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.

During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #2 did not contain the required health and safety professional development training(s). 2. The shaken baby/child maltreatment policy did not include the identification of child maltreatment. 3. The emergency plan did not include a continuity of operations.

Corrected Corrected by Apr 23, 2026

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.

During the renewal inspection, certification representative reviewed 3 staff files and the files for staff #2 did not include emergency plan training.

Corrected Corrected by Apr 13, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (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. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #2 did not contain a PQAS certified pediatric cpr and first aid training.

Corrected Corrected by Apr 23, 2026

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.

During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #1 and staff #3 did not include two non-family references.

Corrected Corrected by Apr 23, 2026

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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: STAFF #3- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #3 may not work in a child care position at the facility.

During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #3 is missing the PA child abuse clearance.

Corrected Corrected by Apr 23, 2026

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

During the renewal inspection, certification representative reviewed 3 staff files and the files for staff #3 did not contain an annual employee evaluation.

Corrected Corrected by Apr 23, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(2)/3270.192(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.

During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #2 did not have A physical or TB results and the file for staff #3 was missing TB test results.

Corrected Corrected by Apr 23, 2026

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

3270.182(1) · A child's record shall contain initial and subsequent health reports.

During the renewal inspection, certification representative reviewed 5 children's files and the file for child #1 did not have an updated physical.

Corrected Corrected by Apr 23, 2026

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

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #1 and staff #3 were missing a verification of childcare experience and the file for staff #2 did not include the verification of education or years of childcare experience.

Corrected Corrected by Apr 23, 2026

Category: recordkeeping. 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.

During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include information on how staff are to respond in the event of a shelter in place and lockdown emergency to include locations where staff are to go.

Corrected Corrected by Apr 23, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include information on how staff are to respond in the event of an evacuation to a location away from the facility.

Corrected Corrected by Apr 23, 2026

Category: recordkeeping. 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.

During the initial inspection, certification representative reviewed 3 staff files and the file for staff #3 not include 12 hrs of childcare training.

Corrected Corrected by Apr 22, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

While intervening and breaking up a fight/bullying situation, staff #1 grabbed child #1 by the neck with his arm causing the child to lose his ability to breathe.

Corrected Corrected by Nov 21, 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Staff #2 and staff #3 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

.During the renewal inspection, certification representative reviewed 4 staff files and the files for staff #2 and staff #3 both have ACT33 criminal clearances instead of the required employment criminal clearances.

Corrected Corrected by Jun 12, 2025

Category: supervision. 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.

During the renewal inspection, certification representative reviewed the facility files, and the emergency plan did not include accommodations for infants, toddlers, children with special needs and children with chronic medical conditions.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During the renewal inspection, certification representative reviewed the emergency plan and there was no emergency drill log on file.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1)/3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

During the renewal inspection, certification representative reviewed the facility files and there was no fire drill log on file.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. 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.

During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include a section on lockdown procedures. How staff and children get to the relocation area was not addressed and the evacuation process with specific staff duties were also missing and the shelter in place locations were not identified.

Corrected Corrected by Jun 12, 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

At the time of renewal, certification rep reviewed staff #1 record and observed Staff 1 did not have rap sheet attached to the State Police Criminal Clearance for pending record in record on site.

Corrected Corrected by May 29, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

During renewal inspection dated 4/13/2023, certification reviewed files for staff person #1, staff person #2, and staff person #3 and to date they had not completed the 2022 Health and Safety Training Update that was required to be completed by 12/31/2022.

Corrected Corrected by Apr 13, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #3 will have until 4/28/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #3 must be supervised when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

After reviewing staff person #3 record, staff person #3 has not completed the Mandated Reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/19/17.

Corrected Corrected by Apr 28, 2023

Category: supervision. 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.

During renewal inspection dated 4/13/2023, certification representative observed that 2 electrical outlets were accessible to children and did not have protective receptacle covers on them.

Corrected Corrected by Apr 13, 2023

Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

During the renewal inspection dated 4/13/2023, certification representative reviewed the files for Child #1, Child #2, Child #3, and Child #4. All of these files did not have immunization records present.

Corrected Corrected by Apr 27, 2023

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

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

During the renewal inspection dated 4/13/2023, certification representative observed that there was no written notification to the local traffic safety authorities.

Corrected Corrected by Apr 13, 2023

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.

For the renewal inspection dated 4/13/2023, certification representative reviewed files for staff person #2, and staff person #3 and their most recent health assessment was past the 24 month renewal period. The most recent health assessment for staff person #2 is dated 10/6/2020, and for staff person #3 the health assessment is dated 2/11/21.

Corrected Corrected by Apr 27, 2023

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

3270.182(1) · A child's record shall contain initial and subsequent health reports.

During the renewal inspection dated 4/13/2023, certification representative reviewed the children files. The files for child #1-4 did not have initial health assessments present in their files.

Corrected Corrected by Apr 27, 2023

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

3270.191 · An individual record is required for each facility person.

During the renewal inspection dated 4/13/2023, certification representative observed that there was not any staff files onsite for staff person #1-4.

Corrected Corrected by Apr 27, 2023

Category: recordkeeping. 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.

During the renewal inspection dated 4/13/2023, certification representative observed that the emergency plan did not have lock down accommodations in it.

Corrected Corrected by Apr 13, 2023

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

3270.27(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.

During the renewal inspection dated 4/13/2023, certification representative observed that provider did not have documentation posted regarding the submission of emergency plan updates to local municipalities and to the county emergency management agency.

Corrected Corrected by Apr 27, 2023

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

3270.131(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.

During review of the files for child #1, child #2, child #3, and child #4, there were no health assessments in their individual files. Per requirement, within 60 days of the child's start date at the facility, the parent shall provide the initial health assessment.

Corrected Corrected by Apr 27, 2023

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