of ratio. There were 5 infants to one staff.

Corrected Corrected by Oct 4, 2024

Category: ratio. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. Children must be supervised at all times. The legal entity must create a policy or system to show how their staff will be able to identify child they're responsible for. 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 visit on 9/16/24, it was observed in the Infant D room that the staff could not identify the children they were responsible for on that day.

Corrected Corrected by Oct 4, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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 visit on 9/16/2024, it was observed in the Infant D room that the staff could not identify the children they were responsible for on that day.

Corrected Corrected by Oct 4, 2024

Category: supervision. 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 9/16/24 an unannounced visit was conducted. In interviews with staff and director, both relayed the child was pulled in an upright position by the hands/wrists. According to interviews, the child was not cooperating when the group was getting ready to go outside and would not stand up.

Corrected Corrected by Oct 11, 2024

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. Until such time as the required pre-service trainings are completed, staff person #1 & #2 must be supervised, when interacting with children, by an AGS/GS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1 & #2, staff person #1 & #2 may not work in a child-care position at the facility.

During an unannounced visit on 9/16/24, it was observed that staff #1 was working unsupervised in the Pre-K room. Staff #1 did not have a valid CPR training. Staff #1 is still within her 90-day window for new hire. Staff #4 did not have health and safety training on file. Staff #5 had their health and safety training on file however, it is dated for 9/18/24. This exceeds the 90-day pre-service training requirement. See LIS code sheet for dates of hire.

Corrected Corrected by Oct 4, 2024

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · 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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #2, 3, & 5 will have until 10/17/24 to complete the required training. Until such time as the required training has been completed, staff person #2, #3. & #5 must be supervised, when interacting with children, by an AGS/GS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2,3,5, staff person #2,3,5 may not work in a child-care position at the facility.

Staff #2, #3, & #5 have not completed the Pediatric CPR pre-service training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Oct 4, 2024

Category: supervision. 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 #2 did not complete the required pre-service health and safety training within 90 days of their hire date as was required (see the LIS code sheet).

Corrected Corrected by Nov 9, 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 did not complete the required Pa Mandated Reporter Training within the required 90-day timeframe (see the LIS sheet for date of hire);

Corrected Corrected by Nov 9, 2023

Category: recordkeeping. 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.

While at the facility unannounced for the renewal inspection the inspector observed the paint in the preschool J room to be chipped.

Corrected Corrected by Nov 9, 2023

Category: physical safety. 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.

On 6/8/23, while closing the door to the room child #1 was in, the child's index finger got pinched in the hinge.

Corrected Corrected by Jun 21, 2023

Category: physical safety. 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. Until such time as the required pre-service trainings are completed, staff person # 4 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 # 4, staff person # 4 may not work in a child-care position at the facility.

Staff person #4 was observed to be caring for children unsupervised. Staff person # 4 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety.

Corrected Corrected by Jan 16, 2023

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), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person # 4 will have until 1/17/2023 to complete the required training. Until such time as the required training has been completed, staff person # 4 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 # 4 staff person # 4 may not work in a child-care position at the facility.

Staff person # 4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): all trainings related to Health and Safety.

Corrected Corrected by Jan 16, 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). Facility Person # 3 may not work in a childcare position at the facility.

Staff # 2 has a NSOR that was obtained after they began working in direct childcare (see LIS code sheet for date of hire). Staff #3 does not have a completed NSOR clearance on file (see LIS code sheet for date of hire).

Corrected Corrected by Dec 29, 2022

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

3270.61(e)/3270.71 · Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms. Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

While at the facility unannounced on 12/29/22 for the renewal inspection the inspector observed the kitchen area, where the stove is, to be unlocked and accessible to children.

Corrected Corrected by Jan 16, 2023

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

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

While at the facility unannounced on 12/29/22 for the renewal inspection the inspector observed the file for child #1 and noted that there was no proof of an Influenza vaccine.

Corrected Corrected by Jan 16, 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.

While at the facility unannounced on12/29/22 for the renewal inspection the inspector observed Albuterol medication for child #2 to be out of date, having expired 9/2022.

Corrected Corrected by Dec 30, 2022

Category: health medication. 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.

While at the facility unannounced on 12/29/22 for the renewal inspection the inspector observed the file for staff # 1and noted that the last health assessment on file was out of date, having a date of 8/25/20.

Corrected Corrected by Jan 20, 2023

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.

While at the facility unannounced on 12/29/22 for the renewal inspection the inspector observed a lunchbox with a ham and cheese Lunchables in the child's lunchbox in the cubby area versus the refrigerator.

Corrected Corrected by Jan 16, 2023

Category: nutrition. 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 last had a manual test on 4/15/22.

Corrected Corrected by Jun 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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. Children must be supervised at all times. .

While at the facility on 5/26/22 the inspector was informed by staff #2 that on 5/24/22 staff #1 was found laying on their back with their arm over their eyes crying while they were supposed to be supervising the 7 preschool aged children in the indoor play area. Staff #2 noted that they had to ask staff #1 to get up and return to their duties. The inspector was able to view this incident on 5/31/22 via a saved video. The video shows staff #1 laying on their back with their arm over their face and seven children left unsupervised until staff #2 enters the indoor play space and redirected staff #1.

Corrected Corrected by Jun 2, 2022

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

While at the facility unannounced on 3/18/22 the inspector reviewed the file for staff #5 and found that this staff began their first day of direct care with children on 1/10/22 and as of 3/18/22 the staff had a Volunteer Pa Child Abuse on file and not an Employment Child Abuse clearance as is required. Further staff #5 did not have proof of a NSOR clearance 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.

Corrected Corrected by Mar 18, 2022

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.

While at the facility unannounced on 3/18/22 the inspector reviewed the files for staff #1, staff # 2, staff # 3, staff # 4, and staff #6 and found that all of the staff began their first day of direct care with children on 2/23/22, 2/14/22, 1/3/22, 1/26/22, 1/3/22 respectively, and none of the five staff had a health assessment or TB screening on file as of 3/18/22.

Corrected Corrected by Mar 30, 2022

Category: ratio. Marked corrected in the state record.