3270.66(b) · 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 stored away from food, food preparation areas and child care spaces.

Observed three blue spray bottles which were not labeled with the specific contents of the bottles.

Corrected Corrected by Jun 17, 2025

Category: ratio. Marked corrected in the state record.

3270.102(b) · Toys soiled by secretion or excretion shall be cleaned with soap and water, rinsed and sanitized before being used by a child.

Observed preschool children in the gross motor room using plastic cones as bullhorns and placing their mouths on the ends of the cones.

Corrected Corrected by Jun 24, 2025

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.

Observed a white step stool in the main room which had a detached and unsafe side rail.

Corrected Corrected by Jun 17, 2025

Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Observed cartons of milk, in the preschool room, which were not refrigerated after being partially served to the children.

Corrected Corrected by Jun 17, 2025

Category: nutrition. 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.

Observed the documented fire alarm testing log, revealed that one time on the previous 12 months the fire alarms were tested more than 30 days apart (11/8/24-12/9/24).

Corrected Corrected by Jun 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Observed child files #1, #2, #3, #4, and #5 contained original agreements.

Corrected Corrected by Jun 25, 2024

Category: recordkeeping. 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.

Observed staff file #3 contained recent fire safety training which was completed more than 15 months after the previous valid fire safety training.

Corrected Corrected by Jun 25, 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). Facility Person # -1 and 4- may not work in a childcare position at the facility until a valid Maryland child abuse clearance is obtained. Facility person #5 will need to date and resign the disclosure statement.

Observed staff file #1 did not contain the CPSL required out of state Maryland child abuse clearance. Observed staff file #4 did not contain the CPSL required out of state Maryland child abuse clearance. Observed staff file #5 contained a disclosure statement which was not dated to document that it was signed prior to starting initial employment in a childcare position.

Corrected Corrected by Jun 25, 2024

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.

Observed staff file #2 contained a most recent evaluation which was dated more than 14 months ago.

Corrected Corrected by Jun 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

Observed at the time of inspection the preschool room did not have a first-aid kit.

Corrected Corrected by Jun 25, 2024

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Observed one of the refrigerators utilized by the facility to store food had liquid spilled on the bottom of the refrigerator.

Corrected Corrected by Jun 25, 2024

Category: nutrition. Marked corrected in the state record.

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

Observed the agreement for child #3 was not signed by the operator.

Corrected Corrected by Jun 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(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.

Observed the emergency contact information was not present in the preschool room for the children who were receiving care in the space.

Corrected Corrected by Jun 25, 2024

Category: recordkeeping. 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.

Observed staff file #2 contained an updated health assessment which was dated more than 27 months after the previous valid health assessment.

Corrected Corrected by Jun 25, 2024

Category: ratio. 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.

Observed the most recent emergency drill (1/16/24) was conducted more than 12 months after the previously conducted emergency drill (12/21/22).

Corrected Corrected by Jun 25, 2024

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.

Observed the initial health report for child #5, was dated more than 6 months after the first day of attendance at the facility.

Corrected Corrected by Jun 25, 2024

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

3270.133(7)(i) · A medication log shall include the name of the medication.

The Medication Log for child #6, did not include the name of the medication.

Corrected Corrected by Oct 2, 2023

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

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

The Files for children #1, #2, #3, #4, #5, #6 did not contain documentation of consent for swimming.

Corrected Corrected by Oct 2, 2023

Category: transportation. 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.

The facility was observed to have an electrical outlet accessible to children under 5 years of age (on the wall to the front of the facility person's desk) in the computer room that lacked a protective cover.

Corrected Corrected by Aug 3, 2023

Marked corrected in the state record.

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

The file for Child #2 was observed to lack an agreement signed by the operator and the parent.

Corrected Corrected by Aug 3, 2023

Category: recordkeeping. 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 files for the children #1 and #2 (see LIS for enrolled dates) were observed to lack documentation that the Department's approved form (Child Service Report) which provides information to the family about the child's growth and development in the context of the services being provided was completed and/or updated and a copy provided to the family.

Corrected Corrected by Aug 8, 2023

Category: recordkeeping. 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 file for child #5 was observed to contain an Emergency Contact form that failed to include specific information regarding a disability including specifying no disability exists by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Aug 4, 2023

Category: health medication. 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 file for child #3 was observed to contain an emergency contact form that lacked the policy number of health insurance coverage for the child.

Corrected Corrected by Aug 3, 2023

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.

The file for child #4 was observed to contain an emergency contact form that lacked the address and telephone number of the individual designed by the parent to whom the child may be released.

Corrected Corrected by Aug 3, 2023

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 file for child #1 (see LIS for enrollment date) was observed to lack documentation that the parent updated in writing the emergency contact information and the financial agreement once in a 6-month period.

Corrected Corrected by Aug 3, 2023

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).

The immunization record on file for child #1 was observed not to be up to date with the recommended ACIP schedule due to no annual influenza vaccine in 2022.

Corrected Corrected by Aug 3, 2023

Category: health medication. 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 was observed to have an emergency plan which states the facility will accommodate infants, toddlers, children with disabilities, and children with chronic medical conditions, but this statement lacked to provide the details of the accommodations for each infant, toddler, child(ren) with a disability, and child(ren) with a chronic medical condition in the event of an emergency.

Corrected Corrected by Aug 3, 2023

Category: physical safety. 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.

2nd citation. Previously cited on 6/24/22. The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, and distraught child, but the policy did not address the prevention and identification of child maltreatment.

Corrected Corrected by Aug 11, 2022

Category: ratio. 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 did not have an emergency plan that provides for accommodations for children with chronic medical conditions.

Corrected Corrected by Jul 14, 2022

Category: physical safety. 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.

An emergency drill was not conducted annually. The facility had documentation of an emergency drill being conducted on 1/28/22.

Corrected Corrected by Jul 14, 2022

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 facility did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, and distraught child, and the prevention and identification of child maltreatment.

Corrected Corrected by Jul 14, 2022

Category: ratio. Marked corrected in the state record.

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

The operator did not post the emergency plan in the facility at a conspicuous location.

Corrected Corrected by Jul 14, 2022

Category: physical safety. 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.

On 6/24/22 observed a bench in front of the door that leads from the kitchen to the hallway.

Corrected Corrected by Jul 14, 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.

On 6/24/22 observed a torn gym mat with exposed foam in the large indoor play space.

Corrected Corrected by Jul 14, 2022

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The 2nd refrigerator in the kitchen lacked an operating thermometer.

Corrected Corrected by Jul 14, 2022

Category: nutrition. Marked corrected in the state record.

3270.124(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.

Emergency contact information was not present for any child receiving care in the large indoor play space.

Corrected Corrected by Jul 14, 2022

Category: recordkeeping. 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 emergency contact and agreement for Child #2 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #2's emergency contact and agreement were signed on 8/31/21 and then reviewed on 3/1/22..

Corrected Corrected by Jul 14, 2022

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 Director or designated staff person did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation that a fire drill was conducted on 8/12/21 with the next one conducted on 10/21/21.

Corrected Corrected by Jul 14, 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 facility was unable to provide written documentation that the fire detection system was manually tested at least every 30 days or tested annually by a fire safety professional. The facility provided a written record that the fire detection system was manually tested on 6/28/21, 7/28/21, 8/12/21, 9/21/21, 10/21/21, 11/24/21, 12/16/21, 1/19/22, 2/18/22, 3/18/22, 4/18/22, and 5/18/22. The facility provided documentation that the fire detection system was inspected by a fire safety professional on 3/31/21 and then again on 5/27/22.

Corrected Corrected by Jul 14, 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.

The file of Child #1, with an admission date of 9/7/21, lacked an initial health report no later than 90 days following the first day of attendance at the facility. The file of Child #1 contained a health report not dated and signed by a physician, physician's assistant, or a CRNP.

Corrected Corrected by Jul 14, 2022

Category: health medication. 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.

Observed hand sanitizer and sunscreen accessible to children on the table at entrance to the facility. Observed shaving cream, labeled keep out of reach of children, accessible to children in the science area of the main room.

Corrected Corrected by Jul 8, 2021

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.

Observed damaged floor tile in Teen area, damaged splintering door trim by kitchen area, 2 damaged cover plates, and damaged drywall in the eating area. Observed in the boys restroom, broken stall supports with rough edges.

Corrected Corrected by Aug 30, 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.

Observed damaged paint in the main room by the tall cabinet.

Corrected Corrected by Sep 3, 2021

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

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Observed child files #1, 2, 3, 4, and 5 contained original agreements.

Corrected Corrected by Jul 9, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(5) · 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Observed the emergency contact information for child #2 did not contain written consent signed by a parent for emergency medical care or signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jul 8, 2021

Category: ratio. 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.

Observed child file #2 and #3 did not include the health insurance coverage and policy number.

Corrected Corrected by Jul 9, 2021

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.

Observed the emergency contact information for child #2 and #3 was missing either the address or telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jul 8, 2021

Category: recordkeeping. 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.

Observed child file #3 contained a health assessment which did not contain a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Jul 16, 2021

Category: health medication. 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.

Observed the immunization record for child file #1 did not include documentation of the flu vaccination or a letter of exemption written by the parent. Observed child file #3 did not contain an immunization record and the child has been in attendance for more than 60 days.

Corrected Corrected by Sep 2, 2021

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Observed lunchables, which are labeled keep refrigerated, in a lunch box hanging in the cubby area.

Corrected Corrected by Jul 8, 2021

Category: nutrition. 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.

Observed the facility did not provide information to the parent of enrolled children on how to access the regulations in this chapter electronically.

Corrected Corrected by Aug 24, 2021

Marked corrected in the state record.