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 and #2 must be supervised, when interacting with children by an AGS, GS or Director who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

Staff Person's #1 and #2 were observed to be caring for 5 young school age children. The Pediatric First Aid and CPR training that was completed by Staff Person #1 and #2 to correct a prior violation was not acceptable as it was not in an approved curriculum with a PQAS instructor. Without the approved training Staff Person's #1 and #2 are required to be supervised. SECOND CITATION. FACILITY PREVIOUSLY CITED ON 7.1.25.

Corrected Corrected by Jul 15, 2025

Category: supervision. Marked corrected in the state record.

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

At approximately 9:36am Staff Person #1 was observed to be caring for a group of 5 young school age children in the outside play space area. Staff Person #2 was observed in their vehicle. Upon discussion Staff Person #2 is scheduled to arrive at 9:30am. Prior to this arrival Staff Person #1 is the only Staff Person present at the facility. A second facility person is not present. It was also reported that at the end of the day a Staff Person is also alone and caring for more than 1 child without a second facility person.

Corrected Corrected by Jul 15, 2025

Category: transportation. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The Pediatric First Aid and CPR training completed by Staff Person #2 to correct a prior violation, was not completed in an approved curriculum with a PQAS instructor. Staff Person #2 has exceeded 90 days of employment at the facility. SECOND CITATON. FACILITY PREVIOUSLY CITED ON 7.1.25.

Corrected Corrected by Jul 15, 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. Until such time as the required pre- service trainings are completed, staff person #1, #2 and #5 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, #2 and #5, staff person #1, #2 and #5 may not work in a child-care position at the facility.

Staff person #1, #2 and #5 were observed to be caring for children in the cafeteria classroom. Staff person #1, #2 and #5 do not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of 2.28.2025 for Staff Person #1. Staff Persons #2 reported they have not completed Pediatric First Aid and CPR to allow them to supervise another Staff Person. Staff Person #5 also reported they did not have current Pediatric First Aid/CPR, Mandated Reporter Training, or the required Health and Safety trainings that would allow them to supervise another Staff Person.

Corrected Corrected by Jul 3, 2025

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.

Staff Person #2 reported that they have not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR training. The Pediatric First Aid and CPR training submitted for Staff Person #3 was not completed within 90 days of starting at the facility. The submitted training was completed 138 days after starting at the facility.

Corrected Corrected by Jul 2, 2025

Category: supervision. 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, #5 and #6 may not work in a child care position at the facility.

The files submitted for Staff Persons #4, #5 and #6 lacked a signed disclosure statement. The file submitted for Staff Person #4, who was identified as an afternoon director, also lacked a complete PA State Police Clearance. A Director may not be hired provisionally. The file submitted for Staff Person #5 lacked verification that they had received a complete PA State Police or FBI Background Check, a PA Child Abuse Clearance and NSOR Certificate prior to starting at the facility. The file also lacked a request for their PA State Police or FBI Background check prior to starting. The PA State Police and PA Child Abuse Clearances on file were dated 4 days after starting at the facility. The file submitted for Staff Person #5 lacked a complete FBI Background Check and NSOR Certificate. The file for Staff Person #5 also lacked required out of state clearances for the State that they are currently a resident of. Staff Person #5 reported only visiting family in Pennsylvania for the summer and they are not a resident of the state. The file submitted for Staff Person #6 lacked a completed PA Child Abuse and NSOR Certificate prior to starting at the facility. The file submitted for Staff Person #6 also lacked verification that they had requested their FBI Background Check prior to starting at the facility.

Corrected Corrected by Jul 2, 2025

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

3270.33(a)/3270.192(2)(ii) · 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 facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files submitted for Staff Persons #5 and #6 lacked verification of education and experience to qualify them for a position at the facility.

Corrected Corrected by Jul 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.34(b)(1)/3270.192(2)(ii) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file submitted for Staff Person #4, who was identified as an Afternoon Director, lacked verification of one year of experience (1250 hours) to qualify them for this position

Corrected Corrected by Jul 7, 2025

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.

In the cafeteria child care space a total of 9 electrical outlets were observed to be missing protective receptacle covers. An outlet in the boy's restroom was also observed to be missing a protective receptacle cover. Preschool age children were observed to be receiving care in the space.

Corrected Corrected by Jul 2, 2025

Category: physical safety. 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.

A bottle of hand sanitizer was observed on a shelf next to the stage. An unlocked cabinet was observed next to the kitchen area to contain a bottle of hand sanitizer on the bottom shelf and other cleaning and disinfecting items on the top shelf. A shelfing unit was observed next to the unlocked cabinet to contain several bottles of hand sanitizer. All the items could be accessible to children, which included Preschoolers, receiving care in the space.

Corrected Corrected by Jul 2, 2025

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

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

An open bookbag, containing the first aid kit, was observed on the floor near the entrance to the cafeteria child care space. This allowed for the first aid kit to be accessible to children, including preschoolers, receiving care in the child care space.

Corrected Corrected by Jul 2, 2025

Category: health medication. 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 was missing tweezers and soap.

Corrected Corrected by Jul 2, 2025

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.

A lidded waste receptacle was missing from the Boys and Girls Restrooms.

Corrected Corrected by Jul 2, 2025

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

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

The emergency contact forms were not present for 5 of the 6 children receiving care in the cafeteria child care space.

Corrected Corrected by Jul 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

An open bookbag was observed on the floor near the entrance to the cafeteria child care space to contain two EpiPens. The EpiPens were accessible to children, including preschoolers, receiving care in the child care space.

Corrected Corrected by Jul 2, 2025

Category: health medication. 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.

The files submitted for Staff Persons #5 and #6 lacked an initial health assessment and tuberculosis screening within 12 months prior to starting at the facility.

Corrected Corrected by Jul 2, 2025

Category: ratio. Marked corrected in the state record.

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

Two unrefrigerated lunch boxes were observed in the children's baskets to contain potentially hazardous foods brought from home. These potentially hazardous foods included chicken, yogurt and a cheese stick.

Corrected Corrected by Jul 1, 2025

Category: nutrition. 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.

The file submitted for Staff Person #5 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jul 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

A written record of fire drills was not available for review at the time of unannounced inspection. A copy of the fire drill log was not submitted as requested.

Corrected Corrected by Jul 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

At the time of an unannounced inspection on July 1, 2025, it was observed that the facility was no longer providing care to School Age only children. Two children, who were determined to be of Preschool Age were observed to be receiving care in the school building. The space is required to be measured when care is provided to Preschool age children.

Corrected Corrected by Jul 10, 2025

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

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The written notification of safe routes was not posted at the facility.

Corrected Corrected by Jan 31, 2025

Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreement form on file for Child #4 lacked a date of admission.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

An unlocked cabinet containing toxic cleaning products, including bleach bottles and disinfectant sprays and wipes, was observed in the child care space. The toxic cleaning products were accessible to the young school age children receiving care in the space.

Corrected Corrected by Dec 16, 2024

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

A copy of the current insurance policy was not on file at the facility at the time of the inspection.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The signed disclosure statements on file for Staff Person's #2 and #3 lacked a date of signature.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.33(b) · At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

There are currently 4 staff employed at the facility. Staff Person's #1, #2 and #3 were identified as Aides. This brought the percentage of Aides to 75%. The facility only has one staff person who is qualified to be alone with children.

Corrected Corrected by Jan 31, 2025

Category: supervision. 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.

A young school ager was observed to leave the classroom without a staff person present. It was reported by Staff Person #4 that the child left to take a bus to another school. A staff person was not present with the child during this transition to ensure the child remained in the staff:child ratio until they boarded the school bus.

Corrected Corrected by Jan 31, 2025

Category: ratio. Marked corrected in the state record.

3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

A written plan of daily activities and routines was not available for review at the time of the inspection. The written plan was not posted in the group space.

Corrected Corrected by Jan 31, 2025

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

3270.113(a) · 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.

A young school ager was observed to leave the classroom without a staff person present. It was reported by Staff Person #4 that the child left to take a bus to another school. A staff person was not present with the child during this transition to provide supervision of the child until they boarded the school bus.

Corrected Corrected by Jan 31, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · 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.

A young school ager was observed to leave the classroom without a staff person present. It was reported by Staff Person #4 that the child left to take a bus to another school. A staff person was not physically present with the child during this transition to provide supervision of the child until they boarded the school bus.

Corrected Corrected by Dec 20, 2024

Category: supervision. Marked corrected in the state record.

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

The agreements on file for Children #1, #2, #3, #4 and #5 lacked an operator signature. The agreement for Child #1 also lacked a signature of the parent.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

The agreements on file for Children #2 and #4 at the time of the renewal inspection lacked information to include the fee amount and the date the fee is to be paid.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for Children #2, #4 and #5 were observed to contain an original agreement.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The emergency contact form for Child #3 lacked who should be contacted in an emergency.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. 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.

The emergency contact form for Child #3 lacked the work address and work telephone number of the enrolling parent.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. 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 forms for Children #1, #2, #3, #4 and #5 lacked the addresses for the release persons listed.

Corrected Corrected by Jan 31, 2025

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.

The written emergency transportation plan was not posted in a conspicuous location at the facility.

Corrected Corrected by Jan 31, 2025

Category: transportation. 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.

The health assessment and tuberculosis screening on file for Staff Person #2 was completed in excess of 12 months prior to starting in a child care taking position.

Corrected Corrected by Jan 31, 2025

Category: ratio. 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 emergency contact form on file for Child #2 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid.

Corrected Corrected by Jan 31, 2025

Category: ratio. Marked corrected in the state record.

3270.15(b) · The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance issued by the Department under this chapter.

The occupancy permit was not posted at the facility.

Corrected Corrected by Jan 31, 2025

Marked corrected in the state record.

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

The facility has not conducted a fire drill at this time. The facility has been in operation for more than 60 days.

Corrected Corrected by Jan 31, 2025

Category: ratio. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The information as to how parents may access the applicable regulations and instructions for contacting the appropriate regional office were not posted at the facility.

Corrected Corrected by Jan 31, 2025

Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The emergency plan on file lacked the method for a facility person to contact parents to notify them an emergency situation has arisen. The emergency plan also lacked information to the method to inform them that the situation has ended and how they can safely be reunited with their children.

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. 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.

The file for Staff Person #2, who is listed as the second staff person, lacked verification of 2 years' experience prior to starting to qualify them as an Assistant Group Supervisor. The second staff person must meet a minimum qualification of an Assistant Group Supervisor.

Corrected Corrected by Sep 16, 2024

Category: supervision. Marked corrected in the state record.

3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for Staff Person #2 lacked an initial health assessment and tuberculosis screening that had been completed within 12 months prior to starting at the facility. The submitted health assessment and tuberculosis screening were completed in March 2023.

Corrected Corrected by Sep 6, 2024

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.

The file for Staff Person #1 lacked one of their two written, nonfamily references attesting to their suitability to serve as a facility person.

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The emergency plan on file lacked information regarding the facility's accommodations for shelter in place and lock down procedures.

Corrected Corrected by Sep 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Verification that the emergency plan has been submitted to the local municipality and the county emergency management agency was not on file at the time of the inspection.

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. Marked corrected in the state record.