3280.14/3280.20 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility's Shaken Baby Syndrome/Abusive Head Trauma policy lacked details regarding the prevention and identification of child maltreatment.

Corrected Corrected by Jun 12, 2026

Category: ratio. Marked corrected in the state record.

3280.26(a)(4) · 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 facility's emergency plan lacked a method for facility persons to inform parents that the emergency plan has ended and how the facility will provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Jun 12, 2026

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

3280.26(c)/3280.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #3 lacked emergency plan training and is more than 90 days from Staff #3's date of hire (SEE IS CODE SHEET).

Corrected Corrected by Jun 12, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility's emergency plan lacked a letter to parents explaining the emergency procedures for the following topics: shelter and lockdown, evacuation, method to contact parents during an emergency, method to inform parents the emergency has ended and instructions on how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities and chronic medical conditions.

Corrected Corrected by Jun 12, 2026

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

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

The files for Staff #1 and Staff #2 contained 0 of 12 annual childcare training hours within the training timeframe of 10/2024-10/2025. The file for Staff #3 contained 6 of 12 annual childcare training hours within the training timeframe of 4/2025-4/2026.

Corrected Corrected by Jun 12, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)(4)(i)/3280.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Until such time as the required training has been completed, Staff #2 must be supervised, when interacting with children at a minimum, a Primary Staff who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff available to supervise Staff #2, Staff #2 may not work in a child care position at the facility.

The most recent Pediatric First Aid/CPR training on file for Staff #2 is dated 10/1/23, with an expiration date of 10/2025.

Corrected Corrected by May 31, 2026

Category: supervision. Marked corrected in the state record.

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The two most recent Pennsylvania State Police clearances on file for Staff #1 are dated 8/24/20 and 12/19/25, more than 60 months apart. The file for Staff #3 contained the required format of the disclosure statement after 2/1/25 per Announcement C-25-01 but was dated 2/8/26 after the required deadline.

Corrected Corrected by Feb 8, 2026

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

3280.66(a)/3280.66(c) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces. Toxic plants are not permitted in a child care space.

In the Outdoor Play Space, an accessible Tree of Heaven plant was observed growing from the building into the play space and is toxic.

Corrected Corrected by May 22, 2026

Category: ratio. Marked corrected in the state record.

3280.75(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 facility's first aid kit lacked scissors.

Corrected Corrected by May 22, 2026

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

3280.76 · 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.

In the Main Room, a broken mirror with cracks hanging on the wall was observed not to be in good repair and accessible to children. During the renewal inspection, the carpet in the left corner area of the Main Room was observed to have water damage and was accessible to children. A floor tile was observed to be lifting off the ground, containing torn pieces, and not in good repair in the bathroom in the back corner.

Corrected Corrected by Jun 12, 2026

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Peeling paint and exposed rust was observed on the exterior of the doorframe in the Outdoor Play Space and was accessible to children.

Corrected Corrected by Jun 5, 2026

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

3280.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

A toy riding horse with a broken suspension strap, a tool bench with a broken leg, and a detached board on the back of the steps on the play structure were observed to be accessible to children in the Main Room and not in good repair.

Corrected Corrected by May 22, 2026

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

3280.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

A chair with torn foam was observed in the Outdoor Play Space and was accessible to children who are still placing items in their mouths.

Corrected Corrected by Jun 5, 2026

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

3280.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

The initial child service reports on file for Child #4 and Child #5 are dated 8/8/25, more than 6 months from the child's date of enrollment (SEE IS CODE SHEET).

Corrected Corrected by Jun 12, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form on file for Child #1 lacked a complete address for the child's physician or source of medical care.

Corrected Corrected by Jun 12, 2026

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

3280.124(b)(4)/3280.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The emergency contact forms on file for Child #2, Child #4, and Child #5 lacked written parental consent for the facility to obtain emergency medical care.

Corrected Corrected by Jun 12, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(c) · 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. 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 parent review and signature for the emergency contact form on file for Child #1 is dated 8/7/25, more than 6 months prior. The only parent review and signatures for the emergency contact forms on file for Child #4 and Child #5 are dated 12/5/25, more than 6 months from the child's date of enrollment (SEE IS CODE SHEET).

Corrected Corrected by Jun 12, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The two most recent health assessments on file for Child #4 (6/11/23 & 6/11/25) and Child #5 (5/10/23 and 6/11/25) are dated more than 12 months apart.

Corrected Corrected by Jun 11, 2025

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

3280.131(d)(5)/3280.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).Child #2, Child #4, and Child #5 must be dismissed from care by close of business on 5/14/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The immunization record for Child #2 (PSA) lacked the following immunizations: 3 doses of DTAP, 1 dose of Pneumococcal, 3 doses of Polio, and 1 dose of Hepatitis A without a Letter of Exemption in the file. The immunization record for Child #4 (PSA) lacked the following immunizations: 1 dose of Rotavirus, 1 dose of DTAP, 1 dose of Pneumococcal, and 2 doses of Hepatitis A without a Letter of Exemption in the file. The immunization record for Child #5 (PSA) lacked the following immunizations: 1 dose of HiB and 1 dose of Pneumococcal without a Letter of Exemption in the file.

Corrected Corrected by Jun 5, 2026

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

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

At the time of inspection, it was observed that a group of toddlers did not wash their hands prior to eating snack.

Corrected Corrected by May 15, 2026

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

3280.151(a)/3280.192(3) · 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. 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 most recent health assessment on file for Staff #2 is dated 12/10/23, more than 24 months prior.

Corrected Corrected by Jun 12, 2026

Category: ratio. Marked corrected in the state record.

3280.181(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 parent review and signature for the financial agreement form on file for Child #1 is dated 8/7/25, more than 6 months prior. The only parent review and signature for the financial agreement forms on file for Child #4 and Child #5 are dated 12/5/25, more than 6 months from the child's date of enrollment (SEE IS CODE SHEET).

Corrected Corrected by Jun 12, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The emergency contact forms on file for Child #2, Child #4, and Child #5 lacked written parental consent for the facility to administer minor first aid procedures.

Corrected Corrected by Jun 12, 2026

Category: ratio. Marked corrected in the state record.

3280.192(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 #1 contained 1 of 2 written nonfamily reference letters attesting to the staff person's suitability to work in child care.

Corrected Corrected by Jun 12, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met

The fire alarm 30-day test log includes test dates 7/7/25-8/7/25, 8/7/25-9/8/25, 11/3/25-12/4/25, 12/4/25-1/5/26, and 1/5/26-2/6/26, more than 30 days apart. The most recent documented fire alarm testing was dated 4/2/26, more than 30 days prior.

Corrected Corrected by May 22, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.131(a)/3280.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

The most recent health assessments on file for Child #1 and Child #3 are dated 2/12/25, more than 12 months prior.

Corrected Corrected by Jun 30, 2026

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

3280.26(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.

At the time of inspection, the facility did not have documentation that the current emergency plan was sent to local municipality and to the county emergency management agency.

Corrected Corrected by Aug 8, 2025

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

3280.14/3280.20 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility lacked Shaken Baby, Child Maltreatment, and Abusive Head Trauma policies. The facility's emergency plan did not contain a policy addressing continuity of operations, required as of 7/1/22 per Announcement C-22-04.

Corrected Corrected by Aug 8, 2025

Category: ratio. Marked corrected in the state record.

3280.26(a) · The facility shall have an emergency plan.

At the time of inspection, the facility lacked an Emergency Plan.

Corrected Corrected by Aug 8, 2025

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

3280.26(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

The files for Staff #2, Staff #3, and Staff #4 lacked emergency plan training.

Corrected Corrected by Aug 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility lacked a letter to parents explaining the emergency procedures.

Corrected Corrected by Aug 8, 2025

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

3280.32(a)/3280.192(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.

The file for Staff #4 contained a Pennsylvania State Police clearance with a request date of 3/27/24 and lacked a dissemination date, making the clearance invalid. At the time of inspection, the file for Staff #4 contained an updated Pennsylvania State Police clearance dated 5/27/25.

Corrected Corrected by May 27, 2025

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

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

A container of Vaseline labeled 'Keep out of reach of children' was observed in a cubby and was accessible to children. In the kitchen hallway, a bottle of bleach cleaner was observed on the table and was accessible to children going to the outdoor play space.

Corrected Corrected by Jul 11, 2025

Category: ratio. Marked corrected in the state record.

3280.75(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 kits in the Main Room lacked tweezers, scissors, and tape.

Corrected Corrected by Aug 8, 2025

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

3280.76 · 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.

Rust was observed on the door in the outdoor play space. In Bathroom #1, the sink faucet was observed to be detached and not secured to the sink, which could be hazardous to children.

Corrected Corrected by Aug 8, 2025

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Peeling paint was observed on the wall behind the faucet in Bathroom #1. Broken plaster was observed by the humidifier on the green wall and on the wall in the hallway leading to the outdoor play space.

Corrected Corrected by Aug 8, 2025

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

3280.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the Main Room, a cardboard block and cardboard on a pizza play equipment were observed with ripped pieces and were not in good repair. In the outside play space, a trampoline was observed with torn fabric connection straps, which could cause injury.

Corrected Corrected by Jul 20, 2025

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

3280.178 · A first-aid kit, including the contents as specified in §3280.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

The first aid kit on the facility's van lacked soap.

Corrected Corrected by Aug 22, 2025

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

3280.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

In the Main Room, a plastic bag in a cubby and a package of baby wipes on the bottom of the changing table labeled 'Keep out of reach of children' and were observed accessible to children who are still placing objects in their mouths which could cause suffocation.

Corrected Corrected by Jul 11, 2025

Marked corrected in the state record.

3280.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

The files for Child #1 and Child #2 did not contain any child service reports and both Child #1 and Child #2 have been enrolled more than 6 months (SEE IS CODE SHEET).

Corrected Corrected by Aug 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.123(b)/3280.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The file for Child #1, Child #2, Child #3, Child #4, and Child #5 contained the original financial agreement when the parent is to receive the original agreement.

Corrected Corrected by Aug 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

The emergency contact form on file for Child #3 lacked the child's home address and the enrolling parent's name.

Corrected Corrected by Jul 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact forms on file for Child #1 and Child #4 lacked a complete address and phone number for the child's physician or source of medical care.

Corrected Corrected by Aug 22, 2025

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact forms on file for Child #2 and Child #5 lacked a complete home address for the enrolling parent.

Corrected Corrected by Aug 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(4)/3280.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The emergency contact forms on file for Child #1, Child #3, and Child #5 lacked written parental consent for the facility to obtain emergency medical care.

Corrected Corrected by Aug 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact forms on file for Child #1, Child #2, Child #3, and Child #4 lacked the child's health insurance coverage and policy number.

Corrected Corrected by Aug 22, 2025

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

3280.124(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 on file for Child #2, Child #3, Child #4, and Child #5 lacked full names and complete addresses for all listed release persons.

Corrected Corrected by Aug 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(c) · 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. 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 file for Child #1 (dated 6/30/24) and Child #2 (dated 9/1/23) contained an emergency contact form that was reviewed and updated by the parent more than 6 months prior.

Corrected Corrected by Aug 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The most recent health assessment on file for Child #4 (Preschool) is dated 4/29/24, more than 12 months prior.

Corrected Corrected by Aug 22, 2025

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

3280.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #4 must be dismissed from care by close of business on 7/10/25, and may only return to care when the immunization record is on file or when a parent provides a written, signed exemption letter.

The file for Child #4 lacked a written immunization record or a signed exemption letter from the parent and the child has been enrolled for more than 60 days (SEE IS CODE SHEET). Child #4 must be dismissed from care by close of business on 7/10/25, and may only return to care when the immunization record is on file or when a parent provides a written, signed exemption letter.

Corrected Corrected by Jul 11, 2025

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

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During an observed diaper change, Staff #3 did not ensure that the child's hands were washed after diapering.

Corrected Corrected by Aug 8, 2025

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

3280.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

During an observed diaper change, Staff #3 did not sanitize the changing table after use.

Corrected Corrected by Aug 8, 2025

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

3280.151(a)/3280.192(3) · 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. 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 most recent health assessment on file for Staff #1 is dated 1/4/23, more than 24 months prior.

Corrected Corrected by Aug 29, 2025

Category: ratio. Marked corrected in the state record.

3280.151(c)(2)/3280.192(3) · 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. 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 tuberculosis test on file for Staff #2 contained a test date of 12/9/24 but lacked final results.

Corrected Corrected by Aug 22, 2025

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

3280.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

During an observed diaper change, Staff #3 did not wash their hands after diapering.

Corrected Corrected by Aug 8, 2025

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

3280.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The facility lacked written notification of safe routes posted in a conspicuous location in the child care facility.

Corrected Corrected by Aug 8, 2025

Marked corrected in the state record.

3280.181(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 file for Child #1 (dated 8/22/24) and Child #2 (dated 9/1/23) contained a financial agreement form that was reviewed and updated by the parent more than 6 months prior.

Corrected Corrected by Aug 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The emergency contact forms on file for Child #1, Child #3, and Child #5 lacked written parental consent for the facility to administer minor first aid procedures.

Corrected Corrected by Aug 22, 2025

Category: ratio. Marked corrected in the state record.

3280.192(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 #3 contained 1 of 2 required nonfamily written reference letters.

Corrected Corrected by Aug 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The fire alarm 30-day test log includes test dates 3/3/25-4/4/25, 4/4/25-5/6/25, 6/5/25-7/7/25, more than 30 days apart.

Corrected Corrected by Jul 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.131(a)/3280.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

The initial health assessments on file for Child #1 (dated 2/12/25), Child #2 (dated 2/27/25), and Child #3 (dated 6/4/25) are dated beyond 60 days from the child's enrollment (SEE IS CODE SHEET).

Corrected Corrected by Jun 4, 2025

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