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

The file of Staff #1 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #1 contained documentation of fire safety training completed on 9/25/25 with a previous one completed on 2/22/24.

Corrected Corrected by Nov 26, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file of Staff #2 lacked the results of the National Sex Offender Registry Certificate prior to or on the date Staff #2 began working in a child care position (SEE LIS Code Sheet). The file of Staff #2 contained a NSOR dated 10/10/25.

Corrected Corrected by Nov 26, 2025

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

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

The file of Staff #1 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #1 did not contain a written evaluation.

Corrected Corrected by Nov 26, 2025

Category: recordkeeping. Marked corrected in the state record.

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

On 11/5/25 observed a first-aid kit on top of a mini refrigerator in Room 103 which was accessible to children.

Corrected Corrected by Nov 5, 2025

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.

On 11/5/25 observed wooden blocks with rough edges in both Room 101 and Room 103. Observed a chipped bin labeled "Tuesday" with rough edges in Room 101.

Corrected Corrected by Nov 5, 2025

Category: physical safety. 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 file of Child #3 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #3 contained a health report dated 6/10/24.

Corrected Corrected by Nov 19, 2025

Category: health medication. 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).

Child #2, a 5-year-old, lacked Hepatitis A immunizations according to the recommendations of the ACIP. Child #2 had no documentation of Hepatitis A immunizations.

Corrected Corrected by Jan 5, 2026

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health report for Child #1 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Jan 5, 2026

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The health reports for Children #1 and #2 did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected Corrected by Jan 5, 2026

Category: health medication. 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 emergency contact form and agreement for Child #2 were not reviewed at least once in a 6-month period. Child #2's emergency contact was signed on 1/3/25 and reviewed on 9/15/25. Child #2's agreement was signed on 1/2/25 with no reviews. The emergency contact form and agreement for Child #3 were not reviewed at least once in a 6-month period. Child #3's emergency contact and agreement were signed on 12/18/24 with a review on 8/25/25.

Corrected Corrected by Jan 5, 2026

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 facility was able to provide written documentation that the fire detection system was tested annually by a fire safety professional. The facility provided documentation that the fire detection system was inspected by a fire safety professional on 8/5/24 and 8/7/25. The inspection report dated 8/7/25 indicated 1 deficiency, and the facility was unable to provide documentation that the system had been repaired and passed with a follow-up inspection

Corrected Corrected by Jan 5, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Child #2 lacked a health report no later than 60 days following the first day of attendance at the facility. Child #2 who had an admission date of 8/21/25 had a health report in the file, but it was not dated.

Corrected Corrected by Nov 7, 2025

Category: health medication. 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.

The facility did not have a policy that addressed the recognition of potential signs and symptom of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment.

Corrected Corrected by Nov 7, 2024

Category: ratio. 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 may not work in a child care position at the facility. 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 #2 may not work in a child care position at the facility.

The file of Staff #2 lacked documentation of application for the State Criminal History Check and Child Abuse and Neglect Registry Check from the State(s) in which Staff #2 resided in the last 5 years prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 did not contain a State Criminal History Check and Child Abuse and Neglect Registry Check from the State(s) in which Staff #2 resided. The file of Staff #3 lacked a dated disclosure statement

Corrected Corrected by Nov 20, 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 file of Staff #1 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #1 contained a written evaluation dated 9/9/24 with a previous one dated 7/31/23.

Corrected Corrected by Dec 4, 2024

Category: recordkeeping. Marked corrected in the state record.

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

On 11/6/24 observed a first-aid kit on the floor behind the teacher's desk in Room 101 which was accessible to children.

Corrected Corrected by Nov 6, 2024

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 11/6/24 observed rust on the railing leading from Room 102 to the outdoor play space.

Corrected Corrected by Nov 7, 2024

Category: physical safety. 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.

On 11/6/24 observed 2 urinals in the boys' bathroom located by the cafeteria that lacked handwashing signs. On 11/6/24 observed 3 stalls in the girls' bathroom located by the cafeteria that lacked handwashing signs. On 11/6/24 observed 4 sinks outside of the boys' and girls' bathrooms by the cafeteria that lacked handwashing signs.

Corrected Corrected by Nov 7, 2024

Category: health medication. 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.

On 11/6/24 observed a cracked red square Magna Tile with an exposed magnet in Room 102. On 11/6/24 observed a frayed dog/letter D carpet square in Room 102.

Corrected Corrected by Nov 6, 2024

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.

On 11/6/24 observed 2 thermometers in the refrigerator located in Room 102. The one thermometer indicated the temperature was 46 degrees, and the other thermometer indicated the temperature was 50 degrees.

Corrected Corrected by Nov 8, 2024

Category: nutrition. 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.

At approximately 12:30 PM on 11/6/24 Certification Staff observed 3 preschoolers lying on rest equipment behind bookcases in Room 101 which did not allow for critical oversight in which the supervisors could see, hear, direct, and assess the activity of the supervisees.

Corrected Corrected by Nov 7, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The agreement for Child #1 did not specify the date of the child's admission. The agreement for Child #4 did not specify the date of the child's admission.

Corrected Corrected by Nov 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Emergency contact information for Child #2 did not include the complete work address of the enrolling parent.

Corrected Corrected by Nov 6, 2024

Category: recordkeeping. 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.

On 11/6/24 a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in Room 101 and Room 102.

Corrected Corrected by Nov 14, 2024

Category: transportation. 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).

Child #2, a 4-year-old, lacked Hepatitis B, DTAP/DTP/TD, Pneumococcal, MMR, Varicella, and Hepatitis A immunizations according to the recommendations of the ACIP. Child #2 had documentation of 2 Hepatitis B immunizations, 3 DTAP/DTP/TD immunizations, 1 Pneumococcal immunization, no MMR immunizations, no Varicella immunizations, and no Hepatitis A immunizations. The file of Child #2 contained a standardized form titled "Pennsylvania Code §23.84 Exemption from Immunization" instead of an exemption letter from the parent.

Corrected Corrected by Nov 14, 2024

Category: health medication. 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 emergency contact and agreement for Child #3 were not reviewed and updated at least once in a 6-month period. Child #3's emergency contact and agreement were signed on 1/23/24 and reviewed on 8/15/24.

Corrected Corrected by Nov 14, 2024

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 facility was able to provide written documentation that the fire detection system was tested annually by a fire safety professional. The facility provided documentation that the fire detection system was inspected by a fire safety professional on 8/2/23 and 8/5/24. The inspection report dated 8/5/24 indicated 10 deficiencies, and the facility was unable to provide documentation that the system had been repaired and passed with a follow-up inspection.

Corrected Corrected by Nov 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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

On 11/6/24 the facility's current certificate of compliance was not posted in a conspicuous location used by parents. The certificate posted was in effect from 2/3/23 until 2/3/24.

Corrected Corrected by Nov 7, 2024

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 files of children #1 and #2 lacked emergency contact forms with the address of the child's physician or source of medical care.

Corrected Corrected by Nov 22, 2023

Category: health medication. 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 file of child #2 lacked an emergency contact form with the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Nov 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

At the time of the inspection, there was no documentation of the emergency plan sent to the local municipality.

Corrected Corrected by Nov 10, 2022

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

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

2nd citation. Previously cited on 11/22/21. The file of Child #1 lacked the persons designated by a parent to whom the child may be released on the agreement.

Corrected Corrected by Feb 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

2nd citation. Previously cited on 11/11/21. The files of Children #2 and #3 lacked the date of the child's admission on the agreement.

Corrected Corrected by Feb 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

On 11/22/21observed a first-aid kit located in a bag hanging on the pencil sharpener at the exit door to the outside in the Pre K Classroom which was accessible to children.

Corrected Corrected by Dec 3, 2021

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.

On 11/22/21 observed Pure Silk Shaving Cream which indicated "keep out of the reach of children" in the bottom right drawer of the teacher's desk in the Preschool Classroom which was accessible to children.

Corrected Corrected by Dec 10, 2021

Marked corrected in the state record.

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

Staff #1 lacked a copy of the National Sex Offender Registry Verification Certificate prior to providing initial service in a child care setting. Staff #1, with a start date of 9/13/21, had a NSOR dated 9/14/21.

Corrected Corrected by Dec 10, 2021

Category: background checks. 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.

On 11/22/21 the last stall on the left side of the girls' bathroom lacked a handwashing sign.

Corrected Corrected by Nov 22, 2021

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

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

The file of Child #4 lacked an agreement signed by the operator.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The file of Child #4 lacked the fee to be charged per day or per week on the agreement.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The file of Child #1 lacked the persons designated by a parent to whom the child may be released on the agreement.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The files of Children #2 and #4 lacked the date of the child's admission on the agreement.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. 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 of Child #5 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Dec 10, 2021

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The files of Children #2 and #3 lacked the complete home address of the enrolling parent on the emergency contact form.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file of Child #3 lacked signed parental consent for emergency medical care prior to admission. Child #3 had an admission date of 9/13/21 with an emergency contact form signed 9/14/21.

Corrected Corrected by Dec 10, 2021

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 file of Child #3 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. 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.

Child #5, a 5 year old, lacked DTAP/DTP/TD, HIB, Pneumococcal, and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. Child #5 had documentation of 3 DTAP/DTP/TD immunizations, 1 HIB immunization, 1 Pneumococcal immunization, and 1 Hepatitis A immunization.

Corrected Corrected by Jan 24, 2022

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

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

On 11/22/21 observed medication for Child #4 located in the bag with the first aid kit hanging on the pencil sharpener by the exit door to the outside in the Pre K Classroom which was accessible to children.

Corrected Corrected by Dec 10, 2021

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

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

On 11/22/21 observed the operator did not establish a medication log for Child #6.

Corrected Corrected by Dec 10, 2021

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

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file of Child #3 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form. Child #3 had an admission date of 9/13/21 with an emergency contact form signed 9/14/21.

Corrected Corrected by Dec 10, 2021

Category: ratio. 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 was unable to provide proof of purchase of the interconnected fire detection system.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. 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 kits in Rooms 101 and 103 lacked tweezers.

Corrected Corrected by Aug 12, 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 toilets in Rooms 101 and 103 lacked handwashing signs. The toilets and sinks in both the boys and girls bathrooms located outside of Room 203 lacked handwashing signs.

Corrected Corrected by Aug 12, 2021

Category: health medication. 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.

On 8/12/21 observed two cubbies at the entrance to Room 103 which were not anchored creating a potential tipping hazard.

Corrected Corrected by Aug 12, 2021

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