Ethel Mason Child Development Center

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: On 11/03/25, during the renewal inspection, no evidence of the operator notifying local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was presented to the certification representative.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: On 11/03/25, during the renewal inspection, no copy of the current general liability insurance was presented to the certification representative.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 11/03/25, during the renewal inspection, the files of staff person #1, #2, #3, #4, and #5 did not contain two written nonfamily references from individuals attesting to the person's suitability as a facility person.

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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: On 11/03/25, during the renewal inspection, no documentation of the emergency drills being conducted were presented to the certification representative.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On 11/03/25, during the renewal inspection, no evidence of staff members #1, #2, #3, #4, and #5 were trained on the emergency plan in the past year.

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.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: On 11/03/25, during the renewal inspection, the operator did not present evidence of the emergency plan being submitted to the local municipality and county emergency management.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

Description: Age and Training

Noncompliance Area: On 11/03/25, during the renewal inspection, no evidence of staff person #1, #2, #3, #4, and #5 having completed CPR training was presented to the certification representative.

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.

Regulation: 3270.31(f)/3270.31(g)

Description: Health and Safety Training/Professional development certificate

Noncompliance Area: On 11/03/25, during the renewal inspection, documentation of staff #1, #2, #3, #4, and #5 no documentation of the completion of the Health and Safety training was presented to the certification representative.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility persons file in an electronic system as designated by the Department. Documentation of the completion of the professional development under § 3270.31(f) taken from September 30, 2016 forward satisfies this requirement.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 11/03/25, during the renewal inspection, the operator was found to be out of compliance with CPSL. The file of staff person #2 and #3 did not contain signed disclosure statements. The file of staff person #2 and #3 did not contain completed State Police Clearances. The file of staff person #2 and #3 did not contain a completed FBI clearance. The file of staff person #2 and #3 did not contain a completed NSOR certificate. The file of staff person #1, #2, #3, #4, and #5 did not contain a mandated reporter training certificate.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #2, #3, #4 and #5may not work in a child care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 10/20/25, during the in-person portion of the inspection, the Firefly classroom had 6 children and 1 teacher, the youngest child in the classroom was 1 years old and the oldest child in the classroom was 1 year old.

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.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 11/03/25, during the renewal inspection, no evidence of fire drills being conducted in the last 60 days was presented to the certification representative.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 11/03/25, during the renewal inspection, no evidence of the fire detection system being tested in the last 30 days was presented to the certification representative.

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.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: File records for Child #1, Child #2, Child #4 and Child #5 did not include the persons designated by a parent to whom the child may be released on the agreement

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

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: File records for Child #1 and Child #2 did not inlcude an update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: File record for Child #2 did not include an a health report must be written and signed by a physician, physician's assistant or a CRNP

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: File records for Child #2 and Child #3 did not include 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.

Regulation: 3270.182(5)

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

Noncompliance Area: File records for Child #2 and Child #3 did not include 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File record for Staff #1 did not include a valid child abuse clearance

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: On date of Renewal Inspection, health assessments on file for Staff #1 and Staff #2 were expired. NOTE: Facility file for Staff #1 contained a copy of an expired (7/11/21) health report. The report date appeared altered from the original-7/11/2019 report on file.

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.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On date of inspection, there was one staff working alone with (5) Infants, the group required two staff.

Correction Required: Staff:child ratios must be maintained at all times.

Noncompliance Area: In the infant room, a child was observed in a crib and there was not 2 feet of space on three sides of the crib.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: Facility did not have regulations posted. This was corrected during inspection.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: In the Grasshopper Room, 13 children were observed with 2 staff; 2 preschoolers and 11 older toddlers. The 13th child had arrived when administrative staff were in the office with the inspector, but teachers did not notify the director nor her assistant that they were now out of 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. The required staff:child ratios must be maintained at all times. 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.

Noncompliance Area: Facility person #1, acting as a volunteer, did not have a physical on file and was in contact with children. She no longer works at the facility.

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.

Noncompliance Area: Facility states that if parents request it, they pack up food that has been served to child and return to parent.

Correction Required: Food that has been previously served to a person or returned from a table shall be discarded.

Noncompliance Area: The file for staff person #2 was taken home by the director and she did not bring it back to the facility so it was not immediately available for review.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. An individual record is required for each facility person.

Noncompliance Area: Staff person #2, date of hire 6/3/19, has a department of Education FBI clearance and not a DHS clearance. She is past her 90 day provisional period.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 may not work in a child care position at the facility.

Noncompliance Area: Facility holds fire drills at least every 60 days but for the last two drills, has not been recording time of day, location of fire, and names of staff participating.

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: In the infant room, a child was observed in a pack n play that did not have 2 feet of space on 3 sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: In the infant room, 2 children's bottles were not labeled with the children's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: ON THE DAY OF VISIT OBSERVE THE FILES FOR CHILD#1, CHILD#2 AND CHILD#3 THE AGREEMENT FORMS WAS NOT UPDATED WITHIN 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.

Noncompliance Area: ON THE DAY OF VISIT CHILD#1, CHILD#2, CHILD#3 AND CHILD#4 DID NOT HAVE A CURRENT CHILD SERVICE REPORT IN THE FILES. THEY HAD AGES AND STAGES IN THE FILE. THE FACILITY IS NOT CURRENTLY A STAR 3 FACILITY.

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).

Noncompliance Area: ON THE DAY OF VISIT STAFF#2 DID NOT HAVE PROOF OF TWO NON FAMILY REFERENCE IN THE FILE

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

Noncompliance Area: ON THE DAY OF VISIT STAFF #2 DID NOT HAVE PROOF OF EDUCATION IN THE FILE.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: ON THE DAY OF VISIT OBSERVED CEILING TILES IN THE TWO YEAR OLD ROOM THAT HAD STAINS RESULTING FROM AN OLD LEAK.

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.

Noncompliance Area: ON THE DAY OF VISIT OBSERVED PEELED PAINT IN DIFFERENT ROOMS THROUGHOUT THE FACILITY.

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