3270.70(a) · The indoor temperature shall be at least 65° F.

At the time of the inspection on 12/9/25, the thermostat located at the back of the facility by the bathrooms read a temperature of 58° F. The thermostat located in the Pre-K room read a temperature of 64° F. Staff person #2 acknowledged that the previous night, the thermostat was set for 68° F. When staff person #2 arrived at 7:30am on 12/9/25, the thermostat was reading 58° F. Staff person #2, as well as additional staff in the facility, acknowledged that the heat has not been working for a few days. The certification representative measured the temperature in the classrooms, and they measured 64 ° F. Facility person #3 denied that the heat was not previously working, as reported by staff. Facility person #3 stated "that the heat was working fine on Friday. The heat was working on Monday as well. It wasn't until Tuesday morning we they noticed a drop in the temperature despite raising the temperature on the thermostat to 72° and we contacted the landlord about it at 8:51am."

Corrected Corrected by Dec 9, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

At the time of the inspection, staff person #2 acknowledged that one toilet in the facility did not flush properly. There was a sink in the bathroom where water was dripping from the pipes underneath and puddling on the floor. The certification representative informed staff person #2 of the leak and that it appeared as though someone was aware of it, as there were paper towels underneath that were placed there to soak up the water.

Corrected Corrected by Dec 11, 2025

Category: recordkeeping. 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)1-9. Until such time as the required training has been completed, staff person #10 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 #10, staff person #10 may not work in a child-care position at the facility

Staff person #10 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): health and safety training requirements.

Corrected Corrected by Dec 10, 2025

Category: supervision. Marked corrected in the state record.

3270.33(a)/3270.37(c) · 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. An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

The certification representative arrived at the facility at 8:00am and observed staff person #2, the Director, sitting in the office while staff person #1, an aide, was working unsupervised with five children in the Preschool classroom. Staff person #1 only qualifies as an aide. Aides are not qualified to be working unsupervised.

Corrected Corrected by Sep 15, 2025

Category: supervision. 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, #3, #4, #5 and #6 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 persons #1, #3, #4, #5 and #6, staff persons #1, #3, #4, #5 and #6 may not work in a child-care position at the facility. Tiered: 1.)Until such time as the required pre- service trainings are completed, staff person #1, #3, #4, #5 and #6 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 persons #1, #3, #4, #5 and #6, staff persons #1, #3, #4, #5 and #6 may not work in a child-care position at the facility. This portion of the plan requires an immediate correction date. 2.)The legal entity must submit proof of PQAS-approved pediatric first-aid and pediatric CPR training for any new hires to the Northeast Regional Office within 90 days of hire for the new staff. This proof of training must be submitted for a period of 4 months from the date an acceptable plan of correction is received for new hires. This date of correction will be four months from the date an acceptable plan of correction is received.

Staff person #1, #3, #4, #5 and #6 were observed to be caring for children unsupervised. Staff person #1, #3, #4, #5 and #6 have not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training.

Corrected Corrected by Jan 30, 2026

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. Staff Person #4 may not work in a childcare position at the facility that involves direct contact or routine interaction with children. Tiered LIS: 1.) Staff Person #4 may not work in a childcare position at the facility that involves direct contact or routine interaction with children. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).This portion of the plan requires an immediate correction date. 2.) The legal entity will submit complete files to the Northeast Regional Office for any new hires for a period of three months from the date an acceptable plan is received. During that time, new hires may not begin to work in child care position until their file has been approved by the Northeast Regional Office. Submitted files will be reviewed within 1 week of submission. This date of correction will be for three months from when an acceptable plan of correction is received.

At the time of the inspection, staff person #4 was not hired appropriately under the CPSL and did not have a completed NSOR certificate. They also did not have proof of a submission receipt for being fingerprinted for the FBI clearance or a completed FBI clearance on file. Staff person #4 has routine interaction and direct contact working with children (see LIS code sheet for date of hire).

Corrected Corrected by Dec 30, 2025

Category: background checks. 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. The capacity established for an indoor space may not be exceeded except in situations described in § 3270.61(h)(1-3) Tiered: 1.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. The allowable number of children will not be exceeded. This portion of the plan requires an immediate correction date. 2.) The legal entity must print and post the maximum capacity in each measured childcare space. This portion of the plan will have a correction date for when each classroom's maximum capacity is posted.

On 9/15/25 at 9:00am, there were 26 children present in the Preschool classroom. This classroom has a capacity of no more than 25 children.

Corrected Corrected by Sep 15, 2025

Category: ratio. 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 waddler room, there was peeling paint on the walls.

Corrected Corrected by Sep 27, 2025

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

3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. 1.) Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. This portion of the plan will have an immediate date of correction. 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 Developmentally Appropriate Practices. The legal entity must receive DHS approval of the training content prior to scheduling the training. This portion of the plan will have a date of correction for when the training will be taken.

At the time of the inspection, in the preschool classroom, there were no directed activities that were being provided to the children. The children were running around the room and the room lacked structure. Numerous children were crying, and the staff were observed sitting down watching the children, not engaging in activities with the children.

Corrected Corrected by Dec 30, 2025

Category: background checks. 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. TIERED LIS: 1.Children must be supervised at all times. This plan of correction requires an immediate correction date. 2.) The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must ensure that each child is seen, heard, assessed and able to be directed at all times. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his/her assigned group and be physically present with the children in his/her group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. The written policy will address the procedure for not leaving children under the supervision of anybody who is not a staff person of the facility. The updated policies must also reflect the need for parental consent for any child to leave the classroom to receive outside services. It will be sent to DHS for review prior to training any staff. Both the updated supervision policies and new supervision procedures must be submitted to the Northeast Regional Office for approval prior to implementation. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on the policies and procedures, and it must be documented in their files. This date of correction will be when the policies and procedures have been approved and all staff will be trained. 3.) The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of 3 hours of PQAS-approved training regarding supervision and ratios. The legal entity must receive DHS approval of the training content prior to scheduling the training. This date of correction will be when all staff complete the supervision and ratio training. 4.) For a period of 3 months, the facility shall have no occurrences of non-compliance related to supervision of children. The operator shall demonstrate compliance on unannounced visits over the next 3 months. This date of correction will be three months from when an acceptable plan of correction is received.

During the inspection on 9/15/25, at 8:19am, staff persons #3, #4, #5 and #6 had 12 mixed-age children in the preschool room. When the certification asked each staff person which children they were responsible for, all staff acknowledged that they do not take accountability for specific children until they go to their classrooms at 9am and then will identify their primary care groups, but it is not done prior as children are being dropped off in the morning in the preschool room. At 9am, there were 26 mixed-age children present in the preschool room and not one staff person was able to identify which specific children they were responsible for. At 9:38am, the certification representative observed members of an outside agency removing child #1 from the Preschool classroom. When the certification representative questioned the Director, who was present in the Preschool room, where the child was going, she was unaware of the outside agency removing the child. The Director questioned the certification representative saying, "they left with the child?" The director then walked to the hallway where child #1 and the outside agency was. The outside agency claimed the child was overstimulated. The Director acknowledged that they do not have written consent from the parent for the child to be removed from the classroom to receive outside services.

3270.113(a)(1)/3270.113(a)(2) · 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 requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55. Tiered LIS: 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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55. This portion of the plan requires an immediate correction date. 2.) The facility must create and implement specific procedures using a tangible supervision system, e.g. supervision cards, supervision lists, or another approved method, to ensure appropriate supervision at all times. The cards will include the names and date of birth of the children to ensure appropriate ratios and supervision are being met. This date of correction will be when the tangible system has been submitted for review prior to training staff in the system.

On 9/15/25 at 9:00am, there were 26 children observed in the preschool classroom with staff person #1, #3, #4, #5 and #6. As per staff person #3 and #4, there were 10 young toddlers, 3 older toddlers and 13 preschool children present in this space. This number and age of children requires there to be 6 staff present at all times.

Corrected Corrected by Oct 10, 2025

Category: supervision. Marked corrected in the state record.

3270.151(a) · 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.

At the time of the inspection, staff person #7 did not have a health assessment on file and was observed in both the infant and preschool classrooms.

Corrected Corrected by Sep 15, 2025

Category: ratio. 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.

At the time of the inspection, staff person #6 only had one written reference attesting to the person's suitability to serve as a facility person on file.

Corrected Corrected by Sep 15, 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. Tiered LIS: 1.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. This portion of the plan requires an immediate correction date. 2.) The Director or designated staff person who is responsible for compliance with this chapter shall conduct manual monthly monitoring of the fire detection system and ensure that manual monthly monitoring is conducted at least once every 30 days. The legal entity must submit to the Regional Office a tentative schedule of future manual monthly monitoring drills to be conducted within the next 6 months. If there is a change in date for any of the anticipated manual monthly monitoring of the fire detection system, the change must be submitted to the Regional Office within 10 days of the change. This date of correction will be when the tentative scheduled is sent to the Regional office.

At the time of the inspection on 9/15/25, the last documented manual testing of the fire detection system was conducted on 7/29/25 and not every 30 days, as required.

Corrected Corrected by Oct 3, 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. Until such time as the required pre- service trainings are completed, #6 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 #6, staff person #6 may not work in a child-care position at the facility. Tiered LIS: 1.) 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 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 who do not have completed pre-service trainings, then those staff without trainings may not work in a child-care position at the facility. This portion of the plan requires an immediate correction date. 2.) The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must address that staff without pre-service trainings will not be left unsupervised and that those staff needing the trainings will be supervised by a minimum of an assistant group supervisor. This policy will also include how appropriate staffing will occur during child restroom breaks and diapering and staff lunches and breaks to ensure those without pre-service trainings are not left unsupervised. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and procedure, and it must be documented in their files. This date of correction will be when all requirements have been met.

CONTINUED NON-COMPLIANCE: During the inspection on 6/20/25, Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR. The director acknowledged that staff person #5 worked unsupervised in the toddler classroom and did not complete the PA Required Health and Safety for Centers-Group Child Care Part 1 and Part 2. During another inspection on 7/16/25, Staff person #6 was observed unsupervised in the young toddler room while changing the diaper of child #3. Staff person #6 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR, health and safety training and mandated reporter training. An acceptable plan of correction was received stating the correction would be implemented by 7/28/25. An inspection occurred on 8/5/25. Staff person #6 was observed unsupervised in the young toddler room while changing the diaper of child #9 and #10. Staff person #6 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

Corrected Corrected by Aug 23, 2025

Category: supervision. 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 written statement from the parents giving the formula and feeding schedule for the infants present in the infant room.

Corrected Corrected by Aug 18, 2025

Category: nutrition. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. Tiered LIS: 1.) An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. This portion of the plan requires an immediate correction date. 2.) The legal entity must develop or update their policies and procedures to be implemented in the facility. The written policy must address that an aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. The policies must include the process for changing diapers or taking children to the bathroom the ensure no aide is left unsupervised. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and procedure, and it must be documented in their files. This date of correction will be when all requirements have been met.

CONTINUED NON-COMPLIANCE: At the time of the inspection on 7/16/25, staff person #6, an aide, was observed working unsupervised while they were changing the diaper of child #3 in the young toddler room. An acceptable plan of correction was received stating the correction would be implemented by 7/28/25. An inspection occurred on 8/5/25. Staff person #6, an aide, was observed working unsupervised while they were changing the diaper of child #9 and #10 in the young toddler room.

Corrected Corrected by Aug 23, 2025

Category: supervision. 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.

At the time of the inspection, the trash cans in the bathrooms did not contain lids.

Corrected Corrected by Aug 14, 2025

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

3270.123(a)(5)/3270.123(a)(6) · An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission.

At the time of the inspection, there was no date of admission, or the persons designated by a parent to whom the child may be released on the agreement for child #6.

Corrected Corrected by Aug 18, 2025

Category: recordkeeping. 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.

At the time of the inspection, the health report on file dated 6/27/24 for child #8 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Corrected Corrected by Aug 13, 2025

Category: health medication. 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.

At the time of the inspection, in the preschool room, there were chicken nuggets in the lunchbox of child #10 that was hanging in a cubby.

Corrected Corrected by Aug 6, 2025

Category: nutrition. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

At the time of the inspection, there was no documentation on file that the local traffic safety authorities were notified annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Aug 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

At the time of the inspection on 7/16/25, daily reports for child #2 were observed from 7/2/25. On this date, child #2's diaper was changed at 9:10am and then not again until 12:20pm. The child went down for rest from 12:28-2:47, woke up, had snack and was not changed again until 3:12pm. The daily report from 7/3 showed that child #1 was checked into the facility at 7:08am and the diaper was not checked/changed until 10:01am. The diaper was not checked/changed again until 12:34pm. The child went down for rest during 12:59-3:06, woke up and had snack and was not changed again until 3:42pm.

Corrected Corrected by Jul 28, 2025

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.

During the inspection on 6/20/25, it was determined that on 6/12/25, an incident report was not provided to the parent regarding marks that were present on child #11. The incident report was later located in the classroom.

Corrected Corrected by Aug 23, 2025

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.

At the time of the inspections on 6/20 and 7/16/25, staff person #4 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

Corrected Corrected by Jul 28, 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. Until such time as the required pre- service trainings are completed, staff person #1, #5, and #6 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, #5, and #6, staff person #1, #5, and #6 may not work in a child-care position at the facility

During the inspection on 6/20/25, Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR. The director acknowledged that staff person #5 worked unsupervised in the toddler classroom and did not complete the PA Required Health and Safety for Centers-Group Child Care Part 1 and Part 2. During another inspection on 7/16/25, Staff person #6 was observed unsupervised in the young toddler room while changing the diaper of child #3. Staff person #6 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR, health and safety training and mandated reporter training.

Corrected Corrected by Jul 28, 2025

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. OCDEL Announcement C-25-01, effective 2/1/25, states "An FBI clearance obtained pursuant to the Pennsylvania Department of Education (PDE) requirements is also not valid when working or residing in a certified child care facility. To work or reside in a certified child care facility, the only acceptable FBI clearance must be obtained pursuant to the Department of Human Services (DHS)." Tiered LIS: 1.) The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person #6 and #8 may not work in a child care position with direct contact or routine interaction with children. This portion of the plan shall have an immediate correction date. 2.) The Legal Entity, Director and any facility persons responsible for hiring and management of the facility files must register for and attend the Existing Provider Orientation presented by the Northeast Regional Office on 8/6/2025. Registration must be completed by calling: 1-800-222-2108. This date of correction will be when the Legal Entity, Director or any facility persons responsible for hiring and management of the facility attend the Existing Provider Orientation.

At the time of the inspection on 7/16/25, staff person #6 had a FBI submission receipt dated 10/7/24 for PDE purposes. There was no submission receipt or completed DHS FBI clearance on file. Staff person #8 had a FBI clearance of PDE status on file and no submission receipt or completed DHS FBI clearance on file. PDE FBI clearances are not approved for working in childcare. Staff person #6 and #8 were not hired appropriately under CPSL and with Chapter 3490 and were observed having direct contact and routine interaction with children (see LIS code sheet for date of hire). There was no witness signature on the disclosure statement for staff person # 6 and #9.

Corrected Corrected by Aug 6, 2025

Category: ratio. Marked corrected in the state record.

3270.36(b)(3) · An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours 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.

At the time of the inspection on 7/16/25, staff person #9 did not have a high school diploma to accompany the college credits on file and therefore could not qualify for the position they were performing.

Corrected Corrected by Jul 28, 2025

Category: supervision. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

At the time of the inspection on 7/16/25, staff person #6, an aide, was observed working unsupervised while they were changing the diaper of child #3 in the young toddler room.

Corrected Corrected by Jul 28, 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). 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 shall create or update policies surrounding staff-to-child ratios, including mixed-age groups. The policy should include times of transition, such as other children needing to use the restroom and ensuring staff:child ratios are maintained at all times. This policy must be submitted to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and documentation must be kept on file at the facility. This portion of the plan requires a date of correction for when acceptable policies and procedures will be submitted to the Northeast Regional office for review and reviewed with all staff.

At the time of the inspection on 7/16/25, staff #7 was observed with and identified the 8 children in the preschool classroom (7 preschoolers and 1 older toddler). This number and age of children in the classroom requires there to be 2 staff present at all times.

Corrected Corrected by Aug 8, 2025

Category: ratio. 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. TIERED LIS: 1.) Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2.) The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy include that children will be able to be seen, heard, directed and assessed at all times. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his/her assigned group and be physically present with the children in his/her group on the facility premises and on facility excursions off the facility premises. It must also address that staff will not leave children unsupervised in the classroom to answer the front door. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and procedure, and it must be documented in their files. This portion of the plan requires a date of correction for when acceptable policies and procedures will be submitted to the Northeast Regional office for review and reviewed with all staff.

At the time of certification representative's arrival on 6/20/25, staff person #1 opened the facility door, which is located in the foyer of the facility, and was observed to be holding child #1. Upon arriving back in the infant room, a second infant was observed in a bounce chair. This infant was left unsupervised during the timeframe of staff person #1 leaving the room to open the door to returning, approximately 1 and 1/2 minutes. During another inspection on 7/16/25, staff #7 was observed with and identified the 8 children in the preschool classroom (7 preschoolers and 1 older toddler). Staff #8 then arrived with 6 preschool-aged children. This staff was asked to identify the children assigned to this staff, but only identified 4 of the children as assigned in the group. Two children were not assigned to the responsibility of any staff person present in the classroom.

Corrected Corrected by Aug 8, 2025

Category: supervision. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children. Tiered LIS: 1.) A facility person may not use harsh, demeaning or abusive language in the presence of children. This portion of the plan shall have an immediate date of correction. 2.) The legal entity must arrange for staff person #7 to take the 2-hour training titled "Interactions Matter: Positive Teacher-Child Interaction Strategies" which is available on Better Kid Care. This portion of the plan requires a date of correction for when the training will be completed.

At the time of the inspection on 7/16/25, when the certification representative was walking down the hall, she heard staff person #7 raising her voice towards children as a disciplinary measure in the preschool room. When the certification representative opened the door to the preschool room, staff person #7 was still observed raising her voice towards the children who were in a corner of the room. Staff person #7's voice was heard numerous times while the certification representative was in other classrooms with the director. The director acknowledged that staff person #7 needed to lower the level of her tone towards children.

Corrected Corrected by Aug 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

At the time of the inspection on 6/20/25, staff person #2 had acknowledge that she placed child #1, an infant, on his stomach to sleep. This is not in the sleeping position recommended by the American Academy of Pediatrics and there was no medical reason for the infant sleeping in this position.

Corrected Corrected by Jul 28, 2025

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