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

A door in the infant room that exits to the outside of the facility was obstructed by (2) chairs and empty boxes.

Corrected Corrected by Jul 18, 2025

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.

An open bag of ice melt that was labeled keep out of the reach of children was observed by the walkway to the entrance to the facility, accessible to children in care.

Corrected Corrected by Jul 18, 2025

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) sharp metal bolts protruding from the entrance gate to the fenced outdoor play space.

Corrected Corrected by Jul 18, 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.

The following equipment in the outdoor play space was not in good repair: A plastic playhouse had sharp metal screws protruding from it where there were parts missing and a plastic riding toy had a broken steering wheel, which created sharp edges.

Corrected Corrected by Jul 18, 2025

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

3270.192(4) · 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 may not work in a child care position at the facility.

The record for staff #1 lacked a disclosure statement.

Corrected Corrected by Jul 18, 2025

Category: background checks. 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 operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not include the prevention of child maltreatment, required as per Announcement C-22-03.

Corrected Corrected by Jan 25, 2025

Category: ratio. Marked corrected in the state record.

3270.20(e)/3270.182(7) · Copies of reports of injury, death or fire shall be kept in a file at the facility. 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.

Reports of accidents and injuries involving children in care at the facility were not retained at the facility in an accident file.

Corrected Corrected by Jan 25, 2025

Category: health medication. 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.

Two sharp adult scissors were observed on a shelf in room #1, accessible to children in care.

Corrected Corrected by Jan 25, 2025

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. Facility Person #2 may not work in a child care position at the facility.

The record for staff #1 included a current NSOR verification certificate dated 12/6/2024, which was more than 60 months following the date of their previous verification certificate issued on 11/6/2019. The record for staff #2 lacked a state police clearance and child abuse clearance.

Corrected Corrected by Jan 25, 2025

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

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The hot water temperature at the sinks in room #1 and room #2 that are used by children for handwashing was 112° F.

Corrected Corrected by Jan 25, 2025

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

The sink in room #2 could not be easily approached by the children using it because it was not at the proper height for them and there was no platform or steps.

Corrected Corrected by Jan 25, 2025

Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

There was less than 2 feet of space on three sides of a crib in use by a child in room #2.

Corrected Corrected by Jan 25, 2025

Category: physical safety. 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 did not review and update the emergency contact information for child #1 at least once in a 6-month period during the period between 1/24 to 11/24. A parent did not review and update the emergency contact information for child #2 at least once in a 6-month period during the period between 1/24 to 10/24. A parent did not review and update the emergency contact information for child #3 at least once in a 6-month period during the period between 2/24 to 11/24. A parent did not review and update the emergency contact information for child #4 at least once in a 6-month period during the period between 10/24 to 11/24.

Corrected Corrected by Jan 25, 2025

Category: recordkeeping. 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 did not review and update the financial agreement for child #1 at least once in a 6-month period during the period between 1/24 to 8/2024.

Corrected Corrected by Jan 25, 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.

The fire detection system was not tested at least once every 30 days during the period between 8/16 to 9/16/2024.

Corrected Corrected by Jan 25, 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.

The operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the identification and prevention of child maltreatment, as per Announcement C-22-03

Corrected Corrected by Feb 3, 2024

Category: ratio. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The operator's annual review of the emergency plan was last documented on 10/17/2022.

Corrected Corrected by Feb 3, 2024

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 #3, who was not hired on a provisional basis, included current clearances (state police clearance 9/22/2023; child abuse clearance 12/12/2023; FBI clearance 9/25/2023; and NSOR verification certificate 8/17/2023) obtained following their first day working in child care - see facility person code sheet.

Corrected Corrected by Feb 3, 2024

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

A handwashing sign was not posted at the toilet in the bathroom and the diapering area in room 1.

Corrected Corrected by Feb 3, 2024

Category: health medication. 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 doors in the infant room that exit to the outside of the facility were obstructed by office equipment/supplies and boxes.

Corrected Corrected by Feb 3, 2024

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

3270.103 · 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.

There were foam balls and foam blocks with bite marks and missing pieces in room 1, accessible to children who are still placing objects in their mouths.

Corrected Corrected by Feb 3, 2024

Marked corrected in the state record.

3270.123(a)(3) · 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 in § 3270.124(f) (relating to emergency contact information).

The record for child #3, who has been enrolled for more than 6 months, did not contain a child service report. The record for child #4 contained a child service report dated more than 6 months following their first day of attendance.

Corrected Corrected by Feb 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement for child #5 did not specify the child's arrival and departure times.

Corrected Corrected by Feb 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact information for child for child #1 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Feb 3, 2024

Category: recordkeeping. 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 #2 and #4 was reviewed by a parent more than 6 months following their date of admission. The emergency contact information for child #3 and #5 has not been reviewed by a parent at least once in the last 6 months.

Corrected Corrected by Feb 3, 2024

Category: recordkeeping. 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 and #3 included a current health assessment with TB test results read following their first day working in child care. The record for staff #4 included TB test results read following their first day working in child care.

Corrected Corrected by Feb 3, 2024

Category: ratio. Marked corrected in the state record.

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The operator did not post the menu at least 1 week in advance.

Corrected Corrected by Feb 3, 2024

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.

A written statement giving the formula and feeding schedule was not obtained from a parent for infants enrolled at the facility.

Corrected Corrected by Feb 3, 2024

Category: nutrition. 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 #2 and #4 was reviewed by a parent more than 6 months following their date of admission. The financial agreement for child #3 and #5 has not been reviewed by a parent at least once in the last 6 months.

Corrected Corrected by Feb 3, 2024

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.

The fire detection devices were not tested at least once every 30 days during the following times periods: 12/27/2022-1/27/2023; 1/27-2/27/2023; 3/27-4/27/2023; 5/26-6/26/2023; and 8/25-9/25/2023.

Corrected Corrected by Feb 3, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The record for child #6 contained a current health assessment dated more than 60 days following their first day of attendance,

Corrected Corrected by Feb 3, 2024

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

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

The emergency plan was not posted in the facility.

Corrected Corrected by Jan 23, 2023

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

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement for child #1 and #2 did not specify the date on which the fee is to be paid.

Corrected Corrected by Jan 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3) · 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 in § 3270.124(f) (relating to emergency contact information).

The agreement for child #1 and #2 did not include the services to be provided to the family and child.

Corrected Corrected by Jan 23, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The record for child #1 and #2 contained the original agreement.

Corrected Corrected by Jan 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.108(c) · Styrofoam cups and plates may not be used.

Styrofoam cups and plates were observed in the kitchen.

Corrected Corrected by Apr 8, 2022

Marked corrected in the state record.

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

Rooms 1 and 2 lacked posted written plans of daily activities.

Corrected Corrected by Apr 8, 2022

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

3270.123(a)(1) · An agreement shall to be charged per day or per week.

The file for child #1 contained an agreement which did not specify the amount of the fee.

Corrected Corrected by Apr 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The file for child #1 contained an agreement which did not specify the date on which the fee is to be paid.

Corrected Corrected by Apr 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff #1, designated by the director as an assistant group supervisor, did not include a high school diploma.

Corrected Corrected by Apr 8, 2022

Category: supervision. 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.

Damaged plaster was observed on the wall behind the restroom door.

Corrected Corrected by Apr 8, 2022

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

3270.123(a)(3) · 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 in § 3270.124(f) (relating to emergency contact information).

The file for child #1 contained an agreement which did not include the services to be provided.

Corrected Corrected by Apr 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The file for child #1 contained an agreement which did not specify the child's arrival and departure times.

Corrected Corrected by Apr 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The file for child #1 contained an agreement which did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Apr 8, 2022

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 file for child #1 contained emergency contact information which did not include the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Apr 8, 2022

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

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file for child #1 contained emergency contact information which did not include the written consent signed by a parent for emergency medical care.

Corrected Corrected by Apr 8, 2022

Category: recordkeeping. 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 file for child #1 contained emergency contact information which did not include health insurance coverage and policy number for the child.

Corrected Corrected by Apr 8, 2022

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

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The file for child #1 contained emergency contact information which did not include the address of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Apr 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Rooms 1 and 2 lacked posted plans for transporting a child to emergency care.

Corrected Corrected by Apr 8, 2022

Category: transportation. Marked corrected in the state record.

3270.171(b) · Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing.

The facility lacked a written description of safe pick up and drop off procedures.

Corrected Corrected by Apr 8, 2022

Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file for child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Apr 8, 2022

Category: ratio. Marked corrected in the state record.

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

The facility lacked means of providing the parents with information on how to access the regulations in this chapter electronically

Corrected Corrected by Apr 8, 2022

Marked corrected in the state record.

3270.101(c)(2) · Play equipment and materials shall include toys and materials for cognitive development.

The facility lacked equipment and materials for cognitive development. The facility lacked books available to the children.

Corrected Corrected by Nov 8, 2021

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

The diapering area lacked a hands free covered can.

Corrected Corrected by Nov 8, 2021

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. Staff #1 may not work in a child care position at the facility.

The file for staff #1 did not contain a state police clearance, an FBI clearance, or an NSOR certificate. The disclosure on file was not dated.

Corrected Corrected by Nov 8, 2021

Category: background checks. 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 proof of having a high school diploma and did not contain documentation of any child care experience.

Corrected Corrected by Nov 8, 2021

Category: supervision. 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 in room 1 along the bottom of the left hand wall.

Corrected Corrected by Nov 8, 2021

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Handwashing signs were not posted at the toilet, the 2 sinks in the restroom, 1 sink at the diapering area, or the sink in the kitchen.

Corrected Corrected by Nov 8, 2021

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

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The toilet and sink area in the restroom lacked a lidded trash can.

Corrected Corrected by Nov 8, 2021

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

3270.101(c)(1) · Play equipment and materials shall include materials for dramatic role playing.

The facility lacked equipment and materials for dramatic role playing.

Corrected Corrected by Nov 8, 2021

Category: physical safety. 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 file for staff #1 lacked a health assessment.

Corrected Corrected by Nov 8, 2021

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

The file for staff #1 lacked 2 written references.

Corrected Corrected by Nov 8, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities, or children with chronic medical conditions.

Corrected Corrected by Nov 8, 2021

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

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

The facility's emergency plan did not include details for shelter of children during a lock-down, shelter in place at the facility or shelter at locations away from the facility premises.

Corrected Corrected by Nov 8, 2021

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