3270.123(a) · An agreement shall be signed by the operator and the parent.

At the time of inspection, child #3 Financial Agreement was not signed by the provider.

Corrected Corrected by May 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

At the time of inspection, child #1 did not have a Financial Agreement on file.

Corrected Corrected by May 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

At the time of inspection, child #2 Financial Agreement did not list the fee amount for childcare services.

Corrected Corrected by May 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

At the time of inspection, child #3 did not have an Emergency Contact Form on file.

Corrected Corrected by May 14, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of inspection, the infant classroom #1 and pre-k classroom #4 did not have a Daily Activity Schedule posted.

Corrected Corrected by May 26, 2025

Category: physical safety. 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.

At the time of inspection, the preschool room sink cabinet containing toxic cleaning bottles labeled "keep out of reach of children" was unlocked and accessible to children.

Corrected Corrected by May 14, 2025

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.

At the time of inspection, the preschool room #7 refrigerator did not have an operable thermometer.

Corrected Corrected by May 14, 2025

Category: nutrition. 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.

At the time of inspection, child #1 Emergency Contact Form and Financial Agreement did not have the required 6-month review.

Corrected Corrected by May 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)/3270.182(1) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. A child's record shall contain initial and subsequent health reports.

At the time of inspection, child #3 did not have documentation of immunizations on file.

Corrected Corrected by May 14, 2025

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

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

At the time of inspection, an evacuation route was not posted in a conspicuous location on the level of the indoor play area.

Corrected Corrected by May 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

At the time of inspection, child #3 did not have an initial health assessment on file.

Corrected Corrected by May 14, 2025

Category: health medication. 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. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Certification representative conducted an investigation. Staff person #1 fell asleep while on the clock working with the children, leaving children unsupervised.

Corrected Corrected by Jun 1, 2025

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 provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

During renewal inspection on October 24, 2024, the record of staff #1 did not contain DE clearances as required under the CPSL, and the record of staff #2 did not contain MD state police or sex offender registry clearances as required under the CPSL, or Mandated reporter training.

Corrected Corrected by Nov 20, 2024

Category: background checks. 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.

During renewal inspection on October 24, 2024, certification representative observed a stained ceiling tile in room 5, and air vents in need of cleaning in room 3.

Corrected Corrected by Nov 20, 2024

Category: physical safety. 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.

During renewal inspection on October 24, 2024, certification representative observed chipped paint in rooms 2 and 3.

Corrected Corrected by Oct 25, 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.

During renewal inspection on October 24, 2024, the refrigerator in room 7 did not contain a thermometer.

Corrected Corrected by Oct 25, 2024

Category: nutrition. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

During renewal inspection on October 24, 2024, the record of staff #1 did not contain two written, nonfamily references.

Corrected Corrected by Oct 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

During renewal inspection on October 24, 2024, the emergency lights in rooms 1, 2, 3 and 4 were not operable at the time of visual fire system demonstration at 11:15 am.

Corrected Corrected by Nov 25, 2024

Category: ratio. 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. Outdoor play space used by the facility is considered part of the facility premises.

Staff left child unattended in classroom for 11 minutes.

Corrected Corrected by May 28, 2024

Category: supervision. 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. Outdoor play space used by the facility is considered part of the facility premises.

Two children ran away from classroom group therefore left unsupervised.

Corrected Corrected by Apr 19, 2024

Category: supervision. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

During the complaint investigation on 02/20/24 it was confirmed that teacher put her finger in a child's mouth causing injury to child's teeth.

Corrected Corrected by Feb 20, 2024

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.

Staff person #1 singled out a special needs child and tried to send child home, and also threatened to kick a child in response to the child's negative behaviors.

Corrected Corrected by Nov 8, 2023

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.

During renewal inspection dated 10/18/2023, certification representative observed in room #7 that one electrical outlet did not have a protective cover on it.

Corrected Corrected by Oct 18, 2023

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.

During renewal inspection dated 10/18/2023, certification representative observed in room #4 toxic cleaning materials in an unlocked cabinet below the sink that was accessible to children.

Corrected Corrected by Oct 18, 2023

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.

During the renewal inspection dated 10/18/2023, certification representative observed in room #7 that there was chipping plaster on the walls.

Corrected Corrected by Nov 1, 2023

Category: physical safety. 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.

During the renewal inspection dated 10/18/2023, certification representative observed in the infant room that a crib was obstructing an exit door out of the room.

Corrected Corrected by Oct 18, 2023

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.

During renewal inspection dated 10/18/2023, certification representative observed a shelf in room #6 was not secured to the wall and was a tipping hazard.

Corrected Corrected by Oct 18, 2023

Category: physical safety. 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).

During the complaint investigation the certification representative determined that child #1 child #2 and child #3 did not have the updated immunization record in the file all three children was missing the 4th PCV shot.

Corrected Corrected by Nov 1, 2023

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

3270.113(a)/3270.113(a)(1) · 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: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. 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.

STAFF PERSON WASN'T PROPERLY SUPERVISING A CHILD LEADING TO CHILD BEING LEFT IN HALLWAY UNSUPERVISED WITHOUT THE STAFF PERSONS KNOWLEDGE.

Corrected Corrected by Feb 2, 2023

Category: supervision. 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.

During the renewal inspection, certification representative conducted a facility walkthrough and the rear fire exit doors open out into an area where there is a pool and no barriers keeping children from entering the pool and the door dosn't close properly and is easy to open.

Corrected Corrected by Dec 9, 2022

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

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

During the renewal inspection, certification representative reviewed the facility files and the emergency plan was not updated per announcement c-22-04,issued 4/19/22.

Corrected Corrected by Nov 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During the renewal inspection, certification representative reviewed 7 staff files and the files for staff #1 and staff #3 did not contain pqas certified pediatric cpr/first aid.

Corrected Corrected by Nov 30, 2022

Category: ratio. 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.

During the renewal inspection, certification representative reviewed 7 staff files and the files for staff #3 did not include emergency plan training.

Corrected Corrected by Nov 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(iv) · Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.

During the renewal inspection ,certification representatve reviewed 7 staff files and the files for staff #1 and staff #3 did not include water safety training.

Corrected Corrected by Nov 30, 2022

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.

During the renewal inspection, certification representative reviewed 7 staff files and the files for staff #4, staff #5,staff #6 and staff #7 did not contain 2 written non family references.

Corrected Corrected by Nov 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Staff #4 and staff #7 may not work in a child care position at the facility.

During the renewal inspection, certification representative reviewed 7 staff files and the fileS for staff #4 and staff #7 is missing an fbi clearance and nsor certificate. Staff #7 ia missing a disclosure form as well.

Corrected Corrected by Nov 30, 2022

Category: supervision. 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.

During the reneewal inspection, certification representative conducted a facility walk through and the exit to the rear area of room 1 was locked from the outside.

Corrected Corrected by Dec 9, 2022

Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection, certification representative reviewed 7staff files and the files for staff #7 did not contain a health assessment.

Corrected Corrected by Nov 30, 2022

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

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection, certification representative reviewed 7 staff files and the files forstaff #3, staff #5 and staff #7 did not contain a tuberculosis screening by the Mantoux method.

Corrected Corrected by Nov 30, 2022

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

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

During the renewal inspection, certification representative reviewed 7 staff files and the files for staff #2,staff #3,staff #4,staff#5,staff#6,staff#7 did not include employment verification. The files for staff #3,staff #5,staff#6 and staff #7 did not include a verification of education.

Corrected Corrected by Nov 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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

On 11/9/21 during the renewal inspection, the admission date was not on the agreement or in the file of child #1, #2, #4, #5, #6.

Corrected Corrected by Nov 30, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

On 11/9/21 during the renewal inspection, there was no immunization record on file for child #2 and child #6. There was no documentation of influenza vaccine and no exemption letter for child #3. The most recent influenza vaccine for child #5 was dated 10/30/18.

Corrected Corrected by Nov 30, 2021

Category: health medication. 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.

On 11/9/21 during the renewal inspection, there was no fire safety training for staff #6 (hire date 3/3/20).

Corrected Corrected by Nov 29, 2021

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 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.

On 11/9/21 during the renewal inspection, the most recent date of the required CPSL training for staff #3 was dated 3/8/15, and for staff #5, 9/25/15. Staff #7, a provisional hire, was alone with children in the Young Toddler room.

Corrected Corrected by Nov 24, 2021

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.

On 11/9/21 during the renewal inspection, there were no written evaluations in the past year for staff #1, #2, #3, #4 and #6.

Corrected Corrected by Nov 19, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

On 11/9/21 during the renewal inspection, staff #6, identified as an Aide, was left alone with children in Room 3.

Corrected Corrected by Nov 24, 2021

Category: supervision. 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.

During the renewal inspection on 11/9/21, the cots in Room 2 were not placed with 2 feet of space on three sides while in use.

Corrected Corrected by Nov 10, 2021

Category: physical safety. 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.

On 11/9/21 during the renewal inspection, the most recent health assessment on file for staff #1 was dated 5/16/18. There was no health assessment or TB for staff #7 (start date 10/11/21).

Corrected Corrected by Nov 26, 2021

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

On 11/9/21 during the renewal inspection, there was no documentation of an exam for communicable diseases or assessment of the suitability of staff person #8 to provide child care.

Corrected Corrected by Nov 29, 2021

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

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

On 11/9/21 during the renewal inspection, several bottles in the infant room were not labeled with a child's name.

Corrected Corrected by Nov 10, 2021

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

On 11/9/21 during the renewal inspection, there was only 1 non-family reference for staff #7 and no references for staff #8.

Corrected Corrected by Nov 24, 2021

Category: recordkeeping. 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.

On 11/9/21 during the renewal inspection, the emergency plan did not provide accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Nov 9, 2021

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

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

On 11/9/21 during the renewal inspection, the emergency plan had not been sent to the county or local municipality.

Corrected Corrected by Nov 12, 2021

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