3270.76/3270.102(a) · 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. 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 door labeled "blankets", in the Infant Room, was observed to have chipped wood near its base. A toilet in the Downstairs Room Restroom was observed to be dusty and had cobwebs near its base. A radiator, with a loose cover, was observed to the right of the bookshelf in the Preschool Room. Another radiator, with a loose cover, was observed near the puzzles shelf in the Infant Room. The Infant Room Restroom had one toilet with two exposed, rusted bolts near its base. Two yellow, two red, one blue, and one green mat in the Play Room were observed to be dirty.

Corrected Corrected by Jul 7, 2025

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.

The radiator in the Infant Room Restroom had peeling paint on its cover. The wall near the dry erase board in the Downstairs Room had peeling paint and there was chipping paint on a support column wall. The Downstairs Room Restroom had peeling paint on the ceiling and on the wall area under the sink.

Corrected Corrected by Jul 31, 2025

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 information on file for Child #4 and Child #5 was observed to be missing the phone number of the child's physician or source of medical care. The emergency contact information on file for Child #3 was observed to be missing the parent's work address and work phone number.

Corrected Corrected by Jun 30, 2025

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 emergency contact information on file for Child #1 and Child #2 was missing the address of the individual designated by the parent to whom the child may be released. Also, the emergency contact information on file for Child #2 was missing the phone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

An automatic trash can was observed in the Infant Room. The trash can's lid was supposed to automatically open. However, because this feature was not working, Staff #2 had to physically open the trash can's lid, with their hands, in order to dispose of a soiled diaper.

Corrected Corrected by Jun 30, 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 financial agreements on file for Child #4 and Child #5 were dated 4/2/24 and 4/2/25. More than 6 months had passed since a parent last reviewed, updated, and signed a financial agreement form.

Corrected Corrected by Jun 30, 2025

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 fire detection system was not tested at least once every 30 days as indicated by the following fire detection system testing logs that were on file: 8/2/24 to 9/6/24.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The file for Child #2 (see code sheet for date of admission) was observed to be missing an initial health assessment. The only health assessment on file was dated 3/20/2025.

Corrected Corrected by Jun 30, 2025

Category: health medication. 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 OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

The emergency plan that was on file did not include a continuity of operations.

Corrected Corrected by Jun 18, 2024

Category: ratio. 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.

Staff #1 has current pediatric first aid/CPR training on file dated 8/20/23. However, they did not complete the training prior to the previous one on file expiring 6/2023.

Corrected Corrected by Jun 5, 2024

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Staff person #2 had fire safety trainings on file that were dated 5/23/23 and 6/1/24. More than a year had lapsed between the trainings.

Corrected Corrected by Jun 5, 2024

Category: recordkeeping. Marked corrected in the state record.

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

A first-aid kit was not observed in the Play Room.

Corrected Corrected by Jun 18, 2024

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

A handwashing sign was not observed by the kitchen sink.

Corrected Corrected by Jun 18, 2024

Category: health medication. 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.

A wooden ladder and wooden climbing wall, that were part of the outdoor playground set, were observed to have splintered wood.

Corrected Corrected by Jun 18, 2024

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Child #4 and Child #5 did not have documentation of an enrolling parent's work address. Child #4 did not have documentation of an enrolling parent's work phone number.

Corrected Corrected by Jun 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

The records for child #1 and child #4 did not contain signed parental consent for emergency medical care for the child or the administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jun 18, 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.

The fire detection system was not tested every 30 days as evidenced by the following fire detection system logs that were on file: 5/12/23 to 6/13/23, 8/11/23 to 9/11/23, 9/11/23 to 10/12/23, 12/8/23 to 1/8/24, 3/8/24 to 4/11/24

Corrected Corrected by Jun 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.21/3270.66(a) · Conditions at the facility may not pose a threat to the health or safety of the children. Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

On 8/16/23, two sharp knives were observed on the kitchen counter and accessible to children. On the small table near the kitchen there was a container of disinfectant wipes and in the kitchen on the microwave stand there was a bottle of Advil and a magic eraser accessible to children. These items were all labeled to keep out of reach of children.

Corrected Corrected by Aug 16, 2023

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

3270.52 · 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 in § 3270.51 (relating to similar age level).

On 8/16/23, certification representative observed staff person #1 with 6 children and one infant while staff person #2 was answering the door and gathering paperwork. Two children were in a second room alone and unattended.

Corrected Corrected by Aug 16, 2023

Category: ratio. Marked corrected in the state record.

3270.52 · 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 in § 3270.51 (relating to similar age level). The legal entity must create a policy regarding ratio which must include maintaining proper ratios when staff must leave the childcare space. The legal entity must submit the policy to regional office for approval. All staff must be trained and sign an acknowledgment that must be kept on file.

On 8/16/23, certification representative observed staff person #1 with 6 children and one infant while staff person #2 was answering the door. Two children were in a second room alone and unattended. The facility staff was out of ratio and lacked supervision.

Corrected Corrected by Aug 29, 2023

Category: supervision. 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.

On 8/16/23, protective receptacle outlet covers were missing in the living room near the recliner, on the power strip on the TV stand, and in the basement near the wooden shelf. All of these outlets are accessible to children.

Corrected Corrected by Aug 16, 2023

Marked corrected in the state record.

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

On 8/16/23, the baseboard heater's protective covering in the upstairs play space has fallen off exposing sharp metal edges and is accessible to children. The sink in the kitchen is black and dirty. The steps going upstairs into the main play space area the linoleum is ripped and sticking out, causing a trip hazard. In the living room the electrical outlet behind the TV is black and broken. The ceiling in the living room by the exit sign and above the refrigerator has paint and plaster damage.

Corrected Corrected by Oct 31, 2023

Category: physical safety. 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): 1 hour health and safety update and center based health and safety training, respectively. Staff person #1 and #2 will have until 9/12/23 to complete the required training.

On 8/16/23, Staff person's #1 and #2, have not completed the health and safety 1 hour update.

Corrected Corrected by Aug 20, 2023

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

3270.31(f) · Staff persons shall complete professional development in the topics 3270.31 (f)1-10. Staff will have until 9/12/23 to complete the required training. Until such time as the required training has been completed, staff person #1 & #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 #1 & #2, staff person #1 & #2 may not work in a child-care position at the facility.

On 8/16/23, Staff person's #1 and #2 had an acceptable pediatric first aid/CPR curriculum, however, it was not PQAS instructed.

Corrected Corrected by Aug 21, 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). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not be present in a childcare position at the facility.

On 8/16/23, facility person #3 was present in the childcare space. Operator reports that facility person #3 is over 18 years of age and present in the facility on a regular basis. Operator also reports that facility person #3 is not a staff person or related to the operator. Facility person #3 is considered by DHS a volunteer. Facility person #3 does not have any clearances on file at facility.

Corrected Corrected by Aug 29, 2023

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

3270.71 · 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.

On 8/16/23, certification representative observed a crockpot that was on the kitchen counter and the sides exceeded 110 F. The crockpot was accessible to children.

Corrected Corrected by Aug 16, 2023

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

3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must create a supervision policy which includes bathrooming and transition times. This policy must be submitted to the regional office for approval. All staff must be trained and sign an acknowledgment. Acknowledgment must be kept in file,

On 8/16/23, certification representative observed two children in the second room with the bathroom alone and unattended. Facility person #1 was in the adjacent room.

Corrected Corrected by Aug 16, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

On 8/16/23, certification representative observed two children in the second room with the bathroom alone and unattended. Facility person #1 was in the adjacent room.

Corrected Corrected by Aug 16, 2023

Category: supervision. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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.

On 8/16/23, facility person #3 was present in the childcare space. Operator reports that facility person #3 is over 18 years of age and present in the facility on a regular basis. Operator also reports that facility person #3 is not a staff person or related to the operator. Facility person #3 is considered by DHS a volunteer. Facility person #3 does not have an initial health assessment or TB screening on file.

Corrected Corrected by Aug 31, 2023

Category: ratio. Marked corrected in the state record.

3270.191/3270.192(5) · An individual record is required for each facility person. 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.

On 8/16/23, facility person #3 was present in the childcare space. Operator reports that facility person #3 is over 18 years of age and present in the facility on a regular basis. Operator also reports that facility person #3 is not a staff person or related to the operator. Facility person #3 is considered by DHS a volunteer. Facility person #3 does not have an individual record at facility, including two written non-family references.

Corrected Corrected by Aug 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Child file #1 is behind on his immunizations as of his last health assessment

Corrected Corrected by Jul 9, 2022

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.

Child files #1 and #2 are missing the health insurance name and policy number on the emergency contact form

Corrected Corrected by Jun 15, 2022

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

3270.66(a)/3270.103 · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

There are batteries that are less than an inch of diameter accessible to children under 3 years old there is also a container of super glue located in an unlocked kitchen cabinet that are accessible to children

Corrected Corrected by Jun 10, 2022

Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

There are first-aid kits located in the back room on the lower level of the facility that are accessible to children. The children walk through this room to exit the back door that exits to the play yard.

Corrected Corrected by Jun 10, 2022

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 entrance to the garage area from the home is open and accessible to children. There is some debris from the cement block wall on the lower level floor under the desks.

Corrected Corrected by Jul 6, 2022

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.

There are areas of peeling paint located on the light blue table located on the main floor

Corrected Corrected by Jul 7, 2022

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

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

The embedded play equipment does have the required amount of mulch underneath it but the mulch needs to be extended to cover the areas under the rope climber and the climbing wall in case a child should fall from the equipment.

Corrected Corrected by Jul 7, 2022

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

3270.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

The mulch located under the embedded equipment in the fenced in play yard is accessible to children under 3 years old

Corrected Corrected by Jul 7, 2022

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

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Child file #1 is missing the physician name, address and phone number on the emergency contact form

Corrected Corrected by Jun 15, 2022

Category: health medication. 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 operator has a hardwired interconnected fire alarm system that appeared to be operable during the renewal inspection however the voice command alarm system's volume was low and it may not be heard on each level if there is any background noise in the facility. The operator had the 10 year lithium battery operated smoke alarms available at facility and was able to install them so the alarm system could clearly be heard on each level in the facility.

Corrected Corrected by Jun 9, 2022

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

3270.71 · 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.

The stove was used to prepare lunch during Cert. rep's renewal inspection visit on 8/13/21 and the stove was not equipped with a stove guard and the kitchen area was accessible to children

Corrected Corrected by Sep 18, 2021

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first-aid kit is missing tweezers

Corrected Corrected by Aug 31, 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.

Some of the heating units located on the floor of the child care spaces are missing portions of the protective cover exposing portions of the heating unit core. There are areas of the ceiling that are showing signs of water damage. The doors located at exits from the building (lower level rear exit and main floor front door) do not open properly and would create a delay in leaving the facility in case of an emergency.

Corrected Corrected by Sep 18, 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.

There are areas of peeling paint on the aqua colored art board and some of the window trim located in the infant room. There are also areas of peeling paint located on the diaper changing table.

Corrected Corrected by Sep 18, 2021

Category: health medication. 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.

Some play equipment and toys need to be washed in the infant room. Some of the outdoor equipment (the play house, play climber and inside yellow tube) has some dirt and debris on surfaces and need to be cleaned.

Corrected Corrected by Sep 18, 2021

Category: physical safety. 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.

During renewal inspection visit the operator had documentation on file to verify monthly testing of the fire alarm system is being completed starting on 5/28/21. Monthly testing of the fire alarm system should have been completed every 30 days after it was implemented on 12/19/20. The operator does not have a receipt verifying the date of purchase or installation.

Corrected Corrected by Sep 17, 2021

Category: recordkeeping. Marked corrected in the state record.