3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity will conduct mandatory staff meetings at least once per month for a period of 3 months following the approval of this plan. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last year, as well as the Department of Human Services' regulations related to staff:child ratios and supervision of children. An agenda will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to OCDEL-DHS representatives upon request. The correction date for this portion of the plan shall be 3 months from the approval of this plan. 3.The legal entity will require all facility staff to participate in technical assistance visits provided by the ELRC focused on review of the facility's current emergency procedures and evaluation of their implementation during evacuation. The legal entity will ensure staff participate in a minimum of 3, in-person technical assistance visits provided by ELRC 4. The technical assistance visits must be completed within 6 months of the approval of this plan of correction. Upon completion of the visits, documentation will be provided to the OCDEL-DHS representative by email. The operator shall provide a date for when the technical assistance visits will be complete.

On 2/04/26, at approximately 9:05AM, child #1 was left alone in a crib in the newborn room when the facility evacuated due to the fire alarm.

Corrected Corrected by Jul 31, 2026

Category: supervision. 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.

On 2/04/26, at approximately 9:05AM, child #1 was left alone in a crib in the newborn room when the facility evacuated due to the fire alarm.

Corrected Corrected by Apr 2, 2026

Category: supervision. 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 #1 contained an FBI clearance that was applied for after their first documented day having direct contact with children. The application was dated 11/03/25. The file stated staff #1 began observing in classrooms on 10/25/25.The file for staff #3 contained a WV CPS clearance dated after their first documented day having direct contact with children. The clearance was dated 1/28/26. The file stated staff #3 began observing in classrooms on 1/27/26.

Corrected Corrected by Feb 3, 2026

Category: background checks. 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 #2, designated as an AGS by the director, did not include documentation of the qualifications required for the position. The file contained a HS diploma and a CDA, but lacked verified experience with children.

Corrected Corrected by Feb 4, 2026

Category: recordkeeping. 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.

One electrical outlet on a power strip was in PreK-2 lacked a protective cover. The power strip was plugged into the wall and was accessible to children 5 years of age or younger.

Corrected Corrected by Feb 3, 2026

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.

Multiple bottles of sunscreen, labeled keep out of reach of children, were observed to be accessible to children in the cubbies in Toddler 4.

Corrected Corrected by Feb 3, 2026

Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

The following toxic plants were observed at the facility; one arrowhead plant in Toddler 4, one pothos plant in Toddler 2, and one pothos plant in Prek-1.

Corrected Corrected by Feb 3, 2026

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

3270.75(b) · A first-aid kit must be inaccessible to children.

A bag containing a first aid kit was accessible to children on a low hook in Toddler 4. The bag was not locked.

Corrected Corrected by Feb 3, 2026

Category: health medication. 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 PS-2. A protruding bolt was observed on the base of a toilet in a PreK-2 restroom.

Corrected Corrected by Feb 4, 2026

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

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

Built up debris was observed on and around toilet bases in the PreK-1 and PreK-2 and PS-2 restrooms.

Corrected Corrected by Feb 3, 2026

Category: physical safety. 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.

A restroom connected to PreK-1 lacked a lidded waste receptacle. The lid was present in the room but was not attached to the can.

Corrected Corrected by Feb 4, 2026

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 dustpan with sharp plastic was accessible to children in a corner of Toddler 3. A broken green plastic connecting tube was observed in PreK-1. A hole was observed on a multicolored reading pillow in Toddler 4.

Corrected Corrected by Feb 3, 2026

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.

Disposable gloves were accessible to toddlers in Toddler 3. The box of gloves was observed sitting on a footstool in the attached restroom. A hole which exposed the inner foam filling was observed on a multicolored reading pillow in Toddler 4.

Corrected Corrected by Feb 3, 2026

Category: physical safety. 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.

In the Newborn room, an infant was observed in a crib which lacked two feet of space on 3 sides. The crib was blocked by other cribs and a pillar.

Corrected Corrected by Feb 3, 2026

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

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

An inhaler intended for child #3 lacked the original packaging including the prescription label.

Corrected Corrected by Feb 3, 2026

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

The following medications observed onsite lacked written parental consent for administration - an Epi Pen for child #1, diazepam for child #2, and an inhaler for child #3.

Corrected Corrected by Feb 3, 2026

Category: ratio. 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.

Two lunch boxes containing cheese slices and cheese sticks were observed in PreK-1. Based on statements made by staff, the boxes were not refrigerated because they contained ice packs.

Corrected Corrected by Feb 3, 2026

Category: nutrition. Marked corrected in the state record.

3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Based on statements made by witnesses during the investigation, on 1/22/26 staff #1 ridiculed child #1 by saying "You can't stay a baby your whole life" and "Its time to grow up."

Corrected Corrected by Jan 23, 2026

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.

On 1/22/26 at approximately 4PM, staff #1 restrained child #1 by holding child #1 on their lap and preventing child #1 from moving. Based on statement made by witnesses and video footage viewed during the investigation, staff #1 placed 1 leg over the child's legs, placed 1 arm over the child's arms and across the child's stomach area, and placed the other arm over the child's chest area.

Corrected Corrected by Feb 23, 2026

Category: recordkeeping. Marked corrected in the state record.

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.

On 10/6/2025 at 3:10 pm, staff #1 was observed supervising a group of 10 older toddlers alone without another staff person present in the toddler 3 room for approximately 1 minute until staff #2 returned from answering the door.

Corrected Corrected by Oct 17, 2025

Category: supervision. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

In the newborn room, there were 2 infants observed sleeping in baby bouncers, which is not the safe sleep position recommended by the American Academy of Pediatrics.

Corrected Corrected by Nov 10, 2025

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

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

An incident at the facility on 8/11/2025 required inpatient hospitalization of child #1 to be monitored for the night. The facility did not notify the appropriate regional office by telephone within 24 hours of the child being admitted to the hospital.

Corrected Corrected by Aug 20, 2025

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

3270.20(b) · The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

An incident at the facility on 8/11/2025 required inpatient hospitalization of child #1 to be monitored for the night. The facility did not notify the appropriate regional office in writing within 72 hours of the child being admitted to the hospital.

Corrected Corrected by Sep 8, 2025

Category: physical safety. 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.

Based on the fire drill log and a conversation with staff #1, the last fire drill conducted was dated 6/11/2025, which was more than 60 days from the date of the inspection.

Corrected Corrected by Aug 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times.

Based on interviews with staff and review of video footage, it was determined that on 6/16/25, Staff #1 and Staff #2 were responsible for supervising a group of 7 older toddlers during naptime in the toddler 3 classroom. The video footage showed Staff #1 continuously looking at their cell phone while Staff #2 was sleeping on the floor. At approximately 2:58 p.m., Staff #1 left the room for approximately 4 minutes, leaving the children unsupervised with Staff #2, who had remained asleep. At 3:05 p.m., Staff #1 left the room again. At 3:07 p.m., Staff #3 entered the room and observed that Staff #2 was still sleeping and left without waking up Staff #2. At 3:08 p.m., Staff #3 returned to the room with Staff #4 and woke up Staff #2. Staff #3 and Staff #4 left the room. Staff #1 returned to the room at approximately 3:10 p.m.

Corrected Corrected by Sep 18, 2025

Category: supervision. 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.

Based on interviews with staff and review of video footage, it was determined that on 6/16/25, Staff #1 and Staff #2 were responsible for supervising a group of 7 older toddlers during naptime in the toddler 3 classroom. The video footage showed Staff #1 continuously looking at their cell phone while Staff #2 was sleeping on the floor. At approximately 2:58 p.m., Staff #1 left the room for approximately 4 minutes, leaving the children unsupervised with Staff #2, who had remained asleep. At 3:05 p.m., Staff #1 left the room again. At 3:07 p.m., Staff #3 entered the room and observed that Staff #2 was still sleeping and left without waking up Staff #2. At 3:08 p.m., Staff #3 returned to the room with Staff #4 and woke up Staff #2. Staff #3 and Staff #4 left the room. Staff #1 returned to the room at approximately 3:10 p.m.

Corrected Corrected by Sep 18, 2025

Category: supervision. Marked corrected in the state record.

3270.137 · An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).

During an outbreak of Hand, Foot and Mouth disease at the facility, the operator allowed children with symptoms, including visible blisters, to return to care without written notification from a physician or CRNP verifying they were no longer a threat to the health of others.

Corrected Corrected by Sep 18, 2025

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

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreement for child #1 included an inaccurate date of admission. The recorded date was prior to the child's date of birth.

Corrected Corrected by Mar 19, 2025

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 as a director on the staff data sheet, lacked documentation of the hours of experience required for the position. The file for staff #3, designated as an AGS on the staff data sheet, did not contain documentation of the qualifications required for the position.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

A first aid kit was accessible to children in the emergency bag in Pre-k 1. The bag was observed hanging on a low hook on the back of a toy storage shelf.

Corrected Corrected by Mar 18, 2025

Category: health medication. 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.

Three areas of water staining were observed in Pre-K 2 in the rear left of the room.

Corrected Corrected by Mar 21, 2025

Category: physical safety. 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 handwashing sink in Toddler 1 lacked a platform or steps to allow children to easily approach the sink. Based on statements made by staff, staff currently hold the toddlers at the sink for handwashing after diapering.

Corrected Corrected by Mar 21, 2025

Category: health medication. 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.

In Toddler 3, multiple split seams were observed on the plastic covered mat used for diaper/pull up changes in the restroom. The inner foam filling was accessible to children.

Corrected Corrected by Mar 18, 2025

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

In Toddler 2, two children were observed sleeping on mats labeled for other children based on the nap mat assignment chart posted in the room.

Corrected Corrected by Mar 18, 2025

Category: physical safety. 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 file for child #2 did not contain a current health report. The most recent health report on file was dated 2/20/24.

Corrected Corrected by Mar 18, 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.

The health assessment on file for staff #2 did not include the professional title of the signing individual.

Corrected Corrected by Mar 21, 2025

Category: health medication. 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 annual fire alarm inspection reports on file were dated more than 12 months apart. 11/02/23 and 12/18/24.

Corrected Corrected by Mar 25, 2025

Category: recordkeeping. 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.

Approximately 0.5 to 1 inch of standing water was observed in a lidded sand table located in the outdoor play space while children were present.

Corrected Corrected by Mar 12, 2024

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

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Based on statements made by staff, communication with parent in an emergency would occur via the communication application Kaymbu, however the emergency plan does not include that information.

Corrected Corrected by Apr 1, 2024

Category: physical safety. 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.

Based on statements made by staff, communication with parents in an emergency would occur via the communication application Kaymbu, however the letter for parents explaining the emergency procedures does not include that information.

Corrected Corrected by Apr 1, 2024

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #11 did not renew mandated reporter training 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 10/11/18 and 12/29/23. Current training is now on file.

Corrected Corrected by Mar 12, 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 files for staff #1, #2, #4, #6, #10, #11, #12, and #13 contained clearances which were not renewed within 60 months. The dates for each staff person are as follows; staff #1 FBI dated 12/19/18 was renewed 12/21/23. SP dated 12/17/18 was renewed 12/20/23. Staff #2 FBI dated 10/21/18 was renewed 12/29/23, SP dated 12/17/18 was renewed 12/20/23, CA dated 12/24/18 was renewed 12/28/23. Staff #4 SP dated 12/17/18 was renewed 12/20/23, CA dated 12/21/18 was renewed 1/03/24. Staff #6 FBI dated 12/21/18 was renewed 12/30/23, SP dated 12/17/18 was renewed 12/20/23, CA dated 12/21/18 was renewed 1/03/24. Staff #10 CA dated 12/21/18 was renewed 12/28/23, SP dated 12/17/18 was renewed 12/20/23.Staff #11 FBI dated 10/08/18 was renewed 12/28/23, SP dated 10/08/18 was renewed 12/20/23, CA dated 10/12/18 was renewed 12/28/23. Staff #12 FBI dated 6/06/18 was renewed 12/20/23, SP dated 6/04/18 was renewed 12/20/23, CA dated 6/12/23 was renewed 12/28/23. Staff #13 SP dated 12/17/18 was renewed 12/20/23, CA dated 12/24/18 was renewed 1/03/24. Current clearances are now on file for all 8 of these staff members.

Corrected Corrected by Mar 12, 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 #2, #3, #5, #6, #8, #10, #11, #12, and #13 contained consecutive annual evaluations dated more than 12 months apart. Current evaluations are now on file.

Corrected Corrected by Mar 12, 2024

Category: recordkeeping. 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.

One electrical outlet on a power strip lacked a protective cover. The power strip was located on top of a mini refrigerator in Toddler Room 1 and was accessible to children 5 years of age or younger.

Corrected Corrected by Mar 12, 2024

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 loose knob was observed on a play kitchen set in PS1. The knob was no longer attached to the screw intended to hold it in place. The knob came off when opening the door leaving a protruding screw exposed. Multiple broken plastic cups were observed in a sand table in the outdoor play space.

Corrected Corrected by Mar 12, 2024

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.

Mats #4, 5, and 6, which based on a posted nap mat chart were assigned to children in care, were observed to have spilt seams resulting in the inner foam pad being exposed and accessible to children.

Corrected Corrected by Mar 12, 2024

Category: physical safety. 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.

Two cribs in use by infants in the Newborn room lacked 2 feet of space on 3 sides. Cribs which were not in use were observed blocking 1-2 sides of each crib.

Corrected Corrected by Mar 12, 2024

Category: physical safety. 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 Mar 12, 2024

Category: nutrition. 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 files for children #1-#9 lacked documentation of sharing a service report with the parents in over 6 months.

Corrected Corrected by Apr 1, 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 #10 did not specify the child's arrival and departure times.

Corrected Corrected by Apr 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The file for child #7, a young toddler, contained consecutive health reports dated more than 6 months apart. The most recent health report on file is now current.

Corrected Corrected by Mar 12, 2024

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 file for child #2 contained consecutive health reports dated more than 12 moths apart. The most recent health report on file is now current.

Corrected Corrected by Mar 12, 2024

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

3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #9 did not complete Pediatric CPR and First Aid training from an approved instructor within 90 days of hire. The file for staff #9 now contains documentation of completing an approved course from an approved instructor.

Corrected Corrected by Mar 12, 2024

Category: health medication. 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.

The file for staff #7 contained documentation of 10 hours of annual training completed on time between 12/2022 and 12/2023. The file also contained 2 additional hours of training completed late.

Corrected Corrected by Mar 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff file #1 contained a certificate of completion of pediatric first aid and pediatric cardiopulmonary resuscitation dated 9/7/23 which was more than 90 days after hire date. (See LIS CODE SHEET)

Corrected Corrected by Feb 21, 2024

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.

The file for staff #1 contained clearances which were not updated within 60 months. The documented dates were as follows; state police previously obtained 1/23/18 and renewed on 2/06/23, child abuse previously obtained 1/30/18 and renewed on 2/13/23, FBI previously obtained 1/26/18 and renewed on 2/10/23. Current clearances are now on file for staff #1.

Corrected Corrected by Mar 31, 2023

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Emergency telephone numbers were not posted near the phone in PS1.

Corrected Corrected by Mar 31, 2023

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

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

Heavily soiled toilet bases were observed in the restrooms of the Pre-K room, PS1, and PS2.

Corrected Corrected by Mar 31, 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.

Tears and holes were observed on a nylon fabric crawl through tunnel observed in the school age room.

Corrected Corrected by Mar 31, 2023

Category: physical safety. 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.

An infant was observed in a crib which lacked the required 2 feet of space on 3 sides. The crib was positioned with the head against a wall with 2 other cribs positioned flush against each side.

Corrected Corrected by Mar 31, 2023

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

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

The agreements for children #1, #5, and #8 did not specify the child's arrival and departure times.

Corrected Corrected by Mar 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreements for children #5 and #7 did not specify the date of the child's admission.

Corrected Corrected by Mar 31, 2023

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 emergency contact information for child #8 did not include the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Mar 31, 2023

Category: health medication. 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 information for child #5 did not include the health insurance coverage and policy number.

Corrected Corrected by Mar 31, 2023

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 emergency contact information for children #5 and #7 did not include complete addresses for the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Mar 31, 2023

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.

The medical emergency transportation plan was not posted in PS1.

Corrected Corrected by Mar 31, 2023

Category: transportation. 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 files for children #2, #3, #4, #6, #7, #8. and #9 contained emergency contact information and agreements which were not updated by 1/06/22, when the regulation was reinstated, or within 6 months of the previous update. Current documents are now on file for each child.

Corrected Corrected by Mar 31, 2023

Category: recordkeeping. 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 #6 and #7 contained health reports which were not updated by 1/06/22, the date the regulation was reinstated. The file for child #9 contained a health report which was not updated within 12 months. Current health reports are now on file for all 3 children.

Corrected Corrected by Mar 31, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The file for child #7, enrolled since 1/13/20, contained an immunization record which lacked documentation of receiving the influenza vaccine prior to 2/28/23. A written exemption was not on file. The file now contains current and complete immunization documentation.

Corrected Corrected by Mar 31, 2023

Category: health medication. 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 files for staff #2, #3, and #4 contained health assessments which were not updated within 24 months. Current health assessments are now on file for all 3 staff.

Corrected Corrected by Mar 31, 2023

Category: ratio. 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 annual fire alarm inspection/test reports were dated more than 12 months apart. The previous report was dated 4/13/21. The current report was dated 8/30/22.

Corrected Corrected by Mar 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #1 contained nine hours of training completed on time between 12/19/21 and 12/19/22. Three additional hours were completed late. The file now contains the required 12 hour of annual training.

Corrected Corrected by Mar 31, 2023

Category: recordkeeping. 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.

There was peelings paint along the edge of the wall under the window on the left side of the room.

Corrected Corrected by Mar 15, 2022

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.

The door on the left bathroom in the preschool 2 room has a shipped by the door handle, exposing some splinters and creating a rough edge accessible to children.

Corrected Corrected by Mar 15, 2022

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.

There were 3 cracked bins In the pre-k room, and another cracked bin in the toddler 4 room. There was pink toy car with a rough edge on the right window of the toy in the preschool 2 room. There was a broken magnet tile in the school age room. There was a rug that was not in good repair in the Toddler 1 room, the rug was ripped on the border. There was a rough edge exposed on the bottom of the fence in the preschool playground.

Corrected Corrected by Mar 15, 2022

Category: physical safety. 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 thermometer in the newborn room refrigerator was not working.

Corrected Corrected by Mar 15, 2022

Category: nutrition. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The files for child # 1and 3 lacked the work address and telephone number of the enrolling parent on the emergency contact form.

Corrected Corrected by Mar 15, 2022

Category: recordkeeping. 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 #1 contained a current health assessment dated 12/17/2020. The staff person left on 10/12/20 and returned on 6/2/21. It was not obtained within 24 months of the previous assessment dated 9/18/2018 . The file for staff #2 contained a current health assessment dated 3/1/20. It was not obtained within 24 months of the previous assessment dated 3/22/17 .

Corrected Corrected by Mar 15, 2022

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

The file for child #2 lacked the parent consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Mar 15, 2022

Category: transportation. Marked corrected in the state record.