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.

The restroom in the gym lacked posted handwashing signs.

Corrected Corrected by Jul 1, 2025

Category: health medication. 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.

A broken plastic bin with sharp edges was observed in the school age room.

Corrected Corrected by Jun 27, 2025

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

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact forms for children #3 and #4 did not include information on the child's special needs, as specified by the child's parent or physician. The boxes intended for this information on the form were left blank.

Corrected Corrected by Jul 1, 2025

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 a conspicuous location at the time of the inspection.

Corrected Corrected by Jun 27, 2025

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

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

A stained ceiling tile was observed in the small restroom in the school age room. Bent metal siding, which caused the sharp corner to face into the play space, was observed near the rear gate of the toddler playground.

Corrected Corrected by Jun 27, 2025

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form for child #1 did not include the health insurance policy number for the child .

Corrected Corrected by Jun 27, 2025

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

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The files for children #2 and #3, both preschoolers, contained consecutive health reports dated more than 12 months apart. The most recent health reports on file for both children are now current.

Corrected Corrected by Jun 27, 205

Category: health medication. 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.

The facility's letter to parents explaining emergency procedures did not include details regarding accommodations made for infants and toddlers during an emergency.

Corrected Corrected by Jul 12, 2024

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.

The file for staff #2 contained an out of state child abuse and neglect clearance dated more than 45 days after hire. The file contained documentation of applying for the clearance on 7/24/23 and again on 2/14/24. The results were dated 5/30/24.

Corrected Corrected by Jun 21, 2024

Category: background checks. 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.

The files for staff #3 and #4, both seasonal staff employed for over 1 year, lacked written evaluations.

Corrected Corrected by Jul 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.102(a)/3270.103 · 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. 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.

The following items were observed in the Pre-K room; Foam blocks with multiple bite marks and missing pieces indicating some children who receive care in the room are still placing objects in their mouths. Additionally, a loose bell was observed on a wrist worn musical instrument. When tugged, the bell easily came off the strap creating a choking hazard. A padded tablecloth with tears that exposed the inner foam batting was observed covering the sensory table in a restroom connected to the room.

Corrected Corrected by Jul 12, 2024

Category: physical safety. 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 agreement for child #1 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jul 12, 2024

Category: recordkeeping. 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.

While changing a diaper, staff #1 did not immediately discard the soiled diaper into a hand-free covered can. The soiled diaper was placed on the paper lined changing table while the remaining diapering steps were completed.

Corrected Corrected by Jul 12, 2024

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.

A sensory water table containing approximately 3 inches of water and toys was observed in a restroom in PS2. The water table was covered with a vinyl table cloth, but was still accessible to children using the restroom.

Corrected Corrected by Jun 15, 2023

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

One toilet base in a restroom in PS2 was observed to be heavily soiled with urine.

Corrected Corrected by Jun 15, 2023

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.

A cracked lid was observed on the blue sensory bin in the school age room. Three protruding nails were observed on a wooden table in the outdoor play space. The door on the play stove in PS2 was loose creating pinch points at the hinges.

Corrected Corrected by Jun 15, 2023

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

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

A written plan of daily activities was not posted in the infant room.

Corrected Corrected by Jun 15, 2023

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.

The emergency contact form and agreement for child #1 were not updated at least every 6 months. The documents were updated on 6/27/22 and again on 1/06/23. The documents are now current.

Corrected Corrected by Jun 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Three lunch boxes were observed to contain perishable items in need of refrigeration. Two in the school age room contained cheese or yogurt. One in PS2 contained yogurt.

Corrected Corrected by Jun 15, 2023

Category: ratio. Marked corrected in the state record.

3270.94(a)(1)/3270.95(b) · 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 ensure the requirements under subsection (a) are met.

Based on the facility's fire drill log, more than 60 days have passed between fire drills. The last drill was conducted on 5/31/22.

Corrected Corrected by Aug 11, 2022

Category: recordkeeping. 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 in Toddler 1 lacked a thermometer.

Corrected Corrected by Jun 28, 2022

Category: nutrition. 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 proof of applying for or completed out of state clearances. (SEE LIS CODE SHEET) The file for staff #2 contained 2 clearances applied for and obtained after their first day in a child care position. The state police clearance was dated 5/25/22 and the child abuse clearance was dated 5/28/22. (SEE LIS CODE SHEET) The files for staff #3 and staff #4 contained documentation of applying for the NSOR certificate after their first day in a child care position. The application for staff #3 was dated 12-28-22. The application for staff #4 contained documentation dated 5/17/22. (SEE LIS CODE SHEET)

Corrected Corrected by Jun 30, 2022

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

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

A reusable bottle of cleaner, which lacked a label specifying the contents, was observed in the closet in the Pre-K Counts room. A spray can of Glade deodorizer was observed in a basket on the floor of the restroom in the gym.

Corrected Corrected by Jul 1, 2022

Category: ratio. 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.

One of the three exits from the gym was blocked by a storage shelf on the day of the inspection.

Corrected Corrected by Jun 28, 2022

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.

Cracked plastic, which created pinch points, was observed on a doll house and on the rim of the soiled toy bucket in the school age room. One cracked plastic bin was observed in the block area in the Pre-K Counts classroom. A broken red shovel was observed in the sand tub in the outdoor toddler play space. All items were accessible to children.

Corrected Corrected by Jun 28, 2022

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

3270.102(a)/3270.103 · 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. 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.

A hole, which left the inner foam filling accessible to children, was observed on a purple doll in the infant room.

Corrected Corrected by Jun 28, 2022

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.

Loose plastic bags were observed in a basket on the floor of the restroom in the gym.

Corrected Corrected by Jun 28, 2022

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

3270.151(a) · 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.

The file for staff #3 contained a initial health assessment conducted more than 12 months prior to their first day in a child care position. The most recent health assessment on file is now current.

Corrected Corrected by Jun 28, 2022

Category: ratio. 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, and children with chronic medical conditions.

Corrected Corrected by Jul 29, 2022

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.Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised:3270.31(f)(10), pediatric first aid and pediatric cardiopulmonary resuscitation.

Corrected Corrected by May 31, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: Staff persons #1, #2, and #3 will have until 06/04/22 to complete the required training. Until such time as the required training is completed, staff persons #1, #2, and #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to tis citation. If there are no staff available to supervise staff persons #1, #2, and #3, then staff persons #1, #2, and #3may not work in a child-care position at the facility.

The file for staff #1 and #2, who though designated as seasonal have been employed for over 90 days. Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (SEE LIS CODE SHEET): 3270.31(f)(1-9). Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (SEE LIS CODE SHEET): 3270.31(f)(1-10). Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire(SEE LIS CODE SHEET): 3270.31(f)(1-9). The file for staff person #3 contained documentation of unacceptable Health and Safety training.

Corrected Corrected by Jun 4, 2022

Category: supervision. 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. Proof of purchase of interconnected fire detection system or devices shall be kept on file at the facility.

The facility file lacked proof of purchase of the interconnected fire detection system.

Corrected Corrected by Sep 2, 2021

Category: recordkeeping. Marked corrected in the state record.