3270.123(a) · An agreement shall be signed by the operator and the parent.

The financial agreement on file for Child #4 lacked the operator's signature.

Corrected Corrected by Nov 26, 2025

Category: recordkeeping. 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 most recent emergency plan training on file for Staff #7 (9/13/24), is dated more than 12 months prior.

Corrected Corrected by Nov 26, 2025

Category: ratio. 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.

The most recent emergency plan trainings on file for Staff #1 (9/20/24), Staff #2 (9/10/24), Staff #4 (9/23/24), Staff #5 (1/31/24), and Staff #6 (9/13/24) are dated more than 12 months prior.

Corrected Corrected by Nov 26, 2025

Category: recordkeeping. 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 facility's emergency plan parent letter lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 26, 2025

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

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.

The most recent fire safety trainings on file for Staff #1 (10/1/24), Staff #2 (9/13/24), Staff #4 (10/17/24), Staff #5 (4/3/24), and Staff #6 (5/7/24) are dated more than 12 months prior.

Corrected Corrected by Nov 26, 2025

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). 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. Facility Person #3 may not work in a child care position at the facility.

The file for Staff #3 lacked a Colorado Sex Offender Registry clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL.

Corrected Corrected by Nov 26, 2025

Category: background checks. 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.

The two most recent evaluations on file for Staff #5 (dated 6/12/24 & 9/8/25) and Staff #6 (6/16/24 & 9/10/25) are dated more than 12 months apart.

Corrected Corrected by Nov 26, 2025

Category: recordkeeping. Marked corrected in the state record.

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

An outlet cover was missing in the outlet next to the dishwasher in the kitchen area of the Bears Room.

Corrected Corrected by Nov 26, 2025

Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Unlidded trash cans containing used tissues and paper towels were observed in the bathroom in the Castle Room and hallway.

Corrected Corrected by Nov 26, 2025

Marked corrected in the state record.

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

Peeling plaster and paint were observed on the wall next to the toilet in the bathroom in the Bees Room.

Corrected Corrected by Nov 26, 2025

Category: physical safety. 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.

The bathroom in the Castle Room lacked handwashing sign above the toilet.

Corrected Corrected by Nov 26, 2025

Category: health medication. 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.

A toy bin with a broken corner with rough edges was observed in the Monkeys Room and could be harmful to children.

Corrected Corrected by Nov 26, 2025

Category: physical safety. 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.

Unused plastic garbage bags were observed to be accessible in an unlocked drawer in the Bees Room to children who are still placing objects in their mouths and could cause suffocation. Foam blocks with teeth marks and torn edges were observed in the Butterflies Room and were accessible to child who are still placing objects in their mouths.

Corrected Corrected by Nov 26, 2025

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.

The financial agreement forms on file for Child #1, Child #2, Child #3, Child #4, and Child #5 lacked the child's date of admission at the facility.

Corrected Corrected by Nov 26, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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 file for Child #1, Child #2, Child #3, Child #4, and Child #5 contained the original financial agreement when the parent is to receive the original agreement.

Corrected Corrected by Nov 26, 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.

The emergency contact form for Child #1 lacked the phone number of the child's physician or source of medical care.

Corrected Corrected by Nov 26, 2025

Category: health medication. 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.

The emergency contact form on file for Child #2 lacked the parent's signature giving the facility written consent to obtain emergency medical care.

Corrected Corrected by Nov 26, 2025

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.

The emergency contact forms for Child #1 lacked the child's health insurance/MA policy number for the child's health care benefits.

Corrected Corrected by Nov 26, 2025

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

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for Child #1 contained an initial health assessment dated 10/30/25, more than 60 days from the child's date of enrollment (SEE IS CODE SHEET). The file for Child #4, enrolled for more than 60 days, lacked an initial health report (See LIS Code Sheet).

Corrected Corrected by Nov 26, 2025

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

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).

The immunization record for Child #1 (Infant) lacked the following immunizations: 2 doses of Hepatitis B, 2 doses of Rotavirus, 1 dose of DTAP, 2 doses of Hib, 2 doses of Pneumococcal, and 1 dose of Polio without a Letter of Exemption in the file. Child #1 must be dismissed from care by close of business on 11/5/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Corrected Corrected by Nov 26, 2025

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

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.

The health assessment on file for Child #5, dated 5/13/25, does not indicate if the child is free from contagious disease and may participate in child care.

Corrected Corrected by Nov 21, 2025

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

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

The immunization record on file for Child #1 is dated 10/30/25, more than 60 days after Child #1's date of enrollment (SEE IS CODE SHEET).

Corrected Corrected by Nov 26, 2025

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

A box of Children's Tylenol in the Butterflies Room and a bottle of Hyland's Kids Cold & Cough in the Bees Room were observed in locked medication bins but lacked the name of the child(ren) whom the medication is intended for.

Corrected Corrected by Nov 26, 2025

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.

The emergency contact form on file for Child #2 and Child #4 lacked the parent's signature giving the facility written consent to administer minor first aid.

Corrected Corrected by Nov 26, 2025

Category: ratio. Marked corrected in the state record.

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. 2. The legal entity shall ensure that all facility staff complete an in-person training, coordinated through the ELRC, focusing on classroom management and dealing with challenging behavior. All staff will also be required to complete the online FLIP IT training, which offers proactive strategies for addressing children's behaviors. Training documentation must be retained on file, which include the dates of each training and the names of the attendees or staff person who completed it. 3. The legal entity will conduct mandatory staff meetings at least once per month for a period of 4 months following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last year, as well as, the Department of Human Services' regulations related to the physical punishment and supervision of children. An agenda will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to OCDEL-DHS representatives upon request. 4. For a period of 6 weeks, the Director or designated person in charge, will complete supervision compliance assessments in all classrooms at least twice a week. Documentation of compliance assessments using an approved form will be completed and maintained on file for review by Certification as requested.

At approximately 2:08 PM on 9/5/25, video taken at the facility shows Staff #1 grabbing Child #1 out of the corner by their arms. Staff #1 then pushes Child #1 to the ground. Child #1 was observed laying on the ground when Staff #1 picked Child #1 up off the ground to stand them up. Child #1 immediately fell back to the ground and Staff #1 picked Child #1 up from the ground and walked them to a table area to speak to another child. Child #1 then sat at the table until they went outside with Staff #1.

Corrected Corrected by May 30, 2026

Category: supervision. Marked corrected in the state record.

3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Staff #2 reported that on 9/5/25 Staff #1 was observed telling Child #1 "How would you like it if I pushed you?" and then proceeded to push Child #1 to the ground. A video taken at the facility shows that Staff #1 encouraged another child to hit Child #1.

Corrected Corrected by Jan 2, 2026

Marked corrected in the state record.

3270.113(e) · 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.

Based on multiple videos taken at the facility and staff interviews, Staff #1 put Child #1 into two different corners of the School Age room. Staff #1 used their body to enclose Child #1 in the confined space of the two corners. Child #1 was unable to leave the corners due to Staff #1's body being pressed against Child #1 to restrain the child in the corners.

Corrected Corrected by Jan 2, 2026

Category: recordkeeping. Marked corrected in the state record.

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.

At approximately 2:08PM on 9/5/25, video taken at the facility shows Staff #1 grabbing Child #1 out of the corner by their arms. Staff #1 then pushes Child #1 to the ground. Child #1 was observed laying on the ground when Staff #1 picked Child #1 up off the ground to stand them up. Child #1 immediately fell back to the ground and Staff #1 picked Child #1 up from the ground and walked them to a table area to speak to another child. There was no incident report given to the parent for the incident on 9/5/25. The parent was not informed of the incident until 9/19/25.

Corrected Corrected by Jan 31, 2026

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

3270.19(b) · A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department. TIERED LIS: 1. A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department. 2. The legal entity shall ensure that all facility staff complete an in-person mandated reporter training. Training documentation must be retained on file that includes the date of the training and the names of the attendees.

Staff #2 reported that they informed Staff #3 on 9/7/25 about the incident with Child #1 and Staff #1 that occurred on 9/5/25. Staff #3 stated that they watched the video footage of the facility on 9/7/25, but Staff #3 did not report the incident to ChildLine until 9/19/25.

Corrected Corrected by Feb 28, 2026

Category: background checks. 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. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff #1 was observed to be caring for children unsupervised. Staff #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR

Corrected Corrected by Jun 23, 2025

Category: supervision. Marked corrected in the state record.

3270.37(b)(3)/3270.192(2)(iii) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #2, classified as an Aide, lacked a high school diploma, or a general educational development certificate, or documentation of a minimum of an 8th grade education.

Corrected Corrected by Jun 20, 2025

Category: recordkeeping. Marked corrected in the state record.

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

A protective outlet cover was missing in the outlet to the right of the stairs in the sleeping area of the Infant Room.

Corrected Corrected by Jun 20, 2025

Category: physical safety. 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.

Spray bottles filled with toxics were observed in unlocked cabinets in the Preschool and School Age Rooms and were accessible to children.

Corrected Corrected by Jun 20, 2025

Marked corrected in the state record.

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.

In the Two's Room, vinyl flooring was observed to be peeling and lifting under the white board along the wall, which could be hazardous to children.

Corrected Corrected by Jun 20, 2025

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

3270.77(a)/3270.103 · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. 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.

Peeling paint was observed on the support beam in the Castle Room. Paint pieces than 1 inch in diameter were observed on the floor in front of the support beam and was accessible to children who are still placing objects in their mouths.

Corrected Corrected by Jun 27, 2025

Category: physical safety. 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.

In the Two's Room, individual latex gloves were observed on a shelf in an unlidded container on the changing table and were accessible to children, which could cause suffocation.

Corrected Corrected by Jun 20, 2025

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 two most recent emergency plan trainings of file for Staff #3 are dated 6/21/23 and 9/13/24, more than 12 months apart.

Corrected Corrected by Nov 4, 2024

Category: ratio. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Loose pack and play sheets were observed in the Infant sleeping space, which could cause suffocation.

Corrected Corrected by Nov 8, 2024

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

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

Protective receptacle covers were missing in an outlet in the Infant sleeping area and in a power strip in the Three's classroom.

Corrected Corrected by Nov 4, 2024

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

3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Cleaning toxics were observed uncontained and above loose diapers in the One's classroom, which could be hazardous to children.

Corrected Corrected by Nov 4, 2024

Category: ratio. Marked corrected in the state record.

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

The emergency exit in the Three's classroom was observed obstructed by an exterior dumpster which was restricting the door from opening more than 30%.

Corrected Corrected by Nov 5, 2024

Category: physical safety. 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).

The most recent Child Service Report on file for Child #3 is dated 2/14/24, more than 6 months prior.

Corrected Corrected by Nov 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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 files for Child #1, Child #3, Child #4, and Child #5 contained the original copy of the financial agreement form. The parent is to receive the original agreement, and the facility is to retain a copy of the original agreement.

Corrected Corrected by Nov 6, 2024

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.

The Emergency Contact form for Child #3 lacked the address of the child's physician or source of medical care.

Corrected Corrected by Nov 4, 2024

Category: health medication. 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 toddler. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for Child #2 (Younger Toddler at the time) are dated 6/16/23 & 6/14/24, more than 6 months apart.

Corrected Corrected by Nov 4, 2024

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

3270.131(b)(2)/3270.182(1) · 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 initial and subsequent health reports.

The two most recent health assessments on file for Child #3 (Preschool Aged child) are dated 4/15/23 & 7/23/24, which are more than 12 months apart.

Corrected Corrected by Nov 4, 2024

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

A diaper genie that was not hands-free was observed in the diaper changing area of the Infant's classroom.

Corrected Corrected by Nov 4, 2024

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

3270.151(c)(3)/3270.192(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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.

The health assessment on file for Staff #1, dated 8/9/24, does not indicate if the staff person was assessed for communicable/contagious disease.

Corrected Corrected by Nov 12, 2024

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

3270.151(c)(5)/3270.192(3) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. 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.

The health assessment on file for Staff #1, dated 8/9/24, does not include the physician or health care professional's assessment of the person's suitability to provide child care.

Corrected Corrected by Nov 12, 2024

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

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

The facility lacked a written statement obtained from the parent providing the feeding schedule for Child #6.

Corrected Corrected by Nov 4, 2024

Category: nutrition. 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 for Staff #2 contained 9 of 12 required annual training hours.

Corrected Corrected by Nov 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

Based on staff interviews, Staff #1 was observed grabbing a preschool-aged child by the forearm and pulling them by the arm into a time out area of the classroom.

Corrected Corrected by Oct 29, 2024

Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

Based on staff interviews, Staff #1 has been observed yelling and using harsh language towards children in care in the faciity.

Corrected Corrected by Oct 29, 2024

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

Staff #1 was observed to be caring for children unsupervised. Staff #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR by an approved PQAS instructor.

Corrected Corrected by Oct 17, 2024

Category: supervision. Marked corrected in the state record.

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

The two most recent Pediatric First Aid/CPR trainings on file for Staff #2 are dated 9/14/21 and 10/2/23, more than 24 months apart.

Corrected Corrected by Oct 7, 2024

Category: ratio. 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. Until such time as the required pre-service trainings are completed, Staff #1 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff #1, Staff #1 may not work in a child-care position at the facility.

Staff #1 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Oct 17, 2024

Category: supervision. 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.

The fire alarm 30-day test log includes test dates 12/21/23-1/23/24 and 7/29/24-8/30/24, more than 30 days apart.

Corrected Corrected by Oct 7, 2024

Category: recordkeeping. 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 two most recent PA State Police, Child Abuse and FBI clearances for Staff #1 were dated more than 60 months apart. (See LIS Code Sheet)

Corrected Corrected by Nov 6, 2023

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

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

The stove, in the kitchen, was accessible to children.

Corrected Corrected by Nov 6, 2023

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 Bear Room, a bin with "Pop-Its," had a cracked lid, next to the refrigerator; on the top of the blue cube, near the sink, a bin with a pink lid was cracked and a bin containing crayons had a cracked corner which posed a cutting hazard.

Corrected Corrected by Nov 6, 2023

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

In the Bear Room, a white, 3 x 3 cubical was wobbly due to not being anchored to the wall which posed a toppling hazard.

Corrected Corrected by Nov 9, 2023

Category: physical safety. 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.

The Emergency Contact Form for Child #2 lacked the Health Insurance/MA Coverage and Health Insurance/MA Policy Number. (See LIS Code Sheet)

Corrected Corrected by Nov 9, 2023

Category: health medication. 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 two most recent Health Assessments for Staff #1 were dated more than 24-months apart. (See LIS Code Sheet)

Corrected Corrected by Nov 6, 2023

Category: ratio. 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.

The facility's fire alarm test report documented testing of the fire alarm system between: 01/11/2023 - 02/28/2023 (48 days); 04/29/2023 - 05/30/2023 (31 days)'; 06/17/2023 - 07/28/2023 (42 days) . The test conducted were more than 30 days apart.

Corrected Corrected by Nov 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(e) · 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.

Based on interviews, Staff Person #1 admitted to placing a child in a chair with T-Straps, buckling the child into the chair and holding him down to control the child's behaviors and to calm him down.

Corrected Corrected by Jun 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f) (1 -- 10), within 90 days of hire. Staff persons #1, #2 and #3-- will have until 12/21/2022 to complete the required training. Until such time as the required training has been completed, staff persons #1, #2 and #3 --- 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 and #3--, staff persons #1, #2 and #3-- may not work in a child-care position at the facility.

Staff persons #1, #2 and #3--- had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety.

Corrected Corrected by Feb 1, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff persons #2 and #3--- will have until 12/21/2022 (actual date- 15 days from POC requested date) to complete the mandated reporter training. Until such time as the required training has been completed, staff persons #2 and #3-- must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #2 and #3--staff persons #-2 and #3- may not work in a child-care position at the facility.

Staff Persons #2 and #3 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Feb 1, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f) (1 -- 10) within 90 days of hire. Staff person #1 -- will have until December 21, 2022 to complete the required training. Until such time as the required training has been completed, staff person #1 --- must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 --, staff person #1-- may not work in a child-care position at the facility.

Staff person # 1 --- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR was not conducted by a PQAS Certified Instructor and the curriculum was not an approved PQAS Curriculum and was lacking "Pediatric" on the First Aid/CPR Card.

Corrected Corrected by Dec 9, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Mandated Reporter Training for staff #1 was deemed to be unacceptable because it was done for nursing and not childcare.

Corrected Corrected by Dec 8, 2022

Category: recordkeeping. 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 two most current Child Abuse and FBI clearances in the file for Staff #1 were dated more than 60 months apart.

Corrected Corrected by Dec 8, 2022

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

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).

The excursion bag's First Aid kit was lacking: Tweezers and Scissors.

Corrected Corrected by Dec 8, 2022

Category: health medication. 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.

In the PreK Room, the multi-colored rolling drawer at the back of the room near the sink, had a silver knob/drawer pull (Round) which was less than 1" in diameter and was extremely loose. When the drawer was opened the knob fell onto the floor which poses a choking hazard.

Corrected Corrected by Dec 8, 2022

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 forms for child files #1 and #2 lacked the address of the listed release person.

Corrected Corrected by Dec 8, 2022

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.

The following fire extinguishers were expired in the facility as of 07/31/2021: Main Entrance, PreK/Elementary Exit, Infant/Toddler Emergency Exit, Gross Motor Exit Door, 3's Classroom and near the kitchen. Facility files lacked proof of purchase for the interconnected smoke detection system.

Corrected Corrected by Dec 8, 2022

Category: recordkeeping. 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.

The facility lacked a handwashing sign posted at each toilet.

Corrected Corrected by Jan 14, 2022

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

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The facility lacked a posting for the emergency plan in the parent area.

Corrected Corrected by Jan 17, 2022

Category: physical safety. 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 #1 may not work in a child care position at the facility.

Staff file #1 contained the receipt copy but not a valid PA State Criminal Clearance in the file.

Corrected Corrected by Jan 14, 2022

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

3270.102(g) · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

The facility had a Bumbo baby seat without a strap that was previously recalled by the United States Consumer Product Safety Commission.

Corrected Corrected by Jan 14, 2022

Category: physical safety. 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.

The facility had toy cars that had small wheels and pieces for use in the toddler room and were accessible to children who are still placing objects in their mouths.

Corrected Corrected by Jan 14, 2022

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 file #1 lacked copy of the health insurance coverage and policy number for the child on the emergency contact form.

Corrected Corrected by Jan 18, 2022

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Staff person #2 was observed using their hand to open and dispose of a soiled diaper into the diaper hands free covered can.

Corrected Corrected by Jan 17, 2022

Category: health medication. 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.

The facility did not have a copy of the proof of purchase for the fire detection system on file.

Corrected Corrected by Jan 31, 2022

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.

Child file #2 lacked a copy of an initial health report within 60 days of enrollment at the facility.

Corrected Corrected by Jan 26, 2022

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

3270.27(a) · The facility shall have an emergency plan.

The facility lacked an emergency plan that meets all required components.

Corrected Corrected by Sep 13, 2021

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

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

The emergency exit door in the PreK room had damaged plaster and paint around the door by the steps into the room.

Corrected Corrected by Sep 11, 2021

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

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

The facility's emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions during an emergency.

Corrected Corrected by Sep 13, 2021

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

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

The facility's emergency plan lacked accommodations for shelter during a lock-down and shelter at the facility and shelter away from the facility during emergency situations.

Corrected Corrected by Sep 13, 2021

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

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The facility's emergency plan lacked accommodations for evacuation of children from the facility to a location away from the facility premises during an emergency.

Corrected Corrected by Sep 13, 2021

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