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.

Documentation showed that staff #1 completed emergency plan training on 9/26/25, which is beyond 90 days from date of hire. See LIS for date of hire.

Corrected Corrected by Nov 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Documentation of accommodations for children with special needs and chronic medical conditions during emergency events was not available in the emergency plan letter to families.

Corrected Corrected by Nov 25, 2025

Category: physical safety. 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.

Documentation showed that staff #1 completed Part 2 of the health and safety training on 11/5/26, which is beyond 90 days from date of hire. See LIS for date of hire.

Corrected Corrected by Nov 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.

Documentation showed that staff #2 has an NSOR dated 8/1/25, which is after the staff members first day working with children. See LIS for first day working with children.

Corrected Corrected by Nov 25, 2025

Category: background checks. 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.

Tweezers and scissors were not available in the first aid kit.

Corrected Corrected by Nov 25, 2025

Category: health medication. 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.

At the start of the inspection, when asked how many children were in attendance, staff gave the number of children to be 21. Subsequent primary care group checks determined that 19 children in care that day.

Corrected Corrected by Nov 25, 2025

Category: supervision. 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.

A posted transportation plan was not available in the classroom.

Corrected Corrected by Nov 25, 2025

Category: transportation. Marked corrected in the state record.

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Evidence of a medication log for child #1 was not available on site.

Corrected Corrected by Nov 25, 2025

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

3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Staff #3 has a health assessment document that was not signed by a physician, physician's assistant or CRNP.

Corrected Corrected by Nov 30, 2025

Category: health medication. 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.

Documentation that the emergency plan had been sent to the county EMA and local municipality was not available.

Corrected Corrected by Nov 25, 2025

Category: physical safety. 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.

During the inspection, cleaning materials labeled keep out of reach of children (Swiffer Power Mop floor cleaner and Swiffer Wet Jet with Febreze, and sanitizing wipes) were accessible to children. CORRECTED ON SITE. A lined and lidded trash can was not available at the time of the inspection.

Corrected Corrected by Jan 16, 2025

Category: ratio. 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. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #1 will have until 12/31/24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR.

Corrected Corrected by Jan 10, 2025

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.

Documentation of Health and Safety Training for Staff #3 was dated 107 days after date of hire.

Corrected Corrected by Jan 10, 2025

Category: health medication. 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.

At the time of inspection, documentation of 2 years of experience for Staff #2 was not available.

Corrected Corrected by Jan 10, 2025

Category: supervision. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During the inspection, it was observed that children did not wash their hands before eating snack. Hand sanitizer was used as children entered the classroom, followed by snack.

Corrected Corrected by Jan 3, 2025

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

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

During the inspection, it was observed that child files were not stored in a locked cabinet.

Corrected Corrected by Jan 16, 2025

Category: recordkeeping. 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.

Documentation of two non-family references attesting to the person's suitability to serve as a facility person was not available for Staff #2.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. 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.

Documentation that the emergency plan had been sent to the local municipality was not available at the time of the inspection.

Corrected Corrected by Jan 3, 2025

Category: physical safety. 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.

Documentation of annual notification of local authorities detailing the program location and traffic routes was not available. The posted document was dated 2022.

Corrected Corrected by Jan 3, 2025

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 had a disclosure statement dated 12/14/23, which was completed after the first day of employment. Staff #3 did not complete Mandated Reporter training within 90 days of hire. Mandated Reporter training completed on 12/13/23.

Corrected Corrected by Dec 28, 2023

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

A blue couch was observed to be ripped and in disrepair. Corrected on site.

Corrected Corrected by Nov 15, 2023

Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f) · 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 within 90 days of hire as listed in subsections (f)1-10.

Staff number 2 did not complete Pediatric CPR/First Aide within 90 days of hire. Staff number 3 did not complete Pediatric CPR/First Aide within 90 days of hire. Staff Number 4 did not complete Pediatric CPR/First Aid/CPR within 90 days of hire. Staff numbers 2, 3, and 4 must be supervised by a qualified staff with completed preservice trainings at all times until training is complete.

Corrected Corrected by Dec 20, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f)/3270.31(h) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. All staff persons shall complete the professional development under subsection (f).

Staff number 1 has a 1 hour health and safety update on file but did not have the 10 hour or 6 hour health and safety training on file. Staff Number 2 does not have health and safety training on file. Staff number 3 completed health and safety training on 12/15/23, which is greater than 90 days. Staff #4 did not have health and safety training on file. Staff number 1,2,3 and 4 must be supervised by a qualified staff with complete preservice trainings at all times until training is completed and on file.

Corrected Corrected by Dec 28, 2023

Category: supervision. Marked corrected in the state record.

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.

The refrigerator used by the facility was observed to be missing a thermometer.

Corrected Corrected by Dec 13, 2023

Category: nutrition. Marked corrected in the state record.

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

Staff #2 did not have verification of child care experience on file.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. 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.

Staff #1 had two written, nonfamily references on file dated 12/15/23, which was after initial employment.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · 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.

Fire drills were not conducted within 60 days on the following occasion: 2/9/23 and again on 9/13/23.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. 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.

It was observed at the time of inspection staff #1, #2, #3 and #4 did not have documentation of emergency plan training.

Corrected Corrected by Dec 14, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

It was observed at the time of inspection staff #1, #2, #3 and #4 did not have annual fire safety training.

Corrected Corrected by Dec 21, 2022

Category: recordkeeping. 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.

It was observed at the time of inspection staff #3 and staff #4 did not complete the required health and safety training within 90 days as required.

Corrected Corrected by Jan 6, 2023

Category: health medication. 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.

It was observed at the time of inspection staff #3 and #4 did not have a written evaluation completed by the director within 12 months.

Corrected Corrected by Jan 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(4)/3270.131(c) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

It was observed at the time of inspection child #1's health assessment was blank and not completed and signed by a physician.

Corrected Corrected by Jan 4, 2023

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

3270.151(a)/3270.192(2)(ii) · 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 verification of child care experience, education and training prior to service at the facility.

It was observed at the time of inspection staff #2 did not have a completed health assessment.

Corrected Corrected by Jan 6, 2023

Category: ratio. Marked corrected in the state record.

3270.192(2)(iv) · 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.

It was observed at the time of inspection staff #2 and staff #3's did not contain verification of their education.

Corrected Corrected by Jan 6, 2023

Category: recordkeeping. 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.

It was observed at the time of inspection staff #2's record did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Dec 21, 2022

Category: recordkeeping. Marked corrected in the state record.

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

It was observed at the time of inspection staff #2 and#3 did not complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Corrected Corrected by Jan 6, 2023

Category: health medication. 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.

It was observed at the time of inspection the facility's emergency plan did not include lockdown during an emergency.

Corrected Corrected by Jan 4, 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 may not work in a child care position at the facility.

The file for staff person #1 did not include a completed FBI clearance.

Corrected Corrected by Feb 4, 2022

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