Little Haven Child Care

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 must be supervised, when interacting with children, at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/22/21.

Corrected by May 6, 2026

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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.

A renewal inspection was conducted on 10/9/2025. At that time, staff files were reviewed. Clearances on file for staff person #1 and staff person #2 were not updated within 60 months. Staff person #1 had PSP clearances dated 6/22/2020 and 9/11/2025 and DHS FBI clearances dated 9/12/2020 and 9/17/2025, which were past 60 months. Staff person #2 had PSP clearances dated 6/22/2020 and 9/11/2025 and DHS FBI clearances dated 7/142020 and 9/17/2025, which were past 60 months.

Corrected by Oct 9, 2025

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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). TIERED LIS: 1. 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). This portion of the plan shall have an immediate correction date. 2. The legal entity must post ratio requirements in all child care spaces, including ratios in mixed age groups, 3270.52. The date The correction date for this portion of the plan shall be the date in which the ratios will be posted in each child care space.

A renewal inspection was conducted 10/9/2025. At that time, staff person #4 and staff person #5 were present in the Lower Level Main Room with 13 children, aged young and older-toddlers. Staff person #6 indicated that they were in ratio, but left the room to answer the door and to speak with certification representative in the office.

Corrected by Oct 24, 2025

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3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. The following information was missing from children's emergency contact forms: Child #3: Fee amount and date on which the fee is to be paid. Child #4: Fee amount and date on which the fee is to be paid.

Corrected by Oct 9, 2025

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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).

A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. Child Service Reports (CSRs) for the following children were not updated within the past 6 months: Child #1: Last CSR on file is dated 8/21/2024 Child #3: CSR dated 8/7/2025 is not signed by the child's parent. Child #5: Last CSR on file is dated 9/30/2024.

Corrected by Oct 27, 2025

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3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. The following information was missing from children's emergency contact forms: Child #3: Both parents' work addresses and work telephone numbers. Child #4: Both parents' work telephone numbers. Release person's full address.

Corrected by Oct 9, 2025

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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 must be dismissed from care by close of business 10/9/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. Immunization summary on file for child #2 indicates that they have received 1 of 2 doses of Hep A vaccine. First dose of Hep A vaccine was administered on 5/28/2024. There is no exemption on file. Child #2 an older toddler (see LIS code sheet for DOB).

Corrected by Oct 9, 2025

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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.

A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. Health assessment on file for child #1 does 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 by Oct 17, 2025

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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.

A renewal inspection was conducted on 10/9/2025. At that time, staff files were reviewed. Health assessment and TB test on file for staff person #3 were dated 6/25/2025, which is after staff person #3's start date at the facility (see LIS code sheet for start date).

Corrected by Oct 9, 2025

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3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

A renewal inspection was conducted on 10/9/2025. At that time, written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

Corrected by Oct 24, 2025

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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.

A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. The following emergency contact forms and fee agreements were not updated within the past 6 months: Child #2: Emergency contact form and fee agreement both last updated on 3/7/2025. Child #3: Emergency contact form and fee agreement both last updated on 2/20/2025.

Corrected by Oct 9, 2025

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

A renewal inspection was conducted on 10/9/2024. At that time, staff person #4 had 8 hours of child care training on file for training year 4/3/2024-4/3/2025.

Corrected by Oct 9, 2025

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3270.131(a)/3270.131(e) · 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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. Initial health assessment and immunization record on file for child #3 is dated 1/23/2025, which is more than 60 days following the first day of attendance at the facility (see LIS code sheet for date of admission).

Corrected by Oct 9, 2025

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

During renewal inspection conducted 10/30/2024, pediatric first-aid/CPR certificate on file for staff person #1 expired on 9/30/2024 and was not renewed until 10/15/2024.

Corrected by Oct 30, 2024

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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 person #2 and staff person #3 may not work in a child care position at the facility until disclosure statements are dated and witnessed.

During renewal inspection conduced on 10/30/2024, disclosure statements on file for staff person #2 and staff person #3 were not signed by a witness or dated.

Corrected by Oct 30, 2024

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During renewal inspection conducted on 10/30/2023, staff person #4 and staff person #5 each obtained 5.5 annual clock hours of child care training for training year 12/19/2022-12/19/2023.

Corrected by Nov 25, 2024

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3270.34(b)(3) · A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

During renewal inspection conducted 10/30/2024, staff person #3 is listed as the facility's director. Staff person #3 has associate's degree in early childhood education; however, 3 years of experience is not documented in the file.

Corrected by Oct 31, 2024

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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 renewal inspection conducted 10/30/2024, there were 13 younger toddler, older toddler, and preschool-aged children present in the front area of the lower-level main room. Certification representative conducted supervision/ratio check and only 10 children were accounted for. Staff were aware of groups and all children were accounted for prior to certification representative departing room.

Corrected by Oct 30, 2024

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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. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy.

During renewal inspection conducted 10/30/2024, there were 13 younger toddler, older toddler, and preschool-aged children present in the front area of the lower-level main room. Certification representative conducted supervision/ratio check and only 10 children were accounted for. Staff were aware of groups and all children were accounted for prior to certification representative departing room.

Corrected by Jan 10, 2025

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

During renewal inspection conducted on 10/30/2024, day on which fee is to be paid was missing from the fee agreement of child #1.

Corrected by Oct 30, 2024

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3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

During renewal inspection conducted 10/30/2024, the following information was missing from children's emergency contact forms: Child #1: Both parents' work addresses and work telephone numbers. Release person's address. Child #3: Release person's phone number. Child #4: Mother's work telephone number.

Corrected by Oct 30, 2024

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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.

During renewal inspection conducted 10/30/2024, last health assessment on file for child #2 is dated 9/21/2023, which is past 12 months. Child #2 is an older toddler (see LIS code sheet for date of birth).

Corrected by Oct 31, 2024

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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 and child #3 must be dismissed from care by close of business 10/30/2024 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

During renewal inspection conducted 10/30/2024, the following children's files did not reflect that they are immunized according to the schedule of the ACIP: Child #2: Has 1 of 2 doses of Hepatitis A vaccine. There is no exemption on file. Child #2 is an older toddler (see LIS code sheet). Child #3: Has 1 of 2 doses of Hepatitis A vaccine and 2 of 4 doses of Hib vaccine. There is no exemption on file. Child #3 is an older toddler (see LIS code sheet).

Corrected by Oct 30, 2024

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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 renewal inspection conducted 10/30/2024, the file for staff person #5 contained two health assessments, one dated 11/6/2021 and one dated 1/18/2024. These dates show that the updated health assessment on file was completed more than 24 months from the previous health assessment.

Corrected by Oct 30, 2024

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3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

During renewal inspection conducted 10/30/2024, emergency contact form for child #1 did not contain signed parental consents for emergency medical care or minor first-aid by facility staff.

Corrected by Oct 30, 2024

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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 conducted 10/30/2024, facility did not have emergency drill log on file.

Corrected by Nov 19, 2024

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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 conducted 10/30/2024, fire detection testing log reflected that smoke alarms were tested past 30 days on the following occasions: 1/2/2024-2/2/2024, 3/1/2024-4/1/2024, 5/1/2024-6/3/2024, 7/1/2024, 8/1/2024, 8/30/2024-9/30/2024, 9/30/2024-10/30/2024.

Corrected by Oct 30, 2024

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3270.21/3270.117(a) · Conditions at the facility may not pose a threat to the health or safety of the children. A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise.

On the morning of 12/19/23, mother of child #1 provided the facility with a Protection From Abuse Order prohibiting the child's father from having any contact with the child. That same day, at approximately 1pm, the child's father arrived at the facility to pick up the child. The staff not only allowed the father access into the building, but also released child #1 to their father. This violated the court ordered PFA and posed a threat to the health and safety of the child.

Corrected by Jan 21, 2024

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3270.21/3270.117(a) · Conditions at the facility may not pose a threat to the health or safety of the children. A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise. The legal entity must develop a written policy and procedure to be implemented at the facility for special pick up arrangements relating to regulation 3270.117(a). The legal entity will submit policy/procedure to the Northeast Regional Office for approval. All existing staff and new hires must be trained on the approved policy and procedure and it must be documented in their files.

On the morning of 12/19/23, mother of child #1 provided the facility with a Protection From Abuse Order prohibiting the child's father from having any contact with the child. That same day, at approximately 1pm, the child's father arrived at the facility to pick up the child. The staff not only allowed the father access into the building, but also released child #1 to their father. This violated the court ordered PFA and posed a threat to the health and safety of the child.

Corrected by Jan 21, 2024

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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 #2 and #4 will have until 1/17/24 to complete the required training. Until such time as the required training has been completed, staff person #2 and #4 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2 and #4, then staff person #2 and #4 may not work in a child-care position at the facility.

On 12/20/23, during a correction verification visit, continued noncompliance was observed. During the facility's renewal inspection conducted on 10/20/23 the following was observed: Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. The provider's plan of correction submitted on 11/13/23 had a correction date listed as 11/22/23, but this was not corrected as of 12/20/23.

Corrected by Jan 10, 2024

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3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

On 12/20/23, during a correction verification visit, continued noncompliance was observed. During the facility's renewal inspection conducted on 10/20/23, it was stated by facility staff that the facility was not providing to families reports of illnesses involving a child in care at the facility. In addition, the facility was not maintaining one main facility file containing all reports of accidents, injuries, and illnesses involving children at the facility. The provider's plan of correction submitted on 11/13/23 had a correction date listed as 12/1/23, but this was not corrected as of 12/20/23.

Corrected by Jan 12, 2024

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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.

On 12/20/23, during a correction verification visit, continued noncompliance was observed. During the facility's renewal inspection conducted on 10/20/23, It was observed that the facility did not have verification on file showing that the facility's emergency plan was sent to both the county emergency management agency and the local municipality. The provider's plan of correction submitted on 11/13/23 had a correction date listed as 12/1/23, but this was not corrected as of 12/20/23.

Corrected by Jan 16, 2024

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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.

It was observed and stated that the facility did not have a Continuity of Operations Plan for the facility.

Corrected by Dec 1, 2023

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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 #2 and #4 will have until 11/22/23 to complete the required training. Until such time as the required training has been completed, staff person #2 and #4 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2 and #4, then staff person #2 and #4 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): training of all 10 Health and Safety Topics completed.

Corrected by Nov 22, 2023

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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 #1 may not work in a child care position at the facility until adequate clearances are obtained and placed on file. 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.

Although the facility listed facility person #1 as a volunteer, facility staff verbally confirmed that this person was left unsupervised at times with children. The file for facility person #1, see code sheet for first date in care, contained a state police clearance and a child abuse clearance both showing that they are only to be used for the purposes of volunteering.

Corrected by Nov 13, 2023

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3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Agreements for child #1 and #3 did not specify the amount charged by the facility, and did not specify the date in which that fee is to be paid.

Corrected by Nov 17, 2023

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

Agreement for child #1 and #3 did not specify the child's arrival and departure times.

Corrected by Dec 1, 2023

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

Agreement for child #1 and #4 did not specify the designated release persons.

Corrected by Dec 1, 2023

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

Agreement for child #1 did not specify the child's admission date.

Corrected by Dec 1, 2023

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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.

Emergency contact form for child #5 did not contain the address of the child's physician or source of medical care.

Corrected by Dec 1, 2023

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Emergency contact form for child #2 did not contain the health insurance policy number.

Corrected by Dec 1, 2023

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

It was observed in the lower level space of the child care facility that an emergency contact form was not present in that same space where a child was receiving care.

Corrected by Nov 7, 2023

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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 health reports observed on file for child #3, see code sheet for date of birth, were dated 7/5/21 and 12/15/22. These dates show that an updated health report was not on file within the 12 month requirement.

Corrected by Nov 13, 2023

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3270.131(d)(5)/3270.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file for child #4, see code sheet for enrollment and birth date, did not contain written documentation showing the status of all age appropriate immunizations recommended by the ACIP. The health report observed on file for child #5, see code sheet for enrollment and birth date, had multiple age appropriate immunizations recommended by the ACIP that were missing from the child's health report, and any additional documentation regarding the status of these recommended vaccines was not observed on file.

Corrected by Nov 13, 2023

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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.

The file for staff person #2, see code sheet for hire date, contained a health assessment with written TB test results dated 12/23/21. This health assessment was completed more than 12 months from the initial date of hire. The file for staff person #3 contained two health assessments, one dated 1/28/21 and one dated 10/17/23. These dates show that the updated health assessment on file was completed more than 24 months from the previous health assessment. The file for staff person #4, see code sheet for hire date, did not contain written documentation showing a TB screening was completed.

Corrected by Dec 1, 2023

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3270.181(c)/3270.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Agreements for child #2, #3, #4, and #5 all had dated parental signatures observed on the agreement forms. The dates of these signatures were: 12/5/22, 3/14/22, 2/24/22, and 12/22/22 respectively. These dates show that the parents have not attested to the accuracy of these agreements by affixing a dated signature to the record within the last 6 months as required.

Corrected by Dec 1, 2023

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3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

It was stated by facility staff that the facility was not providing to families reports of illnesses involving a child in care at the facility. In addition, the facility was not maintaining one main facility file containing all reports of accidents, injuries, and illnesses involving children at the facility.

Corrected by Dec 1, 2023

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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.

The files for facility person #1 and staff person #4 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Nov 13, 2023

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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.

It was observed that the facility did not have verification on file showing that the facility's emergency plan was sent to both the county emergency management agency and the local municipality.

Corrected by Dec 1, 2023

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3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The file for child #2, see code sheet for enrollment date, contained a health report dated 10/12/23, but no initial health report completed within 60 days of the child's enrollment date was observed on file.

Corrected by Nov 13, 2023

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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 #2 will have until 11/8/22 to complete the required training. Until such time as the required training has been completed, staff person #2 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 #2, then staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training topics.

Corrected by Nov 8, 2022

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Volunteer #5 will have until 11/8/22 to complete the mandated reporter training. Until such time as the required training has been completed volunteer #5 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 volunteer #5, then volunteer #5 may not work in a child-care position at the facility.

Volunteer #5 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected by Nov 8, 2022

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3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

It was observed and stated that some of the rest equipment used by children in the facility are not labeled for the use of a specific child and used only by the specified child.

Corrected by Oct 28, 2022

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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 #1 did not include the parent's work address or work telephone number.

Corrected by Oct 20, 2022

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

File for child #1 and #3, see code sheet for enrollment dates, did not contain information on the status of the child's influenza vaccine, which is a recommended vaccine according to the ACIP.

Corrected by Nov 7, 2022

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3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

File for staff person #2 did not contain acceptable documentation to verify their education. The file contained only a diploma indicating that a degree was obtained, but did not include a transcript to verify the field of study for this degree.

Corrected by Nov 30, 2022

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

File for staff person #1, #3, and #4 did not contain documentation of completing a minimum of 12 clock hours of annual child care training.

Corrected by Nov 18, 2022

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3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

File for child #1, see code sheet for enrollment date, did not contain an initial health report. File for child #3, see code sheet for DOB, contained a health report on file dated 12/2/21, but no subsequent health report was observed on file.

Corrected by Nov 7, 2022

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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.

It was observed and stated that the facility did not send their annual traffic letter to the local traffic authorities notifying them of the program's use of pedestrian and vehicular routes around the facility.

Corrected by Nov 7, 2022

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3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

It was stated by facility, and written in their plan of correction from inspection dated 6/22/22, that the facility's director is not present at the facility site a minimum of 30 hours per week. Facility director was removed due to lacking a needed clearance under the CPSL.

Corrected by Sep 26, 2022

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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 #1 may not work in a child care position at the facility.

File for staff person #1, hired (see code sheet), did not contain out of state clearances and staff person #1 has lived outside of PA within the last 5 years.

Corrected by Jun 22, 2022

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3270.34(c)/3270.192(2)(iv) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Repeated noncompliance from an unannounced monitoring visit dated 3/30/22, it was observed and stated at the time of inspection that a director is not currently employed at the facility. On 6/10/22, facility stated that a director was hired. However, facility does not have on file acceptable documentation of education in the form of a transcript or diploma describing that the degree is in either education or a human services related field.

Corrected by Jun 22, 2022

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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.

It was observed that diaper cream was stored in a plastic container on the lower shelf of the bathroom changing table leaving it accessible to the children in care.

Corrected by May 31, 2022

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3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

It was observed at the time of inspection that the emergency plan parent letter, which explains the emergency procedures to parents, did not contain the facility's lockdown procedure or the facility's accommodations made for infants, toddlers, and those with special needs.

Corrected by Apr 1, 2022

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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.

File for staff person #1, date of hire (see code sheet), did not contain a PA state police clearance, child abuse clearance, FBI clearance, NSOR verification certificate, or a signed disclosure statement. Staff person #1 was observed in care the day of inspection. File for staff person #2, date of hire (see code sheet), did not contain a PA state police clearance, child abuse clearance, FBI clearance, NSOR verification certificate, or a signed disclosure statement. Staff person #2 was observed in care the day of inspection.

Corrected by Mar 30, 2022

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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 #1 and #2 may not work in a child care position at the facility.

File for staff person #1, date of hire (see code sheet), did not contain a PA state police clearance, child abuse clearance, FBI clearance, NSOR verification certificate, or a signed disclosure statement. Staff person #1 was observed in care the day of inspection. File for staff person #2, date of hire (see code sheet), did not contain a PA state police clearance, child abuse clearance, FBI clearance, NSOR verification certificate, or a signed disclosure statement. Staff person #2 was observed in care the day of inspection.

Corrected by Mar 30, 2022

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3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

It was observed and stated at the time of inspection that a director is not currently employed at the facility.

Corrected by Jun 12, 2022

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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). 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.

It was observed upon arrival at the facility, staff person #3 was upstairs in the kitchen space, and staff person #4 was not yet present. Staff person #1 and #2 were downstairs with two separate groups, staff person #1 had 5 children, ages infant to older toddler, and staff person #2 had 10 children all preschool age. This left staff person #1 out of ratio.

Corrected by Mar 30, 2022

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3270.192(1)/3270.192(2)(i) · A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

Staff person #1 and #2 did not have on file their name, address, telephone number or verification of age, and were observed in care and in ratio at the time of inspection

Corrected by Mar 30, 2022

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3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff person #1 and #2 did not have on file verification of child care experience, education or training, and were observed in care and in ratio at the time of inspection.

Corrected by Mar 30, 2022

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3270.192(3) · 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.

Staff person #1 and #2 did not have on file an initial health report or results of an initial TB test, and were observed in care and in ratio at the time of inspection.

Corrected by Mar 30, 2022

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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

Staff person #1 and #2 did not have on file two written, nonfamily references attesting to the person's suitability to serve as a staff person, and were observed in care and in ratio at the time of inspection.

Corrected by Mar 30, 2022

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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.

It was observed that the facility did not maintain a written fire drill log, and no written verification was found on file showing that the facility has conducted a fire drill within the last 60 days as required.

Corrected by Mar 31, 2022

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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.

It was observed that the facility did not maintain a written fire alarm testing log verifying that the facility's fire alarms were tested every 30 days as required in the standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

Corrected by Mar 30, 2022

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3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

It was observed that the toilet seat on the smaller toilet in the upstairs bathroom was not attached and could be pulled directly off of the toilet leaving it not in good repair.

Corrected by Oct 21, 2021

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3270.27(c) · 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.

It was observed that documentation on file for staff person #1 verified that they last completed their emergency plan training on 1/16/20, but no additional documentation was found on file verifying that they completed any subsequent trainings, at minimum annually, as required.

Corrected by Oct 20, 2021

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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 and 4 may not work in a child care position at the facility, and facility person #5 may not volunteer in a child care position at the facility.

File for staff person #3, hired 9/13/21, verified that they have lived outside of PA within the last 5 years, but no documentation of out of state clearances was found on file. File for staff person #4, hired 1/4/21, did not contain a National Sex Offender Registry verification certificate. This facility staff file verified that because the NSOR application is on file at the time of initial employment that the facility had attempted to hire staff person #4 provisionally, but no provisional hire waiver was ever obtained by the facility. File for facility person #5, currently volunteering at the facility, did not contain a PA state police clearance, a child abuse clearance, a FBI clearance, a National Sex Offender Registry verification certificate, or a signed disclosure statement as required. File for staff person #1, hired 1/6/12, contained the following: PA state police clearance dated 4/16/15 and 6/22/20, child abuse clearance dated 5/12/15 and 8/7/20, and a mandated reporter training certificate dated 4/16/15 and 1/22/21. These dates verify that staff person #1 did not obtain their updated clearances or mandated reporter training within the 60 month expiration date as required by the CPSL. File for staff person #2, hired 1/6/12, contained the following: PA state police clearance dated 4/16/15 and 6/22/20, child abuse clearance dated 5/11/15 and 6/17/20, and a mandated reporter training certificate dated 3/18/15 and 11/4/20. These dates verify that staff person #2 did not obtain their updated clearances or mandated reporter training within the 60 month expiration date as required by the CPSL.

Corrected by Oct 29, 2021

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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.

File for staff person #1 and #2 did not contain a written evaluation completed by the director within the last 12 months.

Corrected by Oct 21, 2021

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3270.34(b)/3270.192(2)(iii) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

File for staff person #3, hired on 9/13/21, currently listed as the facility director, did not contain adequate documentation verifying their education or child care experience to qualify them as a director.

Corrected by Nov 23, 2021

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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.

It was observed in the toddler bathroom that the bottom shelf of the changing table contained opened clear plastic bags which contained diapers. These plastic bags were accessible to mouthing children.

Corrected by Oct 22, 2021

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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.

It was observed in the upstairs childcare space that the kitchen door was open allowing children access to the following toxic materials in that kitchen space: under the sink Clorox wipes, laundry detergent, and degreaser cleaner, on the counter by the microwave hand sanitizer, and in the cabinet a bottle of staff's prescription medication.

Corrected by Oct 21, 2021

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3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

It was observed in the upstairs bathroom that a bottle by the sink was labeled as, "Moisturizing Hand Sanitizer", but when this was addressed with the facility staff they stated the bottle contained liquid hand soap; therefore, these cleaning materials were not being stored in an original labeled container which specified the contents of that container.

Corrected by Oct 20, 2021

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

It was observed that the facility was storing the first aid kits on the stairwell between the downstairs childcare space and the upstairs childcare space. These first aid kits were accessible to the children in care.

Corrected by Oct 21, 2021

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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.

It was observed in the entrance foyer/office space that prescription medication was stored on the desk and a large table paper cutter was stored on the floor aside of the desk. The half door between the childcare space and the office space was left unlocked allowing for these items to be accessible to children in care creating a visible hazard. It was observed in the upstairs child care space that the door to the kitchen area was open allowing for access to the blades of the blender left in the sink creating a visible hazard, and the ceiling vent in the upstairs bathroom was dusty and not clean.

Corrected by Oct 22, 2021

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

It was observed that the following areas of the facility had chipped, peeling, or damaged paint: upstairs on the teal wall by the AC unit and on the yellow wall by the exit door, in the lower level on the preschool side under the TV, and outside the blue stairway leading to the outdoor play space.

Corrected by Oct 22, 2021

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

Agreement for child #1 and #4 did not specify the child's arrival or departure time, and agreement for child #3 did not specify the child's departure time.

Corrected by Oct 25, 2021

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

Agreement for child #4 did not specify the persons designated by a parent to whom the child may be released.

Corrected by Oct 25, 2021

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

Agreement for child #3 did not specify the date of the child's admission.

Corrected by Oct 29, 2021

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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.

Emergency contact form for child #4 did not include the telephone number of the child's physician.

Corrected by Oct 26, 2021

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

Emergency contact form for child #2 did not include the enrolling parent's home address or work telephone number, and emergency contact form for child #3 and #4 did not include the enrolling parent's work address or work telephone number.

Corrected by Oct 29, 2021

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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.

Health report on file for child #2 did not contain a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Oct 27, 2021

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3270.191 · An individual record is required for each facility person.

Facility person #5 did not have an individual record on file at the facility. Facility person #5, currently being used as a volunteer, was missing proof of age, health assessment with results of a TB screening, two letters of reference, all clearances, and a signed disclosure statement.

Corrected by Oct 29, 2021

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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.

File for staff person #1 contained a health assessment dated 10/7/19; no additional health assessment obtained within the last 24 months was observed on file.

Corrected by Nov 5, 2021

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3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

It was observed that items being stored in the upstairs facility refrigerator had spoiled. The cut cabbage observed had turned brown and a cut cucumber was moldy/spoiled.

Corrected by Oct 20, 2021

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3270.173(b) · The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported.

It was observed that staff person #1 transported a preschool aged child alone in a facility vehicle; therefore, staff person #1, was simultaneously being used as both the driver of the facility vehicle and was being used to meet staff-child ratio while transporting.

Corrected by Oct 21, 2021

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3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

It was observed that the first aid kit used when transporting children on the facility vehicles did not contain tape or a bottle of water.

Corrected by Oct 21, 2021

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3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

It was observed that the facility did not establish and maintain a complete record for child #5. The file for child #5 did not contain a complete and signed emergency contact form or a complete and signed agreement.

Corrected by Oct 22, 2021

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3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

File for child #4 did not contain signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid by facility staff.

Corrected by Oct 29, 2021

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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.

It was observed that facility did not verify the proof of purchase for their fire alarms by providing written documentation as required for compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

Corrected by Oct 22, 2021

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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.

It was observed that the facility did not provide enrolled families the information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Corrected by Oct 20, 2021

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3270.27(a)(1)/3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

It was observed that the facility's emergency plan did not include a lock-down procedure and did not provide for accommodations for infants or toddlers, and the facility stated they do accept infants and toddlers were present in care at the time of inspection.

Corrected by Nov 29, 2021

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3270.33(d) · One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

It was observed that only staff person #1 had documentation on file for current pediatric CPR and first-aid training, and staff person #1 left multiple times throughout the day to transport children to and from the facility. This left the facility without someone competent in pediatric first-aid and CPR at those times during the day.

Corrected by Oct 20, 2021

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