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

During the renewal inspection, the agreement for Child #1 was not signed by the operator.

Corrected Corrected by Nov 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.21/3270.27(c) · Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

During the renewal inspection, the emergency plan training was conducted 6 months after Staff #3's first day working with children. There was no documentation of emergency plan training on file for Staff #6.

Corrected Corrected by Nov 13, 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). LACKING REQUIRED HIRING DOCUMENTS: Staff Person # 1 may not work in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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. Staff Person #1 may not work in a childcare position at the facility.

During the renewal inspection, Staff #1, who was past the provisional hire period, was found working alone with children without a State Police Clearance and the required Child Abuse Clearance on file (child abuse clearance was for Household Member). The updated NSOR certificate was 2 months late for Staff #2. The NSOR certificate was 6 months late and disclosure statement was 5 months late for Staff #3. The updated mandated reporter training was 3 months late for Staff #4. The Child Abuse Clearance was 10 days late and NSOR certificate 7 days late for Staff #5. The NSOR certificate was 1 year late for Staff #6.

Corrected Corrected by Oct 23, 2025

Category: supervision. Marked corrected in the state record.

3270.34(a) · A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). 1. Facility director will complete the Existing Provider Orientation on 1/15/26 to understand the duties of a facility director and the policies and regulations to be in compliance. Moving forward, the facility director will utilize what is learned at the Existing Provider Orientation to manage a center that is in compliance to regulations and policies. 2. For a period of 3 months, facility director will submit all prospective staff files for review and approval before said staff is permitted to work with children.

The facility director has not adequately managed personnel or the facility's program objectives and activities. During the renewal inspection on 10/23/25, staff files were reviewed and found numerous CPSL violations for existing staff. New staff hiring requirements were not met. Staff do not have complete clearances, health assessments, trainings, and experience on file. Infant room staff person was working alone with children without all clearances on file. Children's files were reviewed and found missing information. The facility's emergency drill log was not updated. The facility traffic letter was not updated and sent to the local traffic authority.

Corrected Corrected by Apr 16, 2026

Category: background checks. 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).

During the renewal inspection, the file for Child #1 did not contain 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. This information was to be provided to the family in September 2025.

Corrected Corrected by Nov 13, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection, the agreement, for Child #1 and Child #3, did not include the child's arrival and departure times.

Corrected Corrected by Nov 13, 2025

Category: recordkeeping. 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.

During the renewal inspection, the agreement, for Child #2 and Child #4, did not include all of the persons designated by a parent to whom the child may be released.

Corrected Corrected by Nov 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

During the renewal inspection, the emergency contact, for Child #1 and Child #4, did not include consent for emergency medical care.

Corrected Corrected by Nov 13, 2025

Category: recordkeeping. 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.

During the renewal inspection, the emergency contact, for Child #1 and Child #2, did not include health insurance coverage and policy number.

Corrected Corrected by Nov 13, 2025

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.

During the renewal inspection, the emergency contact, for Child #2, #3, and #4, did not include the release persons' addresses.

Corrected Corrected by Nov 13, 2025

Category: recordkeeping. 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.

During the renewal inspection, the emergency contact and financial agreement were not updated at least once in a 6-month period for Child #1.

Corrected Corrected by Nov 13, 2025

Category: recordkeeping. 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.

During the renewal inspection, the health assessment and tuberculin test, for Staff #3, were conducted 6 months after the first day caring for children. The health assessment and tuberculin test, for Staff #5, was conducted 3 months after the first day caring for children. There was no tuberculin test found on file for Staff #6.

Corrected Corrected by Nov 13, 2025

Category: ratio. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

During the renewal inspection, the file, for Child #1 and Child #4, did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Nov 13, 2025

Category: ratio. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During the renewal inspection, the last emergency drill was conducted on 7/17/24.

Corrected Corrected by Nov 13, 2025

Category: recordkeeping. 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 childcare facility.

During the renewal inspection, the operator had not notified traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

Corrected Corrected by Nov 13, 2025

Marked corrected in the state record.

3270.36(b)/3270.192(2)(iii) · An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

During the renewal inspection, the file for Staff #6, functioning as an assistant group supervisor, did not contain documentation of the required years of experience for the assistant group supervisor position.

Corrected Corrected by Nov 20, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a childcare position at the facility.

During the inspection, the file for Staff #1 did not contain an NSOR certificate before the date of hire, as required under the CPSL.

Corrected Corrected by Jun 26, 2025

Category: background checks. 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.

During the inspection, the health assessment for Staff #1 was not conducted within 12 months prior to providing initial service in the childcare setting.

Corrected Corrected by Jul 2, 2025

Category: ratio. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

It was confirmed by interviewing staff, that Staff #1 has resigned. Staff #1 was hired as the director on 5/19/25 and last day worked was 6/6/25.

Corrected Corrected by Aug 11, 2025

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 unannounced inspection, the operator had not reviewed and updated the emergency plan since January 2024.

Corrected Corrected by Apr 22, 2025

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 may not work in a childcare position at the facility. 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 childcare position at the facility.

During the unannounced inspection, the file for Staff #2, who was past the provisional hire period, did not contain a Child Abuse Clearance and did not contain a copy of a request for the Child Abuse Clearance. The file for Staff #3 contained a NSOR Certificate received after the date of hire.

Corrected Corrected by Apr 24, 2025

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

3270.34(b) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4).

During the unannounced inspection, Staff #1, who qualifies as an Assistant Group Supervisor, was hired as "Daycare Program Director" and has been functioning as the Director of the facility since date of hire.

Corrected Corrected by Jun 19, 2025

Category: supervision. 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 unannounced inspection, the file for Staff #2 and Staff #3 did not contain a health assessment. The file for Staff #1, #2 and #3 did not contain tuberculosis screening by the Mantoux method.

Corrected Corrected by May 1, 2025

Category: health medication. 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 unannounced inspection, the file for Staff #2 and Staff #3 did not contain written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by May 9, 2025

Category: recordkeeping. 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.

During the unannounced inspection, it was verified via record review, that the fire detection system was not being tested every 30 days.

Corrected Corrected by Apr 25, 2025

Category: recordkeeping. 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 renewal inspection, the emergency plan did not include continuity of operations.

Corrected Corrected by Nov 7, 2024

Category: ratio. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

During the renewal inspection, the file for Child #1 did not include the written consent signed by a parent for emergency medical care.

Corrected Corrected by Oct 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

During the renewal inspection, the financial agreement for Child #2 and Child #3 had not been updated at least once in a 6-month period.

Corrected Corrected by Oct 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

During the renewal inspection, the file for Child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Oct 23, 2024

Category: ratio. 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, the emergency plan had not been updated annually and included staff members who were no longer employed.

Corrected Corrected by Jan 10, 2024

Category: recordkeeping. 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 the renewal inspection, bleach and disinfectant spray were accessible to children under the changing table in the infant room. In the young preschool room, liquid disinfectant and cleaning products were accessible to children by the classroom sink and over the changing table.

Corrected Corrected by Dec 1, 2023

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).

During the renewal inspection, the file for Child #2 did not contain the Department's approved form to provide information to the family about the child's growth and development.

Corrected Corrected by Jan 10, 2024

Category: recordkeeping. 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.

During the renewal inspection, the emergency contact and financial agreement had not been updated at least once in a 6-month period for Child #1.

Corrected Corrected by Jan 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(1)/3270.131(e)(2)(i) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During the renewal inspection, the immunization record for Child #1 did not include an influenza vaccine. A statement of exemption from the child's parent or guardian was not on file.

Corrected Corrected by Jan 10, 2024

Category: health medication. 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. Facility staff will be required to complete an approved OCDEL training focused on safe sleep practices for infants.

During the inspection, it was verified through staff interviews, that infants are left sleeping in a swing for 15 to 30 minutes before being placed in their pack and play.

Corrected Corrected by Aug 16, 2023

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

3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

During the inspection, it was observed that the renewal inspection summary, which contained uncorrected noncompliance items, was not posted in a conspicuous location used by parents.

Corrected Corrected by Aug 4, 2023

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). Facility Person # 1 may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a childcare position at the facility.

During the inspection, Staff #1, who did not have a Child Abuse Clearance on file, had been working in the classroom with children since date of hire.

Corrected Corrected by Aug 4, 2023

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

3270.34(a) · A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). The legal entity must arrange for the director to attend Existing Provider Orientation on October 19, 2023. For a period of three months. the legal entity must submit to DHS the complete file for all newly hired staff prior to their start date.

During the inspection, the director did not know the difference between the FBI and Child Abuse clearance. Over the course of several other inspections, there have been multiple CPSL citations, confirming that the director is not aware of the requirements of the CPSL.

Corrected Corrected by Nov 8, 2023

Category: background checks. 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 renewal inspection, Staff #3, #6, and #7 had not completed the Health and Safety Update training.

Corrected Corrected by Jul 24, 2023

Category: ratio. Marked corrected in the state record.

3270.24(c) · An agent of the Department will inspect for compliance with Chapter 3270 in all areas of the facility premises that are accessible to children.

During the renewal inspection, the emergency contacts, for the four children in the Young Toddler Room, were not in the classroom because they had been taken in the backpack on a field trip with the preschool class.

Corrected Corrected by Jun 21, 2023

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.

During the renewal inspection, it was verified that Staff #4 had not participated in annual fire safety training in 2022.

Corrected Corrected by Jun 28, 2023

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. Staff #5 will have until July 15, 2023, to complete the required training. Until such time as the required training is completed, Staff #5 must be supervised, when interacting with children by an Assistant Group Supervisor or Group Supervisor who has completed the required training related to this citation.

During the renewal inspection, it was verified that Staff #5 had not completed the following pre-service training within 90 days of their hire date: Pediatric First Aid & CPR.

Corrected Corrected by Jul 14, 2023

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). Facility Person # 1, #2, #5 and #7 may not work in a childcare position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #2, #5, and #7 may not work in a childcare position at the facility. The legal entity must arrange for the director to attend Existing Provider Orientation on July 13, 2023.

During the renewal inspection, the file for Staff #1, a provisional employee who was observed working alone in a classroom with children, did not contain copies of requests or the clearances for the state police, child abuse, FBI and NSOR verification. The file for Staff #5, who was past the provisional hire period, contained a PDE FBI clearance, not the DHS FBI clearance as required under the CPSL. The file for Staff #2, who was past the provisional hire period, did not contain a state police clearance or copy of request. The file for Staff #7, who was working alone in the classroom and past the provisional hire period, did not contain the required NY State clearances.

Corrected Corrected by Jun 30, 2023

Category: background checks. 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.

During the renewal inspection, the file for Staff #2, who were functioning as assistant group supervisors, did not contain proof of education or experience to qualify for the position of assistant group supervisor. The file for Staff #6, who was functioning as an assistant group supervisor, did not contain proof of experience to qualify for the position of assistant group supervisor.

Corrected Corrected by Jul 28, 2023

Category: supervision. Marked corrected in the state record.

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

During the renewal inspection, the first aid kit for the Young Toddler room was taken in the backpack on a field trip with the preschool class, leaving the Young Toddler classroom without a first aid kit in the room.

Corrected Corrected by Jun 21, 2023

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. The legal entity must arrange for all facility staff to receive a minimum of two hours of in person training through the ELRC regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During the renewal inspection, upon my arrival at 10:30am, Staff #1 was observed walking across the hall to the office; thereby leaving four children ages 3 through 4 alone in the classroom with a TSS worker. Also, Child #1 was left alone in the bathroom with the door completely closed.

Corrected Corrected by Aug 5, 2023

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. Children must be supervised at all times.

During the renewal inspection, upon my arrival at 10:30am, Staff #1 was observed walking across the hall to the office; thereby leaving four children ages 3 through 4 alone in the classroom with a TSS worker. Also, Child #1 was left alone in the bathroom with the door completely closed.

Corrected Corrected by Aug 5, 2023

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.

During the renewal inspection, upon my arrival at 10:30am, Staff #1 was observed walking across the hall to the office; thereby leaving four children ages 3 through 4 alone in the classroom with a TSS worker. Also, Child #1 was left alone in the bathroom with the door completely closed.

Corrected Corrected by Aug 5, 2023

Category: supervision. 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.

During the renewal inspection, the agreement for Child # 5 did not include the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. 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.

During the renewal inspection, the emergency contact for Child #3 and Child #6 did not include the health insurance coverage. The emergency contact for Child #5 did not include the health insurance policy number.

Corrected Corrected by Jul 31, 2023

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

3270.131(d)(5)/3270.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During the renewal inspection, the immunization record did not include any influenza vaccines for Child #4 and the file for Child #4 did not include a statement of exemption from immunization.

Corrected Corrected by Jul 31, 2023

Category: health medication. 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.

During the renewal inspection, the last immunization record on file for Child #3 was dated 7/7/20.

Corrected Corrected by Jul 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.

During the renewal inspection, Staff #1, who was working alone in the classroom with 4 children, did not have on file a health assessment or tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Corrected Corrected by Jun 30, 2023

Category: ratio. 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, the file for Staff #1 did not contain any references from individuals attesting to the person's suitability to serve as a facility person. The file for Staff #7 contained only one references from an individual attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 30, 2023

Category: recordkeeping. 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.

During the renewal inspection, the facility did not have proof of purchase or an attestation on file for the interconnected fire detection system.

Corrected Corrected by Jul 31, 2023

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.

During the renewal inspection, it was confirmed by the director that they had not sent a copy of the emergency plan to the local municipality and to the county emergency management agency.

Corrected Corrected by Jul 31, 2023

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of childcare training.

During the renewal inspection, Staff #3 and Staff #4 did not obtain the annual required minimum of 12 clock hours of childcare training.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

During the renewal inspection, the file for Child #2 and Child #3 did not contain an initial and/or subsequent health report.

Corrected Corrected by Jul 31, 2023

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). Facility Person # 1 may not work in a child care position at the facility. 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 legal entity must arrange for the director to attend Existing Provider Orientation on 10/6/22.

During the renewal inspection, the Child Abuse Clearance, FBI, and mandated reporter training for Staff #1 had not been updated within 60 months as required under the CPSL.

Corrected Corrected by Jul 28, 2022

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

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

During the renewal inspection, the file for Child #1 did not contain signed parental consent for emergency medical care for the child.

Corrected Corrected by Aug 4, 2022

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.

During the renewal inspection, the initial health report for Child #1 was dated 6/18/20. There were no subsequent health reports on file.

Corrected Corrected by Aug 31, 2022

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

During the renewal inspection, the immunization record for Child #2 included an influenza vaccine dated 12/8/20. There was not a subsequent vaccine for the most recent flu season. The file for Child #2 did not include a statement of exemption from immunization written, signed and dated from the child's parent or guardian.

Corrected Corrected by Aug 4, 2022

Category: health medication. 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.

During the renewal inspection, the health assessment for Staff #2 was dated 6/27/22 which was more than 24 months from the previous health assessment dated 2/12/20.

Corrected Corrected by Jun 27, 2022

Category: ratio. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

During the renewal inspection, the file for Child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Aug 4, 2022

Category: ratio. 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 the renewal inspection, the facility did not have proof of purchase on file for the interconnected fire detection system.

Corrected Corrected by Aug 1, 2022

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. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

During the inspection, Staff #1 was observed taking a child from the preschool classroom to an outside van thereby leaving Staff #2 alone with 13 children ages 3 to 5.

Corrected Corrected by Aug 12, 2022

Category: ratio. 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. The legal entity must arrange for all facility staff to receive a minimum of two hours training regarding ratios and supervision of children through the Regional Key.

During the inspection, Staff #1 was observed taking a child from the preschool classroom to an outside van thereby leaving Staff #2 alone with 13 children ages 3 to 5.

Corrected Corrected by Jun 18, 2022

Category: supervision. 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. The required staff:child ratios must be maintained at all times.

During the inspection, Staff #1 was observed taking a child from the preschool classroom to an outside van thereby leaving Staff #2 alone with 13 children ages 3 to 5.

Corrected Corrected by May 30, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

During the renewal inspection, the file for Staff #1 hired 8/3/21, did not contain the required health and safety training.

Corrected Corrected by Mar 4, 2022

Category: health medication. 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, the file for Staff #2 included only one written, nonfamily references from an individual attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Feb 25, 2022

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.

During the renewal inspection, the file did not include documentation of emergency plan training at the time of initial employment for Staff #1 hired 8/3/21 and Staff #4 hired 11/1/21.

Corrected Corrected by Mar 4, 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). Staff Person # 1, #2 and #4- may not work in a child care position at the facility. 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 Person #1, #3 and #4 may not work in a child care position at the facility.

During the renewal inspection, Staff #4, hired 11/1/21, moved to Pennsylvania from New Mexico in July 2021 and the file for Staff #4 did not contain the out of state clearances as required under the CPSL. The file for Staff #1, hired 8/3/21, did not contain the required FBI clearance or NSOR verification. The file for Staff #2, hired 1/15/21, did not contain the required FBI clearance.

Corrected Corrected by Mar 4, 2022

Category: background checks. 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). Staff Person #1, #2, #4 may not work in a child care position at the facility. The legal entity must arrange for the director to attend the Director Boot Camp series from April 5, 2022 through May 3, 2022.

During the renewal inspection, Staff #4, hired 11/1/21, moved to Pennsylvania from New Mexico in July 2021 and the file for Staff #4 did not contain the out of state clearances as required under the CPSL. The file for Staff #1, hired 8/3/21, did not contain the required FBI clearance or NSOR verification. The file for Staff #2, hired 1/15/21, did not contain the required FBI clearance.

Corrected Corrected by Jul 19, 2022

Category: background checks. 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). Staff Person #1, #2 and #4 may not work in a child care position at the facility. The legal entity will confirm continuing compliance by submitting all clearance information for newly hired staff for a period of three months prior to start dates.

During the renewal inspection, Staff #4, hired 11/1/21, moved to Pennsylvania from New Mexico in July 2021 and the file for Staff #4 did not contain the out of state clearances as required under the CPSL. The file for Staff #1, hired 8/3/21, did not contain the required FBI clearance or NSOR verification. The file for Staff #2, hired 1/15/21, did not contain the required FBI clearance.

Corrected Corrected by May 4, 2022

Category: background checks. 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.

During the renewal inspection, Staff #1, who qualifies as an aide, was alone in the classroom providing care for 5 children ages one to two. Staff #1 was not being supervised by a staff person qualified at minimum as an assistant group supervisor.

Corrected Corrected by Mar 4, 2022

Category: supervision. 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 the renewal inspection, in the Pre-K classroom, hand sanitizer was accessible to children in the classroom area. Disinfectant spray, air freshener and toilet bowl fresheners were accessible to children in the bathroom.

Corrected Corrected by Jan 26, 2022

Marked corrected in the state record.

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

During the renewal inspection, the Pre-K classroom did not have a written plan of daily activities and routines.

Corrected Corrected by Feb 25, 2022

Marked corrected in the state record.

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

During the renewal inspection, the agreement form, developed by the operator, was not signed by the operator for Child #1, #2, #3, #4 and #5.

Corrected Corrected by Feb 25, 2022

Category: recordkeeping. 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.

During the renewal inspection, the agreement form, developed by the operator, did not specify the persons designated by a parent to whom the child may be released for Child #1, #2, #3, #4 and #5.

Corrected Corrected by Feb 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

During the renewal inspection, the agreement form, developed by the operator, did not specify the date of child's admission for Child #1, #2, #3, #4 and #5.

Corrected Corrected by Feb 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During the renewal inspection, the immunization record for Child #2 did not include an influenza vaccine. A statement of exemption from the child's parent or guardian was not on file.

Corrected Corrected by Feb 25, 2022

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.

During the renewal inspection, the file for Staff #2, hired 3/15/21, contained an initial health assessment dated 12/21/21.

Corrected Corrected by Feb 25, 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.

During the renewal inspection, the emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Feb 25, 2022

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

During the complaint investigation, it was verified that on 1/5/22 from 3:00-4:30, Staff #1 was alone with 17 preschool and school-age children ages 3 through 9.

Corrected Corrected by Jun 10, 2022

Category: ratio. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

During the complaint investigation, it was verified that on 1/5/22 from 3:00-4:30, Staff #1 was alone with 17 preschool and school-age children ages 3 through 9.

Corrected Corrected by Jun 10, 2022

Category: ratio. Marked corrected in the state record.

3270.136(b) · The operator shall inform parents of enrolled children when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency in the opinion of the Department of Health.

During the complaint investigation, it was verified that parents of enrolled children had not been informed of an outbreak of a communicable disease following the illness of Staff #2, Staff #3 and a child enrolled in the facility.

Corrected Corrected by Mar 8, 2022

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

3270.153 · A facility person 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 be excluded from attendance until the facility operator receives notification from a physician or CRNP that the person is no longer considered a threat to the health of others. The notification shall be retained in the facility person's file. Exclusion from the facility is required for diseases and conditions specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).

During the complaint investigation, it was verified that Staff #3 was exposed to a communicable disease on 1/4/22 and worked at the facility during the morning of 1/5/22 doing office work and taking the school-age children to the bus.

Corrected Corrected by Mar 8, 2022

Category: health medication. 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.

During the inspection, it was verified that since being hired in August 2021 Staff #1, who qualifies as an aide, has been working alone with children without being supervised by a staff person qualified at minimum as an assistant group supervisor.

Corrected Corrected by Feb 3, 2022

Category: supervision. Marked corrected in the state record.