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 front entryway, there was a hole in the wall above the outlet in the front corner, and there was a piece of the tile laminate flooring near the door that was raised and was a tripping hazard. On the outdoor play spaces, there were metal rods with sharp edges at the top of the chain-link fences in multiple areas, including between the preschool play space, middle play space, and back toddler play space fences and in multiple corners of the play space fences.

Corrected Corrected by Jan 20, 2026

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

3280.124(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.

In the preschool room, an emergency contact form was not present in the room for a child receiving care in the room.

Corrected Corrected by Jan 20, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

An emergency transportation plan was not posted in the infant/toddler room and the indoor gross motor space.

Corrected Corrected by Jan 20, 2026

Category: transportation. Marked corrected in the state record.

3280.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The file for child #3 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.

Corrected Corrected by Jan 20, 2026

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

3280.131(e)(1)/3280.131(e)(3) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by 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). Children #1 and #2 must be dismissed from care by close of business on 1-7-26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for child #1, enrolled more than 60 days at the facility, lacked documentation of the 4th DTAP and 1st Varicella vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #2, enrolled more than 60 days at the facility, lacked documentation of the 1st MMR and Varicella vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Jan 20, 2026

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.

Written notification of safe routes was not posted at a conspicuous location in the child care facility.

Corrected Corrected by Jan 20, 2026

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 files for staff person #1 and #2 lacked two written, nonfamily references.

Corrected Corrected by Jan 20, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.31(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 pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, at a minimum by a primary staff person who has completed all pre-service trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Jan 20, 2026

Category: supervision. Marked corrected in the state record.

3280.131(a) · 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.

The file for child #4 lacked an initial health assessment within 60 days of the child's first day of attendance at the facility and requires a current health assessment.

Corrected Corrected by Jan 20, 2026

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

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

The operator lacked documentation of notifying local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Corrected Corrected by Jan 20, 2026

Marked corrected in the state record.