3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility.

The file for Staff #1 was lacking a NSOR clearance.

Corrected Corrected by Jan 9, 2026

Category: background checks. 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 file for Staff #1 was lacking a health assessment.

Corrected Corrected by Jan 22, 2026

Category: ratio. 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 #1 was lacking a TB screening.

Corrected Corrected by Jan 27, 2026

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 #1 was lacking two written, nonfamily references.

Corrected Corrected by Jan 27, 2026

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 instance of testing of the smoke detection system was more than the required 30 days: 9.29.25-11.21.25

Corrected Corrected by Jan 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

An expired EpiPen was observed in the office medication drawer.

Corrected Corrected by Mar 17, 2025

Category: health medication. 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 update to the Pediatric First Aid and CPR training on file for Staff Person's #1 and #2 was not completed prior to the expiration of the prior certification. The most recent Pediatric First Aid and CPR training was completed on 3.6.2025. The prior certification expired on 2.28.2025.

Corrected Corrected by Mar 6, 2025

Category: ratio. 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.

A bottle of hand sanitizer and a Bath and Body Works PocketBac hand sanitizer were observed on top of the cubby next to the exit to the outdoor play space. The hand sanitizers could be reached by children receiving care in the space.

Corrected Corrected by Mar 17, 2025

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by the telephone in the classroom.

Corrected Corrected by Mar 17, 2025

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 form for Child #1 lacked the complete addresses for the release persons listed.

Corrected Corrected by Mar 17, 2025

Category: recordkeeping. 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). Children #2, #3 and #4 will be dismissed from care at close of business on 3.17.2025.

The immunization record on file for Child #2 lacked 1 of their 3 recommended Hepatis B vaccinations. The immunization record on file for Child #3 lacked 1 of their 4 recommended DTAP and Pneumococcal vaccinations. The immunization record on file for Child #4 lacked 1 of their 4 recommended DTAP vaccinations. Written exemptions were not on file for the children at the time of the inspection.

Corrected Corrected by Mar 17, 2025

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

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

An EpiPen was observed in the medication drawer in the office. The EpiPen lacked the written instructions from the individual who prescribed the medication.

Corrected Corrected by Mar 17, 2025

Category: ratio. Marked corrected in the state record.

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

A nebulizer machine was observed in a child's cubby. The front pocket of the nebulizer machine contained two Albuterol Sulfate Solution vials. The facility reported the nebulizer, and solutions were intended for the child to take with them to their father's home and was not intended for use at the facility. The Albuterol Sulfate Solution vials were accessible to children receiving care in the space.

Corrected Corrected by Mar 17, 2025

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

3270.181(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 updates to the emergency contact form and financial agreement for Child #1 have exceeded 6 months since last documented review on 8.1.2024.

Corrected Corrected by Mar 17, 2025

Category: recordkeeping. 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 emergency plan on file did not address accommodations for children with chronic medical conditions. A medication (EpiPen), intended for a child in care, was observed at the facility.

Corrected Corrected by Mar 21, 2025

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

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

The facility has exceeded 12 months since their last emergency drill. The last documented emergency drill occurred on 2.16.2024.

Corrected Corrected by Mar 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The facility reported summer closure for June, July and mid August. The facility completed a Fire Drill on 3.22.2024 but lacked a Fire Drill in May of 2024. The facility did not complete a fire drill until the program resumed in 8.2024.

Corrected Corrected by Mar 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The facility lacked documentation that they had submitted the emergency plan to the local municipality and the county emergency management agency.

Corrected Corrected by Mar 21, 2025

Category: physical safety. 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 parent letter did not include updates to the emergency plan for lockdown and accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Apr 15, 2024

Category: physical safety. 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.

The outdoor fencing located near the Simplicity 2 playset had a rusted bracket at the very bottom of the fence.

Corrected Corrected by Apr 15, 2024

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

3270.124(b)(2)/3270.124(b)(3) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. The emergency contact form for Child #1 lacked a complete address for the child's physician

The emergency contact form for Child #1 and Child #5 lacked a complete home address for the child and parent. Child #5's emergency contact form also lacked the enrolling parent's work address.

Corrected Corrected by Apr 3, 2024

Category: health medication. 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.

Child #3 had an emergency contact form that lacked a complete address for the persons designated by the parent to whom the child may be released.

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form and agreement for Child #1 was updated on 5-30-23 and not again until 1-4-24, which was more than 6 months in between. The emergency contact form and agreement for Child #5 were signed on 5-31-23 and not updated again until 1-4-24, which was more than 6 months in between.

Corrected Corrected by Apr 5, 2024

Category: recordkeeping. 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.

Child #1 had an initial health assessment dated 1-4-23 and an updated health assessment dated 2-7-24, which is more than 1 year apart. Child #4 had an initial health assessment dated 9-13-22 and an updated health assessment dated 11-16-23, which is more than 1 year apart.

Corrected Corrected by Mar 25, 2024

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).

Child #2 had an immunization record that lacked documentation of a varicella vaccine as recommended by the ACIP. Child #5 had an immunization record that lacked documentation of updated vaccinations according to the ACIP. Child #5 had only 1 of 2 Hep A vaccinations, only 2 of 3 HiB vaccinations and 2 of 4 pneumococcal vaccinations.

Corrected Corrected by Apr 15, 2024

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.

Staff person #1 had a previous health assessment dated 1-27-22 and a current health assessment dated 2-22-24, which was obtained after 24 months of the previous health assessment.

Corrected Corrected by Feb 24, 2024

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.

There were more than 30 days between manual checks of the fire detection system which were dated 12/22/23, 1/22/24 and 2/22/24.

Corrected Corrected by Mar 29, 2024

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 file for staff #1, 2 and 3 did not contain the one hour health and safety update by 12/30/22. There are now current updates on file for staff 1, 2 and 3 and dated - Staff #1 - 2/15/23 and Staff #2 and 3 - 1/31/23.

Corrected Corrected by Apr 18, 2023

Category: ratio. 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.

There was more than 12 months between the previous and most current fire safety trainings on file for staff #1, 2 and 3. Dates are as follows: Staff #1 and 2 - 10/8/21 and 12/6/22. Staff #3 - 8/21 and 12/8/22.

Corrected Corrected by Apr 18, 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 person # 1 and 2 will have 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person #1 and 2- 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 #- s1 and 2, staff person #1 and 2 may not work in a child-care position at the facility.

Staff persons #1,and 2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff #1 and 2 - 6 hour health and safety training between 9/30/16 and 6/30/18. Staff #1 - Pediatric CPR/FA with approved curriculum.

Corrected Corrected by May 18, 2023

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). Facility Person # 2-- may not work 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.

The file for staff #2 lacks a PA State Police clearance which has been completed within the past 60 months. This is evidenced by the current PA State Police clearance on file which is dated 2/6/2018.

Corrected Corrected by Apr 18, 2023

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

3270.33(a)/3270.192(2)(ii) · 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 #1, who holds the title of assistant group supervisor, lacks documentation of the qualifications for an assistant group supervisor.

Corrected Corrected by May 17, 2023

Category: supervision. 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 outside play yard, observed a large caterpillar which the children can crawl through. The top of the purple area of the caterpillar was cracked creating a pinch point.

Corrected Corrected by Apr 18, 2023

Category: physical safety. 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 file for child #1, who is of preschool age, lacked a health assessment which was completed within the past 12 months.

Corrected Corrected by May 17, 2023

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

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The most current health report on file for child #2 was not signed by a physician, physician's assistant, or a CRNP.

Corrected Corrected by Apr 23, 2023

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 most current health report on file for child #2 lacks the statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Apr 23, 2023

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.

There was more than 24 months between health assessments on file for facility persons #1, 3, and 4. Dates area as follows: Staff #1 - 2/22/21 and 2/28/23. Staff #3 - 1/8/20 and 1/27/22. Facility person #4 -12/3/19 and 2/14/22.

Corrected Corrected by Apr 18, 2023

Category: ratio. Marked corrected in the state record.

3270.131(e)(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.

The file for Child #1 who is 4 years old, contained an immunization record that was lacking 1-2 doses of rotovirus immunization and 1 dose of Hepatitis A immunization. The file for Child #2, who is 4 years, contained an immunization record that was lacking 2-3 doses of the rotovirus immunization.

Corrected Corrected by Mar 9, 2022

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

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

The facility did not conduct and document an annual emergency drill between 12/19/20-12/29/21.

Corrected Corrected by Mar 4, 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.

In the facility's documentation of testing of the fire detection system, there were two occasions that there were more than 30 days between testing, 9/17/21-10/29/21 and 12/17/21-1/19/22.

Corrected Corrected by Mar 9, 2022

Category: recordkeeping. Marked corrected in the state record.