3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information for child #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 did not include the work address of the enrolling parent.

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. 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.

The record for staff person #1 included a NSOR verification certificate dated 7/24/2024, which was following their first day working in child care. (see LIS list) The record for staff #2 included a current state police clearance dated 1/28/2025, which was more than 60 months following the date of their previous clearance on 1/6/2020; and a current child abuse clearance dated 2/3/2025, which was more than 60 months following the date of their previous clearance dated 1/8/2025.

Corrected Corrected by Feb 3, 2025

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

3270.36(b)(3)/3270.192(2)(ii) · 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The record for staff person #1, who was identified as an AGS, lacked verification of 1 year of experience with children.

Corrected Corrected by Mar 11, 2025

Category: supervision. Marked corrected in the state record.

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

The metal ground stakes used to secure equipment in the outdoor plays space were protruding from the ground, which posed a potential hazard for children using the space.

Corrected Corrected by Mar 14, 2025

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

3270.102(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.

Cracks were observed on the seats of 2 plastic riding toys in the outdoor play space, posing a potential pinch point for children using the equipment. The gas cap on a plastic riding toy was damaged, which created rough edges.

Corrected Corrected by Mar 11, 2025

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

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement for child #4 did not specify the amount of the fee to be charged per day or per week.

Corrected Corrected by Mar 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(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 information for child #10 did not include the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Mar 12, 2025

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

3270.124(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 information for child #10 did not include the health insurance coverage and policy number for the child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Mar 14, 2025

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

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The record for child #3, a young toddler, included a current health report dated more than 6 months following the date of their previous health report.

Corrected Corrected by Mar 5, 2025

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

A parent did not provide written consent for administration of an EpiPen labeled for use by a child in room #1.

Corrected Corrected by Mar 17, 2025

Category: ratio. Marked corrected in the state record.

3270.61(h) · The capacity established for an indoor space may not be exceeded.

There were 10 children observed receiving care in room #1, which exceeded the established capacity of 8.

Corrected Corrected by Mar 12, 2025

Category: ratio. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Staff person #2 did not obtain an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Mar 25, 2025

Category: recordkeeping. 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.

The record for staff #4, who resided outside of Pennsylvania within the past 5 years, did not include the required out of state child abuse and neglect registry check from the state in which they resided.

Corrected Corrected by Apr 5, 2024

Category: background checks. 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.

Protective receptacle covers were not placed in the electrical outlet located outside the entrance of building #1.

Corrected Corrected by Mar 29, 2024

Marked corrected in the state record.

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

The stairway in building #2 was obstructed by an organ.

Corrected Corrected by Mar 29, 2024

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.

During naptime, staff #1 was present with 7 older toddlers in room #4 and identified 6 older toddlers in their assigned supervision group. Staff #2 identified the remaining child in room #4 in their assigned supervision group, but staff #2 was in the adjoining room #5 and not physically present with the child.

Corrected Corrected by Mar 29, 2024

Category: supervision. Marked corrected in the state record.

3270.124(f)/3270.181(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 emergency contact information for child #1 was not reviewed by a parent at least once in a 6-month period from 6/15 to 2/23/2024.

Corrected Corrected by Mar 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(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 shall contain initial and subsequent health reports.

The record for child #2, a preschool child, contained a current health report dated more than 12 months following the date of their previous health report.

Corrected Corrected by Mar 29, 2024

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

3270.151(a)/3270.192(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 record for staff #3 included a current health assessment dated more than 24 months following the date of their previous health assessment.

Corrected Corrected by Mar 29, 2024

Category: ratio. Marked corrected in the state record.

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

In room #3, a bottle was not labeled with a child's name on it.

Corrected Corrected by Mar 29, 2024

Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The financial agreement for child #1 was not reviewed by a parent at least once in a 6-month period from 6/15 to 2/23/2024.

Corrected Corrected by Mar 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.61(h) · The capacity established for an indoor space may not be exceeded. The capacity will be posted in each room.

There were 9 children observed receiving care in room #1, which exceeded the established capacity of 8. There were 10 children observed receiving care in room #3, which exceeded the established capacity of 8. There were 6 children observed receiving care in room #5, which exceeded the established capacity of 5.

Corrected Corrected by Apr 15, 2024

Category: ratio. 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.

The provider had a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment that did not include the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, or distraught child, as per Announcement C-22-03.

Corrected Corrected by Aug 3, 1982

Category: ratio. Marked corrected in the state record.

3270.27(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 and kept on file at the facility.

Staff person #4 last received training regarding the emergency plan more than 1 year ago on 6/21/2022.

Corrected Corrected by Aug 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The operator did not post the emergency plan in in the facility at a conspicuous location.

Corrected Corrected by Jul 28, 2023

Category: physical safety. 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. Facility Person #1 and #3 may not work at the facility.

The record for staff person #1 and #3 included a PDE FBI clearance, which is not a valid clearance for child care. The record for staff person #1 included a NSOR verification certificate dated 6/28/2023, which was following their first day working in child care. The record for staff person #2 included a current state police and child abuse clearance dated 7/1/2022, more than 60 months following the date of their previous clearances dated 8/16/2016.

Corrected Corrected by Aug 4, 2023

Category: background checks. 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.

A protective receptacle cover was not placed in an electrical outlet on the outside of the building by the entrance to the main building and on the outside of the building by the entrance the 2nd building.

Corrected Corrected by Jul 28, 2023

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.

Baby oil, body lotion, vaseline and hair conditioner labeled keep out of the reach of children was observed in an unlocked bottom cabinet in the Discovery room, accessible to children in care.

Corrected Corrected by Jul 28, 2023

Marked corrected in the state record.

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

There were (6) metal stakes used to anchor outdoor play equipment (fire truck, cymbals, and easel) protruding from the ground, which posed a potential hazard for children using the equipment.

Corrected Corrected by Jul 28, 2023

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

The written plan of daily activities was not posted in the Adventure Book Nook room.

Corrected Corrected by Jul 28, 2023

Category: physical safety. 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 record for child #1-10 contained the original agreement.

Corrected Corrected by Aug 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 record for staff person #4 lacked a current health assessment.

Corrected Corrected by Aug 8, 2023

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

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Copies of children's accident and injury reports were not retained in the children's files.

Corrected Corrected by Jul 28, 2023

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

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The director did not ensure that the interconnected fire detection system was tested every 30 days and testing was documented.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. 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 operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Jul 28, 2023

Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

A metal ice cream scoop with a sharp point and serrated edge for cutting was observed in an unlocked drawer in the PK 1 classroom, which posed a potential threat to the health and safety of the children.

Corrected Corrected by Aug 12, 2022

Category: health medication. 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.

The record for staff #5 included current child abuse and FBI clearances dated 6/15/2022 and NSOR clearance dated 6/17/2022, which was following their first day working in child care.

Corrected Corrected by Aug 12, 2022

Category: background checks. 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 record for staff #1 included a current certificate of completion for mandated reporter training dated 6/27/2021, more than 60 months following the date of their previous training completed on 2/5/2016. The record for staff #2 included a current certificate of completion for mandated reporter training dated 1/1/2020, more than 90 days following their first day working in child care.

Corrected Corrected by Aug 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

An electrical outlet in the Pre K 2 classroom and (2) electrical outlets on the outside of the buildings were accessible to children 5 years of age or younger and they were not covered with protective receptacle covers.

Corrected Corrected by Aug 12, 2022

Marked corrected in the state record.

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Large boxes containing riding toys were stacked on the landing in the stairway in building #2, which was an obstruction of a means of egress serving as an exit.

Corrected Corrected by Aug 12, 2022

Marked corrected in the state record.

3270.124(f)/3270.181(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.

A parent of child #1 did not review their emergency contact information at least once in a 6-month period from 12/14/2021 to 7/14/2022.

Corrected Corrected by Aug 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The record for child #2, a younger toddler, included a current health report dated more than 6 months following the date of their previous health report.

Corrected Corrected by Aug 12, 2022

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

3270.131(b)(2)/3270.182(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 shall contain initial and subsequent health reports.

The record for child #3, a preschool child, included a current health report dated more than 12 months following the date of their previous health report.

Corrected Corrected by Aug 12, 2022

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

3270.151(a)/3270.192(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 record for staff #2, #3 and #4 included a current health assessment which was dated more than 24 months following the date of their previous health assessment. The record for staff #5 included an initial health assessment which was dated following their first day working in child care.

Corrected Corrected by Aug 12, 2022

Category: ratio. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

A parent of child #1 did not review their financial agreement at least once in a 6-month period from 12/14/2021 to 7/14/2022.

Corrected Corrected by Aug 12, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff #1, employed since 11-2-20, did not contain documentation of pediatric CPR and first aid certification.

Corrected Corrected by Jul 23, 2021

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Based on documentation, staff #2 did not update their mandated reporter training within 60 months as required. The training was completed on 2-8-16 and again on 6-22-21.

Corrected Corrected by Jul 9, 2021

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 #1, designated as an assistant group supervisor, did not contain verification of 2 years experience with children.

Corrected Corrected by Jul 12, 2021

Category: supervision. 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 in the lower level PKC Room lacked scissors.

Corrected Corrected by Jul 9, 2021

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

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

A thorned weed, approximately 2 feet tall, was accessible to children along the fence of the upper playground. A broken hard plastic landscaping bumper was observed in the upper playground along the front fence.

Corrected Corrected by Jul 9, 2021

Category: physical safety. 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.

Peeling paint was observed on the wall in the restroom of the Waddlers room.

Corrected Corrected by Jul 21, 2021

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

The Book Nook lacked a posted written plan of daily activities.

Corrected Corrected by Jul 9, 2021

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

3270.124(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 files for children #1, #3, and #4 contained emergency contact information which did not include the health insurance policy numbers for the children.

Corrected Corrected by Jul 12, 2021

Category: health medication. 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 Book Nook and the infant room lacked posted written plans identifying the means of transporting a child to emergency care

Corrected Corrected by Jul 9, 2021

Category: transportation. Marked corrected in the state record.

3270.131(e)(1) · 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 file for child #2 contained an immunization record which lacked documentation of receiving the influenza vaccine within the last 12 months as recommended by the ACIP. A written exemption was not on file.

Corrected Corrected by Jul 15, 2021

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Expired Albuterol, intended for child #5, was observed in the medication box in the Ducky Diner. The medication expired in September 2018.

Corrected Corrected by Jul 13, 2021

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

3270.151(a)/3270.192(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 files for staff #3 and #4 contained health assessments which were not updated within 24 months as required. The most recent health assessments on file for both staff are now current.

Corrected Corrected by Jul 9, 2021

Category: ratio. Marked corrected in the state record.