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. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3, has not completed Pediatric first aid and CPR training on or before expiration of the most current certification, as required per Announcement C-24-03. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 5.31.25. Documentation of updated Pediatric first aid and CPR training is not on file

Corrected Corrected by Nov 7, 2025

Category: supervision. 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.

The two most recent Fire Safety trainings on file for Staff person #3 are dated 6.19.24 and 7.9.25, more than 12 months apart. The most recent Fire Safety training on file for Staff person #4 is dated 6.19.24, more than 12 months ago.

Corrected Corrected by Jul 11, 2025

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 or (g)1-10. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Staff person #4 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR, as required per Announcement C-24-03.

Corrected Corrected by Jul 16, 2025

Category: supervision. 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 current health assessment on file for Staff person #1 does not indicate if the staff person was assessed for communicable/contagious disease.

Corrected Corrected by Jul 17, 2025

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 person #1 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

Corrected Corrected by Jul 17, 2025

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

3270.131(d)(1) · A health report shall include a review of the child's health history.

The current health assessment on file for Child #1 does not include information regarding the child's health history.

Corrected Corrected by Sep 12, 2024

Category: health medication. 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 person #2 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 1.31.24.

Corrected Corrected by Sep 12, 2024

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The health assessment on file for Child #1 does not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected Corrected by Sep 12, 2024

Category: health medication. 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 for Staff person #1 includes only 1 written nonfamily reference.

Corrected Corrected by Sep 12, 2024

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 facility does not have a fire alarm 30-day test log, as required in Announcement C-23-02.

Corrected Corrected by Sep 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility did not have verification of providing the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Corrected Corrected by Sep 12, 2024

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).

The disclosure statement in the file for Staff Person #1 was on an outdated form.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

The glass door in the Young Toddler room did not have a visual strip or visual identification placed in the traffic area.

Corrected Corrected by Sep 22, 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.

Resting mats in the Young Preschool room were observed to be ripping on the corners of the mats and not in good repair.

Corrected Corrected by Sep 22, 2023

Category: physical safety. 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.

A determination could not be made if Staff Person #1 had a health assessment conducted. The health form was signed by a physician, but the form was not completed by the physician.

Corrected Corrected by Sep 23, 2023

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.

The file for staff person #2, #3 and #6 lacked training in the 10 required health and safety training topics by April 29, 2022. The pre-service training on file for staff person #2 is dated 6/27/22, the file for staff person #3 has a completion date of 7/21/22, and the file for staff person #6 has a completion date of 7/21/22.

Corrected Corrected by Sep 19, 2022

Category: health medication. 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 two most recent Emergency Plan Trainings for staff person #3 and #5 are dated more than 12-months apart.

Corrected Corrected by Sep 19, 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.

The file for staff person #3 has documentation of expired pediatric first aid/CPR certification that is dated 5/1/20.

Corrected Corrected by Sep 19, 2022

Category: ratio. 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 two most recent fire safety trainings in the file for staff person #3 and #5 are dated more than one year apart.

Corrected Corrected by Sep 19, 2022

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 person #4, #5, and #8 will have until 10/5/22 to complete the required training. Until such time as the required training has been completed, staff person #4, #5, and #8 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 #4, #5, and #8, staff person #4, #5, and #8 may not work in a child-care position at the facility.

Staff person #4, #5, and #8 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety topics 3270.31(f)(1 - 9).

Corrected Corrected by Sep 26, 2022

Category: supervision. 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.

The file for staff person #1 was observed to have documentation Mandated Reporter training that was not renewed before the expiration date of the most current certification required under CPSL. The two most current trainings are dated 5/15/15 and 5/26/20. The file for staff person #7 was observed to have documentation of PA Criminal History Clearance and PA Child Abuse Clearance that were not renewed before the expiration date of the most current certification.

Corrected Corrected by Sep 19, 2022

Category: ratio. Marked corrected in the state record.

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

In the Older Toddler room, the bottom of the toilet was observed to have two exposed screws that did not have the round toilet bolt cap.

Corrected Corrected by Sep 19, 2022

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 Older Toddler room, a toy bin containing Mr. Potato Head toys and a toy bin containing craft pom-poms were observed to be cracked. On the right side in the PS Room, a toy bin containing baby doll clothes and a toy bin containing toy Marble Maze were observed to be cracked. On the left side of the PS room, a Little Tikes Tap A Tune Piano Musical Toy and a plastic toy school were observed to be cracked. In the Young PS Room, three Tomy Gearation Magnetic Boards were observed to be cracked. These conditions exposes the children in care to rough edges, sharp corners and pinch and crush points.

Corrected Corrected by Sep 19, 2022

Category: ratio. 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.

On the right side of the PS room, one thin, red cushion for a child's chair was observed to be ripped and tearing around the edges of the cushion.

Corrected Corrected by Sep 19, 2022

Marked corrected in the state record.

3270.131(e)(1)/3270.182(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. A child's record shall contain initial and subsequent health reports.

The file for child #1 lacked documentation of the yearly Influenza shot with no letter of exemption in file.

Corrected Corrected by Sep 19, 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.

The two most recent health assessments for staff person #3 were dated more than 24 months apart: 4/23/19 and 5/21/21.

Corrected Corrected by Sep 19, 2022

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.

The most recent fire alarm inspection report, dated 10/15/21, is dated more than 1 year after the previous annual inspection, dated 9/19/20.

Corrected Corrected by Oct 15, 2021

Category: health medication. 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.

The file for Staff person #9, with a hire date of 9/3/21, does not include verification of emergency plan training, to be completed at hire. The file for Staff person #13, a volunteer, with a start date of 8/2/21, does not include verification of emergency plan training, to be completed at hire.

Corrected Corrected by Sep 29, 2021

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). 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 disclosure statements on file for Staff person #7 and #12 do not include a witness signature, making them invalid. The fie for Staff person #10 includes criminal history clearances dated 9/3/19 and 8/28/14; child abuse clearances dated 9/12/19 and 8/22/14; and FBI clearances dated 9/9/19 and 8/7/14, all more than 60 months apart.

Corrected Corrected by Oct 1, 2021

Category: background checks. 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.

The file for Staff person #1, with a hire date of 11/16/20, includes a criminal history clearance, dated 11/14/20, which was obtained for volunteer purposes.

Corrected Corrected by Sep 28, 2021

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

3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

An infant was observed sleeping in a crib with a mobile attached to the crib rail.

Corrected Corrected by Sep 28, 2021

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

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact form on file for Child #2 does not include information regarding whether or not the child has any special needs, as required in the event of an emergency.

Corrected Corrected by Sep 28, 2021

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 staff person was observed in the infant room placing a soiled diaper on the sink counter prior to placing it in the hands free container. The same staff person was also observed opening the hands free container with her hand, rather than using the foot pedal.

Corrected Corrected by Sep 28, 2021

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

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The file for Staff person #4, with a hire date of 6/28/21, has a tuberculosis test result dated 10/2/19, more than 12 months before the hire date.

Corrected Corrected by Sep 28, 2021

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

3270.31(h)/3270.192(2)(iii) · All staff persons shall complete the professional development under subsection (f). 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 #11, an existing staff member, lacked documentation of health and safety training numbers 1 - 9, as listed in the regulation 3270.31(f). Training was required to be completed by 6/17/21, 180 days following the implementation of the current regulations. The file for Staff person #6, with a hire date of 6/24/21, does not include documentation of health and safety training numbers 1 - 9, as listed in the regulation 3270.31(f), to be completed by 9/22/21, 90 days after hire. The file for Staff person #5, with a hire date of 6/21/21, does not include documentation of health and safety training numbers 1 - 9, as listed in the regulation 3270.31(f), to be completed by 9/19/21, 90 days after hire.

Corrected Corrected by Sep 28, 2021

Category: health medication. 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.

During the swimming activity inspection on 8/5/21, 3 children were observed to be across the pool, on their towels in the grass, with no staff person present with the children.

Corrected Corrected by Sep 8, 2021

Category: supervision. Marked corrected in the state record.