Grandmas House Llc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the school-age classroom a plastic toy bin containing colored tiles was observed to be broken creating rough edges, sharp corners, and pinch and crush points.

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.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The file for child #2 lacked a parental update to the emergency contact information and financial agreement 6-months from the previous 6-month update. The updates in the file are dated 8/13/25 and 3/20/26.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

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 for child #1 who is a preschool child lacked a health report that was completed 12 months from the previous health report. The health reports in the file are dated 11/11/24 and 2/6/26.

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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: It was observed that an emergency drill was conducted on 10/6/25 the emergency drill was not documented and on file at the facility.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 who was hired as an assistant group supervisor on (See LIS Code Sheet) lacked state police, child abuse, and FBI clearances that were completed 60 months from the previous clearances. The state police clearances in the file are dated 5/10/20 and 5/16/25. The child abuse clearances in the file are dated 5/14/20 and 5/24/25. The FBI clearances in the file are dated 5/14/20 and 5/16/25.

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.

Regulation: 3270.131(b)(2)/3270.131(e)(3)

Description: Toddler/preschool: updated health report every 12 months/Dismissal policy

Noncompliance Area: The file for child #1 lacked a child health report that was completed in the last 12 months. The child health report in the file is dated 2/21/24. The facility did not 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).

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. 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).

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cracked clear bin in the toddler room. There were 2 cracked clear bins in the SA room. There was a brown kids couch with a hole exposing the wood. There was a clear cracked bin in room B. There was a clear cracked bin in room A There was a blue kids couch with hole in room D

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in room A has a damage rubber on the door, preventing the door from closing properly and maintaining the temperature in the refrigerator higher that 45 degrees.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: The Aquaphor medication for child # 1 was expired. The medication expiration date was 7/22. The Eucerin Body Creme medication for child # 2 was expired. The medication expiration date was 12 /22.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff # 1 did not wash the child's hands after diapering .

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: There was a lunchbox out of the refrigerator that contained yogurt.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility was observed to lack documentation that the parent of each enrolled child was provided a letter explaining the emergency procedures.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was an uncovered outlets on the wall under the board accessible to children 5 years of age in room C.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first - aid kit in the toddler room lacked gloves. The first - aid kit in the SA room lacked gauze pads, and tape.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was chipped paint and plaster in the bathroom on the right-side wall by the toilet in room B. There was chipped paint on the blue wall under the phone in room B.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The boy's bathrooms lacked washing hand signs at each toilet and urinal.

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.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: The files for children #1, #2, #3, #4, and #5 lacked a review of the child's immunized status according to 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. Children #1, #2, #3, #4, and #5 must be dismissed from care by close of business and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(e)(3)

Description: Dismissal policy

Noncompliance Area: The files for children #1, #2, #3, #4, and #5 lacked a review of the child's immunized status according to recommendations of the ACIP. The facility did not 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).

Correction Required: 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).

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Per observation of video and staff statements, on 6/12/23 children were permitted to play in the gym near open containers of water, that had been placed on the floor to catch the water leaking through the gym ceiling.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Per observation of video and staff statements, the gym ceiling, the indoor gross motor space, has leaked water. The leaking water is collected by containers placed on the gym floor.

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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a clear cracked bin in the preschool room. There was a clear cracked bin in the school age room. There was a broken pair of scissors assessable to children in the school age room. There was a hockey table with exposed splinters on the four corners and an exposed screw in the school age room. There was a broken pink toy lawn mower in the playground. There was a broken toy wagon in the playground.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the refrigerator in the preschool room was not operable. The refrigerator in the preschool room has a damage door handle. The door handle was only attached by the screw on the top.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Staff #1 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was peeling plaster pulling off the ceiling in the girls' and boys' bathroom. There was a base board pulling off the left wall by the sink in the preschool room. There was an empty water bottle, pieces of white paper, pieces of tires and leaves around the playground. There was damaged Landscape fabric weed barrier, with strings pulling off the material, creating a tripping hazard. There was a hole on the black chalk wall by the cabinet in the gym.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling paint on the top border of the shelf under the right-side window in the infant room.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: According to the Fire Detection System Test Log, the tests were greater than 30 days apart from (12/2/22 to 1/3/23).

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cracked bin in the toddler room. There were 4 cracked bins, a cracked pink doll house and a green foam triangle climber seat that was ripped on the edges in the preschool room. There were 3 cracked bins in the school age room.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: There was a white plastic table with a hole on the left corner.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

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

Description: ACIP recommended immunization record /Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #2 and 3 lacks documentation of a current influenza immunization as recommended by 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.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.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: A medication log was not maintained for child # 4 Tylenol in the toddler room.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: The file for child #1 lacked swimming and wading parent consent signature on the emergency contact form.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

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

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

Noncompliance Area: The file for staff #1 contained a current Mandated Reporter training certificate that pass 5 years. The certificates are dated 6/25/15-8/6/20.

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 # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.72(c)

Description: Good repair

Noncompliance Area: There was a screen pulled out of the edges in the school age room.

Correction Required: Screens shall be in good repair.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a hole on the black chalk wall by the cabinet in the gym. In the school age room was an outlet cover cracked on the left top edge creating a cutting hazard for children in care.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: The playground ground door coming from outside has rust and peeling paint accessible to children.

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

Noncompliance Area: In the school-age room, a toy bin was observed to be cracked causing rough edges and pinch and crush points.

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.

Noncompliance Area: On 8/12/20 provider failed to document operable fire detection system because the batteries were dead. This condition at the facility poses a threat to the health and safety of children.

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

Noncompliance Area: In the Preschool room, next to the storage cabinet by the sink, an outlet was observed to be missing a protective receptacle cover.

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

Noncompliance Area: In the toddler room the following toxics were observed in an unlocked cabinet accessible to the children 2 cans of Sprayway Glass Cleaner, a bottle of Disinfecting Bleach, a can of Scubbing Bubbles, a container of Lysol Toilet Bowl Cleaner, a container of Clorox, a bottle of Floor Cleaner & Disinfectant, and a can of Pro Mar 200 Paint all labeled "Keep Out of the Reach of Children."

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: The file for child #1 that had a start date of 8/21/2019 lacked a health report that included a review of the child's health history and a list of the child's allergies. The doctor signed and dated the form, but did not complete the top portion of the form.

Correction Required: A health report shall include a review of the child's health history. A health report shall include a list of the child's allergies.

Noncompliance Area: The file for child #1 with a start date of 8/21/2019 lacked a health report that included a list of the child's current medication and lacked an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing, or lead poisoning. The doctor signed and dated the health form, but did not complete the top portion of the form.

Correction Required: A health report shall include a list of the child's current medication and the reason for the medication. A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Noncompliance Area: The file for child #1 with a start date of 8/21/2019 lacked a health report that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The form was signed and dated by the doctor, but the top part of the form was not completed by the doctor.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: The file for staff person #1, whom is an assistant group supervisor hired on 11/6/13, lacked mandated reporter training that was completed 60 months from the previous mandated reporter training. The dates on the mandated reporter training are 1/4/15 and 1/30/20.

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

Noncompliance Area: In the Early Learners 2 classroom rest room peeling paint was observed on the wall next to the door.

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

Noncompliance Area: The file for child #1 lacked a health report that included a review of the child's health history and that included the statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a review of the child's health history and shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: The file for staff person #1, whom was hired provisionally as an Assistant Group Supervisor, (past her 90 day probational period) lacked a valid Child Abuse Clearance. The Child Abuse Clearance that was in the file was requested for volunteer purposes instead of employment purposes.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person #1 -- may not work in a child care position at the facility.

Noncompliance Area: Based on video observation staff person #1 hit child #1's hand when the child was touching something that he should not touch. The staff person moved the child away from the shelf that he was touching after hitting his hand.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: In the preschool room, an expired Epi Pen prescribed to child #1 was observed in the medication bin.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: The file for Staff Person #1 lacked one nonfamily reference recommending them for a position at the facility.

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: The first aid kit in the Toddler classroom was missing tape.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.