3270.82(d) · A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

During an inspection on 9/29/25, it was observed that the four toilet training chairs were not emptied and sanitized before another child used one of the chairs.

Corrected Corrected by Sep 29, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

During an inspection on 9/29/25, staff #1 was assisting five children with using the toilet training chairs and did not wash her hands after assisting each one.

Corrected Corrected by Sep 29, 2025

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

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

As of the renewal inspection on 1/13/25, there was no Continuity of Operations plan as required by 45 CFR 98.41(a)(1)(vii).

Corrected Corrected by Jan 17, 2025

Category: ratio. Marked corrected in the state record.

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.

The letter to parents explaining the emergency procedures did not include information on lockdown, accommodations for toddlers, or accommodations for children with chronic medical conditions.

Corrected Corrected by Jan 15, 2025

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.

There were several nap mats being used by children that were torn or split at seams exposing the foam interior.

Corrected Corrected by Jan 15, 2025

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the Large Hall.

Corrected Corrected by Jan 17, 2025

Category: transportation. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The emergency contact form and fee agreement of child #1 had not been updated in the past 6 months. The most recent review by parents was 5/21/24.

Corrected Corrected by Jan 15, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

A fire drill was conducted on 6/12/24 and then not until 9/4/24, a gap of greater than 60 days.

Corrected Corrected by Jan 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Child #2 is missing the physician's telephone number.

Corrected Corrected by Nov 9, 2023

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

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

Child #1 is missing the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Nov 9, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Staff #1 has not completed the required health and safety training within 90 days of hire.

Corrected Corrected by Jan 31, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 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.

Staff #3 has an expired child abuse clearance on file, dated 11/8/17.

Corrected Corrected by Jan 31, 2023

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

3270.131(d)(5)/3270.131(e)(4) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Child #1 does not have a current flu vaccine for 2022, date of last flu vaccine 2/24/20. Child #2 does not have a current flu vaccine for 2022, date of last flu vaccine 11/16/21. Child #3 does not have a current flu vaccine for 2022, date of last flu vaccine 11/12/21. Child #4 does not have a flu vaccine or a written letter from the parent.

Corrected Corrected by Jan 31, 2023

Category: health medication. 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.

Staff #2 is missing proof of 12 annual hours of child care training.

Corrected Corrected by Feb 4, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

Staff person #2, 3, 4, 5 & 6 do not have proof of initial emergency plan training on file.

Corrected Corrected by Jan 11, 2022

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.

Staff person #1 does not have proof of annual fire safety training on file, date of last training 10/16/20.

Corrected Corrected by Jan 11, 2022

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: Facility Person #6 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.

Staff person #6 has a volunteer child abuse clearance on file, date of hire 6/10/21.

Corrected Corrected by Jan 11, 2022

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

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

Child #1 is missing the amount of the fee to be charged.

Corrected Corrected by Jan 11, 2022

Category: recordkeeping. Marked corrected in the state record.

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).

Child #1 is missing the services to be provided to the family and the child.

Corrected Corrected by Jan 10, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Child #1 is missing the date of the child's admission.

Corrected Corrected by Jan 10, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Child #1 is missing written consent signed by a parent for emergency medical care.

Corrected Corrected by Jan 18, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Child #1 is missing health insurance coverage and policy number.

Corrected Corrected by Jan 18, 2022

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

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

Child #1 is missing signed parental consent for administration of minor first-aid.

Corrected Corrected by Jan 11, 2022

Category: ratio. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Operator admitted that annual emergency drills are not documented.

Corrected Corrected by Jan 21, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

Operator admitted to not testing/documenting fire system checks monthly.

Corrected Corrected by Jan 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Operator has not notified annually the local traffic authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Date of last written notification 1/6/21.

Corrected Corrected by Jan 12, 2022

Marked corrected in the state record.

3270.31(f)(1) · Staff persons shall complete professional development in the prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements within 90 days of hire.

Staff person #2 has not completed the required health and safety training within 90 days of hire, date of hire 6/10/21. Staff person #5 has not completed the required health and safety training within 90 days of hire, date of hire 10/7/21.

Corrected Corrected by Jan 14, 2022

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