3280.76 · 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 basement at the bottom of the steps and to the left in the corner all around the bottom of the wall is crumbling and coming apart.

Corrected Corrected by Mar 10, 2025

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the basement at the bottom of the steps to the left in the corner there is peeling and crumbling paint on the walls.

Corrected Corrected by Mar 10, 2025

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

3280.26(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 operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for toddlers.

Corrected Corrected by May 10, 2024

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

3280.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and 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 #1 had current pediatric first-aid/CPR training with a completion date of 5-2-24 that was after the April 2024 expiration of the prior training.

Corrected Corrected by May 2, 2024

Category: ratio. Marked corrected in the state record.

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the basement, there were a couple of areas near the corner on the wall that had damaged paint/plaster.

Corrected Corrected by May 10, 2024

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

3280.131(d)(5)/3280.131(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). Child #1 must be dismissed from care by close of business on 5-10-24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for child #1, a 3 year old enrolled more than 60 days at the facility, lacked documentation of the 3rd HIB vaccination, 4th Pneumococcal vaccination, and 2nd Hepatitis A vaccination being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by May 10, 2024

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

3280.94(a)(4) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

According to the fire drill log, the hypothetical location of the fire was the same for consecutive fire drills.

Corrected Corrected by May 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The facility lacked a class B fire extinguisher in the kitchen.

Corrected Corrected by May 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.76 · 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 hallway on the main floor leading to the kitchen, the vent on the floor was dented and uneven with the floor resulting in a tripping hazard.

Corrected Corrected by Jan 11, 2024

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

3280.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

According to multiple staff and observations from video recorded by a camera at the facility, multiple children at the facility have been observed roughhousing and wrestling with each other without staff intervening to prevent injury or providing redirection.

Corrected Corrected by Jan 10, 2024

Category: supervision. Marked corrected in the state record.

3280.105(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

In the toddler room during naptime, there was a child sleeping on a cot that lacked 2 feet of space on three sides.

Corrected Corrected by May 4, 2023

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

3280.111(b) · The written plan of daily activities and routines shall be posted in a traffic area used by parents.

The daily activity schedule was not posted in the facility.

Corrected Corrected by May 4, 2023

Marked corrected in the state record.

3280.123(a) · An agreement shall be signed by the operator and the parent.

The file for child #1 had an agreement that was not signed by the operator and the parent.

Corrected Corrected by May 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The file for child #1 had an agreement that lacked the child's arrival and departure times.

Corrected Corrected by May 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility lacked a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment to comply with 45 CFR 98.41(a)(1)(vi).

Corrected Corrected by May 4, 2023

Category: ratio. Marked corrected in the state record.

3280.14/3280.20 · 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.

Staff person #1 and #2, with health and safety training completed prior to 10-4-22, had the Pennsylvania Health and Safety Update 2022 Training dated 4-20-23 that was not completed by 12-30-22 as required. Staff person #3, with health and safety training completed prior to 10-4-22, had the Pennsylvania Health and Safety Update 2022 Training dated 1-22-23 that was not completed by 12-30-22 as required. Staff person #4, with health and safety training completed prior to 10-4-22, had the Pennsylvania Health and Safety Update 2022 Training dated 3-11-23 that was not completed by 12-30-22 as required.

Corrected Corrected by May 4, 2023

Category: ratio. Marked corrected in the state record.

3280.32(a)/3280.192(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 #4 had state police, child abuse, and FBI clearances that exceeded 60 months between clearances.

Corrected Corrected by May 4, 2023

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

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

In the bathroom on the first floor, there was a bottle of hand sanitizer labeled "Keep out of reach of children" that was in the cabinet above the sink and was accessible to children.

Corrected Corrected by May 4, 2023

Category: ratio. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The file for child #1 had an agreement that lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by May 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 file for child #1 had an emergency contact form that lacked the name of the health insurance and the policy number.

Corrected Corrected by May 4, 2023

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

3280.124(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 file for child #1 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by May 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

In the upstairs toddler room, child #6, who was observed in care in the room, lacked an emergency contact form in the room. In the basement, child #4 and #5, who were observed in care in the room, lacked an emergency contact form in the room.

Corrected Corrected by May 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2)/3280.182(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 must contain initial and subsequent health reports.

The file for child #1, a preschooler, lacked a current health assessment updated within the last 12 months. The file for child #2, a preschooler, had a health assessment that exceeded 12 months between assessments.

Corrected Corrected by May 4, 2023

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

3280.131(d)(5)/3280.131(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). Child #3 must be dismissed from care by close of business on 5-4-23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for child #3, a 2 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by May 4, 2023

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

3280.135(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.

In the upstairs toddler room, the hands-free covered can next to the changing table that is used to discard soiled diapers had a lid that was not opening when the foot pedal was pressed. Therefore, the covered can was not functioning as a hands-free covered can.

Corrected Corrected by May 4, 2023

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

3280.175(c) · Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

The manufacturer's instructions for use of safety restraints was not located in the vehicle used to transport children.

Corrected Corrected by May 25, 2023

Category: transportation. Marked corrected in the state record.

3280.178 · A first-aid kit, including the contents as specified in §3280.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

The first-aid kit in the vehicle used to transport children lacked scissors and tweezers.

Corrected Corrected by May 25, 2023

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

3280.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

The operator lacked an individual record for child #4 and child #5, who were enrolled in the facility and observed in care.

Corrected Corrected by May 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.181(c) · 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 file for child #1 lacked an emergency contact form and agreement updated within the last 6 months.

Corrected Corrected by May 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

2ND CITATION: According to staff statements, staff person #1 worked at the facility functioning as a staff person between 4-25-22 to 6-16-22 and lacked a valid child abuse clearance during that time. (Staff person #1 was previously observed working as a staff person at the facility on 4-22-22 without a valid child abuse clearance and was not permitted to work at the facility until a valid child abuse clearance was received.) PREVIOUSLY CITED ON 4-22-22.

Corrected Corrected by May 16, 2022

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

3280.52(c) · 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 at §3280.52(b).

2ND CITATION: At approximately 11:20 am, staff person #1 was observed answering the door to the facility. Staff person #2 was observed in the kitchen, located down the hallway, with 9 children, including 1 young toddler, 3 older toddlers, 1 preschooler, and 4 school-age children, resulting in staff person #2 being out of ratio. PREVIOUSLY CITED ON 4-22-22.

Corrected Corrected by Jul 4, 2022

Category: ratio. Marked corrected in the state record.

3280.61(e) · Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms.

At approximately 11:25 a.m., there were 9 children observed in the kitchen with staff person #1 and #2. Staff person #2 was preparing lunch while 3 children were sitting in high chairs and 6 children were sitting at the table doing an activity, with the kitchen being used as child care space during that time.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2)/3280.182(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 must contain initial and subsequent health reports.

2ND CITATION: The file for child #1, a preschooler, lacked an updated health assessment within the last 12 months. PREVIOUSLY CITED ON 4-22-22.

Corrected Corrected by Jun 30, 2022

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

3280.32(a)/3280.192(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. Staff Person #2 and Staff Person #3 may not work at the facility.

The file for staff person #2 had a volunteer child abuse clearance at their start date and requires a child abuse clearance for employment. The file for staff person #3 lacked an NSOR verification certificate at their start date and requires a current NSOR verification certificate and had an FBI clearance with a rap sheet that was incomplete.

Corrected Corrected by Apr 22, 2022

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

3280.34(b)(5)/3280.192(2)(ii) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #3, functioning as a primary staff person, lacked verification of education to qualify as a primary staff person.

Corrected Corrected by Apr 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.52(c) · 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 at §3280.52(b).

At approximately 10:40 a.m., staff person #3 answered the door by walking into the hallway to the front door leaving staff person #2 in the main child care room with 8 total children, including 3 young toddlers, 1 older toddler, and 4 preschoolers, resulting in staff person #3 being out of ratio.

Corrected Corrected by Apr 23, 2022

Category: ratio. Marked corrected in the state record.

3280.124(b)(1) · Emergency contact information must include the name and birth date of the child.

The file for child #2 had an emergency contact form that lacked the child's birthdate.

Corrected Corrected by Apr 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2)/3280.182(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 must contain initial and subsequent health reports.

The file for child #1, a preschooler, lacked an updated health assessment within the last 12 months.

Corrected Corrected by May 1, 2022

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

3280.131(e)(1)/3280.182(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 must contain initial and subsequent health reports.

The file for child #1, a 4 year old, and child #2, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Apr 22, 2022

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

3280.151(a)/3280.192(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 file for staff person #1 lacked a current health assessment updated within the last 24 months.

Corrected Corrected by Apr 22, 2022

Category: ratio. Marked corrected in the state record.

3280.151(c)(3)/3280.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The files for staff person #2 and #3 had a health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Jun 24, 2022

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

3280.26(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 a plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Apr 22, 2022

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility lacked documentation on file of an emergency drill being conducted within the last year.

Corrected Corrected by May 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

At the time of the renewal inspection, the facility lacked written documentation of testing of the fire detection system (interconnected smoke detectors) at least once every 30 days, including within the last 30 days. The facility lacked proof of purchase of the interconnected fire detection system (interconnected smoke detectors) in accordance with 62 P.S. 1016(c)(3).

Corrected Corrected by Jun 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

SECOND CITATION PREVIOUSLY CITED ON 11/12/2021 - At approximately 10:15 am, 9 children were being cared for in the upstairs child care space which has a licensed capacity of 8.

Corrected Corrected by Dec 10, 2021

Category: ratio. Marked corrected in the state record.

3280.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

At approximately 11:30 am, 10 children, including infants, toddlers and preschoolers, were in the upstairs classroom which is licensed for 8 children.

Corrected Corrected by Nov 12, 2021

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

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The fire detector from the kitchen was on the counter and did not operate when the system was tested from the lower classroom. Facility staff stated the kitchen fire detector was in need of batteries.

Corrected Corrected by Nov 12, 2021

Category: recordkeeping. Marked corrected in the state record.