3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file of staff #2 did not contain the correct out of state clearance.

Corrected Corrected by Feb 6, 2026

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

3270.64 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

The walkways directly outside the exit doors in the in the preschool and older toddler areas of the main classroom were not cleared of snow.

Corrected Corrected by Feb 4, 2026

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the preschool area's main classroom, the wood panel behind the children's play sink faucet is not securely fastened. Three screws are slightly protruding from the back of the panel, creating a potential scratch or snag risk to children in care.

Corrected Corrected by Feb 4, 2026

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

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 file of staff #1 did not contain one written, nonfamily reference. One of the written references on file was completed by a family member,

Corrected Corrected by Feb 5, 2026

Category: recordkeeping. Marked corrected in the state record.

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.

The fire safety trainings of staff #1 were dated more than 12 months apart (10/13/2023 and 1/3/2025).

Corrected Corrected by Jun 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.102(b) · Toys soiled by secretion or excretion shall be cleaned with soap and water, rinsed and sanitized before being used by a child.

In the two-year-old area of the main classroom, a child was observed placing a toy animal in their mouth. A staff person told the child to take it out of their mouth, but did not take the toy to be cleaned and sanitized. The child placed the toy back in the toy bin.

Corrected Corrected by Jun 25, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Foam pool noodles were in the discovery table in the older toddler area of the main room. A staff person stated the discovery table was moved to each age group to use, which made the foam pool noodles accessible to children still placing objects in their mouths.

Corrected Corrected by Jun 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The file of child #1 contained the original financial agreement.

Corrected Corrected by Jun 25, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form of child #4 did not contain the work address of the enrolling parent.

Corrected Corrected by Jun 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(8) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The two most recent health assessments on file for child #2, a preschool age child, were dated 1/3/2024 and 4/1/2025, more than 12 months apart.

Corrected Corrected by Jun 25, 2025

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

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The hypothetical location of the fire on the fire drill log was documented as being the furnace for consecutive drills on 7/25/24 and 9/6/2024.

Corrected Corrected by Jun 25, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file of staff #1 contained 5.5 hours of annual training in their training year, lacking 6.5 hours. Additional hours were taken after their training year on 6/9/2025 (3 hours), 6/10/2025 (3 hours) and 6/10/2025 (1 hour).

Corrected Corrected by Jun 25, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The initial health assessment of child #3 was dated 1/9/2025, which was more than 60 days from their start date at the facility (see LIS code sheet).

Corrected Corrected by Jun 25, 2025

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

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

An Albuterol inhaler in the toddler area of the man childcare space did not contain written instructions from the individual who prescribed the medication.

Corrected Corrected by Jun 18, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(1) · An adult health assessment must include a physical examination.

The health assessment paperwork for staff #3 did not state an examination was conducted.

Corrected Corrected by Jul 19, 2024

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility emergency plan did not include a continuity of operations plan.

Corrected Corrected by Jun 28, 2024

Category: ratio. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Documentation of the last review and/or update to the emergency plan was dated 10/6/2022, which was more than 12 months prior to the date of the inspection.

Corrected Corrected by Jun 18, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

The most recent fire safety training for staff #4 was dated 2/26/2023, which was more than 12 months ago.

Corrected Corrected by Jul 15, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Annual evaluations for staff #2 exceeded 12 months (dated 1/20/2023 and 2/9/2024).

Corrected Corrected by Jun 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

In the toddler area of the main childcare space, the closet to the right of the changing table was not locked making cans and bottles of sunscreen labeled "keep out of the reach of children" accessible to children in care on a low shelf.

Corrected Corrected by Jun 19, 2024

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

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact form of child #1 contained the name and telephone number of a person designated by the parent to whom the child may be released but did not contain the address of the individual.

Corrected Corrected by Jun 18, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The health assessment paperwork for staff #1 and #3 did not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Jul 19, 2024

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

3270.151(c)(4) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The health assessment paperwork for staff #3 did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Corrected Corrected by Jul 19, 2024

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

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

In the main childcare space, a child's lunch bag, which contained a turkey and cheese Lunchables, was sitting on the on the toy shelf and not refrigerated as required for potentially hazardous food.

Corrected Corrected by Jun 18, 2024

Category: nutrition. Marked corrected in the state record.

3270.163(a)(2) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one protein.

Lunch provided to the children consisted of waffles, potatoes and an offering of milk, but did not include a protein and a protein was not listed on the menu.

Corrected Corrected by Jun 26, 2024

Marked corrected in the state record.

3270.163(a)(3) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one fruit or vegetable.

Lunch provided to the children consisted of waffles, potatoes and an offering of milk, but did not include one fruit or vegetable and a fruit or vegetable was not listed on the menu.

Corrected Corrected by Jun 19, 2024

Marked corrected in the state record.

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

The staff file for Staff person #4 contained current mandated reporter training dated 6/11/20 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 5/26/15.

Corrected Corrected by Jun 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person # 1 may not work at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person # 1 may not work at the facility.

The file for Staff person #1 was observed to lack documentation of having applied for and received a State Criminal Background check and a State Child Abuse and Neglect check from the State in which they resided in within the previous five years as required by the Child Protective Service Law (CPSL).

Corrected Corrected by Jul 24, 2023

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

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).

At approximately 10:40am in the Large Room while Staff person #5 was transitioning 6 children of mixed ages (older toddlers and preschool age children) to the outside play space, one child was left behind in the classroom, for approximately less than 10 seconds, without any staff present resulting in the staff: child ratio being 0:1.

Corrected Corrected by Jun 29, 2023

Category: ratio. Marked corrected in the state record.

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

Two bookbags, each containing a first-aid kit, were observed placed on the table accessible to the young and older toddlers who were playing outside.

Corrected Corrected by Jul 5, 2023

Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At approximately 10:40am in the Large Room while Staff person #5 was transitioning 6 children of mixed ages (older toddlers and preschool age children) to the outside play space, one child was left behind in the classroom, for approximately less than 10 seconds, without being supervised by any staff person.

Corrected Corrected by Jun 29, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · 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.

At approximately 10:40am in the Large Room while Staff person #5 was transitioning 6 children of mixed ages (older toddlers and preschool age children) to the outside play space, one child was left behind in the classroom, for approximately less than 10 seconds, with no staff person was physically present with the child.

Corrected Corrected by Jun 29, 2023

Category: supervision. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The staff file for Staff person #2, contained a current health assessment dated 11/23/22 which was conducted more than 24 months from the previously dated 11/8/20 health assessment on file.

Corrected Corrected by Jun 29, 2023

Category: ratio. Marked corrected in the state record.

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 staff file for Staff person #3 was observed to contain two references on file however one reference was from a family member which is not an acceptable reference.

Corrected Corrected by Jul 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 10/7/22 - 11/722 (31 days) and 2/1/23 - 3/6/23 (33 days)

Corrected Corrected by Jun 29, 2023

Category: recordkeeping. Marked corrected in the state record.

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

There was more than 12 months between the previous staff evaluation and the most current staff evaluations on file for staff #4, 5, and 6. There are now current staff evaluations on file.

Corrected Corrected by Aug 12, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

There is not a director who is employed by the facility and present at the site a minimum of 30 hours per week.

Corrected Corrected by Aug 12, 2022

Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #7-- may not work in a child care position at the facility.

There was more than 60 months between the previous and most current and updated FBI clearances on file for staff #5. Dates are as follows: 7/26/16 and 8/8/21. The file for staff #7 lacks the correct Child Abuse clearance required under the CPSL. Staff #7's Child Abuse clearance is for volunteer purposes.

Corrected Corrected by Jun 22, 2022

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

3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

There was more than 12 months between the previous and most current emergency plan trainings on file for staff #2, 3, 4, 5, 6, and 8. Staff now have current emergency plan training on file.

Corrected Corrected by Jul 11, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

Staff #2 and 3 had first aid/CPR which expired 2/2021 and certification in first aid/CPR was not renewed until 5/16/22.

Corrected Corrected by Jul 11, 2022

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · 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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

There was more than 12 months between the previous and most current and updated fire safety trainings on file for staff #2, 3, 4, 5, 6 and 8. Staff now have current fire safety training on file.

Corrected Corrected by Jul 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

Staff persons #2, 3, 4, 5, 6, 7, 8 and 9, employed for more than 90 days (see LIS Code Sheet), did not have first aid/CPR training with an approved curriculum and the trainer was not PQAS certified as required by 3270.31(f)(10) by 4/29/22. Staff persons #2, 3, 5, 6, 7, 8 and 9 have since obtained a pediatric first aid/CPR training dated 5-16-22 that is an approved curriculum and was taught by a PQUAS certified instructor. Staff person #4 has since obtained pediatric first aid/CPR training dated 5-24-22 that is an approved curriculum and was taught by a PQUAs certified instructor.

Corrected Corrected by Jul 11, 2022

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

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for staff #1 and 7, who hold the title of assistant group supervisor, lack verification of a high school diploma. There are over 2500 hours of child care training on file.

Corrected Corrected by Jul 11, 2022

Category: supervision. Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

In the Main Room, observed a diaper changing area which lacks a hand washing sign.

Corrected Corrected by Jun 15, 2022

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

In the Main Room, observed a refrigerator which was 60 degrees Fahrenheit.

Corrected Corrected by Jun 16, 2022

Category: nutrition. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child's record shall contain initial and subsequent health reports.

There was more than six months between the previous and most current and updated health assessment on file for child #1, who is a young toddler.

Corrected Corrected by Jul 11, 2022

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

There was more than 24 months between the previous and most current and updated health assessments on file for staff #4 and 8. The file for staff #7 and 10 lacked an initial health assessment which was conducted 12 months prior to providing initial service in a child care setting. There is a current health assessment on file and dated Staff 7- 8/16/21. Staff #10 - 5/17/22 . (See LIS CODE sheet).

Corrected Corrected by Jul 18, 2022

Category: ratio. Marked corrected in the state record.