Riverview Christian Early Learning Center

3270.113(b)/3270.113(e) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. This Portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for the director and all administrative staff that participate in the developing, writing and implementation of policies at the facility to receive a minimum of two hours of technical assistance regarding Policy Development with a focus on updating the existing discipline policy and procedure to address the administrative responsibilities following reports of concerns with staff interactions. The technical assistance must be, in-person, and may not be during times that the participating staff are being used to meet staff:child ratios. The legal entity must receive DHS approval of the technical assistance content prior to scheduling. The operator shall provide a correction date for when this training and technical assistance will be completed. 3. The legal entity must update their written discipline policy and procedure to be implemented in the facility. These policy and procedures must included information about acceptable discipline and positive guidance to be used by facility persons at the facility. The written policy must include the information found in 3270.113(b)-3270.113(e). The written policy must address the steps a facility person shall take regarding reporting concerns when a facility person have witnessed or otherwise become aware of a facility person using any unacceptable forms of discipline or punishment against a child. The written policy must address the timeframe for reporting these concerns and to whom these concerns are to be reported to, including but not limited to when the facility person who has used the unacceptable form of punishment is the supervisor of the facility person with concerns. The policy and procedures must include the the specific steps that shall be taken by administration in regards to any concerns of facility behavior towards children, including but not limited to when the concerns involve allegations of any of physical punishment, restriction of movement, or otherwise physically interacting with a child in a concerning way such as grabbing or pulling children. These policies and procedures shall include information in regards to when the involved staff is able to return to a classroom or have interaction with children following a report of concerns. These polices and procedures shall address the timeframe for notification of all necessary parties including but not limited to the involved staff persons, parents of any Children involved, and other appropriate agencies such as ChildLine, Regional Office or Law Enforcement if necessary. The legal entity will submit policy to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented at the facility. The provider will provide a date for when this portion of the plan will be completed.

On 4/30/26 Self reported non-compliance investigation verified that on 4/20/26 around 4:00PM-4:30PM Staff 1 used physical means of punishment with Child 1 by grabbing the child by the ankles and lifting their body off the ground. Staff 1 also restricted Child 1's movements by straddling the child's legs with their body in a way that prevented the child from moving. Investigation also verified that on 4/21/26 around 11:00AM Staff 1 used physical means of punishment with Child 2 and restricted the with Child 2's movement by grabbing the child's hoodie, prevent the child from moving away, and pulling Child 2 forcefully backwards. Staff 1 is no longer employed at the facility.

Corrected by Aug 14, 2026

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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.

During a self reported non-compliance investigation on 4/30/26 it was verified that Child 2 had sustained scratches while at the facility. It was reported that there was no written report of the injuries provided to Child 2's parent, nor was a report documented in the child's file or a facility wide injury, accident file.

Corrected by Apr 30, 2026

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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. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

During a renewal inspection on 1/14/26-1/16/26 the facility emergency plan did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Corrected by Feb 13, 2026

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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.

During a renewal inspection on 1/14/26-1/16/26, Staff 12 had initial emergency plan training dated 8/21/25, which is beyond 90 days from their date of hire(See LIS code sheet for date of hire).

Corrected by Jan 23, 2026

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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.

During a renewal inspection on 1/14/26-1/16/26 the facility emergency plan letter to the parents did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Jan 28, 2026

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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.

During a renewal inspection on 1/14/26-1/16/26 the following staff and facility persons had more than 12 months between fire safety training dates: Staff 1, 3, 8, 10, 11, 14, 21, 22, 23, 24, 25, & 26. This is evidence by the respective fire safety training certificates available for review on site: Staff 1 (4/11/24 & 5/1/25), Staff 3 (4/23/24, & 5/1/25), Staff 8 (4/12/24 & 5/1/25), Staff 10 (4/12/24 & 5/1/25), Staff 11 (4/12/24 & 5/1/25), Staff 14 (2/5/24 & 5/1/25), Staff 21 (4/11/24 & 5/1/25), Staff 22 (4/9/24, & 5/1/25), Staff 23 (4/21/24, & 5/1/25), Staff 24 (4/22/24, & 5/1/25), Staff 25 (4/12/24 & 5/1/25), Staff 26 (4/11/24 & 5/1/25).

Corrected by Jan 23, 2026

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

During a renewal inspection 1/14/26-1/16/26 Staff 7, 9, and 13 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet for date of hire): Pediatric First Aid and CPR. This is evidenced by the Pediatric first aid and CPR training on file for Staff 7, 9, and 13 dated 12/18/25 which is beyond 90 days from their date of hire.

Corrected by Jan 23, 2026

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person 16, 18, and 19 may not work in a child care position or have direct contact with children at the facility.

During a renewal inspection on 1/14/26-1/16/26 Facility Person 16, 18 and 19 have not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff 6 and Staff 10 did not complete mandated reporter training within the last 60 months of the previous mandated report training. This is evidenced by the previously documented mandated reporter training on file being dated 12/9/20(Staff 6 and 10) and the current mandated reporter training being dated 12/31/25 (Staff 6) and 1/1/26 (Staff 10). It was reported that Staff 6 and 10 worked as staff between 12/9/25 and 12/23/25. It was reported that Facility Persons 16, 18 and 19 are facility persons who have interaction with children.

Corrected by Jan 28, 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. Facility Person 16 may not work in a child care position or have direct contact with children at the facility until such time as a valid Child abuse clearance, DHS FBI clearance and NSOR clearance is on file. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person 16 may not work in a child care position or have direct contact with children at the facility until such time as a valid Child abuse clearance, DHS FBI clearance and NSOR clearance is on file. This portion of the plan shall have an immediate correct date. 2. The legal entity representative, Director, and any Staff responsible for the hiring of staff or maintaining staff files will be required to attend Existing Provider Orientation conducted by one of the four Regional Offices. The legal entity representative must contact the Regional Office of where they wish to attend the training in order to schedule this training. The operator shall provider that date for which this training shall be completed.

During a renewal inspection on 1/14/26-1/16/26 Cert rep noted the following violations of the CPSL(See LIS code sheet for first days): Staff 8 had PSP clearances dated 6/4/19 and 9/10/24, Child Abuse clearances dated 5/20/19 & 10/1/24, DHS FBI clearances dated 5/13/19 & 10/4/24 - which is more than 60 months between clearance certificates. It was reported that Staff 8 worked as staff between 5/14/24-10/4/24. Facility Person 15 had a PSP clearance dated 1/8/26, and Child Abuse clearance dated 1/9/26 which are both after their date of hire/first day. Facility Person 16 did not have an NSOR certificate on file. Facility person 16 had Child abuse clearance dated 11/19/20, and FBI clearance dated 11/14/20, which are more than 60 months old, and therefore expired. Facility Person 16 did not have a valid Child abuse or FBI clearance on file. Facility Person 17 had a Child Abuse clearance dated 1/16/26, and NSOR clearance dated 12/3/25 which are both after their date of hire/first day. It was reported that Facility Persons 15, 16, and 17 are facility persons who have interaction with children.

Corrected by Mar 4, 2026

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3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

During a renewal inspection on 1/16/26 Staff 4 and 9 were observed to be caring for children unsupervised in Room 101/Toddler 2. Staff 4 and 9 are both aides.

Corrected by Jan 16, 2026

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3270.66(a)/3270.133(4) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

During a renewal inspection on 1/14/26 Cert rep observed Bleach, Fabuloso, Lysol, & spray paint in an unlocked cabinet in Room 119/Children's Church, Swiffer floor spray in unlocked closet in Room 114/Pre K 1, and Fabuloso, Lysol & Swiffer floor spray in unlocked closet in Room 117/Pre-Toddler 1. All of these items were labeled keep out of reach of children. Cert rep also observed Advil in Staff's bag which was stored on an accessible shelf in an unlocked closest in Room 116/Preschool 1.

Corrected by Jan 14, 2026

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3270.75(a)/3270.75(c) · A first-aid kit shall be in a child care space. A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During a renewal inspection on 1/14/26 Cert rep observed that Room 119/Children's Church did not have a first aid kit. Cert rep also observed that the first aid kit in Room 100/Toddler 1 was missing tweezers.

Corrected by Jan 14, 2026

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

During a renewal inspection on 1/14/26 Cert rep observed the following first aid kits to be in the following accessible locations: Room 114/Pre K 1(Located on accessible cart), Room 110/Pre K Counts 3 (On hook, which made bag accessible/within children's reach) & Room 113/Pre Counts 2- Accessible hook (On hook, which made bag accessible/within children's reach).

Corrected by Jan 14, 2026

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3270.76/3270.102(a) · 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. 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.

During a renewal inspection on 1/14/26 Cert rep observed a pulling hazard from hanging loose cord on mounted TV in Room 119/Church's Church, Frayed Carpets(not in good repair) in Room 116/Preschool 1, Room 110/Pre K Count 3, & Room 109/Pre K Counts 6, A loose broken floor tile with rough edges in Room 108/Pre K Counts 5, and tears in the diaper mats in Room 120/Gym 1 & Room 115/Pre-Toddler 2 which would prevent proper sanitation.

Corrected by Jan 14, 2026

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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.

During a renewal inspection on 1/14/26 Cert rep observed Peeling paint on the closet door in Room 116/Preschool 1.

Corrected by Jan 14, 2026

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

During a renewal inspection on 1/14/26 Cert rep observed the daily activities were not posted in Room 118/School Age 1.

Corrected by Jan 14, 2026

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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).

During a renewal inspection 1/14/26-1/16/26 Child 9's most recent Child Service report that was signed by the parent was dated 5/17/25, which is more than 6 months ago.

Corrected by Jan 23, 2026

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3270.123(a)(6)/3270.124(b)(7) · An agreement shall specify the date of the child's admission. 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 a renewal inspection 1/14/26-1/16/26 the agreements for Children 2, 3, 4, 5, 8, and 9 did not list the children original date of admission. Additionally the emergency contact form for Child 6 did not have the addresses for the release persons listed.

Corrected by Jan 23, 2026

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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 a renewal inspection on 1/14/26-1/16/26 Preschool Child 4's most recent health report was dated 8/13/24, which is more than 12 months old (See LIS code sheet for DOB).

Corrected by Jan 23, 2026

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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.

During a renewal inspection on 1/14/26-1/16/26 Infant Child 6's health report dated 1/14/26, and Older Toddler Child 7 health report dated 12/30/25 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 (See LIS code sheet for DOB).

Corrected by Feb 3, 2026

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

During a renewal inspection on 1/14/26 Cert rep observed Aquaphor (exp 7/2025) in Room 101/Toddler 2, and Albuterol breathing treatment (exp 11/2025), Epipen (exp 12/2025), & Albuterol inhaler (exp 6/2024) in the office's child medication storage drawer.

Corrected by Jan 14, 2026

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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.

During a renewal inspection on 1/14/26-1/16/26 the following staff had more than 24 months between their health assessments: Staff 1 (5/30/23 and 12/31/25), Staff 2 (7/24/23 and 1/6/26), Staff 3 (10/25/23 & 12/4/25), Staff 5 (10/24/23 and 1/2/26), Staff 6 (6/3/22 and 9/18/24) & Staff 11 (8/22/23 and 11/25/25). It was reported or otherwise verified that Staff 1, 2, 3, 5, 6 and 11 worked in a child care role at the facility between the expiration of their previous health assessment and the receipt of their current health assessment. Additionally the Initial TB test for Staff 4 was dated 12/30/25, which is after first day with children(See LIS code sheet for first day with children).

Corrected by Jan 23, 2026

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3270.192(4) · 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 20 may not work in a child care position or have direct contact with children at the facility until such time as a signed dated, and witnessed disclosure statement is on file. .

During a renewal inspection on 1/14/26-1/16/26 Staff 20 had a Disclosure statement that was signed, dated and witnessed dated 9/18/24, however the disclosure statement was not the most recently available disclosure statement at staff 20's first day with children. See LIS code sheet for first day with children.

Corrected by Jan 16, 2026

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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.

During a renewal inspection on 1/14/26-1/6/26 Facility Persons 15, 16, 17, 18, and 19 had 0 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person available for review:

Corrected by Feb 3, 2026

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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 a renewal inspection on 1/14/26-1/16/26 Cert rep noted more than 30 days between fire detection testing: 10/30/25-12/1/25.

Corrected by Jan 19, 2026

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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.

During a renewal inspection on 1/14/26-1/16/26 Infant Child 6's initial health report was dated 1/14/26, which is beyond 60 days from their date of admission(See LIS code sheet for DOB and DOA).

Corrected by Jan 16, 2026

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a written discipline policy to be implemented in the facility. The written policy must address 3270.113(b)-(e). The written policy must address the steps and timeframe for using these steps a facility person shall take when they have witnessed or otherwise become aware of Staff using a physical punishment against a child. The legal entity will submit policy to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures and it must be documented at the facility. The provider will provide a date for when this portion of the plan will be completed.

Self reported non-compliance investigation on 10/30/25 verified that on 10/20/25 Staff 1 dragged Child 1 by the ankles down the hallway. Staff 1 was terminated from employment on 10/21/25.

Corrected by Jan 9, 2026

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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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for the legal entity, the director and all staff to receive a minimum of three hours of training regarding Supervision and Ratios. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for when this training will be completed. 3. The Legal entity, the director, and all staff will demonstrate compliance with with these regulations as they relate to supervision during 3 unannounced monitoring visits over the course of the next 3 months. The correction date for this portion of the plan shall be at minimum 3 months from the date an acceptable plan is received.

During an investigation of a complaint on 10/16/25, it is verified that on 9/25/25, during a transition at approximately 3:15 pm, Child 1 was left alone and unsupervised in their classroom for approximately 2 minutes until child 1 was found sleeping by a staff member.

Corrected by Feb 4, 2026

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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. Until such time as the required training has been completed, Staff 1 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise Staff 1, Staff 1 may not work in a child-care position at the facility.

During an unannounced inspection on 10/16/25 Staff 1 did not renew their pediatric first aid and CPR training certificate on or before the expiration date of the most current certification. This is evidenced by the previously documented pediatric first aid and CPR training on file being dated 8/15/23(expired 8/31/2025).

Corrected by Oct 16, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, Staff 2 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise Staff 2, Staff 2 may not work in a child-care position at the facility.

During an unannounced inspection on 10/16/25 Staff 2 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 2/25/2020.

Corrected by Oct 17, 2025

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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 an unannounced inspection on 10/16/25 Cert rep note 1 incident of more than 30 days between fire detection testing: 7/17/25-9/19/25.

Corrected by Oct 16, 2025

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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.

During a swimming inspection on 8/7/25 it was noted that Facility Person 1, and 2 did not have documentation available for review for annual emergency plan training from 2024 or 2025. Facility Person 3 did not have documentation of emergency plan training to review. Facility Person 3 has been employed for more than 90 days. (See LIS code sheets for dates of hire). Facility Person 1 and 3 were on leave, and did not have direct contact with children from 8/16/24-6/17/25. Facility Person 2 was on leave, did not have direct contact with children from 8/16/24-7/21/25.

Corrected by Aug 14, 2025

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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. As of 8/7/25 Facility Person 3 may not work in a child care position or have direct contact with children until the required NSOR certificate is on file at the facility.

During a swimming inspection on 8/7/25 Facility Person 3 had a NSOR request dated 6/26/24, and did not have a NSOR certificate on file. Facility Person 3 is beyond their 45 day provisional hire window (See LIS code sheet for date of hire). Facility Person 3 was on leave, and did not have direct contact with children from 8/16/24-6/17/25.

Corrected by Aug 7, 2025

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3270.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

During a swimming inspection on 8/7/25 Cert rep observed two first aid kits were taken for the four child care groups on the excursion to the pool.

Corrected by Aug 8, 2025

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

During unannounced inspection on 5/14/25 Staff person 1 completed Pediatric First aid and CPR on 4/24/25, which is beyond 90 days from their date of hire (see LIS code sheet).

Corrected by May 14, 2025

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3270.20(a)(1)/3270.20(b) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

Complaint investigation on 4/11/25 verified that the facility was made aware on 4/7/25 that Child 1 received medical attention due to an incident that was reported to have happened at the facility on 4/3/25. As of 4/11/25 the Northeast Regional Office did not receive telephone notice or a written report of this incident.

Corrected by Apr 23, 2025

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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.

Complaint investigation on 4/11/25 verified that on 4/3/25 Child 1 had multiple 1/4 inch diameter objects (dyed couscous) in both ears that were from a sensory table in the Pre-K 4 classroom. Staff reported not seeing how the objects ended up in Child 1's ears or who placed them there.

Corrected by Apr 22, 2025

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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.

Complaint investigation on 4/11/25 verified that the facility did not place a copy of the illness report from 4/3/25 regarding Child 1 into the facility wide accident, injury, illness file.

Corrected by Apr 22, 2025

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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. Directed Plan: The legal entity must update their supervision 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 when transition to different rooms. This policy must include the use of name-to-face checks as a means of maintaining proper supervision. 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 an investigation of self-reported noncompliance on 2/26/25, it is verified that on 2/18/25, during a transition at approximately 4:30 pm, child #5 was left alone and unsupervised in Gym 2 for 3 minutes until child #5 was found by a family member.

Corrected by Apr 3, 2025

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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. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Children must be supervised at all times.

During an investigation of self-reported noncompliance on 2/26/25, it is verified that on 2/18/25, during a transition at approximately 4:30 pm, child #5 was left alone and unsupervised in Gym 2 for 3 minutes until child #5 was found by a family member.

Corrected by Mar 19, 2025

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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 an unannounced inspection on 2/26/24 Cert rep noted that there was more than 30 days between fire detection testing (1/23/25 to 2/27/25)

Corrected by Feb 27, 2025

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

During a renewal inspection on 1/24/25 and 2/7/25 it was noted that Staff 20 did not complete mandated reporter training within 60 months of the previous training. This is evidenced by documented mandated reporter training on file being dated 9/2/19 and 9/20/24.

Corrected by Feb 7, 2025

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3270.123(a)(1)/3270.123(a)(4) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the child's arrival and departure times.

During a Renewal inspection on 1/23/25 and 1/24/25 Cert rep noted Child 6 did not have a fee amount listed on the fee agreement. Child 2 did not have an arrival time or departure time on their fee agreement.

Corrected by Mar 3, 2025

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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. The operator shall have a Written policy to address the following: 1) Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, 2) Strategies for coping with a crying, fussing, or distraught child and 3) The prevention and identification of child maltreatment

During a renewal inspection on 1/23/25 the facility did not have a Written policy to address the following: 1) Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, 2) Strategies for coping with a crying, fussing, or distraught child and 3) The prevention and identification of child maltreatment

Corrected by Mar 14, 2025

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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.

During a renewal inspection on 1/24/25 and 2/7/25 Staff 12 and Facility Person 15 have not received emergency plan training. This is more than 90 days from their DOHs. Staff 13 received emergency plan training on 12/12/24. This is more than 90 days from her DOH. See code sheet for all DOHs.

Corrected by Mar 3, 2025

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

During a renewal inspection on 1/24/25 and 2/7/25 Staff person 3 most recently had fire safety training 7/21/23. This is more than 12 months since the previous fire safety training.

Corrected by Feb 26, 2025

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

During a renewal inspection on 1/24/25 and 2/7/25 Staff 10 did 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. This is evident by Staff 10 having a pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum dated 1/16/25.

Corrected by Feb 26, 2025

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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.

During a renewal inspection on 1/23/25 Child 2's Emergency contact form did not have a work phone number for the child's mother.

Corrected by Feb 26, 2025

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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 23 and Staff Person 11 and 18 may not work or volunteer in a child care position at the facility until such time as the required clearances are obtained.

During a renewal inspection on 1/24/25, and 2/7/25 the following CPSL violations were noted(See code sheet for DOHs): More than 60 months between the following clearances: Staff 1's Child abuse clearance (1/8/2020 and 1/31/2025). Staff Person 16's PSP (8/15/19 and 8/20/24), Staff Person 16's Child Abuse (8/19/19-8/29/24), and Staff Person 16's FBI Clearance (8/12/19-8/31/24). It was noted Staff 16 was not working at the facility from 6/7/24 to 8/28/24. Violations of provisional hire guidelines: Facility person 23 had a PSP clearance request on file dated 11/29/23 but did not have the clearance certificate on file. Staff Person 11 did not have a PSP Clearance, FBI Clearance or NSOR Certificate on file. Staff Person 14 did not have a PSP Clearance request. The PSP Clearance certificate was obtained on 1/24/25(after DOH). Staff Person 18 did not have a NSOR clearance or NSOR request on file. Staff Person 19 Child Abuse Clearance dated 11/22/24(after DOH).

Corrected by Jan 24, 2025

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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 23 and Staff Person 11 and 18 may not work or volunteer in a child care position at the facility until such time as the required clearances are obtained. Directed Plan: The legal entity must create a checklist for new hires that addresses all necessary paperwork and time frames for new hires to begin working in child care. The checklist must be approved by the regional office be used by the person responsible for hiring and maintaining staff records.

During a renewal inspection on 1/24/25, and 2/7/25 the following CPSL violations were noted(See code sheet for DOHs): More than 60 months between the following clearances: Staff 1's Child abuse clearance (1/8/2020 and 1/31/2025). Staff Person 16's PSP (8/15/19 and 8/20/24), Staff Person 16's Child Abuse (8/19/19-8/29/24), and Staff Person 16's FBI Clearance (8/12/19-8/31/24). It was noted Staff 16 was not working at the facility from 6/7/24 to 8/28/24. Violations of provisional hire guidelines: Facility person 23 had a PSP clearance request on file dated 11/29/23 but did not have the clearance certificate on file. Staff Person 11 did not have a PSP Clearance, FBI Clearance or NSOR Certificate on file. Staff Person 14 did not have a PSP Clearance request. The PSP Clearance certificate was obtained on 1/24/25(after DOH). Staff Person 18 did not have a NSOR clearance or NSOR request on file. Staff Person 19 Child Abuse Clearance dated 11/22/24(after DOH).

Corrected by Mar 31, 2025

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3270.34(b) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4).

During a renewal inspection on 1/24/25 Staff Person 1 did not have evidence of obtaining an associates or bachelors degree from an accredited college or university. Staff Person 1 had a high school diploma, 30 college credit hours in human services field and over 4 years of experience with children. It was reported that Staff 1 was working as a director.

Corrected by Feb 26, 2025

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3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

During a renewal inspection on 1/24/25 and 2/7/25 Staff 2, 11, 13, 20 had less than 2500 hours (1039.2 hours, 779.2 hours, 666 hours, 1040 hours respectfully) of child experience verified. Staff 2, 11, 13, 20 had a high school diploma on file. Staff person 12 did not have verification of a high school diploma on file. Staff person 12 had 2500 hours of child experience verified on file. Staff 2, 11, 12, 13, 20 have been working as Assistant group supervisors.

Corrected by Feb 26, 2025

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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 a renewal inspection on 1/23/25 Child 6's Health assessment was dated 8/10/23. Child 6 is still enrolled in the program. This health assessment is more than 1 year old (See Code Sheet for Child's date of birth)

Corrected by Feb 26, 2025

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3270.51/3270.55(a) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. Directed Plan: The operator shall update the existing Ratio Policy to include the requirement for children to be resting or on their nap mat for naptime ratios to be used. This updated policy will be submitted to the Northeast regional office for approval and will be reviewed with all staff once approved by the Northeast regional office. Staff will sign acknowledgement of the updated policy which will be kept in their staff files.

During a renewal inspection on 1/24/25 in the Toddler 2 classroom Cert rep observed the following during nap time: 9 Older toddlers were in the room with 1 Staff person(Staff 9). 8 Older toddlers were napping, or on their nap mats. 1 Older toddler was off her nap mat and on the other side of the room with the 1 Staff person(Staff 9). Staff reported the child was off her nap mat, and the child's nap mat was put away because the child's parent was coming to pick the child up early. As a result of the Older toddler child off their nap mat the room was no longer able to be in naptime ratios and was out of ratio with 1 Staff to 9 Older toddlers.

Corrected by Mar 31, 2025

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3270.51/3270.55(a) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

During a renewal inspection on 1/24/25 in the Toddler 2 classroom Cert rep observed the following during nap time: 9 Older toddlers were in the room with 1 Staff person(Staff 9). 8 Older toddlers were napping, or on their nap mats. 1 Older toddler was off her nap mat and on the other side of the room with the 1 Staff person(Staff 9). Staff reported the child was off her nap mat, and the child's nap mat was put away because the child's parent was coming to pick the child up early. As a result of the Older toddler child off their nap mat the room was no longer able to be in naptime ratios and was out of ratio with 1 Staff to 9 Older toddlers.

Corrected by Jan 24, 2025

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During a renewal inspection on 1/23/25 Cert rep observed an uncovered accessible outlet in Pre K 1 room near the tv.

Corrected by Jan 23, 2025

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3270.66(a)/3270.133(4) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

During a renewal inspection on 1/23/25 Cert rep observed the following accessible cleaning materials and other toxics: 1. Accessible Swiffer cleaner in Pre K 1 2. Diaper cream (located under the unlocked changing table) in Pre Toddler 2 and Toddler 2. These creams are labeled "Keep out of reach of Children" 3. Lysol Spray in unlocked cabinet in Pre K Counts 4 4. Wet Jet Spary on the accessible mop in Pre K Counts 3 Cert rep also observed an albuterol inhaler medication that was accessible to children in Pre K 1.

Corrected by Jan 23, 2025

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3270.75(b)/3270.75(c) · A first-aid kit must be inaccessible to children. A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During a renewal inspection on 1/23/25 the first aid kits in the following child care spaces were accessible to children: Pre K 1 and Pre Counts 1. Cert rep also observed the first aid kit in the transition Room was missing the following items: soap, tweezers, tape, scissors and disposable, nonporous gloves.

Corrected by Jan 23, 2025

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3270.75(d)/3270.124(e) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c). A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During a renewal inspection on 1/23/25 the excursion bags' first aid kitsin the following child care spaces were did not contain a water bottle: Pre K Counts 3 and Pre Counts 4. The excursion bag in Pre K Counts 3 did not contain the facility's emergency medical transportation plan.

Corrected by Mar 3, 2025

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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.

During a renewal inspection on 1/23/25 Cert rep observed the carpet in Pre K Counts 2 was curled creating a tripping hazard. Cert rep observed furniture leaning against the wall in the Transition Room creating a tipping hazard.

Corrected by Feb 7, 2025

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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.

During a renewal inspection on 1/23/25 cert rep observed hand tools and sharp screws on an accessible/open shelf in the Transition Room. Cert rep observed the following furniture to not be in good repair: Blue couch in Toddler 1(tears in fabric), Black chair in Pre K 1 library ( holes and tears in fabric), and the changing mat in Gym 1 (tears).

Corrected by Feb 7, 2025

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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.

During a renewal inspection on 1/23/25 Cert Rep observe gloves to be kept on the changing table in the follow spaces: Gym 2, Infant 2, Toddler 2, and Pre-Toddler 1. These gloves would be accessible to children while they are being changed. Children in these rooms may still be placing objects in their mouths.

Corrected by Jan 23, 2025

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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.

During a renewal inspection on 1/23/25 Cert rep observed the refrigerator in Infant 1 and Pre Toddler 1 was not at 45° F or below. They read at 46° F and 50° F respectively. The refrigerator in Pre-Toddler 2 did not have a thermometer.

Corrected by Feb 7, 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). Directed Plan: Child 4 must be dismissed from care by close of business 1/23/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

During a renewal inspection on 1/23/25 Child 4 did not have documentation of receiving the 1st dose of the MMR vaccine in accordance with recommendations of the ACIP (See code sheet for DOB). Child 4 did not have an exemption letter on file and was still in care at the facility.

Corrected by Jan 24, 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.

During a Renewal inspection on 1/23/25 Child 4's Health assessment did not have an answer to if the child was able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Jan 24, 2025

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

During a renewal inspection on 1/23/25 cert rep observed the following expired children's medications: A & D ointment that expired 9/2024 in Infant 2, an Albuterol inhaler that expired 1/31/24 in Pre K 1, and expired diaper cream in Pre Toddler 2.

Corrected by Jan 23, 2025

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3270.133(6)/3270.133(7)(i) · A parent shall provide written consent for administration of medication or a special diet. A medication log shall include the name of the medication.

During a renewal inspection on 1/23/25 cert rep observed an EpiPen in PS 1. The facility did not have signed/written consent from the child's parent for the administration of the medication. Cert rep observed a medication log for Albuterol inhaler in Pre K 1 that did not document the name of the medication on the log. This medication was administered to the child.

Corrected by Mar 14, 2025

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3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During a renewal inspection on 1/23/25 Cert Rep observed an infant child being changed. After the child's diaper was changed the staff person did not wash the child's hands.

Corrected by Jan 23, 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.

During a renewal inspection on 1/24/25 and 2/7/25 Staff 4 did not have a health assessment or initial TB test on file. Staff 7 had an initial TB test dated 5/23/24. This is after his DOH. Staff 9 had an initial health assessment dated 3/15/24, and initial TB test dated 3/18/24. This is after her date of hire. Staff 14 had an initial health assessment and initial TB test dated 1/27/25. This is after her date of hire. (see code sheet for DOHs).

Corrected by Feb 26, 2025

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3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

During a renewal inspection on 1/23/25 Cert Rep observed the following foods in children's lunch boxes: yogurt(in Toddler 1 and Toddler 2 rooms) and hot dogs (in Pre K Counts 4 Room). The lunchboxes were not being kept in a refrigerator. These foods are considered potentially hazardous foods that require refrigeration.

Corrected by Jan 23, 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.

During a renewal inspection on 1/23/25 and 1/24/25 Child 3's most recent emergency contact and fee agreement was reviewed by parents on 6/2/24, Child 4's most recent emergency contact and fee agreement was reviewed by parents on 5/16/24, and Child 5's most recent fee agreement was reviewed 5/31/24. This is more than 6 months since the most recent emergency contact and fee agreement parental reviews.

Corrected by Mar 14, 2025

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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.

During a renewal inspection on 1/24/25 and 2/7/25 The following staff did not have 2 references in their staff/facility person file: Staff 6(0 references), Staff 10 (1 reference).

Corrected by Mar 3, 2025

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3270.27(a)(5)/3270.27(f) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. 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.

During a renewal inspection on 1/23/25 it was noted the facility emergency plan did not address the accommodations being made for infants and toddlers. There was no documentation available for review that the emergency plan was sent to the local municipality.

Corrected by Mar 14, 2025

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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.

During renewal inspection on 1/23/25 the facility was not providing 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.

Corrected by Feb 26, 2025

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. Directed Plan: Staff 5 must take 9 hours of professional development to fulfill requirement for training year 10/2023-10/2024. Hours used to fulfill training year 10/2023-10/2024 may not be used to fulfill current training year. Staff 8 must take 1 hour of professional development to fulfill requirement for training year 5/2023-5/2024. Hours used to fulfill training year 5/2023-5/2024 may not be used to fulfill current training year. Staff 17 must take 2 hours of professional development to fulfill requirement for training year 12/2023-12/2024. Hours used to fulfill training year 12/2023-12/2024 may not be used to fulfill current training year. Staff 21 must take 4 hours of professional development to fulfill requirement for training year 12/2023-12/2024. Hours used to fulfill training year 12/2023-12/2024 may not be used to fulfill current training year. Staff 22 must take 4 hours of professional development to fulfill requirement for training year 10/2023-10/2024. Hours used to fulfill training year 10/2023-10/2024 may not be used to fulfill current training year.

During a renewal inspection on 1/24/25 and 2/7/25 the following staff did not have 12 training hours during their training year: Staff 5 (3 hours recorded during training year 10/2023-10/2024) Staff 8 (11 hours recorded during training year 5/2023-5/2024) Staff 17 (10 hours recorded during training year 12/2023-12/2024) Staff 21 (8 hours recorded during training year 12/2023-12/2024) Staff 22 (8 hours recorded during training year 10/2023-10/2024)

Corrected by Mar 14, 2025

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

During an unannounced inspection on 12/13/24 the follow incidence of more that 60 days between fire drills was noted: 1/31/24-4/4/24, 6/21/24-9/12/24. Additionally, it was noted the facility has not had a fire drill since 9/12/24.

Corrected by Dec 16, 2024

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons 2, 3 and 5 will have until 1/23/25 to complete the required training. Until such time as the required training has been completed, staff persons 2,3 and 5 must be supervised, when interacting with children, by an AGS GS or Director who has completed the required training related to this citation. If there are no staff available to supervise staff persons 2, 3, and 5, staff persons 2,3, and 5 may not work in a child-care position at the facility.

During an unannounced inspection on 12/13/24 cert rep noted Staff person 2, and 3, and 5 have 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 5 had a first aid/CPR from 9/24/23 that was not from a PQAS approved trainer and a PQAS approved curriculum.

Corrected by Jan 23, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Facility persons 2 and 3 will have until 1/23/25 to complete the mandated reporter training. Until such time as the required training has been completed, facility persons 2 and 3 must be supervised, when interacting with children, by an AGS, GS or Director who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff facility persons 2 and 3, facility persons 2 and 3 may not work in a child-care position at the facility.

During an unannounced inspection on 12/13/24 Facility person 2 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 9/2/19. Facility Person 4 has not completed an acceptable Child Care facility the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Facility Person 4 has a mandated reporter training for school teachers on file that is dated 8/8/22.

Corrected by Jan 23, 2025

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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 a complaint investigation on 12/13/24 cert rep noted the last fire detection testing was 11/10/24. This is more than 30 days since the last fire detection testing.

Corrected by Dec 16, 2024

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3270.21/3270.166(1) · Conditions at the facility may not pose a threat to the health or safety of the children. A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

During a complaint investigation on 12/13/24 staff reported that on 12/5/24 Staff 1 accidentally fed Child 1 ounce of Child 2's breast milk from Child 2's bottle. Staff reported not noticing the incorrect bottle was given to Child 1 until after Child 1 finished Child 2's breast milk. Both children's bottles were labeled. Child 1 was to be given formula not breast milk.

Corrected by Dec 5, 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 provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 may not work in a childcare position at the facility until the updated Pennsylvania child abuse clearance is on file. Staff #2 may not work in a childcare position at the facility until the completed FBI clearance is on file. Staff #3 may not work in a childcare position at the facility until the completed National Sex Offender Registry (NSOR) clearance is on file. The requests for all staff clearances along with the completed child abuse clearance and FBI or state police clearance must be on file prior to staff working in a childcare position. All required staff clearances must be updated at least once every 60 months.

During the review of staff files on 1/10/2024, the most recent Pennsylvania child abuse clearance on file for Staff #1 was dated 2/3/2016. Staff #1 also had a state police clearance and request on file that was completed on 3/6/2023. This was after the first date working in a childcare position. Staff #2 had proof of being fingerprinted on 1/3/2023 on file but did not have an FBI clearance on file. Staff #3 did not have a request for the National Sex Offender Registry (NSOR) clearance on file. See LIS code sheet.

Corrected by Jan 10, 2024

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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.

On 1/9/2024, the first-aid kit in the Toddler 2 classroom missing gauze pads and tape.

Corrected by Jan 9, 2024

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

During the Renewal Inspection, two expired inhalers were seen where the child medication is stored at the facility. The inhaler for Child #6 was marked with an expiration date of 11/2023. The inhaler for Child #7 was marked with an expiration date of 10/2023.

Corrected by Jan 19, 2024

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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.

During the review of staff files on 1/10/2024, Staff #2 did not have any written, nonfamily references on file. See LIS code sheet.

Corrected by Jan 25, 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 the Renewal Inspection on 1/9/2024, the facility had not conducted an emergency drill within the previous 12 months.

Corrected by Feb 16, 2024

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

The Fire Drill/Fire Detection Log was up to date on 1/9/2024. However, the log showed that a fire drill was conducted on 10/18/2023 then not again until 1/2/2024.

Corrected by Jan 9, 2024

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3270.20(a)(1)/3270.20(b) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

An unannounced inspection was conducted on 3/21/2023. It was discovered that Child #1 received emergency room treatment on 2/21/2023 due to an injury to his thumb that was discovered while he was in care at the facility on 2/21/2023.The Northeast Regional Office had not been notified of this incident.

Corrected by Mar 21, 2023

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

An unannounced inspection was conducted on 3/21/2023. The fire drill log showed that the last documented fire drill had been conducted on 1/11/2023.

Corrected by Mar 21, 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.

An unannounced inspection was conducted on 3/8/2023. The facility provided 12 separate accident/injury reports for Child #1 that were sent to the parent through the Tadpoles app on the day of each injury. However, it was observed that the facility has not consistently maintained additional copies of these injury reports in the facility accident file and in the child's file, as required.

Corrected by Mar 30, 2023

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons #4, #6, #8, #9 and #10 will have until 1/28/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff persons #4, #6, #8, #9 and #10 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 available to supervise staff persons #4, #6, #8, #9 and #10, staff persons #4, #6, #8, #9 and #10 may not work in a child-care position at the facility.

Staff persons #4, #6, #8, #9 and #10 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter trainings on file being dated as follows: 7/10/2014 for Staff #4, 5/18/2015 for Staff #6, 12/22/2017 for Staff #8, 7/10/2014 for Staff #9 and 5/18/2015 for Staff #10.

Corrected by Jan 13, 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.

During the review of child files on 1/3/2023, the most recent health report on file for Child #1, a preschool child was dated 11/1/2021.

Corrected by Jan 30, 2023

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3270.131(d)(5)/3270.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

On 1/13/2023, Child #2, a preschool child did not have the up-to-date influenza immunization as recommended by the ACIP. The file for Child #2 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent. See LIS code sheet.

Corrected by Jan 20, 2023

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3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff persons #1, #2, #3 and #7 will have until 1/28/2023 to complete the required training. Until such time as the required training has been completed, staff persons #1, #2, #3 and #7 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 persons #1, #2, #3 and #7, staff persons #1, #2, #3 and #7 may not work in a child-care position at the facility.

Staff persons #1, #2, #3 and #7 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR)

Corrected by Jan 17, 2023

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