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Child Care Center ✓ Licensed

Two Hands Are Better Than One Learning

Pittsburgh, PA · Allegheny County
325 S Trenton Ave, Pittsburgh, PA 15221
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Quick Facts

Capacity
43 children
Subsidized Program
Participates
State Rating
1

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Contact Information

📞 (412) 247-5350
325 S Trenton Ave
Pittsburgh, PA 15221
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✓ Licensed Child Care Center
Active License
License Number
CER-00251699
License Issued
Mar 22, 2026
Active Through
Mar 22, 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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TWO HANDS ARE BETTER THAN ONE LEARNING is a Child Care Center in PITTSBURGH PA, with a maximum capacity of 43 children. It is open Monday - Friday, 6:00 AM - 11:59 PM. The provider also participates in a subsidized child care program.

Hours of Operation

  • Monday6:00 AM - 11:59 PM
  • Tuesday6:00 AM - 11:59 PM
  • Wednesday6:00 AM - 11:59 PM
  • Thursday6:00 AM - 11:59 PM
  • Friday6:00 AM - 11:59 PM
  • Saturday Closed
  • Sunday Closed

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2025-12-17 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cracked lid in the main room. There was a green cracked lid, a broken cubby hook creating a sharp edge, and a broken sleeping cot in the toddler room. There were 4 broken tricycles 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.

Provider Response: (Contact the State Licensing Office for more information.)
The tricycles were removed. The cracked lid, the cot was toast The cubby hook was tape, so it was not sharp.
2025-12-17 Renewal 3270.105 - High Chairs Compliant - Finalized

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: There was a yellow highchair with missing straps in the main room.

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.)
We stored the highchair on the shed and order new straps. The chair is not use.
2025-12-17 Renewal 3270.106(a) - Clean, age appropriate Compliant - Finalized

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The sleeping cots in the toddler room were not labeled for the use of a specific child and used only by the specified child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Provider Response: (Contact the State Licensing Office for more information.)
We labeled the cots with permanent marker.
2025-12-17 Renewal 3270.123(a) - Signed Compliant - Finalized

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The file for child #5 lacked an agreement form.

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

Provider Response: (Contact the State Licensing Office for more information.)
We completed an agreement form with the parent.
2025-12-17 Renewal 3270.123(a)(3) - Services proceeded Compliant - Finalized

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child # 1 lacked information to the family about the child's growth and development in the context of the services being provided.

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.)
Child # 1 was withdrawn from the program.
2025-12-17 Renewal 3270.124(a) - Each child emergency contact person Compliant - Finalized

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: The file for child #4 lacked the parent's name on the emergency contact form.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Provider Response: (Contact the State Licensing Office for more information.)
The parent's name was added to the emergency contact form
2025-12-17 Renewal 3270.124(b)(2) - Physician name, address, phone Compliant - Finalized

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child # 4 lacked the name, and telephone number of the child's physician or source of medical care on the emergency contact form. The file for child #5 lacked the name, and address of the child's physician or source of medical care on the emergency contact form.

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.)
Child #4 emergency contact form now contains name, and telephone number of the child's physician. Child # # 5 emergency contact form now contains the name, and address of the child's physician.
2025-12-17 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 file for child # 4 lacked the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form. The file for child # 5 lacked the work addresses and telephone numbers of the enrolling parent. on the emergency contact form.

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.)
Child #4 emergency contact form now contains the home and work addresses and telephone numbers of the enrolling parent. Child #5 emergency contact form now contains the work addresses and telephone numbers of the enrolling parent
2025-12-17 Renewal 3270.124(b)(5) - Information re: special needs Compliant - Finalized

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for child # 4 lacked the 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, on the Emergency contact form.

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.)
Child #4 file now contains the child's special needs information on the emergency contact form.
2025-12-17 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The files for children # 1,4 and 5 lacked the health insurance policy number on the emergency contact form.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Provider Response: (Contact the State Licensing Office for more information.)
Child # 1 was withdrawn from the program. Children 4 and 5 parents added the insurance policy number to the emergency contact form.
2025-12-17 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 files for children # 2 and 3 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. The file for child # 5 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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 address and telephone number of the individual designated by the parent for children #2 and was added to the emergency contact form. The address of the individual designated by the parent to whom the child may be released on the emergency contact form was added for child #5 .
2025-12-17 Renewal 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files for children #1,2 and 3 emergency contact form and agreement form were not reviewed once in a 6-month period .

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.

Provider Response: (Contact the State Licensing Office for more information.)
Child # 1 was withdrawn. children 2 and 3 were reviewed on 12/31/25.
2025-12-17 Renewal 3270.131(a)/3270.131(e)(3) - Health information/Dismissal policy Compliant - Finalized

Regulation: 3270.131(a)/3270.131(e)(3)

Description: Health information/Dismissal policy

Noncompliance Area: The file for child #3 a school age lacked an initial health report. The child was in care longer that 60 days without initial health report The files for children #4 and 5 a YT and a Preschooler lacked an initial health report. The child was in care longer that 60 days without initial health report.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. 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)..Children # 3,4 and 5 must be dismissed from care by close of business 12/17/25 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Provider Response: (Contact the State Licensing Office for more information.)
Child # 3 contains a current health report Children 4 and 5 were removed from care. The children still have not return due to no having a current report.
2025-12-17 Renewal 3270.131(b)(2)/3270.131(e)(3) - Toddler/preschool: updated health report every 12 months/Dismissal policy Compliant - Finalized

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 an updated health report. The previous report was dated 5/28/24. The file for child #2 contained a current health report dated 9/3/25. The previous report was dated 8/13/24.

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).Child # 1 must be dismissed from care by close of business 12/17/25 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Provider Response: (Contact the State Licensing Office for more information.)
Child # 1 no longer attend. Child #2 contains a current health report.
2025-12-17 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 policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment lacked the Strategies for coping with a crying, fussing or distraught child.

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.)
I added the strategies for coping with a crying, fussing or distraught child to my shaken baby syndrome policy.
2025-12-17 Renewal 3270.18(a) - On file at facility Compliant - Finalized

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The facility current liability of insurance is dated 10/2/25. The liability insurance was due on7/8/25.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The Liability of insurance is updated.
2025-12-17 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 files for children # 4 and 5 lacked signed parental consent for emergency medical care for the child. Written consent is required prior to admission on the emergency contact form.

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 parent for children #4 and 5 signed the parental consent for emergency medical care.
2025-12-17 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 for child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission on the emergency contact form.

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.)
Child # 1 is no longer enrolled.
2025-12-17 Renewal 3270.27(a)(5) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Provider Response: (Contact the State Licensing Office for more information.)
The accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions were added to the emergency plan.
2025-12-17 Renewal 3270.27(a)(6) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility lacked an emergency drill log.

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.)
We conducted an emergency drill, regarding flooding on 12/30/25 and log it.
2025-12-17 Renewal 3270.27(b) - Plan reviewed/updated annually Compliant - Finalized

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The facility did not review the emergency plan at least annually. The last emergency plan review was dated 1/10/23.

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.)
We reviewed our emergency plan on our last team meeting on 12/31/25.
2025-12-17 Renewal 3270.27(c) - Training regarding plan Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for staff # 1,2,3,4,5,6,7 and 8 lacked emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staffs 1,2,3,4,5,6,7 and 8 did the emergency plan training on 12/31/25.
2025-12-17 Renewal 3270.31(e) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for staffs # 2,3 and 7 lacked 7out of 12 required hours of annual childcare training, from 12/19/23 to 12/19/24.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Provider Response: (Contact the State Licensing Office for more information.)
Staff # 2,3 and 7 will take the 7 missing childcare training hours by 1/30/26.
2025-12-17 Renewal 3270.31(e)(4)(ii) - Fire safety - 1 yr. Compliant - Finalized

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The files for staff # 1,2,3,4,5, 6,7 and 8 lacked annual fire safety training conducted by a fire protection professional.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff # 1,2,3,4,5, 6,7 and 8 obtained the fire safety training on 1/3/26.
2025-12-17 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 file for staff #2 lacked a current NSOR clearance. The previous NSOR clearance is dated 2/20/20. The file for staff#7 contained a current state police clearance dated 11/18/25 the was not renewed within 60 months of the prior state police clearance dated 2/2/20. A current Child abuse clearance dated 11/26/25 the was not renewed within 60 months of the prior state police clearance dated 3/17/20 and a current NSOR clearance dated 11/26/25 the was not renewed within 60 months of the prior state police clearance dated 1/30/20.

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 #2 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff # 2 was removed from childcare until the current NSOR was received. Staff # 2 still have not returned. Staff # 2 sent a current NSOR dated 11/26/25. Staff # 7 contained current clearances on file.
2025-12-17 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for Staff # 2 and 7 and & lacked a written evaluation.

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 staff evaluations for staff # 2 and 7 were done on 12/31/26.
2025-12-17 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a broken phone box under the computer table in the main room. The bathroom light in the toddler room is pulling of the ceiling. One of the doors in the upstairs bathroom is exposing splinters and the other door is cracked; the radiator box has sharp edges. There was a sharp metal edge on the bottom of the stairs on the upstairs entry.

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.)
Maintenance put a new box to replace the broken one under the computer desk. Maintenances took care of the toddler bathroom light. the upstairs bathroom doors were repaired. I will do monthly walk troughs to make sure there's no need for maintenance request to repair.
2025-12-17 Renewal 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was damaged plaster along the sink wall in the main room bathroom. There was peeling paint on the upstairs kitchen wall .

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 paint was repair by maintenance in both rooms.
2024-12-03 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 2 cracked trucks, 3 cracked bin lids, 1 broken pink chair and one cracked pencil box in the main 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.

Provider Response: (Contact the State Licensing Office for more information.)
The broken toys and the broken lids were removed from the room during the inspection. The broken chair was taken to a family member to repair.
2024-12-03 Renewal 3270.106(a) - Clean, age appropriate Compliant - Finalized

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The coats in the main room were not labeled for the use of a specific child and used only by the specified child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Provider Response: (Contact the State Licensing Office for more information.)
The cot are now label for each child.
2024-12-03 Renewal 3270.124(b)(2) - Physician name, address, phone Compliant - Finalized

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child # 1 lacked telephone number of the child's physician or source of medical care on the emergency contact form. The file for child # 5 lacked the address of the child's physician or source of medical care on the emergency contact form.

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.)
I will give the emergency contact for to the parent so they can add the, address and telephone number of the child's physician or source of medical care.
2024-12-03 Renewal 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission Compliant - Finalized

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The files for children # 1,3 and 4 lacked written consent signed by a parent for emergency medical care on the emergency contact form.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Provider Response: (Contact the State Licensing Office for more information.)
I will ask the parent to sign the emergency medical care on the emergency contact form.
2024-12-03 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child # 5 lacked the health insurance policy number on the emergency contact form.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Provider Response: (Contact the State Licensing Office for more information.)
I will ask the parents to provide the policy number for the emergency contact form.
2024-12-03 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 file for child # 1 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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.)
I will have the parent fill out the information regarding the address of the individual designated by the parent to whom the child may be released on the emergency contact form.
2024-12-03 Renewal 3270.124(e) - Written emergency plan posted Compliant - Finalized

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The main room and the toddler room lacked emergency transportation plan posted.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Provider Response: (Contact the State Licensing Office for more information.)
I will post and emergency transportation plan in the main room.
2024-12-03 Renewal 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for child #1 Contained an emergency contact and an agreement forma that has not been review since 10/3/23. The file for child # 2 contained an emergency contact and an agreement form that was not reviewed within 6 months. The previous review was dated 11/21/23 and the current review was dated 11/17/24. The file for child #3 Contained an emergency contact and an agreement forma that has not been review since 9/6/22. The file for child # 4 contained an emergency contact and an agreement form that was not reviewed within 6 months. The previous review was dated 11/21/21 and the current review was dated 11/17/24. The file for child # 5 contained an emergency contact and an agreement forma that has not been review since 12/19/23.

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

Provider Response: (Contact the State Licensing Office for more information.)
I will give the emergency contact, and an agreement form for the parents to review by 12/30/24.
2024-12-03 Renewal 3270.131(a)/3270.131(e) - Health information/ACIP recommended immunization record Compliant - Finalized

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The file for child # 1 an old toddler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the health report and immunizations. The file for child # 3 a preschooler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the health report and immunizations. The file for child # 4 a preschooler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the health report and immunizations. The file for child # 5 a preschooler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the health report.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. 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.

Provider Response: (Contact the State Licensing Office for more information.)
The children were not allowed to return to care until the parents provided an initial health report.
2024-12-03 Renewal 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months Compliant - Finalized

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child # 2 a preschooler contained a current health report dated 11/21/24. The report was obtained after 12 months the prior report was dated 4/12/22.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Provider Response: (Contact the State Licensing Office for more information.)
The child already has an updated health report on file.
2024-12-03 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 policy to identify the Prevention of Shaken Baby Syndrome, lacked The Abusive Head Trauma and The Child Maltreatment Statement.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Provider Response: (Contact the State Licensing Office for more information.)
I will add the abusive head trauma and child maltreatment statement to my emergency plan.
2024-12-03 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 files for children # 1,3 and 4 lacked signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

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.)
I will have the parents' sign signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.
2024-12-03 Renewal 3270.192(2)(iv) - Transcript, diploma and letters Compliant - Finalized

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The files for staff # 2 and 3 lacked verification of experience.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Provider Response: (Contact the State Licensing Office for more information.)
I requested the information on 12/4/24.
2024-12-03 Renewal 3270.27(a)(6) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility emergency plan lacked the emergency drill log.

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.)
I will conduct a flood emergency drill and log it.
2024-12-03 Renewal 3270.27(b) - Plan reviewed/updated annually Compliant - Finalized

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The facility emergency plan was not reviewed annually. The previous review was done on 1/10/23.

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.)
I will review the emergency plan on 12/30/24.
2024-12-03 Renewal 3270.27(f) - Emergency plan Compliant - Finalized

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: A copy of the facility emergency plan was not sent to the local municipality and the county emergency management agency.

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.

Provider Response: (Contact the State Licensing Office for more information.)
I will send the plan to the local municipality and the county.
2024-12-03 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff # 3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Mandated Reporter Training.

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 #3 will have until 12/18/24 to complete the required training. Until such time as the required training has been completed, staff person #3 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 available to supervise staff person #3 , staff person #3 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff # 3 will take the Mandated Reporter Training on 12/18/24.
2024-12-03 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for staff # 1,2, and 3 lacked a written evaluation.

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.)
I will write the staff evaluations by 12/03/24.
2024-12-03 Renewal 3270.67(d) - Contaminated trash in closed plastic-lined receptacle Compliant - Finalized

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was a garbage can that contained contaminated by human secretions trash without a lid in the main room.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Provider Response: (Contact the State Licensing Office for more information.)
I will purchase garbage cans with lids and place them in the main room.
2024-12-03 Renewal 3270.75(c) - Has all items Compliant - Finalized

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first- aid kit in the main room lacked, an assortment of adhesive bandages, tweezers, tape, and gloves. The first- aid kit in the Toddler room lacked, gloves, tape and gloves.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All of the items needed in the first aid kit were added on Friday. The main room has an assortment of adhesive bandages, tweezers, tape, and gloves. The toddler room has, tape and gloves.
2024-12-03 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a cracked window glass on the front entrance in the toddler room.

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 window was fixed on Friday by applying a glass filler.
2024-12-03 Renewal 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was damage plaster on the wall by the computers in the main 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.)
Maintenace came and plaster the hole.
2024-12-03 Renewal 3270.82(h) - Handwashing signs Compliant - Finalized

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The bathroom in the main room lacked washing hand signs above the toilet, above the training chair and above sink.

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.)
I hanged the hand washing signed above the potty, toilet and sink.
2024-08-27 Allocated Unannounced Monitoring 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a broken white and black motorcycle toy 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.

Provider Response: (Contact the State Licensing Office for more information.)
I removed the broken motorcycle and repair the broken part.
2024-08-27 Allocated Unannounced Monitoring 3270.134(a) - Child's hands washed Compliant - Finalized

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff # 3 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.

Provider Response: (Contact the State Licensing Office for more information.)
I put up a hand washing signed near the changing table. I talked to the staff about washing hands after diapering.
2024-08-27 Allocated Unannounced Monitoring 3270.135(a)(3) - Disposable diapers Compliant - Finalized

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Staff # 3 kept a soiled diaper on the couch 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff # 3 was reminded to discard the soiled diaper immediately .
2024-08-27 Allocated Unannounced Monitoring 3270.135(b) - Surfaces cleaned Compliant - Finalized

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: Staff # 3 did not use a changing pad or other surface covering. Staff # 3 changed the child on the couch. The surface was not sanitized

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Provider Response: (Contact the State Licensing Office for more information.)
I clean and set up the changing table so the staff can change the children, instead of using the couch.
2024-08-27 Allocated 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 persons # 1,2,4,5, and 6 were observed to be caring for children unsupervised. Staff persons #1,2,4,5 and 6 do not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 2/26/22 to 2/26/24.

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 trainings are completed, staff persons #1,2,4,5 and 6 must be supervised, when interacting with children, by a (AGS,) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person # 1,2,4,5 and 6, staff persons #1,2,4,5 and 6 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
We scheduled and obtained the training the same day of the inspection on 8/27/24. Staff # 3 is scheduled to take her training on 9/18/24.
2024-08-27 Allocated Unannounced Monitoring 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 for staff # 7 contained a health report dated 9/11/23 that lacked a TB test.

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 # 7 provided a copy of het TB test results.
2024-08-27 Allocated Unannounced Monitoring 3270.152 - Adult Hygiene Compliant - Finalized

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: Staff #3 did not wash her hands after diapering a child.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Provider Response: (Contact the State Licensing Office for more information.)
Staff 3 was reminded to wash her hands after diapering. I post a sing near the changing table.
2024-08-27 Allocated Unannounced Monitoring 3270.192(2)(ii) - Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff # 7 lacked proof of education and verification of childcare experience.

Correction Required: 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 # 7 requested her 10-grade completed at her high school and she currently enrolled in the GED.
2024-08-27 Allocated Unannounced Monitoring 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff # 7 lacked two written, nonfamily 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 # 7 submitted the two reference letters.
2024-08-27 Allocated Unannounced Monitoring 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff # 3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety, Mandate Reported Training and Pediatric First Aid and Pediatric CPR.

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 #3 will have until 9/11/24 to complete the required training. Until such time as the required training has been completed, staff person #3 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 available to supervise staff person #3 , staff person #3 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff # 3 left the center 9/1/24.
2024-08-27 Allocated Unannounced Monitoring 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: 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 (8/14/19).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #1 will have until 9/11/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff # 1 has a current Mandated Reported training dated 9/12/24.
2024-08-27 Allocated Unannounced Monitoring 3270.52 - Mixed Age Level Compliant - Finalized

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 8/27/24 around 9: 10 am staff #2 was observed caring for 1 YT,3 OT and 3 PS in the toddler room.

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.)
A second staff came in about 5 minutes after and we were back in ratio.
2024-08-27 Allocated Unannounced Monitoring 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a hair gel bottle on top of the sink counter labeled " keep out of reach of children" accessible to 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.

Provider Response: (Contact the State Licensing Office for more information.)
The bottle was removed immediately.
2024-08-27 Allocated Unannounced Monitoring 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling plaster on the wall above the sink in the preschool 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.)
I put a maintenance request, and the plaster was repaired the by 8/30/24.
2024-08-27 Allocated Unannounced Monitoring 3270.82(h) - Handwashing signs Compliant - Finalized

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The preschool room bathroom lacked a hand washing sign above the toilet.

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.)
The hand washing signed was replaced at the time of the inspection.
2024-08-27 Allocated Unannounced Monitoring 3270.91(a) - Stairs, exits, etc. unobstructed Compliant - Finalized

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The exit back door in the preschool room was obstructed with a few gallons of water.

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 water bottles were removed immediately to the side.
2024-02-29 Change in Location Capacity Change in Location Capacity Compliant - Finalized
2023-12-11 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cracked plastic table, a rusted cracked easel, 2 broken plastic bins, a broken storage lid, and a bin filled with water in the playground. There were 2 blues cracked bins and a cracked toy truck in the main 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.

Provider Response: (Contact the State Licensing Office for more information.)
All broken and cracked toys were disposed of during inspection.
2023-12-11 Renewal 3270.111(a) - Written plan Compliant - Finalized

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: The Nursery room lacked a written daily activities schedule posted.

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

Provider Response: (Contact the State Licensing Office for more information.)
Director made copy and posted during inspection.
2023-12-11 Renewal 3270.123(a) - Signed Compliant - Finalized

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The file for child # 4 was not signed by the operator and the parent.

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

Provider Response: (Contact the State Licensing Office for more information.)
Director and the mother sign and date the agreement form
2023-12-11 Renewal 3270.123(a)(6)/3270.182(2) - Admission date/Application, admission, withdrawal dates Compliant - Finalized

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The files for children # 2 and 4 lacked the date of the child's date of admission on the agreement form.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Provider Response: (Contact the State Licensing Office for more information.)
The admission date was added to both agreement forms.
2023-12-11 Renewal 3270.124(b)(2) - Physician name, address, phone Compliant - Finalized

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The files for children # 1 and 5 lacked the name, address and telephone number of the child's physician or source of medical care on the emergency contact form.

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 name, address and phone number of the physician on child # 1 and 5 emergency form was added.
2023-12-11 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 files for children # 1 and 5 lacked the work addresses of the enrolling parent on the emergency contact form.

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 parents added the work address to the emergency contact form.
2023-12-11 Renewal 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission Compliant - Finalized

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The file for child # 3 lacked written consent signed by a parent for emergency medical care on the emergency contact form.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Provider Response: (Contact the State Licensing Office for more information.)
The parent signed the emergency medical care parent on the emergency contact form.
2023-12-11 Renewal 3270.124(b)(5) - Information re: special needs Compliant - Finalized

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The files for children # 1,2 and 5 lacked 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 on the emergency contact form.

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 parents added the special needs information.
2023-12-11 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The files for children # 4 and 5 lacked the health insurance policy number on the emergency contact form.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Provider Response: (Contact the State Licensing Office for more information.)
Both parents provided the insurance policy number, and the information was added to the emergency contact form.
2023-12-11 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 files for children # 1 and 5 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

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 parents added the address and telephone number of the individual designated.
2023-12-11 Renewal 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files for children #1,3 and 5 emergency contact form and agreement form have not been updated once in 6 months period.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All 3 parents updated the emergency contact form and the agreement form.
2023-12-11 Renewal 3270.131(a) - Health information Compliant - Finalized

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child # 2 a preschooler lacked an initial health report. Per directors' statement the child has been in care for long time.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The Director requested an updated health report, and the child was removed from care. The child has an appointment on December 27.
2023-12-11 Renewal 3270.131(a)(4) - Initial health report for school age; accordance with school attendance Compliant - Finalized

Regulation: 3270.131(a)(4)

Description: Initial health report for school age; accordance with school attendance

Noncompliance Area: The file for child #1a school age lacked an initial health report. The file for child # 5 a school age lacked an initial health report.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Provider Response: (Contact the State Licensing Office for more information.)
The Director requested an updated health report, and the children were removed from care. The parent already has the report they will fax it to the Director.
2023-12-11 Renewal 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months Compliant - Finalized

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child # 3 a school age lacked an updated health report. The previous report was dated 4/20/21. The file for child # 4 a preschooler lacked an updated health report. The previous report was dated 2/1/22.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Provider Response: (Contact the State Licensing Office for more information.)
Director has request from parents updated health reports.
2023-12-11 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 emergency plan lacked the updates regarding the Continuity of Operations requirements. The facility lacked a policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. The file for staff # 4 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22.

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 Director will create a shaken baby syndrome policy and add it the policy and procedure manual and parent handbook by January 15,2024. The Director will add a Continuity of Operations plan to the emergency plan By January 15,2024. Staff # 4 now have and updated Health and Safety training.
2023-12-11 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 file for staff # 2 lacked an updated health report. The previous report date was 11/4/21. The file for staff # 3 contained a current health report dated 2/4/22.The file lacked documentation of the previous health report. The file for staff # 4 lacked an updated health report. The previous report was dated 4/7/21.

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.)
Staff will obtain updated physicals forms all staff.
2023-12-11 Renewal 3270.151(c)(2) - Mantoux TB Compliant - Finalized

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Th file for staff #5 lacked tuberculosis screening by the Mantoux method at initial employment.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Director was able to obtain staff TB test report via fax.
2023-12-11 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff # 5 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve 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.

Provider Response: (Contact the State Licensing Office for more information.)
Director requested 2 letters of references.
2023-12-11 Renewal 3270.31(e)(4)(ii) - Fire safety - 1 yr. Compliant - Finalized

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The files for staff # 2,3 and 4 lacked a current Fire Safety training. The prior certificate was dated 2/26/23.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The staff is schedule to have fire and safety training on December 27,23.
2023-12-11 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff # 1 contained a current Health and Safety Updated training dated 11/10/23 , that was not completed by 12/30/22. The file for staff # 3 contained a current Health and Safety Updated training dated 11/15/23 , that was not completed by 12/30/22. The file for staff # contained a current Health and Safety Updated training dated , that was not completed by 12/30/22.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Provider Response: (Contact the State Licensing Office for more information.)
All staff has completed the Health and Safety training. Director Acknowledge trainings were late and was unaware of the needed updated by 12/30/22.
2023-12-11 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 file for staff # 2 contained a current FBI clearance dated 3/1/21, that was not renewed within 60 months of the prior FBI clearance dated 6/13/15. The file for staff # 3 contained a current Child Abuse clearance dated 2/25/21, that was not renewed within 60 months of the prior Child Abuse clearance dated 6/4/15. The file for staff # 4 contained a current FBI clearance dated 7/2/19, that was not renewed within 60 months of the prior FBI clearance dated 11/5/09. The file for staff # 4 contained a current State Police clearance dated 10/15/21, that was not renewed within 60 months of the prior State Police clearance dated 3/6/15

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.)
All staff clearances are updated.
2023-12-11 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for staff # 2 and 3 lacked documentations of the previous and current written staff evaluation.

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.)
Director completed annual evaluation on all staff members.
2023-12-11 Renewal 3270.75(a) - In child care spaces Compliant - Finalized

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: The nursery room lacked a first-aid kit.

Correction Required: A first-aid kit shall be in a child care space.

Provider Response: (Contact the State Licensing Office for more information.)
Violation was corrected during the inspection. First -aid kit was placed in the nursery room.
2023-12-11 Renewal 3270.75(c) - Has all items Compliant - Finalized

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the main room lacked scissors.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Violation was corrected during the inspection.
2023-12-11 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were 6 ceiling tiles with water damaged in the main room. There was a cracked light cover close to the kitchen area in the main room.

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.)
Maintenance notified damaged ceiling tiles and light cover fixed.
2023-12-11 Renewal 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was damage plaster above the bathroom sink.

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.)
Maintenance notified damaged plater fixed.
2023-10-03 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 persons #1 and #2 have not completed the Pennsylvania Health & Safety Update 2022 which was required to be completed by 12/30/2022.

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.)
Staff will complete the training.
2022-12-19 Renewal 3270.104(a) - Clean, good repair, proper size Compliant - Finalized

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The Mickey Mouse table on the main side of the facility was observed to be peeling all on the top of the table.

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

Provider Response: (Contact the State Licensing Office for more information.)
The table was removed.
2022-12-19 Renewal 3270.111(b) - Posted in group space Compliant - Finalized

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The nursery side of the facility was lacking a posted written daily schedule. When certification Rep. asked if they had one the staff answered that they don't follow one in that room.

Correction Required: The written plan of daily activities shall be posted in the group space.

Provider Response: (Contact the State Licensing Office for more information.)
A daily schedule was posted on the nursery side of the facility.
2022-12-19 Renewal 3270.123(a)(5) - Designated release persons Compliant - Finalized

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The file for Child #5 contained an agreement form that was lacking the persons whom the child can be released to.

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 persons to whom the child can be released were added to the agreement form.
2022-12-19 Renewal 3270.123(a)(6)/3270.182(2) - Admission date/Application, admission, withdrawal dates Compliant - Finalized

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file for Child #4 contained an agreement form that was lacking the child's admission date.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Provider Response: (Contact the State Licensing Office for more information.)
Admission date was added to agreement form.
2022-12-19 Renewal 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission Compliant - Finalized

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The files for Child #1, 3, and 4 all contain emergency contact forms that are lacking signed parental consent for emergency medical care for the children.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Provider Response: (Contact the State Licensing Office for more information.)
All parent signatures were obtained.

Showing the 100 most recent of 231 records.

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