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Child Care Center ✓ Licensed

Community Preschool And Nursery Of North Side

Pittsburgh, PA · Allegheny County
116 E North Ave, Pittsburgh, PA 15212
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Subsidized Program
Participates
State Rating
2

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116 E North Ave
Pittsburgh, PA 15212
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✓ Licensed Child Care Center
Active License
License Number
CER-00248598
License Issued
Jan 1, 2026
Active Through
Jan 1, 2027
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 5

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About the Provider

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Community Preschool And Nursery Of North Side is a Child Care Center in Pittsburgh PA. The provider also participates in a subsidized child care program.

Hours of Operation

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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
2026-07-02 Unannounced Monitoring 3270.113(a)(1) - Staff assigned to specific children Compliant - Finalized

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 7/2/26 at approximately 9:00 AM, Staff Person #1 and #2 were observed outside lining school age children up for a field trip. Staff Person #1 was responsible for eight school age children and Staff Person #2 was responsible for nine school age children. When asked to identify the children in their group, Staff Person #1 could only name six of the eight children in their assigned group, and Staff Person #2 could only name eight of the nine children in their assigned group.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 knows the names of all the children that were in their care but got flustered and did not quickly name them fast enough and the children started shouting out names which further exacerbated the situation. Staff person #2 actually did name all 9 children but (again ) was very nervous and began to call one child by their nickname and then switched to the child's government name and that group also started yelling out the child's nickname which made it appear as if the staff person may have said the wrong name. Both staff have taken 2 hours of additional supervision training and have been advised to slowly and concisely name each child when asked. The children have been reminded to please keep quiet as to not add confusion to the situation.
2026-07-02 Unannounced Monitoring 3270.119 - Infant sleep position Compliant - Finalized

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: On 7/2/26 at approximately 9:15 AM, Child #1 was observed sleeping in a bouncy seat in Room 1 (YOT).

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

Provider Response: (Contact the State Licensing Office for more information.)
The child was removed from the bouncy seat and placed in a crib. The staff person was suspended for 1 day.
2026-07-02 Unannounced Monitoring 3270.166(6) - Infant/toddler - no bottle in mouth to sleep Compliant - Finalized

Regulation: 3270.166(6)

Description: Infant/toddler - no bottle in mouth to sleep

Noncompliance Area: On 7/2/26, at approximately 9:15 AM, a bottle was observed in the bouncy seat where Child #1 was sleeping.

Correction Required: Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

Provider Response: (Contact the State Licensing Office for more information.)
The infant and the bottle were removed from the bouncy seat.
2026-04-02 Unannounced Monitoring 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on a review of video footage and staff interviews, it was confirmed that a physical altercation took place between a parent and Staff Person #1 on 3/18/2026 at 1:33 PM in the YT Room. The parent is seen punching the staff person multiple times. After the third punch, Staff Person #1 began to punch back. Although it was confirmed that the staff person was striking back in self-defense, Staff Person #1 could not directly supervise the children in care (two infants and one young toddler) due to the incident.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Provider Response: (Contact the State Licensing Office for more information.)
Staff will ensure that in the event of an unprovoked assault, they will not take their eyes off of the children until another staff person is able to take over supervision of the children.
2026-04-02 Unannounced Monitoring 3270.21 - General Health and Safety Compliant - Finalized

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Based on a review of video footage and staff interviews, it was confirmed that a physical altercation took place between a parent and Staff Person #1 on 3/18/2026 at 1:33 PM in the YT Room. The parent is seen punching the staff person multiple times. After the third punch, Staff Person #1 began to punch back. Although it was confirmed that the staff person was striking back in self-defense, this incident put the general health and safety of the children in care (two infants and one young toddler) at risk.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Provider Response: (Contact the State Licensing Office for more information.)
Staff have been advised not to defend themselves if they are being assaulted while supervising children. Staff should wait until another staff person is able to step into the room and take over supervision of the children. At that point, the staff person that is being assaulted is to carefully move towards the nearest exit door and once outside of the center and away from the children, they may begin to defend themselves. Please note that in the video the staff person was supervising so well that they were able to stop the assailant from moving towards the children and push them back and out of the classroom door while getting their nose broken and requiring seven stitches in their mouth in the process. The parents of the children in the classroom, center management, the police officers on scene and staff that work at this center consider the staff person to actually be a hero that went above and beyond to ensure the health and safety of the children in their care.
2026-04-02 Complaints- Legal Location 3270.23 - Parent Access & Participation Compliant - Finalized

Regulation: 3270.23

Description: Parent Access & Participation

Noncompliance Area: Based on interviews with Staff, it was confirmed that Staff Person #3 and #4 hid Child #1, a young toddler, from a parent on 3/18/26 at 1:30 when the parent arrived at the facility to pick up the child. Staff #1 and #2 also knew the whereabouts of the child but did not disclose this to the parent. At this time, the child was in the OT Room being supervised by Staff Person #3 and #4 at naptime with 9 other YT/OT. Upon hearing the parent enter the facility, Staff Person #3 instructed Staff Person #4 to take the child to the back room so the parent would not know where the child was. Staff believed they were not supposed to release the child to this parent because they were given direction by Staff Person #5 that the child was only required to be released to this parent on Fridays due to the wording of a custody agreement. Staff Person #5 admitted to being unclear of the wording in 3270.23 and believed they were only required to release the child to the parent on Fridays.

Correction Required: A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

Provider Response: (Contact the State Licensing Office for more information.)
The center Director has instructed all staff to release children to a parent unless as stated by the Certification Representative, we have an order from CYF limiting the parent to Supervised visits. Staff person #5 had received from the parent of child #1 an order of Court custody from the Court of common Pleas of Allegheny county (Family Division) which staff person #5 believed to be a court of competent jurisdiction per regulation 3270.23. The contents of the custody order LIMITED the other parent to SPECIFIC dates and times to have custody of child #1 which staff person #5 believed had to be adhered to in order to be in compliance with both the state regulation and the court order. The wording in regulation 3270.23 does not state that limited access to a child is the equivalent of supervised CYF visits. Regulation 3270.23 does not spell out that a order from a court of competent jurisdiction does not include Family Court and that court ordered custody is a worthless piece of paper to have on file since a center is not able to enforce the order. The idea that parents that have custody issues should not have access to safe and affordable child care because it puts the center in the middle is an unfortunate stance to take and goes against the entire purpose of trying to provide a safe and stable environment for all children no matter what their parents situation might be. Staff person #5 is completely disheartened to have been citied for violating a regulation that is in essence not what it seems to be. Directors already have to be teachers, accountants, therapist, cooks, janitors , Physicians assistants and now we have to add on being schooled in the area of Regulatory Law in order to read between the lines of regulations that should be be black or white. This regulation seems very grey and should at a minimum be reworded to ensure that it can actually be adhered to in it's entirety .
2025-10-20 Renewal 3270.123(a)(3) - Services proceeded Compliant - Finalized

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent child service reports in the files for Child #1 and #3 exceeded 6 months between reports.

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).

Provider Response: (Contact the State Licensing Office for more information.)
Both children #1 and # 3 have updated CSR's in their files.
2025-10-20 Renewal 3270.181(c) - Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent parent updates for the fee agreements in the file for Child #3 exceeded 6 months between updates.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Child #3 has a signed fee agreement that will expire in January of 2026.
2025-10-20 Renewal 3270.182(3)/3270.182(5) - Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission Compliant - Finalized

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The emergency contact form in the file for Child #2 did not contain signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Provider Response: (Contact the State Licensing Office for more information.)
child #2 no longer attends the center
2025-10-20 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire: Health and Safety Training Part 2. (See LIS code sheet)

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #2 completed part 2 of the health and safety training. Verification of this will be submitted to our certification representative. Staff person #2 did not work alone while waiting to complete pre service trainings.
2025-10-20 Renewal 3270.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent mandated reporter trainings in the file for Staff Person #3 exceeded 60 months between trainings.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #3 has a current mandated reporter training in their file.
2025-10-20 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The State Police Clearance in the file for Staff Person #1 did not contain a disseminated date.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The file for staff person #1 had a date at the top of the page but the bottom portion was cut off. A new Criminal clearance was completed and given to the certification Representative and is also in the staff persons file.
2025-10-20 Renewal 3270.65 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed one childproof electrical outlet, which was not functioning properly, below the clock in the OLT Room.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Provider Response: (Contact the State Licensing Office for more information.)
The electrical outlet was covered and made inaccessible to the child in the room on 10/20/2025.
2025-10-20 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed damaged ceiling tiles surrounding the smoke detectors in the Preschool and School Age Rooms.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The ceiling tiles were temporarily covered.
2025-10-20 Renewal 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed flaking plaster from a hole in the wall under the teacher board in the OLT Room.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Provider Response: (Contact the State Licensing Office for more information.)
The hole was covered temporarily on 10/20/25 until a permanent fix with plaster is able to be scheduled and completed by maintenance personnel.
2025-07-08 Complaints- Legal Location 3270.113(d) - No harsh language Compliant - Finalized

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Based on staff interviews, on July 3, 2025, Staff Person #1 raised their voice, used profanity, and argued aggressively in the presence of six children in Room 3 (OLT). During the argument, Staff Person #1 stated that they "work their a** off."

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 was terminated.
2025-07-08 Complaints- Legal Location 3270.183(b) - No information disclosed Compliant - Finalized

Regulation: 3270.183(b)

Description: No information disclosed

Noncompliance Area: Based on staff statements and video recording, Staff Person #2 recorded a ten second video of 11 toddler-aged children walking to the park and then posted the video recording on their personal social media.

Correction Required: A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #2 was counseled and given a verbal warning concerning her post with the children on social media and then subsequently terminated.
2025-07-08 Unannounced Monitoring 3270.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff Person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated March 16, 2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, Staff Person #1 must be supervised when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff persons available to supervise Staff Person #1, Staff Person #1 may not work in a childcare position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 completed their mandated reporter training on 7/10/2025.
2025-07-08 Unannounced Monitoring 3270.61(h) - Exceeding Capacity Compliant - Finalized

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: On July 8, 2025, at approximately 9:30 AM, 15 preschool age children were observed receiving care in Room 4 (PRE) that has a total capacity of 12.

Correction Required: The capacity established for an indoor space may not be exceeded.

Provider Response: (Contact the State Licensing Office for more information.)
3 children were moved into another room that had open capacity available.
2025-03-06 Unannounced Monitoring 3270.94(a)(1) - Every 60 days Compliant - Finalized

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log for the facility conducted fire drills on 11/20/24 and 2/26/25 (96) which is over the required 60 days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Provider Response: (Contact the State Licensing Office for more information.)
A fire drill was completed the same day that the Compliance Manager realized that the center Director had failed to complete fire drills in a timely manner.
2025-03-06 Unannounced Monitoring 3270.95(a) - Devices must be compliant Compliant - Finalized

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The fire alarm 30-day test log includes test dates 10/22/24-11/20/24 and 11/20/24-2/26/25, which are all more than 30 days apart. Per Chapter 3270 Act 62 regulation updates on May 24, 2021, all fire detection devices or systems must be tested at least every thirty days.

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)).

Provider Response: (Contact the State Licensing Office for more information.)
Testing of the fire alarm had ceased due to an annual passing fire alarm system report being obtained by the center. Management was not aware that a stand alone building or structure was still required to test every 30 days. Clarification was received on 3/18/25 and an alarm test was conducted and documented at the center. 10/22/24 and 11/20/24, I believe are exactly 30 days apart. Proof of the completed testing will also be emailed to the Certification Representative for compliance verification.
2024-10-21 Renewal 3270.103 - Small Toys and Objects Compliant - Finalized

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the infant room, a cabinet was open and googly eyes which are less than an inch in diameter, were accessible to children on a lower shelf.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The google eyes were made inaccessible to the children.
2024-10-21 Renewal 3270.105 - High Chairs Compliant - Finalized

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: In the infant room, 2 children were observed to be in highchairs, but they were not strapped in with the high chair's safety strap.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Provider Response: (Contact the State Licensing Office for more information.)
The infant was removed from the highchair.
2024-10-21 Renewal 3270.123(a) - Signed Compliant - Finalized

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The financial agreement of child #2 was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Provider Response: (Contact the State Licensing Office for more information.)
The directors signature was added to the agreement on 10/22/24.
2024-10-21 Renewal 3270.123(a)(1) - Amount of fee Compliant - Finalized

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The financial agreement of child #5 did not have the amount of the fee to be charged per day or week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Provider Response: (Contact the State Licensing Office for more information.)
The fee amount has been added to the agreement
2024-10-21 Renewal 3270.123(a)(3) - Services proceeded Compliant - Finalized

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Documentation on the Department's approved form (child service report) to provide information to the family about the child's growth and development was dated more than 6 months prior to the inspection for child #2, #3, and #4.

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).

Provider Response: (Contact the State Licensing Office for more information.)
The child service report was completed
2024-10-21 Renewal 3270.123(a)(6) - Admission date Compliant - Finalized

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The financial agreement of child #2 did not contain the admission date of the child.

Correction Required: An agreement shall specify the date of the child's admission.

Provider Response: (Contact the State Licensing Office for more information.)
The child's admission date was added to the agreement form
2024-10-21 Renewal 3270.123(b) - Parent receives original Compliant - Finalized

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The file of child #3 and #4 contained the original financial agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Provider Response: (Contact the State Licensing Office for more information.)
Copies of the agreement for have been made and the original was given to the parent
2024-10-21 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form of child #2 did not contain the addresses of the release persons designated by the parent.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Addresses for the release persons have been added to the emergency contact form
2024-10-21 Renewal 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file of child #1 contained an initial health report dated 10/14/2024, which was more than 60 days from their start date at the facility (see LIS code sheet).

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.

Provider Response: (Contact the State Licensing Office for more information.)
Health report has been recieved
2024-10-21 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file of facility person #5 did not contain documentation of a health assessment.

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. 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person has been terminated as of 11/7/24.
2024-10-21 Renewal 3270.151(c)(2)/3270.192(3) - Mantoux TB/Health assessment, TB test Compliant - Finalized

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file of facility person #5 did not contain documentation of a tuberculosis screening and the results of that screening.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person has been terminated as of 11/7/24.
2024-10-21 Renewal 3270.151(c)(3)/3270.192(3) - Exam communicable disease/Health assessment, TB test Compliant - Finalized

Regulation: 3270.151(c)(3)/3270.192(3)

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: The file of staff #3 contained a health assessment which did not contain documentation of an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person is scheduled for a new physical the week of 11/11/24.
2024-10-21 Renewal 3270.181(c) - Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Documentation of the reviews and/or updated to the financial agreement of child #2, #3 and #4 exceeded 6 months.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Financial agreements have been updated
2024-10-21 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of staff #4 did not have a second written nonfamily reference and the file of facility person #5 did not contain 2 written references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person 4 has turned in a second written reference. Staff person 5 has been terminated.
2024-10-21 Renewal 3270.27(c) - Training regarding plan Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file of staff #1 contained documentation of emergency plan training dated 7/14/2023 but did not contain documentation of current training within the last 12 months.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 now has an updated center Emergency plan plan in their file.
2024-10-21 Renewal 3270.31(e)(4)(i) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file of staff #2 contained documentation of pediatric first aid and pediatric CPR updated on 10/11/2024, which was after the expiration of the prior training dated 3/26/2022.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #2 now has current pediatric first aid and Pediatric CPR in their file.
2024-10-21 Renewal 3270.31(e)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(e)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file of facility person #1 contained documentation of 8 training hours in their annual training year of 12/19/2022 to 12/19/2023 (see LIS code sheet). Documentation of an additional 3 hours of training taken was dated 2/19/2024, after their training year. Facility person #1 still lacked 1 additional training hour to meet the 12 annual hour requirement.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 completed the additional hour of training that was required and it is available for review.
2024-10-21 Renewal 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The mandated reporter training on file for staff #3 was not conducted by an approved training organization for mandated reporters working in child care.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Facility person #3 will obtain Mandated reporter training from an approved training organization for Mandated reporter in child care.
2024-10-21 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The annual evaluations exceeded 12 months for staff #1 (dated 6/3/2023 and 7/17/2024).

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Provider Response: (Contact the State Licensing Office for more information.)
The file for staff person #1 contains a staff evaluation that will be updated on or before 7/17/2025.
2024-10-21 Renewal 3270.71 - Heat Source Compliant - Finalized

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: The metal on the front of a space heater being used in the infant classroom exceeded 110 degrees Fahrenheit and was placed in an area which was accessible to the children in the lap of staff #2. The hot water in the young toddler room also exceeded 110 degrees Fahrenheit.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Provider Response: (Contact the State Licensing Office for more information.)
The space heater was removed from the child care space. All staff were already aware space heaters or any type or portable heating device is not permitted in the child care space. while children are present. The staff person might be terminated for not following this regulation. The hot water in room # was turned off under the sink.
2024-10-21 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the outdoor play space, an area approximately 6 inches by 6 inches of the wooden retaining wall was damaged and appeared to be disintegrating.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The entire retaining wall and the areas of concern have been covered and no longer present a hazard.
2024-10-21 Renewal 3270.82(h) - Handwashing signs Compliant - Finalized

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The portable sink in the young toddler classroom did not have a posted handwashing sign,

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.

Provider Response: (Contact the State Licensing Office for more information.)
A handwashing sign was posted above the portable handwashing sink.
2024-10-21 Renewal 3270.92(a) - No portable space heaters Compliant - Finalized

Regulation: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: A portable space heater was in use in the infant classroom on the day of the inspection.

Correction Required: Portable space heaters are not permitted.

Provider Response: (Contact the State Licensing Office for more information.)
The portable space heater was removed from the child care space.
2024-08-13 Allocated Unannounced Monitoring 3270.113(e) - Restraints prohibited Compliant - Finalized

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Child #1 was observed to be restricted in a highchair for at least 22 minutes between approximately 10:20 am and 10:42 am. Based on a statement of staff #1, child #1 was placed in the highchair for biting another child. The biting incident occurred at 9:28 am based on the incident report.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Provider Response: (Contact the State Licensing Office for more information.)
The child was removed from the highchair.
2024-08-13 Allocated Unannounced Monitoring 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The base of the faucet at the sink in the young toddler classroom was leaking onto the counter when the water was turned on.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The center was able to affix flexseal tape to the faucet to temporarily solve the issue until maintenance could permanently fixed the faucet.
2023-10-18 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A plastic leg on a small plastic chair in the school age classroom was broken exposing sharp rough edges. A wooden toy shelf containing blocks in the older toddler classroom had 4 exposed bolts. Two of the bolts were located on the inside top shelf and 2 addition were directly below.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The plastic chair was thrown away. The bolts have been removed from the shelf.
2023-10-18 Renewal 3270.103 - Small Toys and Objects Compliant - Finalized

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the young toddler classroom, while facility person #6 was at the diaper changing table, the certification representative observed something on the right cheek/chin area of child #6, an infant, in a baby saucer. As she approached, what appeared to be a small piece of paper was removed from the child's cheek. The child was then observed to be chewing on something. The certification representative immediately began to remove the item from the child's mouth while informing facility person #6. A red Tootsie Pop wrapper was removed from the mouth of the child.

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.

Provider Response: (Contact the State Licensing Office for more information.)
items less than one inch in diameter will not be accessible to who are still placing objects in their mouths. The paper that was removed for the child's cheek and the wrapper that was found were both discarded and we appreciate the quick response of our inspector.
2023-10-18 Renewal 3270.123(a) - Signed Compliant - Finalized

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The financial agreement of child #1and #3 were not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Provider Response: (Contact the State Licensing Office for more information.)
The operator signed both agreements for children # 1 and #3. A copy of the agreements can be found in each child's file.
2023-10-18 Renewal 3270.123(a)(1) - Amount of fee Compliant - Finalized

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The financial agreement of child #1 did not specify the amount of the fee to be charged per day or week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Provider Response: (Contact the State Licensing Office for more information.)
The fee amount that is to be charged per week was added to the agreement form for child #1.
2023-10-18 Renewal 3270.123(a)(3) - Services proceeded Compliant - Finalized

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file of child #1 and #4, who has been enrolled for more than 6 months (see coded LIS sheet), did not contain documentation of information provided to the family about the child's growth and development in the context of the services being provided on a Department approved form in the past 12 months.

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).

Provider Response: (Contact the State Licensing Office for more information.)
The files for children #1 and #4 now contain child service reports that were completed and reviewed with the parent or guardian on 10/31/2023. That documentation with parent signatures is available for review in the child files.
2023-10-18 Renewal 3270.123(a)(4) - Arrival/departure times Compliant - Finalized

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The financial agreement of child #1 did not include the arrival and departure dates of the child.

Correction Required: An agreement shall specify the child's arrival and departure times.

Provider Response: (Contact the State Licensing Office for more information.)
The financial agreement for child #1 now contains the arrival and departure times of the child and a copy is available for review in the child's file.
2023-10-18 Renewal 3270.123(a)(5) - Designated release persons Compliant - Finalized

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The financial agreement of child #1 did not contain the persons designated by the parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Provider Response: (Contact the State Licensing Office for more information.)
The financial agreement for child #1 contains the names of persons designated by the parent in which the child can be released. The financial agreement is available for review in the child's file.
2023-10-18 Renewal 3270.123(a)(6) - Admission date Compliant - Finalized

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The financial agreement of child #1, #2, #4 and #5 did not contain the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Provider Response: (Contact the State Licensing Office for more information.)
The financial agreements for children #1,#2, and #5 now all have the date of each child admission and are available for review in each child's file. The Prior Director was terminated due to the egregious lack of attention to child file paperwork.
2023-10-18 Renewal 3270.123(b) - Parent receives original Compliant - Finalized

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The files of child #1, #2, #3, #4 and #5 contained the original financial agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Provider Response: (Contact the State Licensing Office for more information.)
The previous Director was relived of her duties do to being unable to simply make a copy of the financial agreements for children #1, #2, 3,#4 and #5 and simply placing that copy in the child's file and giving the enrolling parent the original.
2023-10-18 Renewal 3270.124(b)(2) - Physician name, address, phone Compliant - Finalized

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form of child #3 did not include the name of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Provider Response: (Contact the State Licensing Office for more information.)
The file for child #3 currently contains the name of the Child's physician.
2023-10-18 Renewal 3270.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form of child #3 did not contain the work address and #4 and #5 did not cotnain the work address and work telephone number of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Provider Response: (Contact the State Licensing Office for more information.)
The files for children #1, #3 and #5 all contain the work addresses and telephone numbers of the enrolling parent. The previous center Director was terminated for failing to comply with this and several other regulations.
2023-10-18 Renewal 3270.124(b)(5) - Information re: special needs Compliant - Finalized

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form of child #3 did not contain information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or documentation this is not applicable to the child.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Provider Response: (Contact the State Licensing Office for more information.)
The file for child #3 now contains all of the required information that would need to be provided in an emergency situation.
2023-10-18 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form of child #3 and #4 did not contain the addresses and the emergency contact form of child #5 did not include the addresses and telephone numbers of the persons 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.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency contact forms child child #3, and #4 now contain the addresses for persons to whom the children can be released to. The emergency contact for child #5 now contains the release persons address and phone number. All information is available for review in each child's file.
2023-10-18 Renewal 3270.124(c) - Each child care space Compliant - Finalized

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Of the 10 children receiving care in the preschool classroom, seven had emergency contact forms in the child care space while 3 did not. In the older toddler classroom, 6 of the 9 children had emergency contact forms in the child care space while 3 did not.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Provider Response: (Contact the State Licensing Office for more information.)
All of the children in the preschool and older toddler classroom now have copies of their emergency contact forms located in the child care space where they receive care. These forms are available for review in classrooms #3 and #5.
2023-10-18 Renewal 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file of child #4 contains an initial health assessment dated more than 60 days from their start date at the facility.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Child #4 now has a current health assessment in their file which is available for review.
2023-10-18 Renewal 3270.131(b)(1)/3270.182(1) - Infant: updated health report every 6 months/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The file of child #4, identified as a young toddler (see coded LIS sheet), contained a health assessment dated 10/19/2022 but did not contain a health assessment within the past 6 months.

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. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
The file for child #4 now contains a recent health assessment and it is available for review in the child's file. the next health assessment will be turned in on or before the current one expires.
2023-10-18 Renewal 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file of child #1, now identified as a preschool age child (see coded LIS sheet), contained a health assessment dated 1/17/2020, but did not contain a health assessment within the past 12 months. The file of child #3, now identified as a school age child (see coded LIS sheet), contained a health assessment dated 8/17/2021 and an incomplete health assessment dated 11/4/2022 which was missing 3/6 pages.

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. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
The file for child #1 and #3 now contains a recent health assessment and it is available for review in the child's file. the next health assessment will be turned in on or before the current one expires.
2023-10-18 Renewal 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy Compliant - Finalized

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunizations documented on the immunization records of child #1 and #4 are not in accordance with the recommendations of the ACIP.

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).

Provider Response: (Contact the State Licensing Office for more information.)
The files for children #1 and #4 now contain updated immunization records that are available for review in each child's file.
2023-10-18 Renewal 3270.133(3) - Name on bottle Compliant - Finalized

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: The medication box in the young toddler classroom contained Tylenol which was not labeled with the name of the child for which the medication was intended.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The medication was labeled for the child that it is intended for and can be viewed in the classroom medication box.
2023-10-18 Renewal 3270.133(6) - Written consent Compliant - Finalized

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: The facility did not contain written parental consent for administration of Tylenol and prescription "Pittsburgh Butt Paste" which was in the medication box in the young toddler classroom.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Provider Response: (Contact the State Licensing Office for more information.)
The parent of the child that on occasion needs to use Tylenol or Pittsburgh Butt Paste has completed a new medication log which is available in the classroom for the teacher to complete as required based on the information that the parent provided.
2023-10-18 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The health assessment of facility person #1 was dated 7/26/2023 which was after their start date with children (see coded LIS sheet). The current health assessment of facility person #3 was dated more than 24 months from the prior (8/10/2021 and 9/22/2023).

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.

Provider Response: (Contact the State Licensing Office for more information.)
The prior center director hired and permitted staff person #1 to begin working in care without an adult Health assessment on file. That Director was terminated.
2023-10-18 Renewal 3270.151(c)(3) - Exam communicable disease Compliant - Finalized

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The initial health assessment of facility person #2, dated 7/16/2022, did not include documentation an examination for communicable disease and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Provider Response: (Contact the State Licensing Office for more information.)
The prior director permitted staff person #2 to begin working in care without proof and documentation that they were free from communicable disease and results of their examination. Documentation is now available that provides all of the required proof for staff person #2 in their file.
2023-10-18 Renewal 3270.151(c)(5) - Physician/CRNP assessment Compliant - Finalized

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment of facility person #2, dated 7/16/2022, did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Provider Response: (Contact the State Licensing Office for more information.)
The health assessment for staff person #2 now contains the statement that they are suitable to provide care and is available for review in the staff person's file.
2023-10-18 Renewal 3270.181(c) - Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file of child #1 and #2 contained documentation of review and/or updates to the emergency contact form and financial agreement exceeding 6 months.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The files for children #1 and #3 are currently dated within the last 6 months. The previous director failed to have the parents or guardians update the files and was terminated.
2023-10-18 Renewal 3270.182(3) - Consent for emergency medical care required prior to admission Compliant - Finalized

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The file of child #4 did not contain signed parental consent for emergency medical care for the child.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency contact form for child #4 now contains parental consent for emergency medical care while the child is in the care of the center. This information is available for review in the child's file.
2023-10-18 Renewal 3270.182(5) - Consent for administration of minor first-aid required prior to admission Compliant - Finalized

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The file of child #4 did not contain signed parental consent for administration of minor first aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Provider Response: (Contact the State Licensing Office for more information.)
The file for child # 4 now contains signed parental consent for administration of minor first aid procedures by facility staff. The information is available for review in the child's file .
2023-10-18 Renewal 3270.27(a)(6) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, facility did not have documentation of emergency drills conducted at least annually at the facility.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
The center did in fact have an emergency drill that was conducted within the correct time period. The annual drill information was unfortunately stuck in a pack with several other papers in front of it and was not able to be seen. The most recent annual drill is now posted (alone) on the information's board in the directors office where it is available for review.
2023-10-18 Renewal 3270.27(b) - Plan reviewed/updated annually Compliant - Finalized

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: Documentation of the review and/or update of the emergency plan was dated more than 12 months apart (8/1/2022 and 9/30/2023).

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
The Current emergency plan is available for review and will not expire until 9/30/2024.
2023-10-18 Renewal 3270.51 - Similar Age Level Compliant - Finalized

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 10:00 -10:15 am, facility person #5 was observed to have 11 children in the preschool classroom. When asked to identify the children in their supervisory group, facility person #5 identified 10 preschool age children and quickly realized there was an additional child exceeded the 1 staff to 10 children ratio.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Provider Response: (Contact the State Licensing Office for more information.)
On 10/18/2023 one child was removed from the preschool group and placed in another classroom that had 2 staff and room for the child without compromising the staff to child ratios.
2023-10-18 Renewal 3270.52 - Mixed Age Level Compliant - Finalized

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: **In the older toddler classroom, when each facility person was asked to identify their respective supervisory groups, facility person #2 identified 4 older toddlers while facility person #7 identified 3 older toddlers. Facility person #6 identified 4 young toddlers and 1 infant which exceeded the staff to child ratio of 1:4 since the youngest child in their group was an infant.

Correction Required: The Legal Entity will arrange for all staff to attend a minimum of 3 hours of training on mixed ratios by the PA Keys. The training will be submitted to the regional office for approval prior to attendance. Proof of training will be submitted upon completion.

Provider Response: (Contact the State Licensing Office for more information.)
Staff will take the following training to help them better comprehend staff child and mixed age group staff/child ratios. The trainings are "Supervision moving children". " Supervision, Counting children" and " Supervision, Staff/Child ratios" Certificates of completion will be available for review in each staff person file.
2023-10-18 Renewal 3270.52 - Mixed Age Level Compliant - Finalized

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: In the older toddler classroom, when each facility person was asked to identify their respective supervisory groups, facility person #2 identified 4 older toddlers while facility person #7 identified 3 older toddlers. Facility person #6 identified 4 young toddlers and 1 infant which exceeded the staff to child ratio of 1:4 since the youngest child in their group was an infant.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff will take the following training to help them better comprehend staff child and mixed age group staff/child ratios. The trainings are" Supervision moving children", " Supervision, Counting children" and " Supervision, Staff/Child ratios" Certificates of completion will be available for review in each staff person file.
2023-10-18 Renewal 3270.82(e) - Toilet and sinks proper height Compliant - Finalized

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: The young toddler classroom did not contain a step stool for able children to wash their hands at the sink.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Provider Response: (Contact the State Licensing Office for more information.)
A step stool was placed at the sink area for the toddlers to use to wash their hands.
2023-10-18 Renewal 3270.91(a) - Stairs, exits, etc. unobstructed Compliant - Finalized

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: In the infant classroom, the exit door was obstructed by an infant activity center.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Provider Response: (Contact the State Licensing Office for more information.)
The infant activity center was removed from the exit way.
2023-05-25 Unannounced Monitoring 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety training topics.

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

Provider Response: (Contact the State Licensing Office for more information.)
Another staff person was sent into the childcare space to work with staff person #4 and supervisor them. This continued to happen until all pre-service requirements were met, which occurred on 6/1/2023.
2023-05-25 Unannounced Monitoring 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files of facility person #1, #2 and #3 who took the 6- or 10-hour health and safety training prior to 10/4/2022, did not contain documentation of the required one-hour updated health and safety training course, "Pennsylvania Health and Safety Update."

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.

Provider Response: (Contact the State Licensing Office for more information.)
The previous Director failed to ensure that all of her staff completed this required training. Staff members #1,#2, and #3 all currently have proof of having taken and completed the one hour updated health and safety training course available for review in their files.
2023-05-25 Unannounced Monitoring 3270.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file of facility person #5 did not contain the completed NSOR verification certificate and as the director, may not be a provisional hire. The file of facility person #4 did not contain a completed NSOR verification certificate and has been employed for more than 45 days and was observed to be working alone with children. The file of facility person #6 contained a disclosure statement which was not dated. Based on conversation with the director, facility person #7 has been assisting the director in an administrative capacity but does not have clearances or the NSOR verification certificate to be at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4, #5 and #7 may not work at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #4 was able to provide an NSOR clearance on 5/25/2023. Staff person #6 dated the disclosure on 5/25/23. Staff person #5 was suspended until their NSOR was received (6/1/2023). Person #7 was neither a staff or facility person and is the child of the director. Person #7 now has all clearances and an NSOR.
2023-05-25 Unannounced Monitoring 3270.37(b)/3270.192(2)(ii) - Aide qualifications/Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3270.37(b)/3270.192(2)(ii)

Description: Aide qualifications/Exp, educ., training prior to facility

Noncompliance Area: The file of facility person #6, identified as an aide, did not contain documentation of at least an 8th grade education.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #6 is no longer an employee but proof of their high school diploma was obtained and can be reviewed at the center.
2023-05-25 Complaints- Legal Location 3270.52 - Mixed Age Level Compliant - Finalized

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 8:30 am, facility person #1 was alone in the older toddler classroom with 10 children. Facility person #1 identified all 10 children in their supervisory group which contained older toddlers and preschool age children.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Provider Response: (Contact the State Licensing Office for more information.)
Another staff person removed all of the preschool age children from the group which put staff person #1 back into ratio.
2023-05-25 Unannounced Monitoring 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: Documentation of testing the fire detection system exceeded 30 days (4/5/2023 to 5/8/2023).

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.

Provider Response: (Contact the State Licensing Office for more information.)
The director (with assistance) was able to test the fire detection system while the State Inspector was present and on site, less than 30 days from the previous test.
2022-10-07 Renewal 3270.123(a)(1) - Amount of fee Compliant - Finalized

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The financial agreement of child #1 did not contain the fee to be charged per day or week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Provider Response: (Contact the State Licensing Office for more information.)
The financial agreement for child #1 has had the fee amount added to it.
2022-10-07 Renewal 3270.123(b) - Parent receives original Compliant - Finalized

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The original financial agreement was in the file of child #1.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Provider Response: (Contact the State Licensing Office for more information.)
A copy of the financial agreement was placed in child #1's file and the original was given to the parent.
2022-10-07 Renewal 3270.124(b)(2) - Physician name, address, phone Compliant - Finalized

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form of child #2 did not contain the name of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency contact for child #2 now contains the name of the child's physician and the source of medical care.
2022-10-07 Renewal 3270.124(b)(5) - Information re: special needs Compliant - Finalized

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form of child #2 and 3 did not contain information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or acceptable documentation this is not applicable to the child.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency contact sheets for children #2 and #3 have had information filled in the required areas by the parent or the parent has specified N/A if applicable. Please see attachment #8
2022-10-07 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form of child #1 did not contain all of the addresses and telephone numbers of the persons 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.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency contact sheet for child #1 now has an additional page which has the addresses and telephone numbers of designated release persons to whom the child may be released to.
2022-10-07 Renewal 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file of child #4 did not have documentation of an initial health assessment within 60 days of their first day of attendance at the facility (see coded LIS sheet).

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.

Provider Response: (Contact the State Licensing Office for more information.)
Child #4 now has a current health assessment located in the child's file and available for review. (attachment 10.2)
2022-10-07 Renewal 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file of child #2, identified as an older toddler, contained a health assessment dated 9/16/2021 and did not contain an updated assessment within 12 months. The file of child #5, now identified as an older toddler, contained a health assessment dated 7/9/2020 lacked updated health assessments every 12 months.

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. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
The file for child#2 now contains and updated health assessment and child #5 has been suspended from the program until the parent provides a current health assessment.
2022-10-07 Renewal 3270.131(e)(1)/3270.182(1) - Exemption documentation from parent/guardian/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(e)(1)/3270.182(1)

Description: Exemption documentation from parent/guardian/Initial and subsequent health reports

Noncompliance Area: The immunization record of child #2 did not contain documentation of a current influenza vaccination and the immunization record of child #5 lacked documentation of 1 Hep B, 2 Rotavirus, 3 DTAP, 2 Pneumococcal, 2 Polio, 2 Hep A and an influenza vaccination as recommended by the ACIP or acceptable documentation of exemption.

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. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
The immunization record for child#2 was turned in along with the child's health assessment (please see attachment #7). However both parents for children #2 and #5 have written and turned in statements verifying that moving forward, neither child will ever again be receiving an influenza vaccination (attachment #11)
2022-10-07 Renewal 3270.131(e)/3270.182(1) - ACIP recommended immunization record /Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(e)/3270.182(1)

Description: ACIP recommended immunization record /Initial and subsequent health reports

Noncompliance Area: The file of child #4, who has been enrolled more than 60 days (see coded LIS sheet), did not contain written verification of immunizations 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.

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

Provider Response: (Contact the State Licensing Office for more information.)
A current health assessment and immunization record for child #4 was received by the enrolling guardian an is on file and available for review. Please see attachment #10
2022-10-07 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility did not have a plan for the continuity of services in the event of a disaster.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A plan of continuity was created and put in place
2022-10-07 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file of facility person #3 contained health assessments dated 5/15/2020 and 8/22/2022 exceeding 24 months.

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. 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.

Provider Response: (Contact the State Licensing Office for more information.)
Facility person #3 has a current health assessment in their file.
2022-10-07 Renewal 3270.21 - General Health and Safety Compliant - Finalized

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: The kitchenette area off the older toddler room contained a flat head screwdriver, which could cause puncture wounds, in an unlocked drawer accessible to children passing through this space to use the restroom. The school age classroom contained a large box fan on the table which, based on conversation with the director, was used when children are in care. Children's fingers could be injured if placed in the grate covering the actual fan.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Provider Response: (Contact the State Licensing Office for more information.)
The screwdriver was immediately removed from the draw .
2022-10-07 Renewal 3270.27(a)(6) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility did not have documentation of an annual emergency drill being conducted at the time of the inspection.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
An annual emergency fire drill was conducted on 10/21/2022 at 10:00 am and documentation is on file and attached (see attachment #3)
2022-10-07 Renewal 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The file of facility person #1, 3 and 4 contained documentation of fire safety training which exceeded 12 months.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The files for facility persons #1, 3 and 4 all contain current fire safety training certificates.
2022-10-07 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see coded LIS sheet): Pediatric first aid and Pediatric CRP and health and safety topics. Documentation of the health and safety topics and pediatric first aid and CPR listed in subsection (f)1-10 for facility person #2 were dated 3/18/2022 (PFA/PCPR) and 5/1/2022 (H/S) exceeding 90 days from their start date at the facility (see coded LIS sheet).

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #6 will have until 10/27/2022 to complete the required training. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #6 is registered to complete Pediatric First aide and Pediatric CPR on 10/22/2022 (see attachment #1) Staff person #6 completed the required pre-service training on 10/20/22 (see attachment #2) Staff person #6 will be supervised while working with children until the completion of all required courses.

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