3280.113(b)/3280.113(c) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. Tiered LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. The date of correction for this portion of the plan must be immediate. 2. The Legal Entity will establish policies for appropriate discipline of children. These policies must include acceptable strategies for dealing with children's behaviors and must also address which strategies are prohibited by regulation (spanking, smacking, hitting with objects, etc.). The legal entity must submit the policy to the regional office for approval. All existing staff and new hires must be trained on the policy and sign an acknowledgment that must be kept on file. The operator must provide a correction date for when this portion of the plan will be completed.

On 4/2/25 a complaint investigation was conducted. It was found through interviews that on 3/28/25 in the afternoon hours, staff #1 singled out child #1 for behaviors that two children were engaging in and staff #1 "smacked" child #1 on the face with his hand. Staff #1 acknowledged that he only "tapped" child #1 on the head with a book.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.61(e)/3280.71 · Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms. Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

An unannounced inspection was completed on 4/2/25. Staff reported that children are brought into the kitchen for time outs. In the kitchen is a stove with no safeguard and the kitchen is not measured childcare space. It was reported that a staff person is present with the child in the kitchen.

Corrected Corrected by Apr 3, 2025

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.

A renewal inspection was conducted on 3/14/25. The facility's emergency plan does not address continuity of operations in the event of an emergency.

Corrected Corrected by Mar 26, 2025

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 #2 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2.

A renewal inspection was conducted on 3/14/25. Staff person #2 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. The 1-hour update was required to be completed by 12/30/22.

Corrected Corrected by Mar 26, 2025

Category: ratio. Marked corrected in the state record.

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

A renewal inspection was conducted on 3/14/25. Child #1's emergency contact form did not contain the enrolling parents home phone number or work address and work telephone number.

Corrected Corrected by Mar 26, 2025

Category: recordkeeping. 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.

A renewal inspection was conducted on 3/14/25. Staff person #1 & #3's health assessment does not indicate if staff person has communicable diseases and may work in childcare setting.

Corrected Corrected by Mar 28, 2025

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

3280.14/3280.69(b) · 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. Safe drinking water shall be made available to children of all ages throughout the day.

Facility is a Group Home with a capacity of 12 children. The building also contains a second Group Home, owned by the same operator, with a capacity of 12 children. On 8/29/22, operator reports during inspection that between children and staff for both Group Homes more than 25 people are served daily on a regular basis. Facilities that serve more than 25 people per day must be a regulated Public Water System (PWS) and have a letter issued by the PA Department of Environmental Protection (DEP) verifying compliance with the Safe Water Drinking Act (SWDA). The operator had previously submitted an attestation to the PA Department of Environmental Protection (DEP) that the facility serves less than 25 people per day. On 11/17/22 Cert. Rep. confirmed with DEP that the operator is required to be a regulated PWS and that a field order was issued by DEP for violations and requiring "Do Not Drink" drinking water measures. On 11/21/23, it was determined the operator does not have proof from DEP indicating compliance with the SDWA as an approved PWS. An acceptable plan was received on 11/22/22 with a correction date of 5/23/23. On 5/24/23, the Cert Rep confirmed that the facility is still not in compliance with the SDWA. An acceptable plan was received on 5/30/23 with a correction date of 11/21/23. On 11/22/23, Cert. Rep. confirmed that the operator is not in compliance with the SDWA. An acceptable plan was received on 11/30/23 with a correction date of 5/23/24. On 5/23/24, Cert. Rep. confirmed that the operator is not in compliance with the SDWA. An acceptable plan was received on 5/28/24 with a correction date of 11/22/24. On 11/23/24, Cert. Rep. confirmed that the operator is not in compliance with the SDWA.

Corrected Corrected by Nov 23, 2024

Category: ratio. Marked corrected in the state record.

3280.14/3280.69(b) · 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. Safe drinking water shall be made available to children of all ages throughout the day.

Facility is a Group Home with a capacity of 12 children. The building also contains a second Group Home, owned by the same operator, with a capacity of 12 children. On 8/29/22, operator reports during inspection that between children and staff for both Group Homes more than 25 people are served daily on a regular basis. Facilities that serve more than 25 people per day must be a regulated Public Water System (PWS) and have a letter issued by the PA Department of Environmental Protection (DEP) verifying compliance with the Safe Water Drinking Act (SWDA). The operator had previously submitted an attestation to the PA Department of Environmental Protection (DEP) that the facility serves less than 25 people per day. On 11/17/22 Cert. Rep. confirmed with DEP that the operator is required to be a regulated PWS and that a field order was issued by DEP for violations and requiring "Do Not Drink" drinking water measures. On 11/21/23, it was determined the operator does not have proof from DEP indicating compliance with the SDWA as an approved PWS. An acceptable plan was received on 11/22/22 with a correction date of 5/23/23. On 5/24/23, the Cert Rep confirmed that the facility is still not in compliance with the SDWA. An acceptable plan was received on 5/30/23 with a correction date of 11/21/23. On 11/22/23, Cert. Rep. confirmed that the operator is not in compliance with the SDWA. An acceptable plan was received on 11/30/23 with a correction date of 5/23/24. On 5/23/24, Cert. Rep. confirmed that the operator is not in compliance with the SDWA. An acceptable plan was received on 5/28/24 with a correction date of 11/22/24. On 11/23/24, Cert. Rep. confirmed that the operator is not in compliance with the SDWA.

Corrected Corrected by Mar 23, 2025

Category: ratio. Marked corrected in the state record.

3280.14/3280.69(b) · 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. Safe drinking water shall be made available to children of all ages throughout the day.

Facility is a Group Home with a capacity of 12 children. The building also contains a second Group Home, owned by the same operator, with a capacity of 12 children. On 8/29/22, operator reports during inspection that between children and staff for both Group Homes more than 25 people are served daily on a regular basis. Facilities that serve more than 25 people per day must be a regulated Public Water System (PWS) and have a letter issued by the PA Department of Environmental Protection (DEP) verifying compliance with the Safe Water Drinking Act (SWDA). The operator had previously submitted an attestation to the PA Department of Environmental Protection (DEP) that the facility serves less than 25 people per day. On 11/17/22 Cert. Rep. confirmed with DEP that the operator is required to be a regulated PWS and that a field order was issued by DEP for violations and requiring "Do Not Drink" drinking water measures. On 11/21/23, it was determined the operator does not have proof from DEP indicating compliance with the SDWA as an approved PWS. An acceptable plan was received on 11/22/22 with a correction date of 5/23/23. On 5/24/23, the Cert Rep confirmed that the facility is still not in compliance with the SDWA. An acceptable plan was received on 5/30/23 with a correction date of 11/21/23. On 11/22/23, Cert. Rep. confirmed that the operator is not in compliance with the SDWA. An acceptable plan was received on 11/30/23 with a correction date of 5/23/24. On 5/23/24, Cert. Rep. confirmed that the operator is not in compliance with the SDWA. An acceptable plan was received on 5/28/24 with a correction date of 11/22/24.

Corrected Corrected by Nov 22, 2024

Category: ratio. Marked corrected in the state record.

3280.14/3280.69(b) · 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. Safe drinking water shall be made available to children of all ages throughout the day.

Facility is a Group Home with a capacity of 12 children. The building also contains a second Group Home, owned by the same operator, with a capacity of 12 children. On 8/29/22, operator reports during inspection that between children and staff for both Group Homes more than 25 people are served daily on a regular basis. Facilities that serve more than 25 people per day must be a regulated Public Water System (PWS) and have a letter issued by the PA Department of Environmental Protection (DEP) verifying compliance with the Safe Water Drinking Act (SWDA). The operator had previously submitted an attestation to the PA Department of Environmental Protection (DEP) that the facility serves less than 25 people per day. On 11/17/22 Cert. Rep. confirmed with DEP that the operator is required to be a regulated PWS and that a field order was issued by DEP for violations and requiring "Do Not Drink" drinking water measures. On 11/21/23, it was determined the operator does not have proof from DEP indicating compliance with the SDWA as an approved PWS. An acceptable plan was received on 11/22/22 with a correction date of 5/23/23. On 5/24/23, the Cert Rep confirmed that the facility is still not in compliance with the SDWA. An acceptable plan was received on 5/30/23 with a correction date of 11/21/23. On 11/22/23, Cert. Rep. confirmed that the operator is not in compliance with the SDWA. An acceptable plan was received on 11/30/23 with a correction date of 5/23/24. On 5/23/24, Cert. Rep. confirmed that the operator is not in compliance with the SDWA. An acceptable plan was received on 5/28/24 with a correction date of 11/22/24.

Corrected Corrected by May 23, 2024

Category: ratio. Marked corrected in the state record.

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

File for Staff # 1 did not contain verification of 12 clock hours of child care training.

Corrected Corrected by May 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.105(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Rest mats for children were observed to be ripped at the seams, causing the foam to be exposed.

Corrected Corrected by May 10, 2024

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

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Emergency Contact Form for Child # 3 did not contain name, address and telephone number for child's physician. Emergency Contact Form for Child # 2 did not contain telephone number of child's physician.

Corrected Corrected by May 10, 2024

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.

Emergency Contact Form for children # 1 and # 3 did not contain address for release persons.

Corrected Corrected by May 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.69(b) · 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. Safe drinking water shall be made available to children of all ages throughout the day. Safe drinking water shall be made available to children of all ages throughout the day. Operator must comply with The Department of Environmental Protection field order regarding the "do not drink" drinking water warning and supplying an alternate source of water for consumption.

Facility is a Group Home with a capacity of 12 children. The building also contains a second Group Home, owned by the same operator, with a capacity of 12 children. On 8/29/22, operator reports during inspection that between children and staff for both Group Homes more than 25 people are served daily on a regular basis. Facilities that serve more than 25 people per day must be a regulated Public Water System (PWS) and have a letter issued by the PA Department of Environmental Protection (DEP) verifying compliance with the Safe Water Drinking Act (SWDA). The operator had previously submitted an attestation to the PA Department of Environmental Protection (DEP) that the facility serves less than 25 people per day. On 11/17/22 Cert. Rep. confirmed with PA DEP that the operator is required to be a regulated PWS and that a field order was issued by DEP for violations and requiring "Do Not Drink" drinking water measures. An acceptable plan was received with a correction date of 5/22/24. As of 11/21/23, the operator does not have proof from DEP indicating compliance with the SDWA as an approved PWS.

Corrected Corrected by May 22, 2024

Category: ratio. Marked corrected in the state record.

3280.14/3280.69(b) · 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. Safe drinking water shall be made available to children of all ages throughout the day. Safe drinking water shall be made available to children of all ages throughout the day. Operator must comply with The Department of Environmental Protection field order regarding the "do not drink" drinking water warning and supplying an alternate source of water for consumption.

Facility is a Group Home with a capacity of 12 children. The building also contains a second Group Home, owned by the same operator, with a capacity of 12 children. On 8/29/22, operator reports during inspection that between children and staff for both Group Homes more than 25 people are served daily on a regular basis. Facilities that serve more than 25 people per day must be a regulated Public Water System (PWS) and have a letter issued by the PA Department of Environmental Protection (DEP) verifying compliance with the Safe Water Drinking Act (SWDA). The operator had previously submitted an attestation to the PA Department of Environmental Protection (DEP) that the facility serves less than 25 people per day. On 11/17/22 Cert. Rep. confirmed with PA DEP that the operator is required to be a regulated PWS and that a field order was issued by DEP for violations and requiring "Do Not Drink" drinking water measures. An acceptable plan was received with a correction date of 11/30/23. As of 11/21/23, the operator does not have proof from DEP indicating compliance with the SDWA as an approved PWS.

Corrected Corrected by Nov 22, 2023

Category: ratio. Marked corrected in the state record.

3280.14/3280.69(b) · 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. Safe drinking water shall be made available to children of all ages throughout the day. Operator must comply with The Department of Environmental Protection field order regarding the "do not drink" drinking water warning and supplying an alternate source of water for consumption.

Facility is a Group Home with a capacity of 12 children. The building also contains a second Group Home, owned by the same operator, with a capacity of 12 children. On 8/29/22, operator reports during inspection that between children and staff for both Group Homes more than 25 people are served daily on a regular basis. Facilities that serve more than 25 people per day must be a regulated Public Water System (PWS) and have a letter issued by the PA Department of Environmental Protection (DEP) verifying compliance with the Safe Water Drinking Act (SWDA). The operator had previously submitted an attestation to the PA Department of Environmental Protection (DEP) that the facility serves less than 25 people per day. On 11/17/22 Cert. Rep. confirmed with PA DEP that the operator is required to be a regulated PWS and that a field order was issued by DEP for violations and requiring "Do Not Drink" drinking water measures. An acceptable plan was received with a correction date of 5/23/23. As of 5/23/23, the operator does not have proof from DEP indicating compliance with the SDWA as an approved PWS.

Corrected Corrected by May 24, 2023

Category: ratio. Marked corrected in the state record.

3280.14/3280.69(b) · 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. Safe drinking water shall be made available to children of all ages throughout the day.

Facility is a Group Home with a capacity of 12 children. The building also contains a second Group Home, owned by the same operator, with a capacity of 12 children. On 8/29/22, operator reports during inspection that between children and staff for both Group Homes more than 25 people are served daily on a regular basis. Facilities that serve more than 25 people per day must be a regulated Public Water System (PWS) and have a letter issued by the PA Department of Environmental Protection (DEP) verifying compliance with the Safe Water Drinking Act (SWDA). The operator had previously submitted an attestation to the PA Department of Environmental Protection (DEP) that the facility serves less than 25 people per day. On 11/17/22 Cert. Rep. confirmed with PA DEP that the operator is required to be a regulated PWS and that a field order was issued by DEP for violations and requiring "Do Not Drink" drinking water measures. An acceptable plan was received with a correction date of 5/23/23. As of 5/23/23, the operator does not have proof from DEP indicating compliance with the SDWA as an approved PWS.

Corrected Corrected by Nov 21, 2023

Category: ratio. Marked corrected in the state record.

3280.14/3280.69(b) · 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. Safe drinking water shall be made available to children of all ages throughout the day. Operator must comply with The Department of Environmental Protection field order regarding the "do not drink" drinking water warning and supplying an alternate source of water for consumption.

Facility is a Group Home with a capacity of 12 children. The building also contains a second Group Home, owned by the same operator, with a capacity of 12 children. On 8/29/22, operator reports during inspection that between children and staff for both Group Homes more than 25 people are served daily on a regular basis. Facilities that serve more than 25 people per day must be a regulated Public Water System (PWS) and have a letter issued by the PA Department of Environmental Protection (DEP) verifying compliance with the Safe Water Drinking Act (SWDA). The operator had previously submitted an attestation to the PA Department of Environmental Protection (DEP) that the facility serves less than 25 people per day. On 11/17/22 Cert. Rep. confirmed with PA DEP that the operator is required to be a regulated PWS and that a field order was issued by DEP for violations and requiring "Do Not Drink" drinking water measures.

Corrected Corrected by Nov 17, 2022

Category: ratio. Marked corrected in the state record.

3280.14/3280.69(b) · 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.Safe drinking water shall be made available to children of all ages throughout the day.

Facility is a Group Home with a capacity of 12 children. The building also contains a second Group Home, owned by the same operator, with a capacity of 12 children. On 8/29/22, operator reports during inspection that between children and staff for both Group Homes more than 25 people are served daily on a regular basis. Facilities that serve more than 25 people per day must be a regulated Public Water System (PWS) and have a letter issued by the PA Department of Environmental Protection (DEP) verifying compliance with the Safe Water Drinking Act (SWDA). The operator had previously submitted an attestation to the PA Department of Environmental Protection (DEP) that the facility serves less than 25 people per day. On 11/17/22 Cert. Rep. confirmed with PA DEP that the operator is required to be a regulated PWS and that a field order was issued by DEP for violations and requiring "Do Not Drink" drinking water measures. An acceptable plan was received with a correction date of 5/23/23. As of 5/23/23, the operator does not have proof from DEP indicating compliance with the SDWA as an approved PWS.

Corrected Corrected by May 23, 2023

Category: ratio. Marked corrected in the state record.

3280.33(a)/3280.35(3) · 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 secondary staff person shall have a minimum of an 8th grade education and 2 years of experience with children.

A renewal inspection was conducted on 9/7/21. At that time, the file for Facility Person #2 was reviewed. The file did not contain documentation of a minimum of 8th grade education or 2 years experience with children.

Corrected Corrected by Oct 1, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.102(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.

A renewal inspection was conducted on 9/7/21. At that time, vinyl children's furniture that was ripped exposing the foam inside was observed by the back wall of the facility. Many exposed bolts were observed on the gated entrance to the playground.

Corrected Corrected by Sep 7, 2021

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

3280.192(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

A renewal inspection was conducted on 9/7/21. At that time, the file for Facility Person #1 did not contain any written letters of reference.

Corrected Corrected by Sep 7, 2021

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.

A renewal inspection was conducted on 9/7/21. At that time, the facility did not have proof of purchase for their fire detection system.

Corrected Corrected by Sep 7, 2021

Category: recordkeeping. Marked corrected in the state record.