Start Smart Child Care Center

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 on 3/3/26 the file reviewed for staff person #1 and staff person #2 did not include an annual written evaluation.

Corrected by Mar 6, 2026

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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 on 3/3/26 the file reviewed for staff person #1 and staff person #2 did not include annual emergency plan training.

Corrected by Mar 6, 2026

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3270.31(e)(4)(i) · 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.

During the renewal inspection on 3/3/26 the first aid/cpr certificate reviewed for staff person #1 was not reviewed before the expiration of most current certification.

Corrected by Mar 6, 2026

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

During the renewal inspection on 3/3/26 the file reviewed for staff person #1 contained fire safety training dated 1/8/24 which was not updated annually.

Corrected by Mar 6, 2026

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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 may not work in a childcare position at the facility.

During the renewal inspection 3/3/26 the file reviewed for staff person #1 hired (see code sheet) included a NSOR certificate dated 11/19/2019 which is more than 60 months old. No receipt was on file.

Corrected by Mar 3, 2026

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

During the renewal inspection on 3/3/26 staff person #1 was observed caring for (5) infants alone.

Corrected by Mar 3, 2026

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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.

During the renewal inspection on 3/3/26 hand sanitizer was observed sitting on the sink in children's bathroom.

Corrected by Mar 3, 2026

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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.

During the renewal inspection on 3/3/26 the ceiling tiles in the indoor play space showed signs of possible leak.

Corrected by Mar 14, 2026

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During the renewal inspection on 3/3/26 chipping paint and damaged trim was observed in the younger and older toddler classrooms.

Corrected by Mar 8, 2026

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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).

During the renewal inspection on 3/3/26 the file reviewed for child #1, child #2, child #3, child #4, and child #5 did not include child service report providing information to the family about the child's growth and development.

Corrected by Mar 5, 2026

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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.

During the renewal inspection on 3/3/26 the emergency contact form reviewed for child #4 did not include the child's health insurance coverage or policy number.

Corrected by Mar 5, 2026

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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.

During the renewal inspection on 3/3/26 the file reviewed for child #2, child #3 and child #4 contained fee agreement and emergency contact forms that were not reviewed/updated within 6 months period.

Corrected by Mar 5, 2026

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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.

During the renewal inspection on 3/3/26 the file reviewed for child #1, child #2, and child #4 contained a health report that was more than 12 months old.

Corrected by Mar 20, 2026

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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 on 3/3/26 provider was unable to provide documentation of annual emergency drill.

Corrected by Mar 6, 2026

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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.

During the renewal inspection on 03/11/25 air freshener was observed in the bathroom accessible to children.

Corrected by Mar 11, 2025

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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).

During the renewal inspection on 03/11/25 the file reviewed for child #1 and child #2 did not include a child service report.

Corrected by Mar 14, 2025

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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.

During the renewal inspection on 03/11/25 the file reviewed for staff person #1 and staff person #2 did not include updated health assessment.

Corrected by Mar 14, 2025

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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.

During the renewal inspection on 03/11/25 the fee agreement reviewed for child #1 and child #2 were not updated/reviewed within 6-month period.

Corrected by Mar 14, 2025

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3270.62(d) · Outdoor or indoor play space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the childcare being offered.

During the allocated unannounced monitoring on 9/11/24 the indoor play space was observed being used for storage.

Corrected by Sep 11, 2024

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

During the allocated unannounced monitoring on 9/11/24 there were missing outlet covers observed in the indoor play space.

Corrected by Sep 11, 2024

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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.

During the allocated unannounced monitoring on 9/11/24 toxins were observed in the bathroom accessible to children.

Corrected by Sep 11, 2024

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During the renewal inspection on 03/19/24 the thermometer located in the refrigerator was not operable.

Corrected by Mar 20, 2024

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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 on 03/19/24 the file reviewed for staff person #3 did not include documentation of emergency plan training at time of initial hire.

Corrected by Mar 26, 2024

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3270.31(e)(4)(i) · 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.

During the renewal inspection on 03/19/24 the file reviewed for staff person #4 contained an expired first aid and CPR certification. Certification reviewed was dated 03/08/22.

Corrected by Mar 26, 2024

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #1 may not work in a childcare position at the facility.

During the renewal inspection on 03/19/24 the file reviewed for staff person #1 did not contain a completed child abuse, PSP criminal history clearance, NSOR certificate, DHS FBI clearance or a signed disclosure statement on file. The file does not contain copies of request(s) for the clearances/verification. Furthermore, staff person #1 was observed in infant/toddler room working alone with (4) children and was not in the vicinity of a permanent employee. The file reviewed for staff person #2 did not contain an updated PSP criminal clearance or updated PA child abuse clearance. PSP criminal clearance was dated 06/24/19 and PA child abuse clearance was dated 03/20/19 which is more than 60 months old.

Corrected by Mar 24, 2024

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3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

During the renewal inspection on 03/19/24 CR observed (18) children being supervised by (2) staff members. Youngest child was 6 months old requiring staff: child ratio of 1:4.

Corrected by Mar 19, 2024

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

During the renewal inspection on 03/19/24 missing receptacle covers were observed in the infant/toddler room.

Corrected by Mar 19, 2024

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

During the renewal inspection on 03/19/24 the hot water temperature in the bathroom #1 and bathroom #2 exceeded 110 degrees. Hot water temperature was 120 degrees via digital and analog thermometer.

Corrected by Mar 20, 2024

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3270.75(a) · A first-aid kit shall be in a child care space.

During the renewal inspection on 03/19/24 there was no first aid kit present in the indoor play space.

Corrected by Mar 20, 2024

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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.

During the renewal inspection on 03/19/24 the first aid kit located in the infant/toddler room was missing scissors. The first aid kit located in the Two's room was missing soap.

Corrected by Mar 20, 2024

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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.

During the renewal inspection on 03/19/24 the emergency contact form reviewed for child #1, child #5 and child #6 did not include health coverage information or policy number. The emergency contact form reviewed for child #4 did not include policy number.

Corrected by Apr 2, 2024

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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.

During the renewal inspection on 03/19/24 the emergency contact forms for child #1, child #2, child #3, child #4, child #5 and child #6 were not reviewed/signed within 6-month time period. The fee agreement for child #1 was not reviewed/signed within 6-month time period.

Corrected by Apr 2, 2024

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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.

During the renewal inspection on 03/19/24 the file reviewed for staff member #1 did not contain an initial adult health assessment. The file reviewed for staff member #2 did not contain an updated health assessment. Health assessment was dated 06/03/21.

Corrected by Mar 20, 2024

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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 on 03/19/24 the emergency drill documentation provided was dated 07/01/22.

Corrected by Mar 26, 2024

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. Obtain and submit written verification of annual fire safety training for the identified staff persons.

One staff person's record did not contain written verification of annual fire safety training. (#2)

Corrected by May 19, 2023

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Obtain and submit written verification of the required health and safety training for the identified staff persons.

One staff person's record did not contain written verification of required health and safety training completed within 90 days of employment. (#3)

Corrected by May 19, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 cannot work in a childcare position at the facility until the STATE POLICE clearance has been completed. Submit a copy of the completed STATE POLICE clearance for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff/facility persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One facility person's record did not contain the required CPSL hiring documents. (#1- hired 1/4/23- no proof of request for STATE POLICE prior to working with children and no completed STATE POLICE clearance as it states "

Corrected by May 19, 2023

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3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. Remove the padding/pillow and toys. Notify all facility staff persons that toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. Submit written verification of staff notification.

An infant (#1) was observed sleeping in the crib with a padding/pillow and toys.

Corrected by May 19, 2023

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3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. Install fencing or a protective barrier to restrict children from the plastic phone wiring and air conditioning hoses and also to prevent cars from entering the play area. Develop and submit a written protocol regarding the safety of children when using the rear play area.

Plastic phone wiring and air conditioning hoses were accessible to children in the rear outdoor play space. The play area was in the rear of the back driveway which presented and unsafe condition.

Corrected by Jul 20, 2022

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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). Submit updated agreements that contain this information for the identified children. Ensure that the agreement includes services to be provided to the family and the child.

The agreement form used by the facility did not have a provision to include services to be provided to the family and child. (#1, #2, #3, #4 and #5)

Corrected by Aug 20, 2022

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3270.123(a)(5)/3270.123(a)(6) · An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission. Update the agreements to specify the persons designated by a parent to whom the child may be released. Submit a copy of the updated agreements.

Several children's records contained agreements that did not specify the persons designated by a parent to whom the child may be released. (#1, #2, #3, #4 and #5)

Corrected by Aug 20, 2022

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Two children's records did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#2 and #5)

Corrected by Aug 20, 2022

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3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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. Obtain and submit written verification of signed parental consents for the identified child as specified in the regulation. Ensure that all children's records contain the required parental consents prior to admission.

One child's record did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff/prior to admission.

Corrected by Aug 20, 2022

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