3270.66(a)/3270.68(b) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area. TIERED LIS: 1. Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area. As per Announcement C-17-02, this regulation now includes vape pens. This portion of the plan shall have an immediate correction date. 2. The Legal Entity/Director must update existing health and safety policies/procedures. The policies and procedures must include the following requirements: Staff will ensure that children do not have access to anything that may be potentially harmful, toxic, or hazardous to a child by following strict policies and procedures related to the use and storage of cigarettes, pipes, cigars, vapes, and other potentially harmful, toxic, or hazardous items. The Legal Entity/Director will submit the updated policies/procedures 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. The operator shall provide a date by when this will be completed.

On 10/21/25, Staff #1 acknowledged that their nicotine vape fell out of their pocket in the Main Room, which resulted in Child #1 gaining access to the vape pen, and placing it in their mouth. This incident was self-reported to the Regional Office on 10/22/25.

Corrected Corrected by Dec 1, 2025

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. Until such time as the required training has been 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 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 2/2025. Documentation of updated Pediatric first aid and CPR training is not on file.

Corrected Corrected by Nov 18, 2025

Category: supervision. Marked corrected in the state record.

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

Fire drills were not conducted at least once every 60 days as evidenced by the following fire drill logs that were on file: 7/29/25 to 9/29/25.

Corrected Corrected by Nov 13, 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: 8/28/25 to 9/29/25. Also, there was no proof on file that a fire detection system test was completed after 9/29/25. However, the next fire detection system test should have occurred by 10/29/2025.

Corrected Corrected by Nov 13, 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 will establish/update their supervision and ratio policies. The policies should include the following information, at a minimum: 1. How the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. 2. How staff will maintain ratios when a staff suddenly calls off for an emergency or illness, or when staff are late for their shift. 3. How ratios will be maintained when children are unexpectedly dropped off to the facility. 4. How staff will maintain ratios during transition times, and when they need to move children to another classroom to immediately maintain proper ratios. 5. A procedure for reporting ratio and staffing issues to the designated person in charge immediately. The Legal Entity/Director will submit the updated policies/procedures 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. The operator shall provide a date by when this will be completed.

CONTINUED NONCOMPLIANCE: On 7/7/25, Staff #3 and Facility Person #1 were observed to be supervising a group of 9 children: 4 infants and five young toddlers. Since Facility Person #1 does not qualify as a staff, Staff #3 was responsible for supervising all of the children by themself. However, this number of children requires at least 2 staff persons. An acceptable plan of correction was received indicating that the correction would be implemented by 7/7/25. On 7/25/25, a verification visit was conducted. Staff #2 and Staff #4 were observed to be supervising 17 children together in the Outdoor Play Area. Staff #2 identified two preschoolers, three young school age children, and five older school age children in their primary group. Staff #4 identified two older toddlers and five preschool aged children in their primary group. It was reported that Staff #5 was with this group, but went inside to make lunch. This number of children requires three staff persons at all times.

Corrected Corrected by Aug 5, 2025

Category: supervision. Marked corrected in the state record.

3270.31(b) · A staff person shall be 18 years of age or older.

Facility Person #1 was observed to be supervising five young toddlers in the Infant/Young Toddler Room. However, Facility Person #1 does not meet the minimum age requirements to qualify as a staff (see code sheet for date of birth).

Corrected Corrected by Jul 7, 2025

Category: supervision. 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 7/7/25, Staff #3 and Facility Person #1 were observed to be supervising a group of 9 children: 4 infants and five young toddlers. Since Facility Person #1 does not qualify as a staff, Staff #3 was responsible for supervising all of the children by themself. However, this number of children requires at least 2 staff persons.

Corrected Corrected by Jul 7, 2025

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.

Staff #2 and #7 did not complete pediatric first-aid and CPR training prior to the previous trainings expiring after 2 years. This is evidenced by the following training dates: 5/25/22 and 6/10/24.

Corrected Corrected by Dec 29, 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 #1 had fire safety trainings on file dated 1/30/23 and 10/10/24. Staff #2 had fire safety trainings on file dated 1/30/23 and 12/5/24. More than a year had lapsed between the trainings.

Corrected Corrected by Dec 29, 2024

Category: recordkeeping. 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.

An electrical outlet that was near the refrigerator in the Infant Room was observed to be missing a protective receptacle cover. This electrical outlet was accessible to the young toddlers who were being supervised in that room.

Corrected Corrected by Dec 29, 2024

Category: supervision. Marked corrected in the state record.

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

The telephone number of the nearest ambulance was not posted by the telephone in the kitchen.

Corrected Corrected by Dec 29, 2024

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

The Girls 2 Restroom was observed to have one cracked ceiling tile and dusty air vent. The Preschool/School Age Room was observed to have one brown stained ceiling tile by the gray couch. The entranceway to the facility was observed to have two brown stained ceiling tiles.

Corrected Corrected by Jan 30, 2025

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 posted hand washing sign was observed to be missing from the diaper changing area and sink in the Infant Room. The kitchen sink was also observed to be missing a posted hand washing sign.

Corrected Corrected by Dec 29, 2024

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

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The waste receptacle in the Girls 1 Restroom and Boys Restroom was observed to be missing a lid.

Corrected Corrected by Jan 30, 2025

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

3270.102(a)/3270.104(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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

The Outdoor Play Area was observed to have a sandbox with a cracked plastic cover, a green and white playhouse with a cracked roof, a blue roofed playhouse with an exposed screw, a green roofed playhouse with two cracked plastic chairs, and a moldy blue chair.

Corrected Corrected by Jan 30, 2025

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

3270.123(a)(1)/3270.123(a)(5) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement on file for Child #1 and Child #5 did not include a fee amount. The agreement on file for Child #4 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jan 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 was observed to be missing the parent's home and work address and also the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jan 30, 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.

Staff acknowledged that a written statement giving the formula and feeding schedule for Child #3 (see code sheet for date of birth) was not obtained from the parent.

Corrected Corrected by Dec 31, 2024

Category: nutrition. 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 most recent financial agreement on file for Child #1 was dated 10/3/23; for Child #2 was dated 6/7/23; and for Child #4 was dated 7/3/22. More than 6 months had passed since a parent last reviewed and updated the financial agreement.

Corrected Corrected by Jan 30, 2025

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 file for Child #1 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 Jan 30, 2025

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.

There was no documentation on file proving that any emergency drills had been conducted.

Corrected Corrected by Dec 29, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Five ceiling tiles in the Preschool/School Age Room and Infant Room were observed to have a brown colored stain. Trash, such as used disposable cups and food wrappers, were observed on the ground in the outdoor play area. Cracks were observed on the blue playhouse, blue water table, green slide, beige playhouse table, and the plastic base of the basketball hoop that were located in the outdoor play area.

Corrected Corrected by Aug 10, 2024

Category: nutrition. 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.

Two electrical outlets, that were on the wall next to the slide in the Toddler Room, were observed to be missing protective receptacle covers. The electrical outlets were accessible to the toddler aged children who were being supervised in that room.

Corrected Corrected by Jul 29, 2024

Category: supervision. 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.

Coppertone sunscreen, labeled "keep out of reach of children," was observed, about hip height, on a wooden shelf in the Preschool/School Age Room. Hand sanitizer that was labeled "keep out of reach of children" was observed, about hip height, on a sink next to the changing table in the Toddler Room. A toddler in the Toddler Room was able to reach that hand sanitizer.

Corrected Corrected by Jul 29, 2024

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.

Fire drills were not conducted at least once every 60 days as evidenced by the following fire drill logs that were on file: 3/15/24 and 5/15/24.

Corrected Corrected by Jul 29, 2024

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 evidenced by the following fire detection system logs that were on file: 1/5/24 to 2/15/24 and 3/15/24 to 4/15/24.

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

A renewal inspection was completed on 12/15/23. In the kitchen refrigerator and in classroom 2 the baby bottles were not labeled with the children's names.

Corrected Corrected by Dec 15, 2023

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.

A renewal inspection was completed on 12/15/23. Staff person #2 does not have a staff evaluation on file.

Corrected Corrected by Jan 19, 2024

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.

A renewal inspection was completed on 12/15/23. The bathroom has a water damaged ceiling tile.

Corrected Corrected by Dec 15, 2023

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

3270.106(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.

A renewal inspection was completed on 12/15/23. In classroom 1 and classroom 2, 1 cot and 3 cribs were not labeled with the children's names and no cot list was displayed.

Corrected Corrected by Jan 19, 2024

Category: physical safety. 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.

A renewal inspection was completed on 12/15/23. Child(ren) #1 and #2's fee agreement did not list a release person.

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

A renewal inspection was completed on 12/15/23. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the main child care space and in classroom 1.

Corrected Corrected by Dec 15, 2023

Category: transportation. Marked corrected in the state record.

3270.131(c)/3270.131(d)(7) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. 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.

A renewal inspection was completed on 12/15/23. Child #1 has only health visit summaries dated 8/29/22 and 6/26/23 in the child's file.

Corrected Corrected by Dec 15, 2023

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

A renewal inspection was completed on 12/15/23. Staff person #1 has only one nonfamily reference in the staff file.

Corrected Corrected by Jan 19, 2024

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.

A renewal inspection was completed on 12/15/23. The fire detector log indicates the alarms were tested more than 30 days apart on three occasions, 6/9/23-7/26/23, 9/12/23-10/13/23, and 10/13/23-11/16/23.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

On 7/20/23, in classroom 2 during nap time it was observed that several children's cots were not spaced 2 feet apart on three sides. An acceptable plan of correction was received with a correction date on 7/20/23. On 8/29/23, certification representative returned to the facility unannounced. Certification representative observed in the infant room an infant sleeping in a pack n play that did not have at least 2 feet of space on three sides.

Corrected Corrected by Aug 29, 2023

Category: physical safety. 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.

On 7/20/23, Child #2, #4, and #6 files did not contain an updated health assessment to indicate that the children are able to participate in childcare and appear to be free from contagious or communicable disease. Only a visit summary was on file. An acceptable plan of correction was received with a correction date on 8/18/23. On 8/29/23, certification representative returned to facility, child #6 did not have an updated health assessment. Child #6 still only had a visit summary on file that did not indicate that the child is able to participate in childcare and appear to be free from contagious or communicable disease.

Corrected Corrected by Aug 29, 2023

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.

On 07/20/23, child #1 and child #3 files did not contain updated health reports.

Corrected Corrected by Aug 11, 2023

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

On 7/20/23, Child #2, #4, and #6 files did not contain an updated health assessment to indicate that the children are able to participate in child care and appear to be free from contagious or communicable disease. Only a visit summary was on file.

Corrected Corrected by Aug 18, 2023

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

3270.182(7) · 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.

On 7/20/23 the operator acknowledged that there are no accident or injury reports in a facility file.

Corrected Corrected by Jul 20, 2023

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

On 7/20/23, in classroom 2 during nap time it was observed that several children's cots were not spaced 2 feet apart on three sides.

Corrected Corrected by Jul 20, 2023

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

3270.124(b)(7)/3270.124(f) · 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 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.

Children 1,2, 3 ,4 and 5 have emergency contact information that has not been updated in the last six months. The file for child #4 did not contain an address for the emergency release persons.

Corrected Corrected by Aug 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.61(h)/3270.111(b) · The capacity established for an indoor space may not be exceeded. The written plan of daily activities shall be posted in the group space.

On 7/20/23, it was observed that classroom 2 was over capacity. There were 20 twenty children in the classroom. The capacity for the classroom is 16 and no daily schedule was posted for the classroom.

Corrected Corrected by Jul 20, 2023

Category: ratio. 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.

There are 2 stained ceiling tiles in the bathroom used by the children that is blue marked men's bathroom.

Corrected Corrected by Mar 17, 2023

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

3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

There is expired Gerber Natural Carrots baby food for the infants in the infant room. The carrots expired 1/31/23.

Corrected Corrected by Mar 9, 2023

Category: ratio. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

All the bottles in the infant room refrigerator are not labeled.

Corrected Corrected by Mar 9, 2023

Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

Certification rep observed facility staff # 1 alone in the Preschool classroom with 15 preschool aged children while conducting a complaint investigation at facility.

Corrected Corrected by Feb 9, 2023

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons #1,2,3,4 & 5 shall complete the required one-hour 2022 update to the health and safety training by 3/22/23.

Staff persons #1,2,3,4 & 5 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Mar 16, 2023

Category: health medication. 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 # 4 will have until 3/22/23 to complete the mandated reporter training. Until such time as the required training has been completed, facility person # 4 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 persons available to supervise staff person # 4 may not work in a childcare position at facility.

Facility person # 4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 12/26/17.

Corrected Corrected by Feb 8, 2023

Category: supervision. Marked corrected in the state record.