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Child Care Center ✓ Licensed

Jolly Journeys Childcare Center

Kutztown, PA · Berks County
★ ★ ★ ★ ★ 5.0 (2 reviews)
14953 Kutztown Rd SUITE 4, Kutztown, PA 19530
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Quick Facts

Capacity
141 children
Age Range
6 WEEKS - 12 YEARS OLD
Rate Range
$18 PER DAY
Type of Care
After School, Before School, Before and After School, Daytime, Drop-in Care, Emergency Care, Full-Time, Part-Time
Transportation
To/From School
Languages
English, American Sign Language, Cambodian, Chinese - Cantonese, Chinese - Mandarin, English, Korean, Russian, Spanish, Vietnamese
Subsidized Program
Participates
State Rating
2

Contact Information

📞 (610) 426-0011
14953 Kutztown Rd, SUITE 4
Kutztown, PA 19530
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✓ Licensed Child Care Center
Active License
License Number
CER-00253989
License Issued
Apr 2, 2026
Active Through
Jan 9, 2027
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 13

Reviews

5.0
★ ★ ★ ★ ★
2 reviews
5★
2
4★
0
3★
0
2★
0
1★
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Nicole W
2023-11-29 19:36:29
★ ★ ★ ★ ★
I have used this provider for more than 6 months

Highly recommend JJCC. Our son has been attending for a little over a year and he started at 3mo. The staff are so caring and wonderful. The curriculum is great and we have been so thankful to be a part of JJCC.

75 out of 145 think this review is helpful Was this helpful?  Yes  No
Bri Reading
2023-11-29 16:44:38
★ ★ ★ ★ ★
I have used this provider for more than 6 months

My son loves it here and has been going since he was 8 weeks old. He is now 2! He learns so much and I adore all the teachers!

79 out of 154 think this review is helpful Was this helpful?  Yes  No

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About the Provider

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A JOURNEY OF LIFETIME ENRICHMENT BEGINS HERE. WE DO MORE THAN CARE. WE TEACH! WE LEARN! Our mission is to provide care and credibility in a high-quality learning environment at lower rates. To do so, we will strive to maintain low ratios (Staff: Child) in classrooms. Lower ratios will also give children consistency in building relationships with staff and staff building relationships with parents. This helps to create a sense of security and comfort, producing a more positive environment and learning experience for all.
Additional Information: Transportation is support to and from Richmond Elementary School, Fleetwood, PA 19522.

Hours of Operation

  • Monday6:00 AM - 6:30 PM
  • Tuesday6:00 AM - 6:30 PM
  • Wednesday6:00 AM - 6:30 PM
  • Thursday6:00 AM - 6:30 PM
  • Friday6:00 AM - 6:30 PM
  • Saturday Closed
  • Sunday Closed

Inspection/Report History

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

Inspection Date Reason Description Status
2026-08-04 Unannounced Monitoring 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced inspection on 8/4/26, the most recent alarm test was on 6/25/26, a period of greater than 30 days.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Provider Response: (Contact the State Licensing Office for more information.)
provider has completed a fire drill and alarm testing on 08/06/2026, documented the testing and drill, provided documentation to OCDEL Certification Rep.
2026-06-12 Unannounced Monitoring 3270.106(f) - 2 feet apart Compliant - Finalized

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: There was less than 2 feet of space on three sides of cribs that were being used by infants.

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

Provider Response: (Contact the State Licensing Office for more information.)
Before closing time the same day of the inspection, the provider/director measured by hand and placed taped markings on the classroom floor for staff so there would be no further conflict with spacing. The taped spaces coordinate with matching crib numbers as well to assist staff in keeping the spacing organized with the cribs original placement spots and the name and number tags to identify the babies in the cribs, thus bringing compliance per 3270.106(f).
2026-06-12 Unannounced Monitoring 3270.108(b) - Disposable discarded Compliant - Finalized

Regulation: 3270.108(b)

Description: Disposable discarded

Noncompliance Area: There were disposable cups with children's names viewed in the facility. Staff #3 stated that they reuse the cups throughout the day.

Correction Required: Disposable cups, plates and eating utensils may be used if discarded after each use.

Provider Response: (Contact the State Licensing Office for more information.)
Our facility has been using this system/method of using disposable drinking cups for 9 years and 4 months, as long as we have been in operation. These cups are disposed of and a new one is provided if the beverage type changes (i.e; milk to water or water to milk). Children's names are written on them so they're not mixed up or used by others/shared. When the child leaves for the day, we dispose of the cups. We have had these cups positioned in the same places in the same classrooms over and through many and ever inspection since 2016. Provider sent out a flyer to families and staff advising that effective immediately upon our return from our scheduled closure, our facility is no longer permitted to use disposable cups as the affordability would no longer be feasible with having to use a new cup after every time a child drinks from it. Changing how we utilize drinking cups and the style will maintain compliance with 3270.108(b). Parents will provide their own drinking cups for their children and are responsible for taking them home and washing/sanitizing the cups.
2026-06-12 Unannounced Monitoring 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff 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 documents were not in the hard-copy file. I retrieved copies and placed them back into the hard-copy file, locked in the office. Staff #1 has been employed for several years and has participated in all trainings. Facility will maintain hard-copy files per 3270.14/3270.21 Facility will maintain hard-copy files, pre-service and new hire requirements for staff per 3270.14/3270.21
2026-06-12 Unannounced Monitoring 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: Staff #1 had a health assessment dated 9/11/23 and one dated 5/7/26. While there were gaps in the work status for staff #1, staff #1 did return to work on 2/9/26 after an absence. The previous health assessment at that time was more than 2 years old.

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 #1 was provided a review of the employee requirements, focusing on the health and safety requirements. Staff #1 was advised that should she have any future gaps of employment with the facility, she is responsible for maintaining her health & safety requirements and should she fail to do so, her employment status would move to "terminated" and she would have to be treated as a new hire should she ever return to employment after the matter of separation. Staff #1 did have several gaps in employment and was advised several times of the needed health report per 3270.151(a)
2026-06-12 Unannounced Monitoring 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There were no written references on file for staff #2.

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.)
reference letters were available but not printed due to printer issues. staff #2 provided print outs of the reference letters regaining compliance with 3270.192(5)
2026-06-12 Unannounced Monitoring 3270.27(c) - Training regarding plan Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff #2 did not receive training on the emergency plan.

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

Provider Response: (Contact the State Licensing Office for more information.)
staff #2 has completed an emergency plan training acknowledgement document. The emergency plan handbook was provided to staff #2 during the hiring process, but the acknowledgement page was not placed in the hard-copy file. Facility will comply with 3270.27 (c) and continue emergency plan training and policies for staff and families, and keep the records on file, in the office
2026-06-12 Unannounced Monitoring 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR Compliant - Finalized

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Staff person #1 and staff #2 have not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric 1st Aid/CPR

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 & #2 documents were not in the hard-copy file. I retrieved copies and placed them back into the hard-copy file, locked in the office. Staff #1 has been employed for several years and has participated in all trainings. Staff #2 was a "newer" hire and did complete the required trainings but the document was not in the hard-copy file and a copy was retrieved and placed into the hard-copy file, in the office. Providers printer was also not working properly nor cooperatively over the last month. Facility will maintain hard-copy files, pre-service and new hire requirements for staff per 3270.14/3270.21
2026-04-02 Change in Location Capacity Change in Location Capacity Compliant - Finalized
2026-02-19 Unannounced Monitoring 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There was a gap of greater than 30 days between fire alarm tests. The alarm was tested 11/10/25 and then again on 1/9/26.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Provider Response: (Contact the State Licensing Office for more information.)
The drills were completed which means alarm testing was completed, unfortunately, the responsible staff person did not log the completion of both, drill and alarm testing as there's two separate spaces, thus resulting in the citation. This was an immediate correction. Provider filled in the missing alarm testing and noted that we were cited for this underneath the alarm logging. Provider will ensure that alarm testing is completed AND DOCUMENTED within every 30 days, as we do fire drills every 30 days as well for the sole purpose of ensure both get logged at the same time to avoid missing any necessary testing and logging putting center back into compliance of all mention regulatory codes.
2025-10-21 Renewal 3270.131(d)(5)/3270.131(e)(1) - Immunization record/Exemption documentation from parent/guardian Compliant - Finalized

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: Child #2 did not have documentation of Varicella or Hepatitis A vaccines recommended for the age of the child. No exemption letter for these vaccines was on file.

Correction Required: A health report shall include a review of the child's immunized status according to 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.

Provider Response: (Contact the State Licensing Office for more information.)
Facility is obtaining a hand written exemption statement from a legal parent/guardian of child #2 affirming the child will not and has not received Varicella and Hepatitis A Vaccines recommended for the age of the child thus bringing the facility back in compliance to 3270.131(d)(5) and 3270.131(e)(1). The legal parent/guardian will continue to provide notes or documentation where appropriate and required in order to document compliance with all pertinent laws and regulatory requirements relating to a child's health and health reports.
2025-10-21 Renewal 3270.131(d)(7) - Free from contagious/communicable disease Compliant - Finalized

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health assessment for child #1 did not include a 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 statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Provider Response: (Contact the State Licensing Office for more information.)
A legal parent/guardian of child #1 will obtain and provide to our facility an updated child health report completed by the child's medical care provider, in which form shall provide the in tact statement affirming that the child is able to participate in child care and appears to be free from contagious illness or communicable disease to ensure our facility regains and maintains compliance with regulatory requirement 3270.131(d)(7). We believe this error was a genuine mistake and technology error as the form was printed directly from the medical offices electronic form to the patients/legal parent/guardian.
2025-10-21 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: As of the renewal inspection on 10/21/25, the most recent health assessment on file for staff #2 was dated 9/28/23.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #2 will have an updated staff health report on file by 11/10/2025 and bring compliance with 3270.151(a) while working in the facility.
2025-10-21 Renewal 3270.166(4) - Bottles labeled Compliant - Finalized

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: There was a bottle in the refrigerator in the infant room that was not labeled with a child's name. When asked whose bottle it was, staff #4, who was working in the infant room, stated they did not know.

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

Provider Response: (Contact the State Licensing Office for more information.)
The milk bottle/bag was labeled immediately and corrected immediately, bringing facility back in to compliance with 3270.166(4).
2025-10-21 Renewal 3270.171(a) - Pick-up and drop-off points Compliant - Finalized

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: There was no documentation that the local traffic safety authorities had been notified in the previous year in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

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

Provider Response: (Contact the State Licensing Office for more information.)
This was corrected on site during the inspection on 10/21/2025 and the certification rep was CC'd in the email which was forwarded to the local traffic safety authorities bringing facility back in to compliance of regulatory requirements under title 55 chapter 3270 including but not limited to 3270.171(a) and any other pertinent laws and regulations.
2025-10-21 Renewal 3270.27(a)(6) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: As of the renewal inspection on 10/21/25, the most recent emergency drill on file was dated 7/2024.

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.)
Per 3270.27(a).(6), we will be conducting an Emergency Drill on by 11/10/2025 to maintain compliance with noted regulatory requirements and pertinent laws. The Emergency Drill with include all present staff and children in the facility and will be documented accordingly and appropriately by a Director and remain on file, on site for review as needed.
2025-10-21 Renewal 3270.27(c) - Training regarding plan Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: As of the renewal inspection on 10/21/25, the most recent emergency plan training documented for staff #1 was dated 3/24/24.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 will have completed an updated Emergency Plan review training by 11/10/2025. Documentation will remain in the file for Staff#1 accordingly.
2025-10-21 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: There was no staff evaluation on file for staff #1 (see code sheet for hire date).

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.)
A Director completed a Staff evaluation for Staff #1 no later than 11/10/2025 and the staff evaluation will be available in the staff persons file, accessible accordingly in which puts staff #1 and the facility back in compliance with regulatory requirement 3270.34(a)(6).
2025-10-21 Renewal 3270.36(b)(5) - HS/GED + 2 yrs Compliant - Finalized

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: Staff #3 and staff #4 did not have 2 years of experience documented to qualify for the identified position of Assistant Group Supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #3 and Staff #4 were moved to a Teacher Aide position until employment verification sheets were completed and updated in each staff file, according to 3270.36(b)(5) proving at least 2 years of experience documented to qualify for the position of Assistant Group Supervisor in a classroom. Both Staff 1 and 2 have a minimum of High School Diploma on file.
2025-09-23 Complaints- Legal Location 3270.102(f) - Indoor climbing- protective surface Compliant - Finalized

Regulation: 3270.102(f)

Description: Indoor climbing- protective surface

Noncompliance Area: On 9/8/25, child #1 fell off the indoor climber onto the tile floor resulting in injury. The only protective surface was under the exit of the slide. The rest of the climber was on the tile floor. Additionally, there was a larger wooden climber with a slide in the preschool room that did not have an protective surface underneath.

Correction Required: Indoor play equipment for climbing shall be installed or used over a protective surface covering which does not interfere with the stability of the equipment.

Provider Response: (Contact the State Licensing Office for more information.)
The indoor climber pertaining specifically to the incident that occurred, was removed, immediately on 09/08/2025 upon me becoming free from being needed for ratio's to do a physical classroom inspection/walk-through to assess the incident that was reported to me at that time. Additional soft mats were also added to the classroom as a precaution, where the incident occurred 09/08/2025 with consideration of the age group in mind, that they are still learning to balance while becoming adventurous. We are also working on bringing in a new changing table station that will allow Staff to be positioned in a more attentive physical position to improve the quality of active supervision, especially during high risk transitioning phases or change of routine. The wooden climber in the Preschool classroom, now has 3 total new mats added to the surface below the climber, providing protective coverage that does not interfere with the stability of the equipment. Our facility and all employees and volunteers will comply with all regulatory requirements under 3270.102(f) Protective surface coverings have been added to our site safety check-list. All Employees and volunteers are now required to take a CDC Concussion Training for Schools upon hire and immediately for existing employees and any time an updated version of the training becomes available. All employees and volunteers are required to take our Pediatric Concussion Speed-Training before their start date if newly hired and immediately for existing employees and volunteers.
2025-05-05 Unannounced Monitoring 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB Compliant - Finalized

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: During an unannounced inspection on 5/5/25, staff #1 was onsite (see code sheet for hire date) and did not have a health assessment or TB screening on file.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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.)
Provider will comply with 3270.151(a)/3270.151(c)(2). Health Assessment is on file for staff #1 as of 05/09/2025. TB Test was completed 04/10/2025 but we had an issue retrieving the document initially. This person's first day was 05/05/2025 but as a volunteer. This person was not a staff person and was not being used for ratios. This person was on site assisting with meal preparation in the kitchenette during this unannounced visit.
2025-05-05 Unannounced Monitoring 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During an unannounced inspection on 5/5/25, staff #1 was onsite (see code sheet for hire date) and had only one 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.)
"staff #1" was on site as a volunteer. I verbalized this to the OCDEL Cert Rep. This "staff #1" was not being used for supervision or direct care or for ratios. This person was in the kitchenette assisting with meal preparation. This was a trial run to see if this individual was interested in an official position as their child attends the facility and was potentially leaving her other employment. I did begin a file for this individual as clearances and other documentation is still needed for volunteers. We did obtain an additional reference letter for "staff 1".
2025-05-05 Unannounced Monitoring 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced inspection on 5/5/25, the most recent alarm test was dated 4/4/25, which was 31 days prior.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Provider Response: (Contact the State Licensing Office for more information.)
Fire Drill was completed the same day on 05/05/2025. Our book originally had the date set for 05/04/2025, so our timing and calculations were off. We were then thinking the 05/05/2025 would have met the 30 days since April has 30 days in the month, however it was 1 day overdue. It was completed and documented in compliance with 3270.95(a)/3270.95(b). We did also review the future dates and use a calendar calculator to ensure the upcoming ones don't exceed the 30 days.
2025-02-10 Unannounced Monitoring 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB Compliant - Finalized

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: The tuberculosis screening for staff #1 was dated 8/18/23, greater than 1 year prior to initial employment.

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. 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.)
Staff 1 is working on securing a medical appointment to get the TB Test done to comply with 3270.151(a)/3270.151 (c)(2). Staff 1 did have a Health Assessment form completed on 01/25/2025 but her Health Care provider was under the impression that she did not need an updated test done. We were also under the impression that since she had worked directly with children through internships and substitute teaching (direct contact with children in a child care setting)within the last year, that her TB test was still valid. Regulation does not specify between transitioning from one employment place to the next and uses the term "child care setting" rather than a licensed child care facility or center". I believe I, as the Provider have been under the wrong impression for the last 8 years. Overall, we believed that since she had a TB test done 08/2024 in order to work as a substitute teacher and continued employment working with children, that her initial TB testing was valid. Staff 1 will have a new TB test completed no later than 03/14/2025
2025-02-10 Unannounced Monitoring 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #1 had only one written reference on file.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff 1 resent a new reference letter via email on 02/11/2025 complying with 3270.192(5). I did do an updated reference letter and employment verification check for each of Staff 1's documents just to refresh it all on my end.
2025-02-10 Unannounced Monitoring 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: On 2/10/25 during an unannounced inspection, staff #1 (see code sheet for start date) did not have a disclosure statement on file. The disclosure statement was signed and dated on the day of the inspection. Staff #2 (see code sheet for start date) had a child abuse clearance dated 1/23/25, which was after the date she began working with children.

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.)
Director had Staff 1 sign her disclosure statement immediately during the presence of the OCDEL Rep. and it was placed in the file of Staff 1 following the signature being obtained. Staff 2 had the PA Child Abuse Clearance in her file, the receipt of application was also in her file. We ran into several issues with the retrieval of her application results, first submitting it via postal mail as the online system was displaying error messages and then the electronic form of the application and request required us to make several phone calls to the Childline & Abuse Registry. Moving forward from these two violations we are meeting compliance 3270.32(a)/3270.192(4) and pertinent CPSL and Chapter 3490 (relating to protective services).
2025-02-10 Complaints- Legal Location 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 2/10/25 during a complaint investigation, staff stated that the front door was jamming and they needed to use a crowbar to get it back in working order.

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.)
On 1/27/2025 at 6:47pm (17 minutes after business operations ended), a new employee and more seasoned employee text messaged the Owner, advising that they accidentally forced the door in the wrong direction, causing it to jam. I advised them on instructions to fix it, they were unsuccessful. The following business morning, PRIOR to business hours, at 5:51am, an opening employee used a crow bar and screw driver that they had in their vehicle to help pop the door back into the locking track, which immediately made the doors functional again. I do not agree with this Violation as this did not occur during business hours, no children in any staff person care but also, upon our "complaint visit" with OCDEL Rep., it was verbalized to me that our door was allegedly "unlocked and freely open to anyone for entry" (or of very similar wording), which is the complete opposite of how it was temporarily jammed outside of business hours. I don't believe this is a fair violation as it was general maintanence that occured again, outside of business hours. Staff witnessed me immediately relaying verbally the alleged complaint about the door being unlocked and freely open for anyone to entry and exclaiming how it doesn't make any sense because our electronic locking system never failed. I was advised that because staff including myself verbalized about the door being jammed that it had to be cited, though us stating the door was jammed outside of business hours was only to counter the original words that came from the OCDEL Reps. mouth, stating it was freely open/unlocked, because that wasn't true; I believe that if what came out of our mouth stands for citing even when its not valid to the operations of the business, then what comes out of the OCDEL Reps. mouth should be accounted for as well. Additionally, any general maintenance that occurs during or outside of business hours should technically be cited for all facilities, if us have a jammed door outside of business hours & fixing it outside of business hours is a valid violation. Plan of correction occurred per mentioned timeline above, complying with 3270.76. Never an issue during business.
2024-12-16 Renewal 3270.103 - Small Toys and Objects Compliant - Finalized

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There were Styrofoam bowls on a toy shelf in the main room.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Provider Response: (Contact the State Licensing Office for more information.)
Styrofoam bowls were removed immediately. Provider will ensure that the Styrofoam bowls are not being used moving forward for crafts or meals and instead will implement paper products instead. Facility remains back in compliance with 3270.76.
2024-12-16 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: There was no continuity of operations plan as required by 45 CFR 98.41(a)(1)(vii).

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

Provider Response: (Contact the State Licensing Office for more information.)
A plan for continuity of operations will be added to the facilities Emergency Plan Handbook and then be redistributed to all families and employees for review and training as necessary. Provider will ensure compliance with 45 CFR 98.41 (a)(1)(vii) and Title 55 Chapter 3270.14/3270.21 moving forward.
2024-12-16 Renewal 3270.151(c)(3)/3270.151(c)(5) - Exam communicable disease/Physician/CRNP assessment Compliant - Finalized

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health assessment of staff #2 did not include the doctor's assessment of the staff's communicable disease status. The health assessment for staff #4 did not include an assessment of the staff's communicable disease status, and did not address the staff's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #2 will have the portion completed appropriately. Staff #4 has submitted a new staff health report document to the medical care provider for completion and so we are waiting to receive it back. Once both Staff have these completed the updated documents will be placed in to the staff file. If they corrections are not made by 01/07/2025, the staff will be suspended until the corrections are made on their end/by their medical provider to ensure we remain in compliance with 3270.151(c)(3)/3270.151(c) (5).
2024-12-16 Renewal 3270.166(5) - Six-months-old held Compliant - Finalized

Regulation: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: Child #1 was in the crib drinking a bottle (see code sheet for DOB).

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Provider Response: (Contact the State Licensing Office for more information.)
This was a miscalculation by Staff in regard to the child's age as the child turned 7 months two days after the date of 12/20/2024 when inspection took place and the infant child was already independent in holding his bottle and often refuses to eat if a Staff person tries to take the lead and hold it for him or hold him while feeding. Staff removed the bottle from the infant in the crib immediately and held the infant to finish the feeding time. By correcting the matter immediately, staff complied with 3270.166(5).
2024-12-16 Renewal 3270.27(c) - Training regarding plan Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: There was no documentation that staff #1 was trained in the facility's emergency plan.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 was provided a new Acknowledgement Page for the Emergency Plan Handbook & Training on 12/20/2024 during Inspection being conducted, affirming that training was provided and completed upon hire however she failed to return the form promptly bring the matter back in to compliance with 3270.27(c).
2024-12-16 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: Staff #1 did not have a signed, dated, and witnessed disclosure statement on file. The dates of the required NSOR for staff #5 were 11/6/19 and 12/6/24, a period of greater than 60 months.

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.)
Staff #1 was provided a new Disclosure Statemetn to complete immediately during the inspection in progress. Staff #5 was advised in advance of their need of an updated NSOR but stated they were experiencing technology complications. The new NSOR Clearance was placed in to Staff #5's file. The new Disclosure for Staff #1 was put into their Staff File, both bringing the facility back in to compliance with 3270.32(1)/3270.192(4), CPSL and with Chapter 3490. Provider will ensure compliance is met for each of these pertinent laws and regulatory requirements moving forward, having them completed timely or suspending the staff person until met, or suspending the hire process until requirements are met. The Disclosure Statement was an honest oversight.
2024-12-16 Renewal 3270.36(b)(5) - HS/GED + 2 yrs Compliant - Finalized

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: There was no documentation of 2 years of experience to qualify staff #1 for the stated assistant group supervisor position. There was no high school diploma on file for staff #3 to qualify for the stated assistant group supervisor position.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 and Staff #3 were not unsupervised and will not be unsupervised until the correction is complete. Staff #1 has Employment Verification completed with 2 years of documented experience verified and is now in the Staff file. Staff #3 has obtained an official high school transcript from the graduating high school, and the documentation was placed in the staffs file. Provider and employees will comply with Staff file maintenance and contents required per 3270.36(b)(5) relating to staff qualifications.
2024-12-16 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a water stained ceiling tile in the room to the right of the entrance just in front of the office.

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.)
Provider replaced ceiling tiles with small stains 12/30/2024, with brand new ceiling tiles. Ceiling tiles are now in good, safe condition/repair and free of stains or any potential hazards per 3270.76.
2024-12-16 Renewal 3270.82(h) - Handwashing signs Compliant - Finalized

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was no handwashing sign in the front part of the room to the right of the entrance.

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 handwashing poster must have fallen off and been discarded by mistake as it was the same sign up for all but 4 year since expansion. A new updated set of handwashing signs was created during the inspection once it was noticed and advised of being missing. New handwashing signs were securely attached in all classrooms & by all handwashing sinks in conspicuous areas, complying with 3270.82(h).
2024-10-30 Appeals - Unannounced Monitoring Appeals - Unannounced Monitoring Compliant - Finalized
2024-06-11 Unannounced Monitoring 3270.51/3270.113(a) - Similar Age Level/Supervised at all times Compliant - Finalized

Regulation: 3270.51/3270.113(a)

Description: Similar Age Level/Supervised at all times

Noncompliance Area: On 4/11/24, it was stated during a complaint investigation that there has been 9 infants present in the infant space with only 2 staff. Facility provided a plan of correction that was accepted on 5/16/24, but this accepted plan has not been implemented as required as of 6/11/24. On 6/11/24, staff #2 and #3 were asked if they reviewed and signed off on a supervision and ratio policy created by the facility. Staff #2 and #3 stated that they do remember signing off on a check list for supervision and ratio. However, the provider's correction requirement was for this policy to be approved by OCDEL prior to having staff be trained on this policy. The facility has not submit to OCDEL their newly created supervision and ratio policy for review or approval.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55. The Legal Entity / Director will establish a supervision and ratio policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include the required staff:child ratios for each age group. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and while in the outdoor play area. The policy must include how the facility will ensure appropriate supervision and ratios during nap time. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his assigned group and be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. This supervision and ratio policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy.

Provider Response: (Contact the State Licensing Office for more information.)
Provider has created and submitted for approval multiple policies/training booklets for staff in regard to Active Supervision and Staff: Child Ratios. These training booklets/policies will be implemented immediately upon approval from OCDEL. Staff will have individual acknowledgment sheets signed and dated and maintained in their staff files. Our center will always maintain Staff: Child Ratios moving forward.
2024-06-11 Unannounced Monitoring 3270.54(a) - Two facility persons present in facility Compliant - Finalized

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: On 4/11/24, during the facility's annual renewal inspection, it was stated that there are occasional days when the opening staff person is left alone in the facility with more than 1 child. It was stated that the facility opens at 6am and the second child comes in around 6:15-6:30am, and a single staff person could be alone at times until approximately 6:45am. A plan of correction was submitted and accepted on 5/8/24. This accepted plan's correction date was listed as 4/12/24, but as of 6/11/24, the correction was determined as not having been implemented. On 6/11/24, repeated noncompliance was stated to have occurred after staff person #1 and #4 were interviewed. Staff person #1 arrive at approximately 6am to open the facility. Staff person #1 stated they were alone with more than one child from approximately 6:20am-6:45am due to staff person #5 not being able to come in as scheduled. Staff person #1 stated that child #1 was dropped off at approximately 6am, child #2 was dropped off at approximately 6:20am, and child #3 was dropped off at approximately 6:30am. Staff person #1 and #4 stated that staff person #4 arrived at the facility at approximately 6:45am. Staff person #4 also confirmed that there were 3 children present when they arrived.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining at least 2 staff persons present at the facility at all times when 2 or more children are in care. The legal entity will confirm continuing compliance by sending copies of the documentation to the NE OCDEL Regional Office on a weekly basis for a period of 90 days after DHS approves the documentation format.

Provider Response: (Contact the State Licensing Office for more information.)
Provider has created both sign in/out sheets for staff and childrens attendance in order to document our accuracy, accountability and responsibility to carrying out and maintaining regulatory requirements relating to 3270.51-3270.55. The sign sheet will be sent to OCDEL for approval prior to use. Once approved the facility will keep track on the approved form of all staff and children during opening an closing. These forms will be submitted to the OCDEL regional office each week. Provider has made additional and ongoing adjustments to scheduling to ensure there are now three staff arriving between the times of 6am-6:30am. Staff have been thoroughly advised until the new policies/training booklets are approved by DHS of their duties to follow Staff: Child Ratios. We have adjusted our schedule to have 2 staff present at the time the facility opens.
2024-06-11 Unannounced Monitoring 3270.54(a) - Two facility persons present in facility Compliant - Finalized

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: On 4/11/24, during the facility's annual renewal inspection, it was stated that there are occasional days when the opening staff person is left alone in the facility with more than 1 child. It was stated that the facility opens at 6am and the second child comes in around 6:15-6:30am, and a single staff person could be alone at times until approximately 6:45am. A plan of correction was submitted and accepted on 5/8/24. This accepted plan's correction date was listed as 4/12/24, but as of 6/11/24, the correction was determined as not having been implemented. On 6/11/24, repeated noncompliance was stated to have occurred after staff person #1 and #4 were interviewed. Staff person #1 arrive at approximately 6am to open the facility. Staff person #1 stated they were alone with more than one child from approximately 6:20am-6:45am due to staff person #5 not being able to come in as scheduled. Staff person #1 stated that child #1 was dropped off at approximately 6am, child #2 was dropped off at approximately 6:20am, and child #3 was dropped off at approximately 6:30am. Staff person #1 and #4 stated that staff person #4 arrived at the facility at approximately 6:45am. Staff person #4 also confirmed that there were 3 children present when they arrived.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. The Legal Entity / Director will create a policy establishing procedures for ensuring that at least 2 staff persons are present at all times when more than 1 child is in care. This policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will have all staff review, sign, and date approved policy to ensure compliance.

Provider Response: (Contact the State Licensing Office for more information.)
The Owner has created a policy establishing procedures for ensuring that at least 2 staff person are present at all times when more than 1 child is in care to ensure that Staff: Child ratios are met during drop off and pick up times, always. The policy will ensure that our facility remains in compliance with regulatory requirements specific to 3270.54. The policy will be forwarded to OCDEL for approval. Once approved, this policy will be shared with staff and staff will sign off on an acknowledgement sheet. These acknowledgment sheets will be maintained in staff files. We have adjusted our schedule to have 2 staff present at the time the facility opens.
2024-06-11 Unannounced Monitoring 3270.54(a) - Two facility persons present in facility Compliant - Finalized

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: On 4/11/24, during the facility's annual renewal inspection, it was stated that there are occasional days when the opening staff person is left alone in the facility with more than 1 child. It was stated that the facility opens at 6am and the second child comes in around 6:15-6:30am, and a single staff person could be alone at times until approximately 6:45am. A plan of correction was submitted and accepted on 5/8/24. This accepted plan's correction date was listed as 4/12/24, but as of 6/11/24, the correction was determined as not having been implemented. On 6/11/24, repeated noncompliance was stated to have occurred after staff person #1 and #4 were interviewed. Staff person #1 arrive at approximately 6am to open the facility. Staff person #1 stated they were alone with more than one child from approximately 6:20am-6:45am due to staff person #5 not being able to come in as scheduled. Staff person #1 stated that child #1 was dropped off at approximately 6am, child #2 was dropped off at approximately 6:20am, and child #3 was dropped off at approximately 6:30am. Staff person #1 and #4 stated that staff person #4 arrived at the facility at approximately 6:45am. Staff person #4 also confirmed that there were 3 children present when they arrived.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Provider Response: (Contact the State Licensing Office for more information.)
This was corrected prior to the inspection arrival. Staff #1 was warned previously at our initial non-compliance about letting children in when it's not feasible. This staff person was provided in person review on the topic immediately that same day. We switched scheduling again and added additional staff again as well for mornings. We have created multiple policies/training booklets relating to the nature of this violation specifically pertaining to understanding Supervision and Staff: Child Ratio regulatory requirements. Once these are approved, our faciliy will officially implement them with all staff current and future. Our center will continue to maintain compliance with 3270.51-3720.55 at all times and when challenges arise, staff will follow our protocol in order to stop any noncompliance from happening. We have adjusted our schedule to have 2 staff present at the time the facility opens.
2024-05-23 Unannounced Monitoring 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced inspection on 5/30/24, the most recent fire alarm test was 4/1/24, more than the required 30 days.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Provider Response: (Contact the State Licensing Office for more information.)
Per 55 PA Code Chapter 3270.95(a)/3270.95(b), our facility will comply with all fire safety regulations and pertinent laws moving forward. Director conducted a fire safety drill along with a fire alarm testing where the fire alarms were manually pulled on 06/11/2024 at 4:31pm. Both alarms sounded and were working properly and the fire drill was successful with an evacuation time of 47 seconds
2024-04-11 Renewal 3270.106(f) - 2 feet apart Non Compliant - Finalized

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: It was observed that 6 infants were sleeping in the infant space and none of the rest equipment being used had at least 2 feet of space on at least three sides.

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

Provider Response: (Contact the State Licensing Office for more information.)
Correction was made immediately by Staff moving cribs into the proper spaces; Staff were guided by the Owner/Director on how to properly space out the cribs utilizing the space they have effectively providing a minimum of 2 feet on three sides of each crib including cribs that are empty in which are positioned next to cribs that are being utilized by a sleeping infant/child in the infant classroom, per 55 PA Code Chapter 3270.106(f).
2024-04-11 Renewal 3270.106(j) - Prohibit items in crib Non Compliant - Finalized

Regulation: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: It was observed that an infant's basinet contained an attached mobile.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Provider Response: (Contact the State Licensing Office for more information.)
Owner located the needed tools to remove the mobile. We had just purchased that basinet not even a week prior and assumed since the mobile was not "inside" the basinet and it was installed as part of the entire basinet equipment by the Manufacturer that it was naturally okay to have on the basinet equipment. There was never a toy/mobile inside the actual basinet/crib which is what the regulation and violation discusses "in a crib". The mobile was attached to the outside frame and extended above the basinet, with the lowest hanging point at least 8 inches dangling abobe the opening of the basinet frame, therefor naturally looking at it one would not say it was "in the crib/basinet" but attached to the outside & hanging above the equipment. Center is in compliance with 55 PA Code Chapter 32709.106(j). Basinet is no longer being used with the mobile attached.
2024-04-11 Renewal 3270.107 - Refrigerator Non Compliant - Finalized

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed that the refrigerator in the infant and toddler spaces both contained thermometers that were measuring the inside temperature of these refrigerators to be 48 degrees Fahrenheit.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All items being stored in the fridge were removed and placed in another working fridge until a new one was delivered the following day 04/12/2024, thus meeting compliance for 55 PA Code Chapter 3270.107 relating to operable clean refrigeration to store potentially hazardous food items. New fridge was delivered 04/12/2024 and put into the classroom. New fridge is operable and functional meeting safe refrigeration temperatures no higher than 42 degrees eliminating potential hazardousness of food items being stored. Only removed the infant room refrigerator as we did check the temperature before inspector left in toddler space and it had significantly gone down and is properly working with temps 42 degrees or colder. In the mornings with it constantly being opened and lunch boxes being stacked it's hard to regulate the temperature keeping it in range until the rush hour of drop offs are over with.
2024-04-11 Complaints- Legal Location 3270.111(c)/3270.113(b) - Promote development/No physical punishment Non Compliant - Finalized

Regulation: 3270.111(c)/3270.113(b)

Description: Promote development/No physical punishment

Noncompliance Area: It was stated by multiple staff during a complaint investigation that staff person #1 is physically rough with infants when picking them up and putting them down. Staff person #1 stated that they have gotten annoyed when they tell an infant "no" and the child doesn't listen. Through multiple interviews with staff including staff person #1, it was determined that staff person #1 does not fully understand what is developmentally appropriate for children in that infant age group.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not use any form of physical punishment, including spanking a child. Staff #1 is required to receive a minimum of 2 hours of approved training regarding developmentally appropriate practices. The legal entity must receive DHS approval of the training prior to scheduling the training.

Provider Response: (Contact the State Licensing Office for more information.)
As of 04/19/2024, Staff #1 is no longer employed with our center.
2024-04-11 Complaints- Legal Location 3270.111(c)/3270.113(b) - Promote development/No physical punishment Non Compliant - Finalized

Regulation: 3270.111(c)/3270.113(b)

Description: Promote development/No physical punishment

Noncompliance Area: It was stated by multiple staff during a complaint investigation that staff person #1 is physically rough with infants when picking them up and putting them down. Staff person #1 stated that they have gotten annoyed when they tell an infant "no" and the child doesn't listen. Through multiple interviews with staff including staff person #1, it was determined that staff person #1 does not fully understand what is developmentally appropriate for children in that infant age group.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not use any form of physical punishment, including spanking a child.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person is no longer employed with our facility as 0f 04/19/2024.
2024-04-11 Renewal 3270.113(a)(1) - Staff assigned to specific children Non Compliant - Finalized

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 4/11/24, at approximately 7:08am, staff person #2 and #3 were present in the same space with 12 children. It was stated when asked which children were assigned to which staff person, that they had not separated or assign primary care groups at that time.

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

Provider Response: (Contact the State Licensing Office for more information.)
All Staff have Face To Name Recognition Pocket Rings that they are supposed to wear; All Staff were advised and reminded that it is not optional utilize this system to support their recognition and knowledge of their child groups including the size of their group and the names and ages of the children in their groups. All Staff will maintain compliance by utilizing their Face to Name rings as long as they are clocked in and working in a classroom actively abiding by 55 PA Code Chapter 3270.113(a)(1) knowing their child groups, sizes, names and the whereabouts of the children they are assigned the responsiblity of. Staff had immediately grabbed their Face to Name Rings and updated their cards to cross reference to their group of children they were each responsible for.
2024-04-11 Renewal 3270.123(a)(6) - Admission date Non Compliant - Finalized

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: Agreement for child #2 did not specify the child's admission date.

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

Provider Response: (Contact the State Licensing Office for more information.)
The childs admission date was immediately added to the Child Daycare Agreement form while the PA OCDEL Cert. Rep. was present to resustain compliance with 55 PA Code Chapter 3270. 123(a)(6) relating to a child's daycare agreement demonstrating the date the child was admitted into the daycare's program!
2024-04-11 Renewal 3270.133(3) - Name on bottle Non Compliant - Finalized

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: It was observed that a medication, cooling swabs for teething, was present for child #1, but was not labeled with the child's name as required.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Provider Response: (Contact the State Licensing Office for more information.)
The Orajel Cooling swabs were removed immediately by Staff. The cooling swabs for teething were just handed in for the Owners infant child who keeps one in their personal bag and sent one in for the classroom to use and it just so happens the personal use one was handed to staff by mistake instead of the one labeled for the classroom. During office time with the Certification Rep., the Owner located the labled swabs on her desk as she moved paper work around! Removal of the original swabs mistakenly not labled regained compliance for the center relating to 55 PA Code Chapte 3270.133(3).
2024-04-11 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Non Compliant - Finalized

Regulation: 3270.151(a)

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

Noncompliance Area: File for staff person #5 contained two recent health assessments, one dated 2/4/22, and another dated 4/9/24. These dates verify that staff person #5 did not have an update health assessment completed and on file within the 24 month requirement. File for staff person #6, see code sheet for hire date, contained a health assessment dated 4/10/23. This health assessment was dated and placed on file after staff person #6 began initial employment at the facility.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Provider Response: (Contact the State Licensing Office for more information.)
Staff had a valid health assssment and TB test documented in the file though it was more than 2 years to date renewed due to health insurance and appointment availability conflict and the inability to afford to pay for an urgent care. Both staff are free of communicable disease or illness and are both eligible to work in a child care center per their health reports. Other than the dates being "late" both staff's health assessments are in compliance with 55 PA Code Chapter 3270.151(a). Facility will try to find ways to be more proactive or working around the conflict of health insurance barriers and cost barriers.
2024-04-11 Renewal 3270.151(c)(3)/3270.151(c)(5) - Exam communicable disease/Physician/CRNP assessment Non Compliant - Finalized

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: File for staff person #8 contained a health assessment dated 3/8/24, but that health assessment was incomplete. Questions number 2 and 3 on the health assessment form were not answered. The health assessment on file did not specify whether an examination for communicable diseases was completed, and did not include documentation on whether an assessment of the person's suitability to provide child care was completed. File for staff person #9 contained a health assessment dated 3/28/24, but that health assessment was incomplete. Question number 3 on the health assessment form was not answered. The health assessment on file did not include documentation on whether an assessment of the person's suitability to provide child care was completed.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #8 had the Health Assessment Form completed by the same provider who originally partially completed it. Staff #9 had the Health Assessment Form completed by the same provider who originally partially completed it. Both Staff #8 & #9's Health Assessment Forms are now entirely complete affirming that questions 1, 2 & 3 have been marked appropriately by a qualified medical provider thus indicating they are free of communicable diseases and are suitable to work with children which puts our center back in compliance with 55 PA Code Chapter 3270.151(c)(3) and 3270.151(c)(5) and all other pertinent state regulatory requirements which support ensuring the health and safety of all children and individuals of the facility are prioritized and met at all times.
2024-04-11 Renewal 3270.24(a) - Immediate access Non Compliant - Finalized

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: On 4/11/24, at approximately 7:08am, a known agent of the department rang the facility's door bell. Staff can see who is standing at the door. It was observed that staff began shuffling around but did not come open the door. Staff person #3 picked a child up near the door and walked back towards the middle of the room and sat down with the child behind the desk. The agent began knocking on the door once this was observed. Staff person #2 walked over to the desk closer to the door, turned their back to the door, and made a telephone call. The agent continued to knock on the door continuously until staff person #2 hung up the phone and walked over to the door. Immediate access was not granted to a known agent of the department.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Provider Response: (Contact the State Licensing Office for more information.)
Staff let OCDEL Agent inside the center after calling Director/Owner. Staff was advised on the phone that they need to let the OCDEL Agent in immediately and they did. Staff stressed to Director/Owner that they panicked immediately and had anxiety and they apologized. We discussed State Regulations pertaining to 55 PA CODE Chapter 3270.24(a) and what is expected and required of Staff pertaining to Departmental Access. Owner will create a policy/training for Staff specific to Departmental Access to ensure all Staff understand the topic and what is required. Our facility will comply with 55 PA CODE, Chapter 3270.24(a) at all times.
2024-04-11 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Non Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for staff person #7, see code sheet for hire date, did not contain a valid disclosure statement. The disclosure statement on file did not contain a witness signature as required.

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 #7 may not work in a child care position at the facility until a fully completed, signed, dated, and witnessed, disclosure statement is obtained and placed on file.

Provider Response: (Contact the State Licensing Office for more information.)
Staff immediately completed a new Disclosure Statement with the Owner as the present witness who also signed and dated the form infront of Staff #7. Staff #7 did have the Disclosure Statement completed and signed timely but as stated in the violation the acknowledgement of a witness was missed! Facility met compliance for 55 PA CODE, Chapter 3270.32(a)/3270.192(4) upon the immediate correction and will continue to maintain compliance for this and all requirements under 55 PA CODE and Chapters 3270.
2024-04-11 Complaints- Legal Location 3270.33(a)/3270.37(b)(3) - Each staff person meets quals/8th grade + 2 yrs Non Compliant - Finalized

Regulation: 3270.33(a)/3270.37(b)(3)

Description: Each staff person meets quals/8th grade + 2 yrs

Noncompliance Area: Staff person #4 was hired as an aide, but the file for staff person #4 does not have the documentation required in order to meet the qualifications to be hired as an aide. Although staff person #4 has 2 years of documented experience on file, they do not have documentation verifying that they have, at minimum, completed 8th grade.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Provider Response: (Contact the State Licensing Office for more information.)
Official Education Records were requested immediately and received on 04/18/2024 and placed in the Staff person's file to meet compliance for 55 PA Code Chapter 3270.33(a) and 3270.37(b)(3).
2024-04-11 Renewal 3270.34(a)(6) - Staff evaluations Non Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: File for staff person #5 contained an annual evaluation dated 8/1/21 and another evaluation that did not contain a date. An annual evaluation completed by the director once every 12 months was not observed on file for staff person #5.

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.)
Staff #5's annual evaluation was updated with the correct/missing dates immediately and placed back into Staff #5s file and was then back in compliance with 55 PA CODE CHAPTER 3270.34(a)(6) as eval was completed within the last 12 monts. Owner will ensure to be more attentative to Staff file documentation scanning for accuracy and thoroughness.
2024-04-11 Complaints- Legal Location 3270.51/3270.113(a)(2) - Similar Age Level/Supervision on and facility premises Non Compliant - Finalized

Regulation: 3270.51/3270.113(a)(2)

Description: Similar Age Level/Supervision on and facility premises

Noncompliance Area: It was stated during a complaint investigation that there has been 9 infants present in the infant room with only 2 staff.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55. The Legal Entity / Director will establish a supervision and ratio policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include the required staff:child ratios for each age group. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and while in the outdoor play area. The policy must include how the facility will ensure appropriate supervision and ratios during nap time. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his assigned group and be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. This supervision and ratio policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy.

Provider Response: (Contact the State Licensing Office for more information.)
Owner is working on creating a Supervision & Ratio Training/Policy for all employees, current & New. New hires will be required to review/complete this newly implented training/policy prior to first day of work at our center. Current employees will be required to complete at min a review 1 time per calendar year. Owner will be obtaining guidance & suggestions from STARS Quality Coach to ensure content in new Supervision & Ratio training/policy is relevant and sufficient prior to submitting to OCDEL for approval. Owner & center will maintain state regulatory requirements per 55 PA Code Chapter 3270 including but not limited to specifically pertaining to Supervision & Ratios as stated in 3270.52/3270.113(a)(2) and 3270.52-3270.55. Additionally staff were reviewed with on "refusing entry" to families who attempt to drop children off on unscheduled days or prior to their scheduled and agreed to drop off times. At 7:11am another staff person who was late had arrived, putting staff back in compliance with staff : child ratio and supervision regulatory requirements. Moving forward for the day and each day after, the infant classroom and all classrooms have been in ratio.
2024-04-11 Complaints- Legal Location 3270.51/3270.113(a)(2) - Similar Age Level/Supervision on and facility premises Non Compliant - Finalized

Regulation: 3270.51/3270.113(a)(2)

Description: Similar Age Level/Supervision on and facility premises

Noncompliance Area: It was stated during a complaint investigation that there have been 9 infants present in the infant room with only 2 staff.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Provider Response: (Contact the State Licensing Office for more information.)
The infant classroom was in ratio during this inspection upon all classroom arranging and splitting up from early morning mixed age groups as of 7:08am on 04/11/2024. Provider met staff to child ratios at that time. There was a discrepency at the arrival time of inspection due to a staff person being late, causing staff to child ratios to temporarily be "over" by several children. In situations like this where the center has no time to "plan" for additional staff, it can be very challening. All Staff remained in ratio the remainder of the day and each day moving forward meeting compliance of 55 PA Code Chapter 3270, including but to limited to specifically 3270.51 and 3270.113(a)(2).
2024-04-11 Complaints- Legal Location 3270.52/3270.113(a)(2) - Mixed Age Level/Supervision on and facility premises Non Compliant - Finalized

Regulation: 3270.52/3270.113(a)(2)

Description: Mixed Age Level/Supervision on and facility premises

Noncompliance Area: It was observed at the facility on 4/11/24, at approximately 7:08am, staff person #2 and #3 were present with 12 children: 2 infants, 2 younger toddlers, 2 older toddlers, and 6 preschoolers. Staff stated that this has been happening more than just that day and on occasion there could be up to approximately 15 children present with 2 staff, leaving staff out of ratio until additional staff arrive.

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). When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will maintain compliance with all 55 PA Codes, Chapter 3270 including but not limited to specifically 3270. 52/3270.113(a)(2) relating to Supervion and Ratios for staff and children, both mixed and similar age groups. Staff will continue to refuse entrance into the center for families/kids who are breaching their agreed to schedule to avoid conflict with supervision and staff: child ratios. Provider and all staff will maintain supervision requirements both on and off the premises of the center at all times regardless of the time and will actively enforce childrens agreed to schedules/attendance plans. Should there be a conflict such as staff arriving late, current staff will pause drop offs until more staff arrive to where we can be certain and confirm all staff : child supervision and ratios regulatory requirements will be met. The remainder of our Staffing Team arrived per usual from 7:12am and onward, which allowed our center to be in ratio from that point forward for the remainder of the day
2024-04-11 Complaints- Legal Location 3270.52/3270.113(a)(2) - Mixed Age Level/Supervision on and facility premises Non Compliant - Finalized

Regulation: 3270.52/3270.113(a)(2)

Description: Mixed Age Level/Supervision on and facility premises

Noncompliance Area: It was observed at the facility on 4/11/24, at approximately 7:08am, staff person #2 and #3 were present with 12 children: 2 infants, 2 younger toddlers, 2 older toddlers, and 6 preschoolers. Staff stated that this has been happening more than just that day and on occasion there could be up to approximately 15 children present with 2 staff, leaving staff out of ratio until additional staff arrive for the day.

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). When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55. The legal entity must arrange for all facility staff to receive a minimum of three hours of approved training, including technical assistance, regarding supervision of children and staff:child ratios. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training. Training may not be conducted while children are in care.

Provider Response: (Contact the State Licensing Office for more information.)
Approved 3 hours training is scheduled for 06/02/2024 with an approved PQAS instructor who was referred by OCDEL & our STARS Quality Coach. All employees have been mandated to attend this training in person at the facility from 9:00am-12:30pm on 06/02/2024. The traiing will be based on technical assistance regarding supervision & staff : child ratios in a childcare center. Facility will maintain compliance with all regulatory requirements pertaining to Supervision & staff : child ratios & 55 pA CODEs, Chapter 3270.51-3270.55 & all other pertinent state regulations under chapter 3270. Our facility is not open for business operations on 06/02/2024.
2024-04-11 Renewal 3270.54(a) - Two facility persons present in facility Non Compliant - Finalized

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: It was stated that there are occasional days when the opening staff person is left alone in the facility with more than 1 child. It was stated that the facility opens at 6am and the second child comes in around 6:15-6:30am, and a single staff person could be alone at times until approximately 6:45am.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Provider Response: (Contact the State Licensing Office for more information.)
It was bought to the Owners attention that there had recently been several early morning where staff scheduled for early morning shift opening the center at 6:00am and other arriving between 6:00am-6:45am were late and, or, families had been dropping children off much earlier than their agreed to and schedule time per their Child Daycare Agreement form, which had caused them to temporarily/momentarily breach Staff: Child Ratios. Owner stepped in to arrive at opening times to ensure the punctuality of other staff and provide support in early mornings effective the next day 04/12/2024. Owner changed scheduling for Staff to provide additional support in early morning hours. Owner hired several new Staff to provide additional support during early morning hours. All noted acts were to regain and sustain compliance with 55 PA CODE Chapter 3270.54(a) and all other pertinent regulations under 55 PA CODE Chapter 3270 and maintain compliance all times.
2024-04-11 Renewal 3270.66(a)/3270.133(4) - Locked or inaccessible/Locked Non Compliant - Finalized

Regulation: 3270.66(a)/3270.133(4)

Description: Locked or inaccessible/Locked

Noncompliance Area: It was observed in the bathroom, used by preschool aged children in room 1, that a cabinet was present which contained Windex, disinfectant spray, prescription medications, and sanitizing wipes. This cabinet, instead of drawers, had clear plastic pieces which could be pulled open and down to gain access to the shelves inside the cabinet. Although childproof locks were observed on the one side of each of those plastic pull-down pieces, the plastic was thin enough to be flexible so that the other side could be pulled down and children could access the cleaning materials and medications stored within.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Provider Response: (Contact the State Licensing Office for more information.)
The cabinet mentioned in this violation did have child safety locks on each compartment but as noted it was found that the locks were not quite strong enough for the type of plastic closures on each compartment. The cabinet was removed and replaced with a new cabinet. The new cabinet is a more common style that we use in our center which now has a metal basedlock on it instead of plastic child safety locks. All toxic supplies are and will remained locked away out of reach of all children. Until the new cabinet was bought in, we removed the entire original cabinet mentioned and all supplies that were being stored in it. Our facility was immediately back in compliace with 55 PA CODE Chapter 3270.66(a), 3270.133(4) upon immediately removing the old cabinet and supplies inside of it from the classroom.
2024-04-11 Renewal 3270.75(c) - Has all items Non Compliant - Finalized

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed that the first aid kit in the infant space did not contain 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.)
Staff immediately put a new pair of disposable, nonpourous gloves into the First Aid Bag upon realizing the gloves were missing which immediately put the center back in compliance with 55 PA CODE Chapter 3270.75(c) and all other pertinent regulations under 55 PA Code Chapter 3270.
2024-04-11 Renewal 3270.76 - Building Surfaces Non Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed that several ceiling tiles in both room 1 and room 2 were moved or loose causing a visible hazard.

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.)
Ceiling tiles in both rooms were replaced with brand new tile pieces after business hours were over to ensure the health and safety of all individuals since the tiles can release debri when installing and removing; Replacing the ceiling tiles ensured we regained compliance with 55 PA Code Chapter 3270., specifically pertaining to but not limited to Chapter 3270.76. All ceiling tiles at that point were back in good repair and condition not imposing any potential safety hazard to the facility, staff or children within.
2023-11-15 Unannounced Monitoring 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During a complaint investigation conducted on 11/15/23, it was observed that staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see code sheet for hire date): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10). Staff person #1 will have until 12/12/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, then 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 was a returning Employee and the training gap was an oversight honest mistake. Staff #1 was recertified in Adult & Pediatric First Aid/CPR & Fire Safety on 11/16/2023. Our facility will be sure to document Employee's needs for certifications and requirements un 3270.31(f)1-10 to ensure there are no gaps in the future. Staff #1 was not unsupervised throughout the remainder of 11/15/2023 and 11/16/2023 and was under the supervision of both Group Supervisors and Assistant Group Supervisors who had completed required training related to the citation.
2023-11-15 Unannounced Monitoring 3270.95(b) - Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: During a complaint inspection conducted on 11/15/23, it was observed on the facility's fire alarm testing log that the last fire alarm test was completed on 10/11/23, which is more than 30 days from the previous test and is not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Provider Response: (Contact the State Licensing Office for more information.)
Due to the complaint and attention needed to the matter, I was unable to complete the Fire Alarm drill. It was an overwhelming and honest oversight. The alarm was tested the following day after the complaint inspection on 11/16/2023. The alarm was scheduled to be tested originally on 11/10/2023 until we got wrapped up in the alleged complaint matter. The Alarm was tested and found to be operating per usual with no faults or issues.
2023-07-27 Initial review Initial review Compliant - Finalized

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