Tier 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. This portion of the plan shall have an immediate correction date. Tier 2) The Legal Entity will develop a policy to ensure proper supervision of children who receive care by substitute staff and/or floating staff persons. The supervision policy will include the following regulations: 3290.4 (definition of supervision), 3290.113 (Supervision of children) and 3270.113(a)(1) (whereabouts and naming of children). Once the policy has been created, it will be submitted to the regional office for review. Once reviewed by the regional office, current staff will read and sign an acknowledgement of receiving the policy. The policy will be added to the staff handbook. The Legal Entity will submit the handbook and staff acknowledgement forms to the department within 5 business days of completion. This portion of the plan will have a date within 5 business days of completion. Tier 3) The Legal Entity will develop a form to be used by the director to survey and assess staff supervision a minimum of 3 times a week. The staff survey form will include: room name, staff name, identify if staff is assigned to the classroom, a substitute staff or a floating staff member, the number of children each staff is supervising by age, were the staff actively supervising children per 3270.4, did the staff know the names of the children in their supervisory group and did the staff know the whereabouts of the children in their supervisory group. The form will be submitted to the department for review. Once reviewed, the director or Legal Entity will survey staff a minimum of 3 times weekly for a period of 10 weeks and at varying times to assess supervision requirements and document the results on the staff survey form. At least twice per week the assessment will take place when substitute or floating staff are supervising children. The supervision forms will be maintained at the facility and made available to the department upon request. This portion of the plan will have a completion date that is 10 weeks after the staff survey form is reviewed by the Department.

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.

According to staff interviews and video footage, Staff person #2, who was responsible for Child #1, was not present with Child #1 for a period of approximately 8 minutes on 1.5.26. During that time, Staff person #1 was not present with Child #1, did not know the whereabouts of Child #1, and was unable to see, hear, direct, and assess Child #1.

3270.113(a)(1) · Corrected Jan 6, 2026

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.

According to staff interviews and video footage, Child #1 was alone in the classroom, asleep, from 2:36 PM-2:44 PM on 1.5.26 when Staff person #1 and Staff person #2 left the classroom with the remaining children to take them to the bathroom following nap. Child #1 was alone with no staff person present, for approximately 8 minutes.

3270.113(a) · Corrected Jan 6, 2026

An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #3, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

3270.36(b)/3270.192(2)(iii) · Corrected Feb 12, 2026

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 #1, who is a preschool age child, are dated 6.12.24 and 7.7.25, more than 12 months apart.

3270.131(b)(2)/3270.182(1) · Corrected Dec 16, 2025

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

Staff person #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 12.2.25.

3270.31(f) · Corrected Dec 16, 2025

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

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.

There was a missing toilet bolt cover on the toilet in the first bathroom on the right in the lower-level hallway.

3270.76 · Corrected Aug 19, 2025

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 the parents of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

3270.27(e) · Corrected Jan 10, 2024

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

The 2 most recent mandated reporter training certificates on file for Staff person #3 are dated 1.11.19 and 1.22.24, more than 60 months apart. The 2 most recent mandated reporter training certificates on file for Staff person #7 are dated 1.8.19 and 1.15.24, more than 60 months apart.

3270.32(a) · Corrected Feb 3, 2025

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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff person #1, #7, who were classified as group supervisors, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

3270.33(a)/3270.192(2)(ii) · Corrected Jun 30, 2025

A facility person may not use any form of physical punishment, including spanking a child.

According to staff interviews, Staff person was witnessed grabbing Child #1 by the arms and pulling the child to the ground while in the outdoor play area.

3270.113(b) · Corrected Sep 12, 2024

A facility person may not use harsh, demeaning or abusive language in the presence of children.

According to staff statements, Staff person #1 has been heard yelling at and using harsh language toward and regarding children in their care.

3270.113(d) · Corrected Sep 12, 2024

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 12.8.23-1.8.24; 1.8.24-2.8.24; 3.8.24-4.8.24; and 5.8.24-6.8.24, more than 30 days apart.

3270.95(a)/3270.95(b) · Corrected Sep 11, 2024

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

The file for staff person #1, was observed not to have completed pre-service training within 90 days of hire (See LIS CODE SHEET) Pediatric First Aid/Pediatric CPR. The pre-service training on file for staff person # 1 was dated 5/28/24.

3270.31(f) · Corrected Sep 11, 2024

The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of childcare experience, education and training following the outset of service at the facility.

The 2 most recent mandated reporter training certificates on file for Staff person #2 are dated 3/19/18 and 5/22/54, more than 60 months apart.

3270.32(a)/3270.192(2)(iii) · Corrected Sep 11, 2024

The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #2 lacked mandated reporter training that was completed within the past 60 months. The mandated reporter training in the file is dated 10/15/18.

3270.32(a)/3270.192(2)(ii) · Corrected Jan 15, 2024

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 #--- may not work in a child care position at the facility.

The file for staff person #6 lacked an FBI Clearance that was completed 60 months from the previous FBI Clearance. The FBI Clearances in the file were dated 3/19/18 and 6/21/23. The file for staff person #8 who was hired as an aide on (See LIS Code Sheet) lacked a valid Child Abuse Clearance. The Child Abuse Clearance was requested for volunteer purposes instead of employment purposes.

3270.32(a)/3270.192(4) · Corrected Dec 19, 2023

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 file for child #1 lacked a health report that included a review of the child's immunized status according to recommendations of the ACIP. The facility did not 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).

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 Drill and Fire Detection Log was observed for the 30 day smoke detector checks. There were 35 days between 1/10/23 and 2/14/23.

3270.95(a)/3270.95(b) · Corrected Apr 12, 2023

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).

During staff interviews on 1/5/23 it was stated that staff person #1 left the classroom out of ratio with two teachers and 15 young toddlers and older toddlers for approximately ten minutes while another teacher came up to the classroom.

3270.52 · Corrected Dec 20, 2022

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 #8 may not work in a child care position at the facility.

The file for staff person #3 lacked an FBI clearance that was completed 60 months from the previous FBI clearance. The FBI clearances in the file are dated 2/7/14 and 4/30/19. The file for staff person #6 lacked state police, child abuse, and FBI clearances that were completed 60 months from the previous clearances. The state police clearances in the file are dated 1/24/17 and 2/23/22. The child abuse and FBI clearances in the file are dated 1/24/17 and 2/24/22. The file for staff person #7 whom was hired on (See CODE LIS Sheet) as a group supervisor lacked a valid State Police Clearance. The State Police Clearance in the file is dated 8/27/19. The file also lacked a child abuse clearance that was completed 60 months from the previous child abuse clearance. The child abuse clearances in the file are dated 10/25/13 and 9/5/19.

3270.32(a)/3270.192(4) · Corrected Jan 20, 2023

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

The file for staff person #6 lacked a written evaluation that was completed 12 months from the previous written evaluation. The written evaluations in the file are dated 1/18/21 and 1/20/22. The file for staff person #8 lacked a written evaluation that was completed 12 months from the previous written evaluation. The written evaluations in the file were dated 10/8/21 and 10/25/22.

3270.34(a)(6) · Corrected Jan 20, 2023

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 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 file for staff person #16, with a start date of 12-10-21, lacked an initial health assessment at their start date and requires a current health assessment. The files for staff person #1, #2, #5, #6, #8, #9, #10, #11, and #14 had a health assessment that exceeded 24 months between assessments. The file for staff person #4, with a start date of 9-27-21, had an initial health assessment dated 10-5-21 that was after their start date. The file for staff person #12, with a start date of 8-3-21, had an initial health assessment dated 11-30-21 that was after their start date.

3270.151(a) · Corrected Feb 9, 2022

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 a plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

3270.27(a)(5) · Corrected Dec 10, 2021

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. Staff Person #13, Staff Person #15, Staff Person #16 may not work at the facility.