Sunshine Cottage

3280.131(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.

The health assessment on file for child #1 was dated 6/19/25 which was greater than 60 days following the first day of attendance (see code sheet for start date).

Corrected by May 12, 2026

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3280.66(c) · Toxic plants are not permitted in a child care space.

There was a Pothos plant, a Dusty Miller plant, a Begonia, a Kalanchoe, and a Peace Lily in the facility, all listed as toxic to humans.

Corrected by May 22, 2025

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3280.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The most recent health assessment on file for child #1 was dated 8/20/24. Child #1 is a young toddler (see code sheet for date of birth).

Corrected by May 27, 2025

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3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Alarm tests were recorded 12/10/24, 1/10/25 , 2/10/25, 3/10/25, and 4/10/25. There were 31 days between 12/10/24 and 1/10/25, 1/10/25 and 2/10/25, and 3/10/25 and 4/10/25. No alarms tests were recorded between 4/10/25 and the inspection on 5/22/25.

Corrected by May 22, 2025

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3280.192(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.

There were not 2 references written by a nonfamily member attesting to the suitability of staff #1 to serve as a facility person.

Corrected by Aug 1, 2024

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3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The fire alarm test log indicated a test of the system on 6/7/24 and not again until 7/12/24, greater than the required 30 days.

Corrected by Jul 31, 2024

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3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

It was observed that the previously issued inspection summary from the inspection date of 11/14/23, has not yet been implemented and was not posted.

Corrected by Jan 30, 2024

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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 outdoor play space that there was a hole in the siding and a plastic container, which contained insulation attached to the wall, had a hole. Both of these areas would be accessible to children in care.

Corrected by Jan 30, 2024

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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.

Agreement for child #1 contained a parental signature dated 5/22/23, but no additional dated signature was observed on file attesting to parental review of that form within the last 6 months as required.

Corrected by Feb 5, 2024

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3270.21/3270.132(b) · Conditions at the facility may not pose a threat to the health or safety of the children. A staff person shall accompany a child to a source of emergency care and shall remain with the child until the parent assumes responsibility for the child's care. The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding emergency medical care. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training. Training may not be conducted while children are in care, and training hours may not be used toward staff's 12 hours of annual professional development training.

It was observed on video that on 11/13/23 at approximately 12 noon, child #1 was hiding their face in a cubby. Staff person #1 and #2 were both present with the child. When child #1 was asked to get out of the cubby, the child's left eye caught on the hook inside the cubby causing immediate injury in the form of a severely swollen eye, a small cut, and ultimately a ripped tear duck needing same day emergency surgery. At the time of the injury, staff person #1 and #2 could not make a determination on the severity of the child's eye injury due to severe swelling and because child could not open the eye to show staff the condition of the eye itself. Staff person #2 contacted the child's parent but did not call for emergency medical care. Staff were of the understanding that the parent had transportation issues and would need to find a way to the facility in order to seek care for the child. It was observed that emergency medical care was needed due to the extent of the injury, but staff did not accompany the child to the hospital, knowing that the parent could be delayed, and wait for the parent there to assume responsibility for the child's care.

Corrected by Feb 28, 2024

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3270.21/3270.132(b) · Conditions at the facility may not pose a threat to the health or safety of the children. A staff person shall accompany a child to a source of emergency care and shall remain with the child until the parent assumes responsibility for the child's care.

It was observed on video that on 11/13/23 at approximately 12 noon, child #1 was hiding their face in a cubby. Staff person #1 and #2 were both present with the child. When child #1 was asked to get out of the cubby, the child's left eye caught on the hook inside the cubby causing immediate injury in the form of a severely swollen eye, a small cut, and ultimately a ripped tear duck needing same day emergency surgery. At the time of the injury, staff person #1 and #2 could not make a determination on the severity of the child's eye injury due to severe swelling and because child could not open the eye to show staff the condition of the eye itself. Staff person #2 contacted the child's parent but did not call for emergency medical care. Staff were of the understanding that the parent had transportation issues and would need to find a way to the facility in order to seek care for the child. It was observed that emergency medical care was needed due to the extent of the injury, but staff did not accompany the child to the hospital, knowing that the parent could be delayed, and wait for the parent there to assume responsibility for the child's care.

Corrected by Feb 23, 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. Until such time as the required pre-service trainings are completed, staff person #1 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 person(s) available to supervise staff person #1, then 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 the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected by Jan 19, 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). 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. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

File for staff person #1, see code sheet for hire date, contained an application for the NSOR verification certificate, but did not contain the complete and final results of the NSOR verification certificate. Therefore, staff person #1 was hired provisionally but was observed to be taking children back and forth alone to the bathroom during inspection.

Corrected by Jan 19, 2023

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3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

File for staff person #1 contained a health assessment that did not include an examination for communicable diseases and the results of that examination.

Corrected by Jan 20, 2023

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility.

File for staff person #1, hired 12/7/21, did not contain out of state clearances, and staff person #1 has lived outside of PA during the last 60 months.

Corrected by Jan 18, 2022

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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.

It was observed that the first-aid kit in the front rom was missing tweezers.

Corrected by Jan 14, 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 form for child #1 did not contain work addresses and work telephone number of the enrolling parent.

Corrected by Jan 14, 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 fire alarms were last tested on 8/2/21, therefore had not been tested within the last 30 days and logged as required.

Corrected by Sep 16, 2021

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3270.33(a)/3270.36(b)(5) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Staff person #1 was observed unsupervised caring for three children in Room 4, which would require staff person #1 to meet, at minimum, assistant group supervisor qualifications. The file for staff person #1 contained the educational requirement but did not contain verification of 2 years experience working with children. Therefore, staff person #1 did not meet the applicable qualifications to be an assistant group supervisor.

Corrected by Sep 16, 2021

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3270.61(h) · The capacity established for an indoor space may not be exceeded.

It was observed in Room 2, which has a measured capacity limit of 4 children, that 5 children were present in that space, and there were no applicable exceptions, according to regulation, that would have applied allowing for the capacity of that room to be exceeded during that time.

Corrected by Sep 16, 2021

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