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Home › PA › Swiftwater › Inch By Inch Childcare Llc
143 Lower Swiftwater Rd, Swiftwater PA 18370 · License #CER-00248208 · Center · Child Care Center
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When they operate
Schedule type not published.
Ages served
Ages not published.
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. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility
Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training dated 11/8/2023, which expired at the end of November, 2025.
Corrected Corrected by Apr 24, 2026
Category: supervision. 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.
During the inspection, staff person #1 , #2 and #3 did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This is evidenced by the training on file for all three staff dated 11/8/23, which expired at the end of November, 2025.
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
Corrected Corrected by May 15, 2026
Category: ratio. 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. Staff person #4 may not work in a childcare position with direct contact and routine interaction with children until the completed NSOR is on file at the facility.
At the time of the inspection, staff person #4 did not have a completed NSOR on file. Staff person #4 acknowledged that they have worked in the classroom with children where they had direct contact and routine interaction with them (see LIS code sheet for date of hire).
Corrected Corrected by Apr 24, 2026
Category: background checks. 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.
At the time of the inspection, in the toddler room, the blue walls had peeling paint by the baseboards.
Corrected Corrected by Apr 25, 2026
Category: physical safety. Marked corrected in the state record.
3270.151(c)(3)/3270.151(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.
At the time of the inspection, staff person #4's health assessment did not include an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide childcare.
Corrected Corrected by May 15, 2026
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.
At the time of the inspection, the emergency plan on file did not include accommodations for toddlers. Toddlers were receiving care during the inspection.
Corrected Corrected by Apr 25, 2026
Category: recordkeeping. 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.
At the time of the inspection, the last emergency drill was conducted on 10/14/24 and not annually, as required.
Corrected Corrected by Apr 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.
At the time of the inspection, the manual monthly monitoring of the fire detection system was not completed every 30 days, as required. This is evidenced by the manual testing date of 3/4/26.
Corrected Corrected by Apr 27, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.241(a) · If a child is required to be enrolled in public or private school under the Public School Code of 1949 (24 P.S. §§ 1-101-27-2702) and if the child is not enrolled and if the child is not exempted from enrollment under the Public School Code, a child care facility may not admit the child for care during the hours when the child is required by law to attend public or private school.
At the time of the inspection, child #1, a school-aged child, was observed receiving care in the Toddler classroom, covered with a blanket laying on a piece of equipment while playing on their tablet. Staff person #2 acknowledged that child #1 was to be in school at the time the observation occurred, but was not feeling well.
Corrected Corrected by Apr 24, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.
At the time of the inspection, staff person #3 did not complete fire safety training annually. This is evidenced by the current fire safety training date of 8/22/25 and the previous date of training of 7/10/24.
Corrected Corrected by Oct 1, 2025
Category: recordkeeping. 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.
At the time of the inspection, the ceiling in the Pre-K room had water damage.
Corrected Corrected by Nov 30, 2025
Category: physical safety. Marked corrected in the state record.
3270.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.
At the time of the inspection, the parent handbook did not contain pick up arrangements. The director acknowledged this was missing and not provided to parents.
Corrected Corrected by Oct 1, 2025
Category: supervision. 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).
At the time of the inspection, the child service reports for child #2 through child #5 were not updated every 6 months, as required. This is evidenced by the current child service report dated 8/11/25 and the previous child service report dated 12/4/24.
Corrected Corrected by Oct 1, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.
At the time of the inspection, the agreements for child #1 and child #4 did not specify the persons designated by a parent to whom the child may be released.
Corrected Corrected by Oct 1, 2025
Category: recordkeeping. 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.
At the time of the inspection, the emergency contact form for child #3 did not include the name, address and telephone number of the child's physician or source of medical care.
Corrected Corrected by Oct 1, 2025
Category: health medication. Marked corrected in the state record.
3270.124(b)(3)/3270.124(b)(6) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.
At the time of the inspection, the emergency contact form for child #5 did not include the enrolling parent's work address and phone number. There was also no health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form for child #5.
Corrected Corrected by Oct 1, 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.
At the time of the inspection, the emergency contact form for child #5 did not include the address of the individual designated by the parent to whom the child may be released.
Corrected Corrected by Oct 1, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.
At the time of the inspection, there was no feeding schedule for child #1, an infant, who was present in the facility.
Corrected Corrected by Oct 6, 2025
Category: nutrition. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. Tiered LIS: 1.) A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan requires an immediate correction date. 2.) The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of 2 hours of PQAS-approved training regarding Behavior Management. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when the training will be completed.
During the inspection on 5/16/25, video footage from 5/1/25 at 12:05pm was reviewed. Child #1 was observed running past staff person #3, and staff person #3 then grabbed the shirt collar of child #1 and pulled her to the carpeted area. At 12:08pm, child #3 was observed running past staff person #3. Again, staff person #3 was observed grabbing the back of the shirt of child #2 and pulling him to the carpet causing the child to fall to the ground. Staff #3 acknowledged that she has grabbed the collars of children's shirts on multiple occasions.
Corrected Corrected by Jun 30, 2025
Category: recordkeeping. 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). TIERED LIS: 1.) The required staff:child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2.The Legal Entity/Director must update existing supervision and ratio policies/procedures. The policies and procedures must include the requirement for staff to be able to see, hear, direct and assess children at all times. The procedures and policies must include requirement that staff know the names and whereabouts of children in their assigned group, and be physically present with the children in the assigned group at all times. The updates must also include procedures for situations of transition, including staff lunches, bathroom breaks, and for staff to obtain supplies located outside of the classroom while maintaining appropriate supervision and ratio requirements. The Legal Entity/Director will submit the updated policies to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented in their files. This operator shall provide a date for when this portion of the plan will be implemented.
During an inspection on 5/16/25, video footage from 5/1/25 at 3:20pm and 3:33pm was observed. There were 11 children (five older toddlers and 6 preschool children) in the toddler classroom with staff person #4 and staff person #5. At both times, staff person #5 left the classroom and staff person #4 was alone with the 11 children. This age and number of children requires there to be two staff present in the classroom at all times.
Corrected Corrected by Jun 13, 2025
Category: supervision. Marked corrected in the state record.
3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.
During an inspection on 5/16/25, video footage from 5/1/25 at 3:34pm was observed. Staff person #4 and staff person #5 were observed changing children's diapers. Neither staff person #4 nor staff person #5 washed the hands of the children or their hands after diapering them.
Corrected Corrected by May 22, 2025
Category: health medication. Marked corrected in the state record.
3270.32(c) · The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness.
Facility person #1 is awaiting trial for a crime of child abuse, child neglect, physical violence or moral corruptness.
Corrected Corrected by Apr 21, 2025
Category: background checks. 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.
At the time of the inspection, the emergency contact form for child #1 and child #4 did not contain signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.
Corrected Corrected by Nov 4, 2024
Category: ratio. Marked corrected in the state record.
3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.
At the time of the inspection, staff person #5 only had 11 clock hours of childcare training during the 5/23-5/24 training period.
Corrected Corrected by Nov 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.20(e)/3270.182(7) · Copies of reports of injury, death or fire shall be kept in a file at the facility. A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.
During the inspection, the operator acknowledged that a facility file is not kept for incident reports that occur at the facility.
Corrected Corrected by Nov 1, 2024
Category: health medication. Marked corrected in the state record.
3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
At the time of the inspection, staff person #6 did not have 2 years (2,500 hours) of childcare experience to accompany the high school diploma and does not qualify as an assistant group supervisor.
Corrected Corrected by Nov 1, 2024
Category: supervision. Marked corrected in the state record.
3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.
At the time of the inspection, there was evidence of rodent droppings under the sink in the kitchen and in the pantry.
Corrected Corrected by Nov 4, 2024
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.
At the time of the inspection, the baseboard heater in the 2-year-old room measured 120° F and was accessible to children.
Corrected Corrected by Oct 30, 2024
Category: physical safety. Marked corrected in the state record.
3270.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.
At the time of the inspection, the operator admitted to not providing supervision policies to parents at the time of application.
Corrected Corrected by Nov 1, 2024
Category: supervision. Marked corrected in the state record.
3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.
At the time of the inspection, the agreement for child #2 and child #3 did not include the child's arrival and departure times.
Corrected Corrected by Nov 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(5)/3270.124(b)(7) · An agreement shall specify the persons designated by a parent to whom the child may be released. 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.
At the time of the inspection, the agreement for children #2, #3 and #4 did not specify the persons designated by a parent to whom the child may be released. The emergency contact form for child #2 and child #4 did not include the address of the individual designated by the parent to whom the child may be released.
Corrected Corrected by Nov 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(3)/3270.124(b)(6) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.
At the time of the inspection, the emergency contact form for child #1 and child #4 did not contain the enrolling parent work address and/or phone number. The emergency contact form for child #3 did not include the health insurance coverage and policy number.
Corrected Corrected by Nov 4, 2024
Category: health medication. Marked corrected in the state record.
3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
At the time of the inspection, the health report on file for child #3, an older toddler, was dated 9/11/23 and not updated every 12 months as required.
Corrected Corrected by Nov 5, 2024
Category: health medication. Marked corrected in the state record.