All Kids Are Special Childcare And Learning Center
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About the Provider
Bus stop for NKASD schools is at the corner of our property.
Hours of Operation
- Monday7:00 AM - 5:00 PM
- Tuesday7:00 AM - 5:00 PM
- Wednesday7:00 AM - 5:00 PM
- Thursday7:00 AM - 5:00 PM
- Friday7:00 AM - 5:00 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
|---|---|---|---|
| 2026-05-26 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: In the Outdoor Classroom area, a plastic picnic table was observed to have a long crack on its surface, which created a potential pinch point. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The crack on the table was immediately taped with duct tape and no longer presents a safety hazard. |
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| 2026-05-26 | Renewal | 3270.104(a) - Clean, good repair, proper size | Compliant - Finalized |
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Regulation: 3270.104(a) Description: Clean, good repair, proper size Noncompliance Area: In the Older Toddlers room, the bookshelf near the carpeted area had damage/wear to the lower left corner, causing the material to flake. Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. |
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Provider Response: (Contact the State Licensing Office for more information.) The flaking area at the bottom of the bookshelf was taped with clear packing tape on the day of inspection. |
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| 2026-05-26 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The two most recent health assessments on file for Staff Person #1 were dated more than 24 months apart (4/5/2024-5/12/2026). Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The facility person had the health assessment as soon as it could be scheduled. The documentation was placed in the staff person's file and was there for inspection. |
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| 2026-05-26 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: In the Outdoor Classroom, a wooden windowpane was observed to be damaged, with the wood splintering in several areas. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The windowpane was immediately taped with duct tape to prevent any chance of injury due to deterioration of the wood. |
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| 2025-05-07 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The file for Child #1 lacked a current child service report. The most recent child service report is dated for 2/28/23 more than 6 months ago. Correction Required: 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). |
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Provider Response: (Contact the State Licensing Office for more information.) Upon review of the child's file, it was longer than 6 months between his assessment/child service report on 2/28/23 and the one that followed. The child's new teacher completed the child's assessment and held the parent teacher conference on 11/8/23, followed by others on 2/26/24, 6/14/24, 10/1/24, 3/5/25, and the most recent one on 5/14/25. The documents were in the child's educational file, which wasn't presented at the time of inspection. However, the recent assessments and parent conferences documents were scanned and sent to the Certification Representative. |
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| 2025-05-07 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: The file for Child #1 contained emergency contact and financial agreement updated on 3/3/25 more than 6 months from the previous review dated 8/26/24. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The child's emergency contact form and financial agreement were signed within a week of the due date when we were able to meet with the parent of the child. |
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| 2025-05-07 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: The file for Child #1, a preschooler (See LIS Code Sheet), contained a health report with immunization record dated for 5/15/23 which was more than 60 days from initial enrollment in the child care program. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We received the child's health report on 5/15/2023. |
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| 2025-05-07 | Renewal | 3270.131(b)(1) - Infant: updated health report every 6 months | Compliant - Finalized |
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Regulation: 3270.131(b)(1) Description: Infant: updated health report every 6 months Noncompliance Area: The file for Child #4, now an older toddler (See LIS Code Sheet) contained a health report dated 4/29/25. The previous health report was dated 4/22/24 when the child was a younger toddler. The file for Child #4 lacked a 6 month health report update in October 2024. The file for Child #5, a younger toddler (See LIS Code Sheet) contained a health report dated 5/13/24 which is more than 6 months ago. Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. |
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Provider Response: (Contact the State Licensing Office for more information.) We obtained an updated child health report on 04/29/2025. |
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| 2025-05-07 | Renewal | 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months | Compliant - Finalized |
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Regulation: 3270.131(b)(2) Description: Toddler/preschool: updated health report every 12 months Noncompliance Area: The health report on file for Child #3, a preschooler (See LIS Code Sheet), was dated 3/21/25 more than 12 months from the previous health report dated 7/10/23. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. |
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Provider Response: (Contact the State Licensing Office for more information.) An updated Child Health Report was obtained on 3/21/2025 |
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| 2025-05-07 | Renewal | 3270.131(e)(1)/3270.131(e)(3) - Exemption documentation from parent/guardian/Dismissal policy | Compliant - Finalized |
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Regulation: 3270.131(e)(1)/3270.131(e)(3) Description: Exemption documentation from parent/guardian/Dismissal policy Noncompliance Area: The file for Child #2 lacked an updated verification of vaccines. The immunization record on file for Child #2 lacked documentation of the HeB, rotarvirus, IPV, and HepA vaccines. There was no exemption letter or alternative immunization schedule on file. Correction Required: 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. 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). Child #2 must be dismissed from care by close of business on 5/14/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. |
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Provider Response: (Contact the State Licensing Office for more information.) The situation/regulation was discussed with the parent. The parent provided a written, signed exemption letter. |
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| 2025-05-07 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The file for Staff Person #1 (See LIS Code Sheet) contained a health assessment dated 5/1/25 which was more than 24 months from the previous health assessment dated 3/16/23. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff person had her health assessment done on 5/1/25. |
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| 2025-05-07 | Renewal | 3270.27(a)(3)/3270.27(a)(4) - Contact when arises/Contact when ended | Compliant - Finalized |
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Regulation: 3270.27(a)(3)/3270.27(a)(4) Description: Contact when arises/Contact when ended Noncompliance Area: The facility's emergency plan lacked a method for contacting parents when an emergency arises and has ended, and how to reunite with their children. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) I will add to our emergency plan that our method for contacting parents when an emergency arises and has ended, and how to safely reunite with their children is through Brightwheel. |
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| 2025-05-07 | Renewal | 3270.27(a)(6) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: The current emergency drill was dated for 4/25/25, more than 12 months from the previous emergency drill dated 10/2/23. Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) We conducted an emergency drill on 4/25/2025. |
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| 2025-05-07 | Renewal | 3270.27(e) - Letter to parents | Compliant - Finalized |
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Regulation: 3270.27(e) Description: Letter to parents Noncompliance Area: The parent letter lacked information explaining the emergency procedures for lockdown situations and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) I will add the information explaining emergency procedures for lockdown situations and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions to our parent letter and provide this to our parents. |
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| 2025-05-07 | Renewal | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: Staff Person #3 completed pediatric FA/CPR training on 3/26/24. The previous training taken on 11/23/21 expired 11/30/23. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) When we realized the staff person was overdue for the training, we scheduled the staff person to complete the pediatric first aid/CPR training ASAP. The staff person completed the training on 3/26/24 and is now current with the training. |
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| 2025-05-07 | Renewal | 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(2)(iii) Description: Comply with CPSL/Exp, educ., training at facility Noncompliance Area: The file for Staff Person #2 (See LIS Code Sheet) contained a mandated reporter training dated 3/27/23 and the file for Staff Person #4 (See LIS Code Sheet) contained mandated reporter training dated 2/11/25 both of which were obtained more than 90 days after starting in a child care position. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #2 obtained the mandated reporter training immediately when we realized that [their] previous mandated reporter training had expired. Staff person #4 has a current Mandated Reporter training which was obtained within 90 days of hire. |
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| 2025-05-07 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for Staff Person #5 (See LIS Code Sheet) contained a PA State Criminal Clearance dated 4/1/24, obtained more than 60 months from the previous PA State Criminal Clearance dated 2/27/19; a PA Child Abuse Clearance dated 4/1/24 obtained more than 60 months from the previous PA Child Abuse Clearance dated 2/6/19; and an FBI Clearance dated 4/2/24 obtained more than 60 months from the previous FBI Clearance dated 3/23/19. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) When we realized the staff person was overdue for renewal of these clearances, we obtained them immediately. The staff person is current with all of the required clearances. . |
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| 2025-05-07 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: Staff reported that the toothbrushes and sponges located in the unlocked cabinets under the sinks in the Preschool and PreK rooms were used with cleaning products to clean various item and were accessible to the children. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The toothbrushes and sponges were immediately removed from under the sinks and put in an area inaccessible to children. |
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| 2025-05-07 | Renewal | 3270.82(g) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.82(g) Description: Clean and good repair Noncompliance Area: The toilet seat in the far stall in the boys' room was loose. Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair. |
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Provider Response: (Contact the State Licensing Office for more information.) The toilet seat was tightened. |
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| 2025-05-07 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: The diaper changing areas in the boys' and girls' restrooms on the lower level lacked handwashing signs. Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) We posted handwashing signs near the diapering procedure signs in both the boys' and girl's restrooms by the diaper changing areas. |
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| 2024-05-09 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: There was a damaged ping-pong in the school age playground. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The item was taped. |
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| 2024-05-09 | Renewal | 3270.105 - High Chairs | Compliant - Finalized |
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Regulation: 3270.105 Description: High Chairs Noncompliance Area: There was an eating chair without straps in the old toddler room. Correction Required: High chairs shall have a wide base and a T-shaped safety strap. |
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Provider Response: (Contact the State Licensing Office for more information.) The straps were added to the eating chair which is a child feeding seat used on the floor. |
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| 2024-05-09 | Renewal | 3270.107 - Refrigerator | Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: The white refrigerator in the kitchen lacked a thermometer. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) A thermometer was placed in the fridge. |
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| 2024-05-09 | Renewal | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: On 5/9/24, at approximately 12:45 pm, in the older toddler room, staff #2 was observed picking child #4 up off the ground by one arm, and placing the child on a nap cot. Correction Required: A facility person may not use any form of physical punishment, including spanking a child. |
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Provider Response: (Contact the State Licensing Office for more information.) This was addressed with the staff person, explaining that children can never be picked up by the arm. |
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| 2024-05-09 | Renewal | 3270.113(d) - No harsh language | Compliant - Finalized |
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Regulation: 3270.113(d) Description: No harsh language Noncompliance Area: On 5/9/24, at approximately 12:45 pm, in the older toddler room, staff #2 was observed using harsh and demeaning language with the toddlers in the room. Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children. |
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Provider Response: (Contact the State Licensing Office for more information.) This was addressed with the staff person and an improvement plan was put into place for her to take training on handling stressful situations in the classroom. The staff person was instructed to ask for a break if she felt she was becoming too stressed. She will be working with another staff person and will have check-ins to be sure she is maintaining a calm demeanor while working with the children. |
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| 2024-05-09 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: The file for child # 1 contained an updated emergency contact form dated 4/4/24, that was reviewed after the 6 months period. The previous dated was 8/28/23. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency contact form had been updated on 4/4/24. |
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| 2024-05-09 | Renewal | 3270.131(a) - Health information | Compliant - Finalized |
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Regulation: 3270.131(a) Description: Health information Noncompliance Area: The file for child # 1 a school-age contained a current health report that was provided after 60 days. The child was in care longer that 60 days without initial health report. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) This has been corrected by obtaining the current health report. |
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| 2024-05-09 | Renewal | 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months | Compliant - Finalized |
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Regulation: 3270.131(b)(2) Description: Toddler/preschool: updated health report every 12 months Noncompliance Area: The file for child # 2 a preschooler contained a current health report dated 4/29/24. The prior report is dated 9/15/22. The file for child # 3 a preschooler contained a current health report dated 3/15/24. The prior report is dated 9/16/22. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. |
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Provider Response: (Contact the State Licensing Office for more information.) The child health report was updated on 4/29/24. |
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| 2024-05-09 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma lacked the Child Maltreatment statement. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Child Maltreatment statement was added to the policy. |
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| 2024-05-09 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: There were exposed splinters on the preschool playground steps. There was a rusted peeling spot on the bottom of the entry door. There was a closet door of the track in the preschool room. The right side of the closet door in the preschool room had exposed splinters. There was a metal panel pulling of the wall in the boy's bathroom in the preschool room. The door by the changing table in the infant/toddler room is damaged and had exposed splinters. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The rough areas on the steps were sanded smooth. The area on the door was patched, sanded, and painted. The closet door was put back on the track. The area on the door was sanded and taped. Missing screws were replaced in the panel and the panel was reattached to the wall. The rough area at the top of the door where the hinge had been was sanded and covered. |
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| 2024-05-09 | Renewal | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 2/16/24 to 3/27/24. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The fire detection system was checked on 3/1/24, but was not written on the log in the correct spot. I will be sure to document this correctly going forward. |
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| 2023-05-18 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: There was a broken paint brush in the school age room. There was a broken blue truck in the pkc4 room. There was a toy kitchen sink bowl chipped in the pkc2 room. There was a pink foam toy with teeth marks and a chipped piece. There was a cracked blue basket holding ocean animal toys in the infant room. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The items were either repaired or disposed of. |
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| 2023-05-18 | Renewal | 3270.107 - Refrigerator | Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: The PKC4 refrigerator temperature was 50 degrees. The thermometer in the kitchen refrigerator was not operable. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) I knew thermometer was replaced in the kitchen fridge. Will checked later in the day the PKC 4 fridge was reading at the correct temperature. |
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| 2023-05-18 | Renewal | 3270.131(a)/3270.131(e) - Health information/ACIP recommended immunization record | Compliant - Finalized |
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Regulation: 3270.131(a)/3270.131(e) Description: Health information/ACIP recommended immunization record Noncompliance Area: The file for child # 1 a preschooler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the immunizations. The file contained a current health report dated 1/9/23. The child start date was. 9/6/22. Correction Required: 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The child's initial health report was found in her original enrollment packet. However, we had been looking for it in a different part of her file. It was dated within the required guidlines. |
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| 2023-05-18 | Renewal | 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy | Compliant - Finalized |
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Regulation: 3270.131(d)(5)/3270.131(e)(3) Description: Immunization record/Dismissal policy Noncompliance Area: The file for child # 1 is missing a dose of DTAP, Pneumococcal, MMR and Varicella vaccine. Correction Required: 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).Child # 1 must be dismissed from care by close of business 5/18/23and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter. |
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Provider Response: (Contact the State Licensing Office for more information.) On 5-18-23. the child's pediatrician faxed over the child's updated immunization record along with a note stating that child's immunizations were up-to-date. Proof of documentation was emailed to DHS. |
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| 2023-05-18 | Renewal | 3270.151(c)(2)/3270.192(3) - Mantoux TB/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(c)(2)/3270.192(3) Description: Mantoux TB/Health assessment, TB test Noncompliance Area: The file for staff # 1 lacked the date of her TB test on her health report. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Prior to hire, the staff person had documentation of her negative TB test which was placed on 9/19/22 and read on 9/21/22. However, I had not printed it out to place it in her file. The documentation was printed and placed in her file. |
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| 2023-05-18 | Renewal | 3270.192(4) - CPSL information | Compliant - Finalized |
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Regulation: 3270.192(4) Description: CPSL information Noncompliance Area: The file for facility person # 2 contained a disclosure statement that was not signed by a parent. Facility person # 2 is 17 years old. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The facility person's parent signed the disclosure statement. |
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| 2023-05-18 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: The file for staff # 4 contained a current Emergency plan training dated 4/10/23. The file lacked documentation of the prior year emergency plan training. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff person had the emergency plan training the prior year, however the documentation was not written up and placed in her file. This was corrected when the staff had emergency plan training on 4/10/23 and documentation was placed in her file. |
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| 2023-05-18 | Renewal | 3270.31(c) - Enrolled in approved training - 16 yrs. | Compliant - Finalized |
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Regulation: 3270.31(c) Description: Enrolled in approved training - 16 yrs. Noncompliance Area: Staff #2, who is under the age of 18, was identified as an aide. The file for staff #2 lacked documentation of enrollment in an approved training curriculum. Correction Required: An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person. |
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Provider Response: (Contact the State Licensing Office for more information.) Proof of staff enrollment at WCCC for Early Childhood Education was emailed to DHS. Staff will not count in ratio until completing the classroom portion of the training or turning 18 year of age. |
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| 2023-05-18 | Renewal | 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(2)(iii) Description: Comply with CPSL/Exp, educ., training at facility Noncompliance Area: The file for staff # 3 contained a current Mandated Reporter training dated 1/24/22, that was not renewed within 60 months of the prior mandate Reporter training clearance dated 1/17/17. The file for staff # 4 contained a current Mandated Reporter training dated 3/24/23, that was not renewed within 60 months of the prior Mandated Reporter Training clearance dated 10/5/17. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) Staff completed the mandated reporter training as soon as we realized that the training had lapsed the week before. |
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| 2023-05-18 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff # 4 contained a current FBI clearance dated 5/2/23 that was not renewed within 60 months of the prior FBI clearance dated 10/16//17. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person was sent to get her FBI clearance renewed as soon as we realized the lapse. She was relieved of her duties while waiting for the clearance to come back. |
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| 2023-05-18 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: There was 1 uncovered outlet accessible to children 5 years of age or younger in the pkc4 room. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) The outlet had the automatic twist cover that had not automatically closed after last use. The outlet was manually closed and it will be taped closed if needed. |
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| 2023-05-18 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: There was a bottle of soap Arbonne Botaniques accessible to children in the prekc4 room label Keep out of reach of children. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The empty Arbonne Botaniques bottle was brought in by a staff member to replace a broken soap bottle in the classroom. It was refiiled with the soap that our center uses. However, the original label had not been removed. The Arbonne soap bottle was removed from the classroom and replaced with a soap bottle with a label that did not say "Keep out of reach of children". |
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| 2023-05-18 | Renewal | 3270.82(g) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.82(g) Description: Clean and good repair Noncompliance Area: There was a toilet with a broken lid exposing metal bolts in the first bathroom the Pk Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair. |
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Provider Response: (Contact the State Licensing Office for more information.) A new toilet seat was purchased and put on the toilet the same day, 5/18/23 |
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| 2022-05-03 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: There was a cracked green magnetic tile with the magnet exposed in the pre-k c 4 room. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The cracked magnetic tile was immediately removed from the room. |
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| 2022-05-03 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Regulation: 3270.131(e)(1) Description: Exemption documentation from parent/guardian Noncompliance Area: The files for child #1 lacked documentation of a current influenza immunization as recommended by the ACIP. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #1 Parent provided an exemption for the flu vaccine on 5/5/22. |
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| 2022-05-03 | Renewal | 3270.135(a)(3) - Disposable diapers | Compliant - Finalized |
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Regulation: 3270.135(a)(3) Description: Disposable diapers Noncompliance Area: Staff #3 was observed placing a soiled diaper on the changing table during a diaper change, rather than immediately discarding it into a plastic-lined, hands-free covered can. Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member #3 was given instruction on proper diaper changing procedures, including immediately disposing of soiled diaper into diaper can rather than allowing it to remain on the changing table while diapering. |
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| 2022-05-03 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: The facility lacked a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) To immediately write a policy and procedure for staff to identify and prevent shaken baby syndrome, abusive head trauma and child maltreatment. Our policy and procedure states: All caregivers/staff who are in direct contact with children (including substitute staff and volunteers) will receive training on identifying and preventing shaken baby syndrome/abusive head trauma and child maltreatment. This training will include recognizing potential signs and symptoms of shaken baby syndrome/abusive head trauma as well as creating strategies for coping with a crying, fussing, or distraught child and addressing the prevention and identification of child maltreatment. This training must be completed within 90 days of hire and before caregivers/staff can work unsupervised with children. |
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| 2022-05-03 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The file for staff #1 contained a current health assessment dated 7/31/20. It was not obtained within 24 months of the previous assessment dated 3/30/18. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person was unable to be seen for health assessment when scheduled due to COVID. Health assessment was obtained ASAP on 7/31/20. |
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| 2022-05-03 | Renewal | 3270.152 - Adult Hygiene | Compliant - Finalized |
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Regulation: 3270.152 Description: Adult Hygiene Noncompliance Area: Staff #3 was observed not washing her hands after diapering a child. Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member #3 was given instruction on proper diaper changing procedures, including washing hands separately after washing child's hands. This means in addition to their hands being washed as they wash the child's hands after diapering. |
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| 2022-05-03 | Renewal | 3270.161(d) - Potentially hazardous food refrigerated | Compliant - Finalized |
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Regulation: 3270.161(d) Description: Potentially hazardous food refrigerated Noncompliance Area: There was turkey lunch meat in a lunch box in the pre-k c1 room that was not being refrigerated. Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated. |
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Provider Response: (Contact the State Licensing Office for more information.) The lunch box was put in the classroom refrigerator. |
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| 2022-05-03 | Renewal | 3270.192(2)(iii) - Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.192(2)(iii) Description: Exp, educ., training at facility Noncompliance Area: The file for staff #1 has a current mandated reporter training certificate dated 1/31/20. The certificate was not renewed prior to the expiration of the previous certificate dated 1/22/15. Correction Required: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) This was corrected on 1/31/2020 when Staff #1 renewed her mandated reporter training. |
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| 2022-05-03 | Renewal | 3270.27(a)(5) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(5) Description: Emergency plan Noncompliance Area: The emergency plan lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. |
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Provider Response: (Contact the State Licensing Office for more information.) POC was to update the emergency plan to include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. Updated emergency plan includes the following: ¿ The child care facility will maintain a current listing of any children or staff who have a condition that may require special accommodations or actions to allow that person to take appropriate protective measures during an emergency . The special accommodations listing will include infants, toddlers, children with disabilities and children with chronic medical conditions. ¿ A staff member will be assigned responsibility to ensure that those individuals take the appropriate protective measures (evacuate or shelter in place.) ¿ If special needs include medications or any physical equipment, a staff member will be assigned responsibility to ensure that the medications or equipment accompany the individual with special needs. ¿ If the necessary specialized equipment requires batteries or supplies, those will be stocked and moved as well. ¿ The listing of special needs personnel and medicine/equipment will be provided to local and county EMA along with the annual plan review. |
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| 2022-05-03 | Renewal | 3270.27(a)(6) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: The facility lacked an annual emergency drill log. Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Tornado drill was conducted on 5/3/22. However, I have a question as to if this is a violation. If this regulation came out in April 2022, wouldn't I have a year to get this done (as it says annually)? |
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| 2022-05-03 | Renewal | 3270.66(c) - Toxic use- no contamination | Compliant - Finalized |
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Regulation: 3270.66(c) Description: Toxic use- no contamination Noncompliance Area: There was a can of Stainless Steel cleaner spray next to food on a shelf in the kitchen. Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children. |
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Provider Response: (Contact the State Licensing Office for more information.) The can of cleaner spray was moved from the shelf and put in cleaning supply cabinet. |
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| 2022-05-03 | Renewal | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: There was a pipe coming down the wall in the pre-k c 4 room that had peeling paint spots. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The pipe with some spots with peeling paint was touched up with paint. |
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| 2022-05-03 | Renewal | 3270.91(a) - Stairs, exits, etc. unobstructed | Compliant - Finalized |
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Regulation: 3270.91(a) Description: Stairs, exits, etc. unobstructed Noncompliance Area: The door in front of the infant room was blocked with 2 blue chairs, 2 feeding chairs and a stepping stool. Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. |
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Provider Response: (Contact the State Licensing Office for more information.) The chairs and stepping stool were moved away from the doorway so as not to obstruct the exit from the room. |
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| 2020-07-09 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Noncompliance Area: In the PREK outdoor play space, two large wood protrusions were observed on the large wooden play structure. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) These protrusions were cut off and the area was sanded to make smooth. Moving forward, the structure will be checked more frequently to be sure it is in good repair and free from rough edges, and splinters. |
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| 2020-07-09 | Renewal | 3270.107 - Refrigerator | Compliant - Finalized |
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Noncompliance Area: The refrigerator in the Infant room measured 47 degrees after allowing sufficient time after serving food to allow it to cool down. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff have been instructed to close the refrigerator door quickly after using and to be sure locking strap is not caught in the seal of the door. The refrigerator was checked frequently after the visit and has had continued readings of 32-40 degrees F, with no readings above 40 degrees. Going forward, the refrigerator temp will be monitored more frequently throughout the day. |
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| 2020-07-09 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Noncompliance Area: Emergency contact information for Child #1 lacked one address of one of the individuals designated by the parent to whom the child may be released. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Address was added to the form for Child #1. Ongoing, we will check emergency contact forms more closely to be sure all information is present and clearly includes the name, address and telephone number of the individual(s) designated by the parent to whom the child may be released. |
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| 2020-07-09 | Renewal | 3270.131(d)(5) - Immunization record | Compliant - Finalized |
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Noncompliance Area: The immunization reports for Child #1, 2 & 4 lack current influenza vaccines. The immunization report for Child #3 lacks one dose each of DTAP & Hep A. Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. |
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Provider Response: (Contact the State Licensing Office for more information.) Director discussed requirements for vaccines with parents of children. Child #1's parent provided written statement as to being strongly against her child receiving the influenza vaccine. Child #2's parent stated that her child has recently had the vaccine and she will provide report to document this. Child #4's parent has provided a written statement as to being strongly against her child receiving the flu vaccine. Child #3's parent has indicated that child will receive required vaccine at well-child visit scheduled for later this month. Moving forward, children's health reports will be monitored more closely to check that required vaccines have been received. |
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| 2020-07-09 | Renewal | 3270.133(3) - Name on bottle | Compliant - Finalized |
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Noncompliance Area: A bottle of throat spray was observed atop a storage cubby in the toddler room. The bottle lacked the identification for whom the medication belonged. The director was unsure to whom it belonged. Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. |
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Provider Response: (Contact the State Licensing Office for more information.) The throat spray was removed and placed in a locked cabinet. Moving forward, facility persons have been informed that all medication (prescriptions and over-the-counter meds) must be locked up when not in use. |
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| 2020-07-09 | Renewal | 3270.166(4) - Bottles labeled | Compliant - Finalized |
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Noncompliance Area: The bottle from which an infant was observed to be feeding from lacked labeling with the child's name. Correction Required: Disposable nursers and bottles shall be labeled with the child's name. |
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Provider Response: (Contact the State Licensing Office for more information.) Substitute staff person was providing a break for the regular staff person at the time this occurred. Substitute staff person was made aware of the policy and the fact that even if children's bottles are distinguishable from each other (due to size, shape, color, etc), they ALL must be labeled with child's names. Ongoing, all staff, including substitute staff will be made aware of the policy that disposable nursers and bottles shall be labeled with the child's name. |
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| 2020-07-09 | Renewal | 3270.166(5) - Six-months-old held | Compliant - Finalized |
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Noncompliance Area: An infant six months of age or less was permitted to drink from a bottle while laying on the floor on a boppy pillow. Correction Required: An infant 6 months of age or younger shall be held while being bottle fed. |
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Provider Response: (Contact the State Licensing Office for more information.) Substitute staff was providing a break for the regular staff person at the time this occurred. Substitute staff person was made aware of the policy and the fact that the child, although capable of being independent with holding the bottle, was just under age and must be held while being bottle fed. Ongoing, all staff, including substitute staff will be made aware of the policy that an infant 6 months of age or younger shall be held while being bottle fed. |
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| 2020-07-09 | Renewal | 3270.192(2)(iii) - Exp, educ., training at facility | Compliant - Finalized |
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Noncompliance Area: The files for Staff #1-7 lack documentation that current Emergency Plan training has been obtained. The files for Staff #4, 5 & 6 lack documentation of completion of the previous year's fire safety training. The file for Staff #5 lacks evidence of some previous annual training hours, as the master file has been lost. Correction Required: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Original sign in sheet for annual Emergency Plan and Fire Safety trainings on 6/3/2020, documenting required training of all staff has been located and placed in file cabinet. All staff are current with Emergency Plan and Fire Safety Training. The new file for Staff #5 lacked evidence of some previous annual training hours, as the original file had been lost. Verification of college courses had been printed and placed in new file for Staff #5. However, other required trainings were documented on the PA Keys website but had not been printed and placed in file. They have since been updated in staff file. Ongoing, training documentation will go directly in files so they will not be misplaced. Also, files will be carefully monitored and accounted for when moving offices/file cabinets/records. Also, training hours will be printed to provide documentation. |
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| 2020-07-09 | Renewal | 3270.192(3) - Health assessment, TB test | Compliant - Finalized |
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Noncompliance Area: The file for Staff #5 lacks previous health assessments and the initial TB test, as the master file has been lost. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) File for Staff #5 was discovered missing after COVID closure and staff #5 was not permitted to work in childcare position until obtaining new health assessment and required TB test, confirming staff is free from communicable tuberculosis. All paperwork was placed in new staff file prior to returning to work. Moving forward, files will be carefully monitored and accounted for when moving offices/file cabinets/records. |
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| 2020-07-09 | Renewal | 3270.192(4) - CPSL information | Compliant - Finalized |
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Noncompliance Area: The file for Staff #3 lacks a copy of the request for the PA Child Abuse registry as well as required out-of-state clearances. The file for Staff #5 lacks all previous CPSL-required requests & clearances, as the master file has been lost. Correction Required: 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 #3 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Request for PA child abuse was located in back of staff file and had been obtained prior to staff working supervised with children. Staff #3 was removed from working in a childcare position until out of state clearances were obtained. Required out-of-state clearances have been obtained, showing NO RECORD and staff is now permitted to work in a childcare position as of 9/24/2020 File for Staff #5 was discovered missing after COVID closure and staff #5 was not permitted to work in childcare position until new file contained all required clearances and paperwork in place. Also, files will be carefully monitored and accounted for when moving offices/file cabinets/records. |
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| 2020-07-09 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Noncompliance Area: Staff #1 is documented to have obtained Emergency Plan training more than one week after initial employment. The files for Staff #1-6 as well as facility files lack documentation of that current Emergency Plan training has been obtained. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff had obtained annual Emergency Plan training but documentation was missing, as sign in sheet had been misplaced. Sign in sheet has been located. Moving forward, the Director will ensure that all staff will receive emergency plan training within one week of hire, annually, and with each plan update. Also, all required training documentation will be placed in file cabinet immediately upon completion of training and files will be carefully monitored and accounted for when moving offices/file cabinets/records. |
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| 2020-07-09 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Noncompliance Area: Evidence of the previous year's participation in fire safety training is missing in the files for Staff #4, 5 & 6. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Original sign in sheet for annual Emergency Plan and Fire Safety trainings on 6/3/2020 documenting required training of all staff has been located and placed in file cabinet. All staff are current with Emergency Plan and Fire Safety Training. Ongoing, training documentation will go directly in files so they will not be misplaced, and documentation will show staff participate annually in fire safety training conducted by a fire protection professional. |
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| 2020-07-09 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Noncompliance Area: From documentation provided, it was discovered that Staff #3 who was hired on 9/12/19, had lived outside of PA within five years of hire date. The file for Staff #3 lacks requests for the other state's police/ sex offender/ child abuse/ neglect clearances, and completed out of state clearances were due by 7/1/20. Staff #3's file lacks the request for the PA Child Abuse clearance and the completed clearance is dated after the date of hire. Therefore, Staff #3 was an incorrect provisional hire. Staff #3 was observed supervising children alone during the physical site part of the inspection. The Mandated Reporter training taken by Staff #3 is not an OCDEL-approved training. The two most current Mandated reporter trainings for Staff #6 are dated more than 60 months apart. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #3 was removed from working in a childcare position until out of state clearances were obtained. Required out-of-state clearances have been obtained, showing NO RECORD and staff is now permitted to work in a childcare position, as of 9/24/2020. Request for PA child abuse was located in back of staff file and had been obtained 9/10/2019, prior to staff working supervised with children. Going forward, all new CPSL guidelines will be read more carefully and any new hires that have lived out of state in the past 5 years will be required to have out-of-state clearances on file before working in a childcare position. Also, files will be carefully monitored and accounted for when moving offices/file cabinets/records. Going forward, Director will ensure that all mandated reporter training will be PA approved training and that the training will be obtained within regulation time limits. |
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| 2020-07-09 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Noncompliance Area: Near the bottom of the staircase to the PREK Counts room, a crack in the plastic nonskid coating of one of the steps was observed. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) This was immediately corrected by covering the crack in the nonskid coating on the steps. Ongoing, the steps and other surfaces will be checked more frequently to be sure they are kept clean, in good repair and free from visible hazards. |
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| 2020-07-09 | Renewal | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Noncompliance Area: Light blue paint flakes were observed around the inside and outside area of the entrance door, the portable sink at the outside entrance and on the sign-in table. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Paint flakes were cleaned up same day and the painters were contacted to prep and paint over any areas that still had peeling paint. We removed all remaining paint chips. Ongoing, we will be watching for and removing any additional paint chips that may come down from the above area. |
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| 2020-07-09 | Renewal | 3270.81 - Glass | Compliant - Finalized |
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Noncompliance Area: In the Toddler room, five out of 10 of the room-length windows lacked a visual identifier. Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space. |
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Provider Response: (Contact the State Licensing Office for more information.) We immediately hung pictures/visual identifiers on the windows and since then have hung fall decorations on the windows. Ongoing, visual strips/other visual identification will not be removed from the windows until we have replacements ready to go. |
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| 2019-05-28 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Noncompliance Area: In the downstairs PREK room, several Magnatiles with broken, hard-plastic edges were observed, which poses scratching/ cutting hazards. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The 3 or 4 broken Magnatiles were disposed of immediately. In the future, the Magnatiles will be observed more closely for broken edges and disposed of immediately if any are found to be broken. |
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| 2019-05-28 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Noncompliance Area: Foam blocks with bite marks were observed in the Infant/ YT room and the Older Toddler room. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The foam blocks have been removed from the classrooms. They will be reserved for and used by children that are no longer putting objects in their mouths. |
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| 2019-05-28 | Renewal | 3270.107 - Refrigerator | Compliant - Finalized |
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Noncompliance Area: The thermometer in the Infant room refrigerator was observed to have the red indicator liquid throughout the entire glass piece and temperature was unable to be read. The DHS-provided thermometer showed that the temperature was compliant so the facility thermometer was deemed inoperable. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The thermometer has been replaced with a working thermometer. We will check thermometers more frequently and replace them when they are found not working correctly. |
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| 2019-05-28 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Noncompliance Area: The file for Child #4, a PREK child enrolled since 4/20/15, lacked Child Services Reports dated prior to 5/8/18. (Reports are now current.) Correction Required: 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). |
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Provider Response: (Contact the State Licensing Office for more information.) We were using "ounce scale" assessments prior to child's 3rd birthday in February, after which we switched to using Child service reports and missed an assessment during a change of staff. Going forward, assessments will be tracked more closely and child service reports for preschoolers will be completed at a minimum of every six months. |
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| 2019-05-28 | Renewal | 3270.124(b)(6) - Insurance coverage information | Compliant - Finalized |
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Noncompliance Area: The Emergency contact information for Child #3 lacks health insurance coverage information and a policy number. Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. |
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Provider Response: (Contact the State Licensing Office for more information.) The health insurance coverage information and policy number has been added to the emergency contact form for Child #3. In the future, staff will review forms more closely to be sure the information is not missing. |
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| 2019-05-28 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Noncompliance Area: According to the most recent immunization record in the files for Child #1 & 4, influenza vaccines have not been updated. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Parents of Child #1 & 4 have provided letters regarding their objection to the influenza vaccine for their children. Ongoing, if vaccines are not updated according to the recommended schedule, we will require acceptable verification or letter from parent regarding why child is not up-to-date on vaccines. |
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| 2019-05-28 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Noncompliance Area: The two most recent health assessments for Staff #3 were completed more than 24 months apart. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Now and in the future, the director will check dates of health assessments more frequently in order for staff to get an appointment with their PCP before the due date. |
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| 2019-05-28 | Renewal | 3270.151(b) - Conducted by physician, PA or CRNP | Compliant - Finalized |
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Noncompliance Area: The previous health assessment for Staff #6 lacked the medical provider's title. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The current health assessment includes the medical provider's title. Going forward, health assessments will be reviewed more carefully to ensure that the medical provider's title is included. |
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| 2019-05-28 | Renewal | 3270.27(a)(3)/3270.27(a)(4) - Contact when arises/Contact when ended | Compliant - Finalized |
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Noncompliance Area: The Emergency Plan lacks a description of a method for contacting the parents when an emergency both arises and ends. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Now & and in the future, the facility Emergency Plan will be updated to state that parents are to be contacted via phone, text and the "Remind" app. |
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| 2019-05-28 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Noncompliance Area: The files for Staff #4 & 5, both whom started after January 2019, contain FBI clearances from the PA Department of Education and no proof of application for the DHS FBI clearance prior to providing child care. The file for Staff #1, who started after January 2019, lacks proof of application/ fingerprinting for the DHS FBI clearance prior to the start date of child care. It was stated she also had a PDE clearance. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #5 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 has a DHS FBI clearance in the file. Staff #4 obtained the correct DHS FBI clearance via email and it has been put in her file. Staff #5 has been fingerprinted and will not provide child care or work in child care spaces until a completed clearance is received. In the future, the child care will not accept the PA Department of Education FBI clearance and will require all new employees to be fingerprinted by DHS standards prior to providing child care or engaging in child care activities. |
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| 2019-05-28 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Noncompliance Area: In the Infant/ YT room, an old phone connection jack protruded from the floor, with the inside needle still intact and exposed. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The phone connector was covered. In the future, building surfaces will be checked on a regular basis to ensure that no hazards are present. |
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| 2019-05-28 | Renewal | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Noncompliance Area: Peeling paint was observed on the surface of an outdoor picnic table in the large play yard. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The outdoor table has been repainted. We will check for peeling paint monthly and we may also decide to apply a sealer or some type of epoxy to protect the tables from peeling paint in the future. |
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| 2018-05-29 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Noncompliance Area: In the left-side PreK room upstairs, one red Magnatile was observed to have broken plastic pieces along the side, posing a cutting hazard. In the Infant/ Toddler room, one hard plastic storage case containing blocks was observed to have a long crack, posing a cutting hazard. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Both items were discarded. The citation regarding hard plastic toys will be covered during a staff meeting to be held after the inspection summary is issued. In the future, teachers will pay particular attention to hard plastic items during toy inspections. |
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| 2018-05-29 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Noncompliance Area: The Work Sampling reports for Child #2, 3 & 4 lack dates or enough information to be determine if the reports were completed every six month as required. Correction Required: 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). |
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Provider Response: (Contact the State Licensing Office for more information.) New Child Service Reports will be completed for Child #2, 3 & 4. In the future, child service reports and/ or other state-approved assessment forms will be dated with the day, month and year of completion. |
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| 2018-05-29 | Renewal | 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months | Compliant - Finalized |
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Noncompliance Area: The last two health assessments for Child #1, an Older Toddler and Child #4, a preschooler, were dated more than 12 months apart. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. |
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Provider Response: (Contact the State Licensing Office for more information.) Health assessments for both children are now current. In the future, parents will be notified of upcoming health assessment due dates via mobile phone application, as well as be reminded verbally. |
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| 2018-05-29 | Renewal | 3270.133(5) - Original label | Compliant - Finalized |
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Noncompliance Area: In the Older Toddler room, two diaper creams were observed to have expired on 7/17 and 1/18 respectively. Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. |
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Provider Response: (Contact the State Licensing Office for more information.) The diaper creams were removed from the room, to be returned to parents. In the future, staff from another room will check medciations for expiration dates every six months. |
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| 2018-05-29 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Noncompliance Area: In the PreK room, bottles labeled 'bleach water solution' and 'soapy water' were observed sitting atop a bookcase at a height low enough for the preschoolers in care to reach. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The bottles were moved to an inaccessible location above a counter area. In the future, all toxics will be kept high enough out of reach of the children or locked up. |
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| 2018-05-29 | Renewal | 3270.76/3270.77(a) - Building Surfaces/No peeling paint or plaster | Compliant - Finalized |
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Noncompliance Area: In the PreK Counts room, where enrolled children were also observed to be receiving care, a section of baseboard was missing from a concrete wall. Upon closer inspection, the wall was felt to be moist from humidity and pieces of concrete and plaster were observed to be flaking/ falling off. In addition, on the same side of the room on the ceiling, plaster was observed to be bubbled. Correction Required: 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The baseboard will be replaced after further waterproof and painting occur. The ceiling will be sanded and repainted. Some of the water was diverted using a gutter. In the future, additional waterproofing measures will be implemented and staff will monitor painted surface to ensure they remain in good condition. |
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| 2017-05-04 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Noncompliance Area: In the Main Room, an accessible plastic bin of dominos was observed with a crack creating a potential pinch and crush point. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Bin was removed. In the future, staff will check for damaged toys and equipment. Anything damaged will be repaired or removed. |
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| 2017-05-04 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Noncompliance Area: The files for child #1, who was enrolled 04-18-2016, and child #3 ,who was enrolled 08/17/2016, lacked a current child service report. Correction Required: 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). |
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Provider Response: (Contact the State Licensing Office for more information.) An approved assessment form and/or child service report , will be completed, updated and kept in the child's file and a signed copy will be provided for the parent in accordance with the updates regarding emergency contact information. |
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| 2017-05-04 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Compliant - Finalized |
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Noncompliance Area: The file for child #2 lacked the work address and phone of the enrolling parent. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) Address and phone number was added to the emergency contact. In the future, this information will be completed at time of enrollment. |
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| 2017-05-04 | Renewal | 3270.131(a)/3270.182(1) - Within 60 days/Initial and subsequent health reports | Compliant - Finalized |
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Noncompliance Area: There is no health assessment on file for child #2 who was enrolled on 08-29-2016,. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Required parent to submit child health report. Going forward, using a tracking form to ensure health reports are received by the due date. |
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| 2017-05-04 | Renewal | 3270.133(5) - Original label | Compliant - Finalized |
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Noncompliance Area: In the Main Room, a box of Ventolin HFA was observed with an expired date of 02/2017. Correction Required: Medication shall be stored in accordance with the manufacturer`s or health professional`s instructions on the original label. |
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Provider Response: (Contact the State Licensing Office for more information.) Removed from classroom and sent home with parent. In the future, medications will be checked for expired date and expired medications will be returned home. |
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| 2017-05-04 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Noncompliance Area: The file for staff #1 lacked a current health assessment which was completed within 24 months of the previous health assessment. There is a current health assessment on file for staff #1. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) In the future, staff will provide updated health assessments within 24 month time span. |
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| 2017-05-04 | Renewal | 3270.181(c) - Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Noncompliance Area: The file for child #2 contained verfication that the child's parent reviewed emergency contact information on 08-16-2016 and then on 04-21-2017. Emergency contact information was not reviewed at least once in a 6-month period. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Parents will be required to review, update (if applicable), and sign emergency contact information verifying correct information as changes occur and at least once in a 6 month period. A tracking system will be implemented to be sure that we don't miss any updates in the 6 month time period. |
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| 2017-05-04 | Renewal | 3270.27(c)/3270.192(2)(iii) - Training regarding plan/Exp, educ., training at facility | Compliant - Finalized |
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Noncompliance Area: The file for staff #2 lacked documentation of current annual emergency plan training. The last documented emergency plan training for staff #2 was dated 06-01-2015. Correction Required: 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. A facility person`s record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2, who was previously employed as a substitute staff person, is no longer employed and provided her letter of resignation. In the future, all substitute staff will be required to participate, at least annually in emergency plan training as required by DHS to remain on our substitute call list. |
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| 2017-05-04 | Renewal | 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility | Compliant - Finalized |
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Noncompliance Area: The file for staff #2 lacked documentation of current firesafety training. The last documented fire safety training for staff #2 was dated 06-01-2015. Correction Required: 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.A facility person`s record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2 (a casual duty, substitute staff person) will be required to participate in annual fire safety training as required by DHS to remain on our substitute call list. In the future, all substitute staff will be required to participate, at least annually, in fire safety training conducted by a fire protection professional. |
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