Cambria County Cresson Child Care 16630 Little Red School House

Child Care Center ✓ Licensed

Little Red School House

Cresson, PA · Cambria County

400 Powell Ave, Cresson, PA 16630

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Quick Facts

Capacity

52 children

Languages

English, English

Subsidized Program

Participates

State Rating

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Contact Information

📞 (814) 886-9388

400 Powell Ave

Cresson, PA 16630

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🌐 www.lrsh.net/About-Us.html

✓ Licensed Child Care Center

Active License

License Number

CER-00249355

License Issued

Feb 1, 2026

Active Through

Feb 1, 2027

Issued By

Pennsylvania Department of Education and Public Welfare

District Office

Early Learning Resource Center for Region 6

Reviews

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About the Provider

Here at The Little Red School House we believe that each and every child is unique; every child grows and develops at their own pace. The first years of life are the most crucial and all interactions are very meaningful and help to build a strong foundation for intellectual, emotional, and social growth. With our small home-like environment, we are able to provide your child with individualized attention, as well as provide a nurturing, loving, caring and educational atmosphere. We feel communication is the KEY to a successful experience for you and your child. We believe the parent and/or guardian is the child’s first teacher. The first years are important and what children learn during these years will benefit them for the rest of their lives. Here at The Little Red School House the children will learn how to do things for themselves, to develop a sense of self worth, to use their large and small muscles, to play with other children, to use expressive language, to expand their attention span, to develop good listening skills, to share toys, to share time given by teachers, and to gain basis skills.The Little Red School House policies uphold the state mandated requirements. All of the policies are set forth to ensure the best possible care and protection for the children at the daycare. Our goal is to assist the parents in caring for, nurturing and providing the best possible beginning for their child(ren). Their happiness is our happiness.

Hours of Operation

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

Inspection/Report History

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

Inspection Date	Reason	Description	Status

2025-11-12	Renewal	3270.102(a) - Clean and good repair	Compliant - Finalized
Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: On 11/19/25 observed a play kitchen with a cracked hole at the bottom to the left of the entrance creating rough edges in the outdoor play space. On 11/19/25 observed a cracked large green square Magna Tile in the Preschool Room. Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
Provider Response: (Contact the State Licensing Office for more information.) Immediately following the inspection, the damaged play kitchen was repaired to eliminate any potential hazard. The cracked Magna-Tile was also removed from the classroom and discarded the same day. The outdoor area and classroom were re-inspected by the Director to ensure no additional damaged materials or equipment remained. Staff were reminded to visually inspect play materials and report any items that appear cracked, chipped, or unsafe so they can be replaced promptly.

2025-11-12	Renewal	3270.121(b) - Given parents in writing	Compliant - Finalized
Regulation: 3270.121(b) Description: Given parents in writing Noncompliance Area: At the time of the inspection, the parents did not receive in writing the facility's policy regarding supervision during the transfer of care between the child care facility and any contracted service. Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.
Provider Response: (Contact the State Licensing Office for more information.) The Director immediately reviewed and updated the Transfer of Care Policy to ensure it clearly outlines supervision procedures during all transitions between Little Red School House (LRSH) and contracted services such as the Tumblebus. A written copy of the updated policy was distributed to all enrolled families through Brightwheel following the inspection. Parents were notified of the policy update and provided with a Parent Acknowledgment Form to sign and return, confirming receipt and understanding. It is important to note that at no time was any child left unsupervised during transitions. All children were continuously supervised by either LRSH staff or Tumblebus staff during every transfer of care.

2025-11-12	Renewal	3270.134(a) - Child's hands washed	Compliant - Finalized
Regulation: 3270.134(a) Description: Child's hands washed Noncompliance Area: Staff did not ensure that a child's hands were washed before a snack in the Preschool Room. Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.
Provider Response: (Contact the State Licensing Office for more information.) The staff member involved was immediately reminded of the handwashing procedure and the requirement that all children wash their hands before eating or handling food. A brief refresher training will be held with all staff to review proper handwashing procedures, supervision responsibilities, and DHS health and safety regulations.

2025-11-12	Renewal	3270.151(a) - 12 months prior to service and every 24 months thereafter	Compliant - Finalized
Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The files of Staff #1 and #4 lacked health assessments conducted every 24 months. The file of Staff #1 contained a current health assessment dated 9/5/25 with a previous one dated 8/18/23. The file of Staff #4 contained a current health assessment dated 10/15/25 with a previous one dated 8/9/23. 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 #1: Staff #1 initially had a health assessment appointment scheduled prior to the expiration date but had to cancel due to personal circumstances. The appointment was rescheduled and completed on 9/5/25. The Director made the decision to allow the staff member to continue working during this short lapse to maintain ratio compliance and ensure stability and routine for the children, as staffing was limited at that time. The updated health assessment is now on file and verified as current. Staff #4: The lapse in Staff #4's health assessment was due to a clerical oversight by the Director, who had written down the incorrect expiration date for the form. Once discovered during the inspection, the staff member had already obtained an updated health assessment on 10/15/25. The form has been placed in the employee's file and verified as current. All staff files have since been reviewed to ensure that every employee's health assessment is up to date, and no additional lapses were identified.

2025-11-12	Renewal	3270.182(8) - Copy of initial and subsequent agreements. Parent receives original.	Compliant - Finalized
Regulation: 3270.182(8) Description: Copy of initial and subsequent agreements. Parent receives original. Noncompliance Area: It was observed that an agreement was not on file at the date of enrollment. Child #1's date of admission was 12/30/24 with an agreement dated 1/1/25. Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.
Provider Response: (Contact the State Licensing Office for more information.) This was an oversight by the Director. The child's enrollment paperwork was completed and submitted electronically through Brightwheel; however, the parent-signed agreement was finalized and dated two days after the official enrollment date. The Director has since reviewed the child's file to ensure that all required enrollment documents are now complete, properly dated, and signed.

2025-11-12	Renewal	3270.25(a) - Availability of certificate of compliance and applicable regulations	Compliant - Finalized
Regulation: 3270.25(a) Description: Availability of certificate of compliance and applicable regulations Noncompliance Area: On 11/19/25 the facility's current certificate of compliance was not posted in a conspicuous location used by parents. Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.
Provider Response: (Contact the State Licensing Office for more information.) This was an oversight by the Director. The Certificate of Compliance was printed, however never posted. The current certificate was immediately reposted in a clearly visible location. The Director verified the posting and documented the correction on the same day as the inspection.

2025-11-12	Renewal	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: The file of Staff #2 lacked documentation of completing professional development in pediatric first-aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #2 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 2/5/25. Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.
Provider Response: (Contact the State Licensing Office for more information.) This was an oversight by the Director. The training was completed shortly after the 90-day window on 2/5/25.

2025-11-12	Renewal	3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information	Compliant - Finalized
Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file of Staff #3, a provisional hire, lacked a National Sex Offender Registry Certificate dated prior to or on the date of having direct contact or routine interaction with the children. (SEE LIS Code Sheet). The file of Staff #3 contained a NSOR dated 10/14/25. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
Provider Response: (Contact the State Licensing Office for more information.) The Director missed the updated announcement regarding the change in NSOR regulations. Staff #3 initially applied for the NSOR clearance on 9/5/25, and the certificate was returned on 10/1/25; however, the name was spelled incorrectly. The clearance was immediately sent back for correction and the revised NSOR was returned on 10/15/25. Staff #3 did, in fact, apply for the NSOR prior to having any direct contact with children. The Director has since reviewed the updated guidance from the Department to ensure a full understanding of the new requirement regarding the NSOR clearance date.

2025-11-12	Renewal	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: The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 11/1/24, 11/29/24, 1/24/25, 2/21/25, 3/21/25, 4/18/25, 5/16/25, 6/13/25, 7/11/25, 8/8/25, 9/5/25, 10/3/25, and 10/31/25. 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.) This was an oversight by the Director in maintaining consistent written documentation of the monthly manual testing of the fire detection system. Although the tests were completed regularly, one month's documentation was missing at the time of inspection. The Director immediately reviewed all existing fire safety records and confirmed that the fire detection system has been tested and remains fully operational.

2024-11-01	Renewal	3270.102(a) - Clean and good repair	Compliant - Finalized
Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: On 11/4/24 observed 2 cracked clear yellow blocks in the Preschool Room. Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
Provider Response: (Contact the State Licensing Office for more information.) All teachers are required to conduct regular inspections of toys and materials to ensure they remain in good repair. Any broken items are either discarded or repaired when feasible. In this instance, the cracked blocks were appropriately discarded.

2024-11-01	Renewal	3270.123(a)(3) - Services proceeded	Compliant - Finalized
Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: Child #4 lacked child service reports completed at least every 6 months. Child #4, who had an admission date of 3/25/24, did not have a child service report in the file. Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
Provider Response: (Contact the State Licensing Office for more information.) Child #4 was due for a 24-month assessment during the program's transition to a new assessment system. At that time, there was insufficient data collected with the new system to generate a comprehensive assessment report. However, an initial screening for Child #4 was completed on April 15, 2024. Following the inspection, a report was generated and sent out to the family for review.

2024-11-01	Renewal	3270.123(a)(5) - Designated release persons	Compliant - Finalized
Regulation: 3270.123(a)(5) Description: Designated release persons Noncompliance Area: The agreements for Children #1, #2, #3, #4, and #5 did not specify the persons designated by a parent to whom the child may be released. Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.
Provider Response: (Contact the State Licensing Office for more information.) Director revamped the enrollment process and created new forms to facilitate electronic access t through Brightwheel. However, the initial agreement form did not include a section regarding authorized release persons, as this information is collected on the emergency contact form and is also visible on the child's Brightwheel profile. To address this oversight, Director has since added a section to the agreement form stating, "Please see emergency contact form for release authorizations."

2024-11-01	Renewal	3270.124(b)(3) - Parent home/work address, phone	Compliant - Finalized
Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: Emergency contact information for Child #4 lacked the complete work address of the enrolling parent. Emergency contact information for Child #5 lacked the home telephone number of the enrolling parent. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
Provider Response: (Contact the State Licensing Office for more information.) Director initially overlooked the inclusion of required information during the review process. However, this information has since been added to the form to ensure compliance and clarity moving forward.

2024-11-01	Renewal	3270.131(b)(2) - Toddler/preschool: updated health report every 12 months	Compliant - Finalized
Regulation: 3270.131(b)(2) Description: Toddler/preschool: updated health report every 12 months Noncompliance Area: The file of Child #2 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #2 contained a health report dated 11/1/24 with a previous one dated 10/20/23. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
Provider Response: (Contact the State Licensing Office for more information.) Child #2 has a current health report. Director had been informed by certification representatives over the past several years that a two-week grace period was allowed for submitting updated health assessments. Acting on this guidance, the Director informed the parent that the updated health assessment was due by November 3, 2024, to avoid suspension. The family provided an updated health assessment dated November 1, 2024, following their well visit scheduled at the previous year's appointment. However, there was no communication or updated guidance indicating that the two-week grace period was no longer permitted, and that updated health assessments are now due within the month of the previous assessment. This change raises significant concerns for families and providers regarding health assessments dated just one or two days before the end of the month. The Director has reached out to the supervisors of the certification representatives for clarification but has not yet received a response.

2024-11-01	Renewal	3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety	Compliant - Finalized
Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: The facility has a policy that addresses the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, or distraught child, but it did not address the prevention and identification of child maltreatment. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
Provider Response: (Contact the State Licensing Office for more information.) The provider has reviewed the regulation and utilized the resources provided by the certification representative to update the policy, specifically to include measures for the prevention and identification of child maltreatment.

2024-11-01	Renewal	3270.151(a) - 12 months prior to service and every 24 months thereafter	Compliant - Finalized
Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The file of Staff #3 lacked a health assessment conducted every 24 months. The file of Staff #3 contained a current health assessment dated 5/2/23 with a previous one dated 3/1/21. Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.
Provider Response: (Contact the State Licensing Office for more information.) Staff #3 has a current health assessment. The Director and the employee overlooked the health assessment update until it was too late. Despite the Director's multiple reminders to staff about the need for the update, both the Director and the employee ultimately forgot. This oversight was only discovered during the Director's routine review of time-sensitive documentation.

2024-11-01	Renewal	3270.166(4) - Bottles labeled	Compliant - Finalized
Regulation: 3270.166(4) Description: Bottles labeled Noncompliance Area: On 11/4/24 observed bottles which were not labeled with the child's name in the Infant Room. 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 teachers in the infant room promptly labeled the bottle while the certification representative was present. All teachers understand that every bottle must be labeled. This specific bottle is taken home each day, and the child brings in a different bottle for use daily.

2024-11-01	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: The operator lacked documentation of notifying local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. The operator provided documentation of notifying local traffic safety authorities on 10/6/23 and 11/1/24. 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.) The provider notified local traffic authorities on 11/1/24.

2024-11-01	Renewal	3270.27(e) - Letter to parents	Compliant - Finalized
Regulation: 3270.27(e) Description: Letter to parents Noncompliance Area: The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
Provider Response: (Contact the State Licensing Office for more information.) The provider has updated the parent letter to include comprehensive emergency procedures that specifically accommodate infants, toddlers, children with disabilities, and children with chronic medical conditions. The updated letter has been shared with all families.

2024-11-01	Renewal	3270.31(f) - Health and Safety Training	Compliant - Finalized
Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 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) within 90 days of hire. Staff person #1 will have until November 30, 2024, 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 an AGS who has completed the required training related to this citation. If there are no staff 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 member 1 is a seasonal employee, as she attends college during the school year and works primarily during the summer and occasionally over holiday breaks. Her CPR certification is scheduled for November 26, 2024.

2024-11-01	Renewal	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: The file of Staff #2 lacked documentation of completing professional development in pediatric first-aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #2 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 8/28/24. Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.
Provider Response: (Contact the State Licensing Office for more information.) Staff member #2 was initially hired for a temporary position expected to last until the end of the school year, which would not exceed 90 days. However, due to a change in circumstances, the need for their position extended beyond the original timeframe, and the training for First Aid and CPR was inadvertently overlooked. As noted in the violation summary, Staff member #2 has since completed the necessary First Aid and CPR training.

2024-11-01	Renewal	3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information	Compliant - Finalized
Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file of Staff #2 lacked a disclosure statement signed at the time of initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a disclosure statement dated 3/18/23. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
Provider Response: (Contact the State Licensing Office for more information.) The disclosure statement for Staff member #2 contained an incorrect date due to human error, showing a date of 3/18/23 instead of the correct date of 3/18/24. Staff member #2 has since corrected the date on the original disclosure statement and properly documented the error.

2024-11-01	Renewal	3270.36(b)(3) - HS/GED, 15 credits + 1 yr	Compliant - Finalized
Regulation: 3270.36(b)(3) Description: HS/GED, 15 credits + 1 yr Noncompliance Area: The file of Staff #1, who was designated as an assistant group supervisor, lacked documentation of 1 year of experience with children. Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.
Provider Response: (Contact the State Licensing Office for more information.) The Director did not review the paperwork submitted for Staff member #1, operating under the assumption that the hours were documented correctly due to prior knowledge of the staff member and her experience. However, the Director has since taken proactive steps to address this oversight by reaching out to previous employers to verbally verify Staff member #1's experience. Staff #1 will be classified as an aide until documentation of experience has been received.

2024-11-01	Renewal	3270.66(a) - Locked or inaccessible	Compliant - Finalized
Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: On 11/4/24 observed Bic Wite-Out which indicated "keep out of the reach of children" in the top drawer of the teacher's desk which was accessible to children. On 11/4/24 observed 4 bottles of Bath and Body Works Concentrated Room Sprays, including 2 Vanilla Bean Noel, 1 Champagne Toast, and 1 Flannel, which indicated "keep out of the reach of children" on the bottom shelf above the changing table in the Toddler Room which were accessible to children. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
Provider Response: (Contact the State Licensing Office for more information.) The white-out was mistakenly placed in the wrong drawer; however, upon inspection while the certification representative was present, it was relocated to the locked drawer where it is typically stored. The room sprays were found on the bottom shelf of the diaper organizer, which hangs on the wall above the changing table. An adult is always present when a child is on the changing table, therefore would not have been accessible to children. To address this concern, the sprays have since been moved to a higher shelf above their original location, ensuring that they are no longer considered accessible to children while maintaining adult supervision during changing activities.

2024-11-01	Renewal	3270.76 - Building Surfaces	Compliant - Finalized
Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: On 11/4/24 observed rust on the heat register in the bathroom located in the Toddler Room. Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
Provider Response: (Contact the State Licensing Office for more information.) A new heat register has been installed to eliminate issues related to rust and peeling paint.

2024-11-01	Renewal	3270.77(a) - No peeling paint or plaster	Compliant - Finalized
Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: On 11/4/24 observed peeling paint on the heat register and to the right of the heat register in the bathroom located in the Toddler Room. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.
Provider Response: (Contact the State Licensing Office for more information.) A new heat register has been installed to eliminate issues related to rust and peeling paint. Peeling paint on the wall was removed, sanded, and repainted.

2024-11-01	Renewal	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: The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 11/3/23, 12/29/23, 1/26/24, 2/23/24, 3/22/24, 4/19/24, 5/17/24, 6/14/24, 7/12/24, 8/9/24, 9/9/24, 10/4/24, and 11/1/24. Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
Provider Response: (Contact the State Licensing Office for more information.) The Director inadvertently miscalculated the 30-day maintenance schedule, resulting in scheduling discrepancies. The tests were conducted monthly, just not specifically every 30 days.

2023-11-16	Renewal	3270.124(f) - Updated every 6 months	Compliant - Finalized
Regulation: 3270.124(f) Description: Updated every 6 months Noncompliance Area: The file for child #1 was observed to contain an emergency contact that was dated 02/01/2021, and not updated until 08/16/22 therefore not updated once in a 6-month period. Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.
Provider Response: (Contact the State Licensing Office for more information.) Child #1 has an admission date of 2/1/21, with an initial parent signature dated 1/26/2021, and review dates of 6/1/21 and 8/16/21. The emergency contact was not dated 2/1/2021. Child #1 was enrolled by a grandparent, who had custody at this time. Child #1¿s mother regained custody of Child #1 and took over the paperwork, creating her own account, but keeping the same admission date. The initial parent signature was dated 2/23/2022, on the new form and has been updated every 6 months within 6 months of each other. It was an oversight on behalf of the director. The current date tracking system works very well, however there was a little confusion with the transition to a new form.

2023-11-16	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: The facility's written policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment does not address the prevention and identification of child maltreatment. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
Provider Response: (Contact the State Licensing Office for more information.) The written policy was updated to include signs and symptoms of child maltreatment to prevent and identify child maltreatment.

2023-11-16	Renewal	3270.181(c) - Emergency info/agreement updated 6 mos	Compliant - Finalized
Regulation: 3270.181(c) Description: Emergency info/agreement updated 6 mos Noncompliance Area: The file for child #1 was observed to contain a financial agreement dated 02/01/2022 with no update at least once in a 6-month period. Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
Provider Response: (Contact the State Licensing Office for more information.) Child #1 has an admission date of 2/1/21, with an initial parent signature dated 1/26/2021, and review dates of 6/1/21 and 8/16/21. The agreement form was not dated 2/1/2021. Child #1 was enrolled by a grandparent, who had custody at this time. Child #1¿s mother regained custody of Child #1 and took over the paperwork, creating her own account, but keeping the same admission date. The initial parent signature was dated 2/23/2022, on the new form and has been updated every 6 months within 6 months of each other. It was an oversight on behalf of the director. The current date tracking system works very well, however there was a little confusion with the transition to a new form.

2023-11-16	Renewal	3270.27(a)(4) - Contact when ended	Compliant - Finalized
Regulation: 3270.27(a)(4) Description: Contact when ended Noncompliance Area: The facility was observed to have an Emergency Plan that does not provide a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.
Provider Response: (Contact the State Licensing Office for more information.) The original plan provided a brief statement stating that ¿Parents will be notified via Brightwheel in the event of an emergency.¿ The same statement was added to various sections throughout the emergency plan for all ¿Emergency Types.¿ However, director added to the original statement ¿Parents will be notified via brightwheel with instructions on how to safely pick up their child.¿

2023-11-16	Renewal	3270.71 - Heat Source	Compliant - Finalized
Regulation: 3270.71 Description: Heat Source Noncompliance Area: The heat pipe in the infant room which was covered in a wooden protective cover was missing the end cap and exposing the hot pipe. Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.
Provider Response: (Contact the State Licensing Office for more information.) A wooden end piece was designed and placed to fit into the end cap of the wooden protective cover to prevent the coils from being seen or touched.

2023-11-16	Renewal	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: The facilities documentation of testing every 30 days indicates that a period of 31 days occurred between the testing on January 3, 2023 and February 3, 2023. Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
Provider Response: (Contact the State Licensing Office for more information.) Director implemented a new tracking system to ensure that the testing is every 30 days and not monthly.

2022-11-08	Renewal	3270.102(a) - Clean and good repair	Compliant - Finalized
Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: Two plastic bins in the toddler space, one containing toy cars and one containing toy animals, were observed to have cracks and breaks, creating sharp edges, pinch and crush points. Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
Provider Response: (Contact the State Licensing Office for more information.) The bins were disposed of. New soft bins were purchased and are now in use.

2022-11-08	Renewal	3270.106(f) - 2 feet apart	Compliant - Finalized
Regulation: 3270.106(f) Description: 2 feet apart Noncompliance Area: A pack and play in the infant childcare space, located in the front of the building was observed to be occupied by an infant, who was nursing with a bottle, was without at least 2 feet of space on three sides of the bed. This occupied pack and play was against the sink on one side, and against a cabinet on another side, leaving only 2 sides with the 2 feet of space. 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.) Pack n plays and cribs will be pulled out and staggered while in use. This was actually observed by cert rep during rest time at time of inspection.

2022-11-08	Renewal	3270.131(d)(8) - Age appropriate screenings complete	Compliant - Finalized
Regulation: 3270.131(d)(8) Description: Age appropriate screenings complete Noncompliance Area: The file for child #1, was observed to lack a health report that included a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section. Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.
Provider Response: (Contact the State Licensing Office for more information.) Child #1's doctor made an error on the form and corrected it.

2022-11-08	Renewal	3270.131(e)(1) - Exemption documentation from parent/guardian	Compliant - Finalized
Regulation: 3270.131(e)(1) Description: Exemption documentation from parent/guardian Noncompliance Area: The file for child #2 was observed to lack written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of an annual flu vaccine administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.
Provider Response: (Contact the State Licensing Office for more information.) Child #2 does not get flu shots. Director reminded parent to follow the appropriate steps to exempt her child in order to remain in compliance.

2022-11-08	Renewal	3270.131(e)(2)(i) - Exemption documentation from parent/guardian	Compliant - Finalized
Regulation: 3270.131(e)(2)(i) Description: Exemption documentation from parent/guardian Noncompliance Area: The file for child #2 was observed to lack a signed and dated statement of exemption from immunization for religious belief or strong personal objection equated to a religious belief from the child's parent or guardian. Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.
Provider Response: (Contact the State Licensing Office for more information.) Child #2 does not get flu shots. Director reminded parent to follow the appropriate steps to exempt her child in order to remain in compliance.

2022-11-08	Renewal	3270.133(3) - Name on bottle	Compliant - Finalized
Regulation: 3270.133(3) Description: Name on bottle Noncompliance Area: Medication Albuterol, and Tylenol was observed to lack a label identifying the name of the child for whom the medication is intended. Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
Provider Response: (Contact the State Licensing Office for more information.) The medication was removed from the child's bag and given to the child's mother.

2022-11-08	Renewal	3270.133(4) - Locked	Compliant - Finalized
Regulation: 3270.133(4) Description: Locked Noncompliance Area: Medication Albuterol, was observed to be within the reach of children, specifically located in a Red bag hanging on the bottom row of coat hooks mounted to the interior wall of the bathroom in the toddler space. Correction Required: 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 medication was removed from the child's bag and given to the child's mother.

2022-11-08	Renewal	3270.133(6) - Written consent	Compliant - Finalized
Regulation: 3270.133(6) Description: Written consent Noncompliance Area: The file for child #1 was observed to lack written consent for administration of Albuterol medication Correction Required: A parent shall provide written consent for administration of medication or a special diet.
Provider Response: (Contact the State Licensing Office for more information.) A medication log was completed and was in the child's bag, however, went missing. A new medication log will be completed if the child brings the medication back.

2022-11-08	Renewal	3270.133(7) - Medication log	Compliant - Finalized
Regulation: 3270.133(7) Description: Medication log Noncompliance Area: The facility was observed to lack a medication Log for medication(s) Albuterol and Tylenol that was present at the facility Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.
Provider Response: (Contact the State Licensing Office for more information.) A medication log will be completed if the child brings the medication back.

2022-11-08	Renewal	3270.14 - Pertinent Laws & Regulations	Compliant - Finalized
Regulation: 3270.14 Description: Pertinent Laws & Regulations Noncompliance Area: The facility was observed to have an Emergency Plan that did not include continuity of operations in the event of an emergency at the facility Correction Required: The Emergency Plan shall include a statement regarding the continuity of operations in the event of an emergency at the facility
Provider Response: (Contact the State Licensing Office for more information.) Director added a section to the emergency preparedness plan detailing the course of action to take regarding continuity of operations in the event of an emergency at the facility.

2022-11-08	Renewal	3270.27(a)(5) - Emergency plan	Compliant - Finalized
Regulation: 3270.27(a)(5) Description: Emergency plan Noncompliance Area: The facility was observed to have an emergency plan that did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Provider Response: (Contact the State Licensing Office for more information.) Director added a section to the emergency preparedness plan detailing the course of action to take regarding accommodations for the evacuation for infants, toddlers, preschool, school aged children, children with disabilities, and children with chronic medical conditions in the event of an emergency at the facility.

2022-11-08	Renewal	3270.31(f) - Health and Safety Training	Compliant - Finalized
Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: The files for staff person(s) #1, and #2 were observed to lack documentation of completion of the following required pre-service training within 90 days of the date of hire (see LIS code sheet): CCDBG health and safety professional development. Correction Required: Staff person(s) #1, and #2 shall complete professional development in the topics of 3270.31(f)(1-10), within 90 days of hire. Staff person(s) #1, and #2 will have until December 15, 2022 to complete the required training. Until such time as the required training has been completed, staff person(s) #1, and #2 must be supervised when interacting with children by an AGS who has completed the required training related to this citation. If there are not staff available to supervise staff person(s) #1, and #2, staff person(s) #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 and Staff #2 will complete CCDBG Health and Safety Professional Development immediately. Staff #1 and Staff #2 will be supervised at all times until PD is completed.

2022-11-08	Renewal	3270.66(a) - Locked or inaccessible	Compliant - Finalized
Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: A clear bag containing toothpaste and other oral health products labeled with warnings to keep out of reach of children were observed to be within reach of children in the toddler space. These products were observed in a red bag, hanging on the bottom row of coat hooks mounted to the interior wall of the bathroom. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
Provider Response: (Contact the State Licensing Office for more information.) The clear zip lock bag of oral health products was immediately removed from the child's bag while cert rep was on site.

2022-11-08	Renewal	3270.66(b) - Original container	Compliant - Finalized
Regulation: 3270.66(b) Description: Original container Noncompliance Area: A white bottle without an original label or label that specified contents was observed in the locked right-hand cabinet in the pre-school bathroom. Staff person #1 verified that this white bottle contained a "cleaning solution", that was not specified on the label. Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.
Provider Response: (Contact the State Licensing Office for more information.) Director immediately labeled the bottle of sanitizing solution while cert rep was on site.

2022-11-08	Renewal	3270.76 - Building Surfaces	Compliant - Finalized
Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: The carpet on the 4th street side of the building in the toddler space was observed to be torn and presenting with strings and fringes posing a trip hazard. The corners of 2 metal air conditioning units present with sharp metal corners that protrude into the outdoor play space. The height of the AC unit's sharp metal corners are low enough to pose a 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.) The strings on the carpet have been cut and the separation has been tapped. The corners of the ac unit have been covered with rubber insulation. The other unit is not accessible and is currently gated off.

2021-11-05	Renewal	3270.102(a) - Clean and good repair	Compliant - Finalized
Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: On 11/9/21 observed torn rest mats with exposed foam in the Preschool Classroom. Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
Provider Response: (Contact the State Licensing Office for more information.) The mats that were ripped, and not in use, were stacked on the right side of the shelf and bins were placed on top of the stack to ensure that the mats were not used. All staff were aware that the ripped mats were not to be used until they were repaired. There was a stack of mats on the left side of the shelf that were in good repair and were the ones that were being used. However, all mats are repaired and are back in circulation.

2021-11-05	Renewal	3270.103 - Small Toys and Objects	Compliant - Finalized
Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: On 11/9/21 observed paper clips in the drawer beside the bathroom door in the Toddler Classroom which were accessible to children who are still placing objects in their mouths. Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
Provider Response: (Contact the State Licensing Office for more information.) The box of paper clips was removed, while cert rep was onsite, and placed in the designated space, which is in the cabinet.

2021-11-05	Renewal	3270.124(b)(3) - Parent home/work address, phone	Compliant - Finalized
Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: The files of Children #1, #2, #3, #4, and #5 lacked the work telephone number of the enrolling parent on the emergency contact form. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
Provider Response: (Contact the State Licensing Office for more information.) All families updated their registration forms. A majority of our families provide their cell phone as their "primary phone" and don't provide a work or home phone, as their primary number is the number they can be reached at at all times. Director reformatted the electronic form allowing families to choose an option to document their cell phone is their work and home phone.

2021-11-05	Renewal	3270.131(e)(1) - Exemption documentation from parent/guardian	Compliant - Finalized
Regulation: 3270.131(e)(1) Description: Exemption documentation from parent/guardian Noncompliance Area: The file of Child #1, a 7 month old, lacked documentation of the influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #1 also lacked documentation of the DTAP/DTP/TD and the Pneumococcal immunizations in accordance with the schedule recommended by the ACIP. The file of Child #1 contained documentation of 2 DTAP/DTP/TD immunizations and 2 Pneumococcal immunizations. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.
Provider Response: (Contact the State Licensing Office for more information.) Child #1 is up to date on immunizations, however an updated shot record was not submitted. Updated record was faxed to the facility, and director emailed it to cert rep.

2021-11-05	Renewal	3270.151(a) - 12 months prior to service and every 24 months thereafter	Compliant - Finalized
Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The file of Staff #4 lacked a health assessment conducted every 24 months. The file of Staff #4 contained a current health assessment dated 4/12/21 with a previous one dated 3/4/19. 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 #4 has a current health assessment. At our next staff meeting the director will remind and discuss the importance of updating documents on time and that it is the teacher's responsibility to complete these tasks on time and failure to do so will result in suspension.

2021-11-05	Renewal	3270.21 - General Health and Safety	Compliant - Finalized
Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: On 11/9/21 observed a pairing knife in the 2nd drawer from the bathroom door in the Toddler Classroom which was accessible to children. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.
Provider Response: (Contact the State Licensing Office for more information.) The knife was removed, while cert rep was onsite, and placed in the designated space, which is the cabinet.

2021-11-05	Renewal	3270.31(e)(4)(i) - Age and Training	Compliant - Finalized
Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: The files of Staff #2 and #3 lacked documentation of valid pediatric first-aid and pediatric cardiopulmonary resuscitation. Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.
Provider Response: (Contact the State Licensing Office for more information.) Staff #2 and #3 have pediatric first-aid and pediatric cardiopulmonary resuscitation.

2021-11-05	Renewal	3270.31(f) - Health and Safety Training	Compliant - Finalized
Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: The file of Staff #3 lacked documentation of completing the health and safety training within 90 days of hire. Staff #3 had a hire date of 6/21/21 with documentation of completing the health and safety training on 10/6/21. Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:
Provider Response: (Contact the State Licensing Office for more information.) Staff #3 has health and safety training. This concern will be addressed at staff meetings. The director will remind and discuss the importance of completing tasks on time and that it is the teacher's responsibility to complete tasks on time and failure to do so will result in suspension.

2021-11-05	Renewal	3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility	Compliant - Finalized
Regulation: 3270.32(a)/3270.192(2)(iii) Description: Comply with CPSL/Exp, educ., training at facility Noncompliance Area: Staff #4 lacked documentation of mandated reporter training completed every 60 months. Staff #4 had documentation of mandated reporter training completed on 9/10/21 with previous training completed on 8/28/16. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
Provider Response: (Contact the State Licensing Office for more information.) Staff #4 has updated mandated reporter training. At our next staff meeting the director will remind and discuss the importance of completing tasks on time and that it is the teacher's responsibility to complete tasks on time and failure to do so will result in suspension.

2021-11-05	Renewal	3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information	Compliant - Finalized
Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file of Staff #1 lacked a State Police Clearance and Child Abuse Clearance updated every 60 months. The file of Staff #1 contained a State Police Clearance dated 7/14/21 with a previous one dated 7/13/16. The file of Staff #1 contained a Child Abuse Clearance dated 7/16/21 with a previous one dated 7/13/16. The file of Staff #2 lacked a valid State Police Clearance because it did not contain a disseminated by date. The file of Staff #4 lacked documentation of the National Sex Offender Registry Verification Certificate by July 1, 2020. Staff #4 had a start date of 3/5/19 with a NSOR dated 9/17/20. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
Provider Response: (Contact the State Licensing Office for more information.) It is the director's responsibility to renew clearances for current staff. Director implemented a new system set with reminders to renew staff clearances and other documents and tasks before the current document expires. Director will review documents monthly to ensure documents are renewed on time. The error with Staff #1 was at the fault of the director. Staff #1 has updated clearances. Staff #2 was unable to find the original email with the state police clearance. Director applied for a new State Police Clearance on 11/29/21. Staff #4 lost the original NSOR during a move, therefore a new NSOR was requested.

2021-11-05	Renewal	3270.66(a) - Locked or inaccessible	Compliant - Finalized
Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: On 11/9/21 observed Dove deodorant which indicated "keep out of reach of children" in the drawer beside the bathroom door in the Toddler Classroom. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
Provider Response: (Contact the State Licensing Office for more information.) The deodorant was removed, while cert rep was onsite, and placed in the designated space, which is in the cabinet.

2021-11-05	Renewal	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: The facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 11/24/20, 12/17/20, 1/12/21, 7/1/21, 8/1/21, 9/1/21, 10/1/21, and 11/1/21. 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.) Director had a fire professional manually test the fire detection system annually at our fire safety training. Director believed that if a fire professional tested the fire detection system annually, monthly checks did not have to occur. The fire professional wrote a letter documenting that the detection system was inspected and in good working order, and this letter sufficed during previous inspections. However, it was then brought to the Director's attention that if the detection system was inspected monthly, the fire professional would not have to conduct annually, therefore the director began with testing every 30 days, not realizing months with 31 days would change the date of the monthly test. Director is aware of everything now and will continue with checks every 30 days.

2020-11-02	Renewal	3270.102(a) - Clean and good repair	Compliant - Finalized
Noncompliance Area: On 11/3/2020 observed a torn red circular polka dotted lid and a torn yellow rectangular polka dotted lid to the shape sorters in the Toddler Room. Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
Provider Response: (Contact the State Licensing Office for more information.) The shape sorter was discarded. All staff in the classrooms will check the toys and equipment daily and throughout the day to ensure that any toy or piece of equipment is not in poor repair and/or can lead to an injury.

2020-11-02	Renewal	3270.133(7) - Medication log	Compliant - Finalized
Noncompliance Area: On 11/3/2020 observed that the operator did not establish a medication log for Child #1 if prescription or nonprescription medication is administered. Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.
Provider Response: (Contact the State Licensing Office for more information.) Child #1 has a medication log. Please note that the operator used a Special Care Plan form, taken from Caring For Our Children 5th edition, specific to the medication. The CFOC form contained all the information that is required on the DHS medication form and then some, other than the question, "Is refrigeration required," and did not have a specific space to write the date and time the medication was administered. However, if the medication was administered, 911 would have been called immediately, the parent would have been contacted, the incident would have been documented on the child's daily log, the operator would have reported the incident to DHS, and a new Special Care Plan form would have been completed by the parent, as the Special Care Plan form is specific to the specific medication. In the future, the operator will ensure the DHS medication form is completed by the parent and stapled to the Special Care Plan form.

2020-11-02	Renewal	3270.151(c)(2) - Mantoux TB	Compliant - Finalized
Noncompliance Area: The file of Staff #1 lacked an adult health assessment which includes tuberculosis screening by the Mantoux method at initial employment. Staff #1 had a start date of 10/22/20 with a health assessment dated 10/9/20 but a Mantoux test read date of 5/2/19. Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.
Provider Response: (Contact the State Licensing Office for more information.) Staff #1 has a current TB test. Please note, the staff in question was to be hired PRN, as needed basis. When the initial health assessment was completed the PPD was administered. After operator gathered the rest of the required documents for hire, the operator could not use the current clearance, as they were not specific to DHS. Fast forward to September 2020, the operator renewed all the required clearances for PRN hire, and staff in question received another health assessment, but lacked a PPD, the staff in question was not needed to cover shifts as previously intended, so staff in question never worked in the facility. When staff files were pulled operator was asked for all new hires, even though staff in question never worked in the facility, but would have if needed, operator had her chart reviewed as a new PRN staff, and operator was asked to pick a start date. In the future, operator will ensure that if a staff returns for employment and has been away from the facility for 6 months or more that the staff will have to have a new health assessment completed along with administration of a PPD.

2020-11-02	Renewal	3270.65 - Protective Outlet Covers 5 yrs. or less	Compliant - Finalized
Noncompliance Area: On 11/3/2020 observed that the electrical outlet to the left of the bathroom door in the Toddler Room lacked a protective receptacle cover. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
Provider Response: (Contact the State Licensing Office for more information.) Please note that the unprotected outlet was not close to the floor, as it was a little higher than the counter top, still accessible to the taller children, but not as easy to get to! The cover was placed in the outlet. All staff will ensure that every outlet is protected at all times. Staff will ensure that if an outlet protector is removed to use protector to plug something in, that the outlet is immediately protected when not in use. Director will remind staff and ensure that there are extra outlet protectors in the event the outlet protector is misplaced or breaks.

2020-11-02	Renewal	3270.66(a) - Locked or inaccessible	Compliant - Finalized
Noncompliance Area: On 11/3/2020 observed Bic White-out which indicated "keep out of the reach of children" in the top drawer beside the bathroom door in the Toddler Room which was accessible to children. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
Provider Response: (Contact the State Licensing Office for more information.) White out was placed in the cabinet above the counter. Staff will ensure that everything that is unsafe, such as toxics or anything that reads "Keep away from children," will be placed in the cabinet above the counter, which is not accessible to the children. Director will ensure that unsafe or harmful objects are stored appropriately by reminding staff to place such items or objects in the cabinet and will do periodic spot checks.

2020-01-08	Unannounced Monitoring	3270.106(b) - No bed linens alone	Compliant - Finalized
Noncompliance Area: Observed a child lying only on a blanket for rest equipment in the Preschool Room. Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.
Provider Response: (Contact the State Licensing Office for more information.) The child did have his own cot in a different spot in the classroom, however, was being disruptive during rest time and would not stay on his cot. Therefore, staff moved the child to be closer to an adult. All staff were reminded that all children need to have a cot or mat during rest time, and are forbidden to lay on the floor or just on a blanket. In the future, when children are being disruptive at rest time and will not stay on their own cot, or just need to be close to an adult, staff can have the child lay by him or her along with all necessary rest equipment.

2020-01-08	Unannounced Monitoring	3270.106(f) - 2 feet apart	Compliant - Finalized
Noncompliance Area: Observed 2 children sleeping side by side with no space between the rest equipment in the Preschool Room. 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.) A child was was having difficulty at rest time staying on his own cot, was moved to be closer to a staff member. This child did end up falling asleep, and was positioned in front of the staff member. The child that was originally close to the staff at the beginning of rest time was positioned to the left of the staff (did not sleep) and there was another sleeping child positioned to the right of the staff. In the future children will maintain a 2 foot separation. All staff were reminded of this regulation. Staff will be sure to rearrange the children if changes to the sleeping arrangements need to be made.

2019-11-04	Renewal	3270.102(a) - Clean and good repair	Compliant - Finalized
Noncompliance Area: Observed a torn slotted container for buttons in the Preschool Classroom. Observed a Step 2 tan house with a green roof with a crack at the pitch in the roof above the right side window in the Outdoor Play Space. Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
Provider Response: (Contact the State Licensing Office for more information.) Although the button sorter was ripped it did not pose a threat to the children. The tear was free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. The tear was repaired. The roof was repaired. Staff will be more observant when checking for toys that need to be repaired. Toys will be repaired or discarded if needed.

2019-11-04	Renewal	3270.104(a) - Clean, good repair, proper size	Compliant - Finalized
Noncompliance Area: Observed a free standing children's mirror which was not secured creating a potential tipping hazard in the Toddler Classroom. Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.
Provider Response: (Contact the State Licensing Office for more information.) The freestanding mirror has been in the dramatic play center for 2 + years and has never fallen over. Daily checks are performed to ensure that all pieces of furniture are safe and do not pose a threat to the children's safety, and the screws are tightened frequent to prevent it from tipping. However, the mirror will be screwed to the wall to suffice Cert Reps concerns.

2019-11-04	Renewal	3270.105 - High Chairs	Compliant - Finalized
Noncompliance Area: Observed a high chair which lacked a T-shaped safety strap in the Toddler Classroom. Correction Required: High chairs shall have a wide base and a T-shaped safety strap.
Provider Response: (Contact the State Licensing Office for more information.) The straps to the highchair were being cleaned in a washing machine as they were soiled. The high chair was not in use, and was not going to be used until the straps were placed back in the chair. All staff are aware that children are required to be in a T-shaped harness while in the high chairs.

2019-11-04	Renewal	3270.106(a) - Clean, age appropriate	Compliant - Finalized
Noncompliance Area: Observed rest equipment not labeled for the use of a specific child in the Toddler Classroom. Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.
Provider Response: (Contact the State Licensing Office for more information.) Children's blankets for rest time are stored in a bin with the child's name on it. However, all individual blankets have been labeled. Staff will be sure to double check blankets daily as they are distributing the blankets for rest time, and be sure that new blankets that come in will be labeled.

2019-11-04	Renewal	3270.131(e)(1) - Exemption documentation from parent/guardian	Compliant - Finalized
Noncompliance Area: The files of Children #1 and #2 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.
Provider Response: (Contact the State Licensing Office for more information.) Child #1 had the first dose of the Influenza and is getting the 2nd dose on 11/19/2019. Child #1's parent will provide documentation once both doses are given. Child #2 also will also be getting the flu shot this flu season, however has been on antibiotics for an ear infection, in which an appointment will be made when the child is off the antibiotics. From this point forward parents are required to submit an updated shot record each time their child receives an immunization. If a child is exempt from immunizations and /or the flu shot, parents will check the exempt box on the child's registration box and be required to give an explanation in writing. If a child is missing or late on an immunization due to a medical reason the parent will be required to submit a statement from the child's doctor explaining the reason.

2019-11-04	Renewal	3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information	Compliant - Finalized
Noncompliance Area: The file of Staff #1 lacked documentation of FBI fingerprint submitted receipt dated prior to or on the date of initial hire. Staff #1 had a start date of 11/5/18 with a fingerprint receipt dated 11/7/18 and a FBI clearance dated 11/8/18. 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 will ensure that all new hires have appropriate clearances in hand before their first day of employment in the facility.

2019-11-04	Renewal	3270.76 - Building Surfaces	Compliant - Finalized
Noncompliance Area: Observed approximately a 1 inch by 2 inch hole and a 1 inch by 3 inch hole at the bottom of the first side fence panel at the front of the building in the Outdoor Play Space. Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
Provider Response: (Contact the State Licensing Office for more information.) The hole will be repaired. All staff were reminded to perform daily classroom checks to ensure that there are no holes in play equipment, floors, walls, or surfaces.

2019-11-04	Renewal	3270.77(a) - No peeling paint or plaster	Compliant - Finalized
Noncompliance Area: Observed a missing piece of plaster with an exposed nail to the right of the book area in the Infant Classroom. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.
Provider Response: (Contact the State Licensing Office for more information.) The hole was repaired and will be monitored. All staff are reminded to continue to perform daily checks to ensure there are no holes or peeling paint in the classrooms.

2019-11-04	Renewal	3270.82(h) - Handwashing signs	Compliant - Finalized
Noncompliance Area: The toilet in the Toddler Classroom and the toilet in the Preschool Classroom lacked hand washing signs. 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.) Signs were posted in the bathrooms by the sinks where they will remain. New signs were added above the toilets where they will remain.

2019-04-17	Allocated Unannounced Monitoring	3270.102(a) - Clean and good repair	Compliant - Finalized
Noncompliance Area: Observed 2 Lakeshore lids for stacking blocks with torn corners in the Toddler Room. Observed a Lakeshore stacking block with approximately a 2 inch tear on the bottom in the Toddler Room. Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
Provider Response: (Contact the State Licensing Office for more information.) The sorting containers were removed from the play space and discarded. We examined the sorting containers at the monthly meeting to show all staff what the problem was with the containers. The material the containers are made from are vinyl and do not have sharp edges, pinch or crush points or splinters, however to avoid future violations all lids for these particular sorting containers were discarded. Staff will check toys, play equipment, and other indoor and outdoor equipment used by the children to make sure they are clean, in good repair, and free from rough edges, sharp corners, pinch and crush points, splinters, and exposed bolts.

2019-04-17	Allocated Unannounced Monitoring	3270.103 - Small Toys and Objects	Compliant - Finalized
Noncompliance Area: Observed paper clips in the top drawer beside the bathroom door in the Toddler Room which were accessible to children. 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.) Paper clips were removed from the drawer, and staff went through the drawer and made sure there were not any other objects in the drawer that should not be in there. Director discussed this at the monthly meeting to ensure that all staff are aware that small objects can not be stored in the drawers and a special spot was designated for smaller objects.

2019-04-17	Allocated Unannounced Monitoring	3270.151(c)(2) - Mantoux TB	Compliant - Finalized
Noncompliance Area: The file of Staff #1 lacked an adult health assessment which includes tuberculosis screening by the Mantoux method at initial employment. Staff #1 had a start date of 3/5/19 with a health assessment dated 3/4/19 but a Mantoux test read date of 8/31/16. Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.
Provider Response: (Contact the State Licensing Office for more information.) Staff #1 was a rehire and Director told Staff #1 that she did not need a TB, as TB's are one and done, however Director did not take into account the leave of absence and her return qualified her to receive another TB shot. Director will ensure that all re-hires receive another TB test during the their initial health assessment appointment.

2019-04-17	Allocated Unannounced Monitoring	3270.21 - General Health and Safety	Compliant - Finalized
Noncompliance Area: Observed adult scissors in the top drawer under the microwave in the Preschool Room which were accessible to children. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.
Provider Response: (Contact the State Licensing Office for more information.) The scissors were placed in the cabinet with the other sharp objects where they will remain. The kitchen scissors are usually placed on top of the microwave, however were placed in the drawer in the kitchen, a drawer that the children do not access.

2018-11-06	Renewal	3270.102(a) - Clean and good repair	Compliant - Finalized
Noncompliance Area: Observed foam blocks with bite marks in the Infant Room. Observed a blue pillow with approximately a 1 inch hole with exposed stuffing in the Infant Room. Observed a Step 2 tan house with a green roof and red door with approximately a 1 inch by 1/2 inch piece missing from the roof above the bay window creating rough edges in the outdoor play space. Observed a Little Tykes tan house with a brown roof with approximately a 1 1/2 inch crack at the table creating rough edges and pinch points in the outdoor play space. Observed a yellow Lakeshore lid for stacking blocks with 2 torn corners in the Toddler Room. Observed foam blocks with bite marks in the Preschool Room. Observed a white shelf containing connectors which was not anchored creating a potential tip hazard in the Preschool Room. Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
Provider Response: (Contact the State Licensing Office for more information.) Foam blocks were added to all classrooms per Keystone Stars Environmental Rating Scale. All foam blocks purchased were purchased based on the age of the children who would be playing with them. Even though there were bite marks on the blocks, staff monitor materials and discard of any that could cause harm or an injury. However, foam blocks have been removed from the infant room, as well as the blue pillow. Foam blocks in the preschool room were all checked and verified intact. Equipment in the play yard was repaired, and the yellow lid was removed from the classroom. The shelf will be anchored to the wall on November 17, 2018. Staff will continue to monitor all materials in the classrooms to ensure everything is in good repair and discard of materials that could cause harm or injury.

2018-11-06	Renewal	3270.124(b)(3) - Parent home/work address, phone	Compliant - Finalized
Noncompliance Area: The files of Children #1 and #2 lacked the complete work address of the enrolling parent on the emergency contact form. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
Provider Response: (Contact the State Licensing Office for more information.) The city, state and zip code were added to the rest of the address that was already provided on the form of Child #1. The street number was added to the rest of the address that was already provided on the form of Child #2. From this point on Director will ensure that all addresses on the form are complete with the street number, street name, city, zip, and state.

2018-11-06	Renewal	3270.124(b)(7) - Name/address/phone release person	Compliant - Finalized
Noncompliance Area: The file of Child #2 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
Provider Response: (Contact the State Licensing Office for more information.) The street number was added to the rest of the address that was already provided on the form. From this point on Director will ensure that all addresses on the form are complete with street number, street name, city, state, and zip.

2018-11-06	Renewal	3270.131(b)(1) - Infant: updated health report every 6 months	Compliant - Finalized
Noncompliance Area: The file of Child #4 lacked an updated health report at least every 6 months for an infant or young toddler. The file contained a current health report dated 10/3/18 with a previous one dated 1/17/18. Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler
Provider Response: (Contact the State Licensing Office for more information.) Director reviews all electronic forms monthly, however missed this. Director will monitor health assessments better to ensure that all health assessments are updated when they should be and will suspend services if health assessments are not provided on time.

2018-11-06	Renewal	3270.131(b)(2) - Toddler/preschool: updated health report every 12 months	Compliant - Finalized
Noncompliance Area: The file of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file contained a current health report dated 7/18/18 with the previous one dated 1/1/17. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
Provider Response: (Contact the State Licensing Office for more information.) After careful review of Child #1's file, there was an error when the health assessment date was entered on the electronic form, which compromised the tracking process. The date on the electronic version was entered on 07/07/17 instead of 01/07/17, therefore changed the expiration of the health assessment form to July 2018. From this point on Director will ensure that the date on the paper form matches the date on the electronic form.

2018-11-06	Renewal	3270.151(c)(2) - Mantoux TB	Compliant - Finalized
Noncompliance Area: The file of Staff #1 lacked a health assessment with a tuberculosis screening by the Mantoux method at initial employment. Staff #1 had a start date of 5/14/18 but a Mantoux read date of 5/15/18. Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.
Provider Response: (Contact the State Licensing Office for more information.) Staff #1 had the initial health assessment on 5/12/18....before the hire date of 5/14/18. Director verified the health assessment was completed and confirmed that the doctor checked "Yes", stating that Staff #1 was suitable for providing childcare. Moving forward Director will ensure that the PPD is read before the initial start date.

2018-11-06	Renewal	3270.21 - General Health and Safety	Compliant - Finalized
Noncompliance Area: Observed loose sheets in 6 pack 'n plays creating a potential suffocation hazard in the Infant Room. Observed an apple slicer in the bottom drawer to the right of the sink in the Preschool Room. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.
Provider Response: (Contact the State Licensing Office for more information.) All sheets have been discarded and will not be used. The apple slicer was removed from the drawer and placed in the top cabinet.

2018-11-06	Renewal	3270.32(a) - Comply with CPSL	Compliant - Finalized
Noncompliance Area: The file of Staff #1 lacked documentation of the mandated reporter training within 90 days of start. Staff #1 had a start date of 5/14/18 with mandated reporter training completed on 10/9/18. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).
Provider Response: (Contact the State Licensing Office for more information.) This was a director error. From this point on Director will ensure that all new hires complete the mandated reporter training within 90 days of hire and will enforce suspension of employment until the certificate of completion is provided.

2018-11-06	Renewal	3270.36(b)(5)/3270.192(2)(iii) - HS/GED + 2 yrs/Exp, educ., training at facility	Compliant - Finalized
Noncompliance Area: The file of Staff #1 lacked documentation of 2 years experience with children. Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
Provider Response: (Contact the State Licensing Office for more information.) Upon hire Staff #1 provided documentation of 2304 hours of experience, therefore was hired on as an Aide. After working in the childcare facility from 5/14/18 to 7/31/18 Staff #1 earned 198.5 hours giving Staff #1 2502.50 hours, which exceeds the 2500.00 hours required, allowing Staff #1 to become an Assistant Group Supervisor. The staff data sheet, that is completed on each staff and provided to cert reps the day of inspection, contains each staff's start date and employment status (Full time vs. part time), which Director feels suffices as documentation required to determine if staff meets requirements, as a full time staff would work 32-40 hours per week and using the start date to calculate hours worked. This was never an issue in the past, and is how previous cert reps determined eligibility. Moving forward Director will put reports on each staff detailing hours worked to serve as documentation of experience.

2018-11-06	Renewal	3270.76 - Building Surfaces	Compliant - Finalized
Noncompliance Area: Observed a nail protruding from the bottom of the wall on the left side of the gate in the Toddler Room. Observed rust on the heat register in the Toddler Bathroom. Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
Provider Response: (Contact the State Licensing Office for more information.) The nail was pounded down, and the heat register will be replaced on November 17, 2018. Staff will continue to complete Regulation checklists to ensure that no hazards are present in the childcare space.

2018-11-06	Renewal	3270.77(a) - No peeling paint or plaster	Compliant - Finalized
Noncompliance Area: Observed peeling paint to the left of the toilet in the Toddler Bathroom. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.
Provider Response: (Contact the State Licensing Office for more information.) Trim in the bathroom will be replaced. Staff will continue to complete checklists and look for areas where paint is separating from the wood and will alert director immediately.

2017-11-27	Renewal	3270.102(a) - Clean and good repair	Compliant - Finalized
Noncompliance Area: Observed a torn cloth bin containing train tracks in the preschool classroom. Observed a children's picnic table with splintering wood on the seat in the outdoor play space. Observed a crack where the table meets the outside wall of the Little Tykes brown and tan playhouse in the outdoor play space. Observed a crack at the door of the Little Tykes brown and tan playhouse in the outdoor play space. Observed 2 alligator see saws with cracked eyes creating rough edges in the outdoor play space. Observed 1 alligator see saw with missing handles in the outdoor play space. Observed a blue and white play house with a loose metal strip at the entrance in the outdoor play space. Observed a Step 2 tan, red, and green playhouse with approximately a 2 by 2 hole in the roof in the outdoor play space. Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
Provider Response: (Contact the State Licensing Office for more information.) All equipment, indoor and outdoor, have been repaired. Staff will check daily for equipment that needs repaired or removed from the play space. Equipment will be removed from play space until the repair takes place.

2017-11-27	Renewal	3270.103 - Small Toys and Objects	Compliant - Finalized
Noncompliance Area: Observed Smart Foam Valentine Day shapes in the 2nd drawer of the plastic containers located by the entrance door in the Infant 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.) Staff removed all items from drawer and placed them in a locked cabinet. Staff will not use this drawer for craft supplies.

2017-11-27	Renewal	3270.123(a)(3) - Services proceeded	Compliant - Finalized
Noncompliance Area: The files of Children #1, #2, #3, #4, #5, and #6 lacked the services to be provided to the family and the child on the agreement. Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).
Provider Response: (Contact the State Licensing Office for more information.) The Little Red School House, Inc., began using electronic forms in 2015. Director sent a form to cert rep to approve before the facility went electronic. The forms were approved with no changes requested. During a previous annual inspection the cert rep questioned a few things about the form and Director contacted the company that creates the forms and requested changes per the cert rep were made immediately. The cert rep obtained a copy of the form to submit to cert reps supervisor for review to ensure that the form had all the information required. No further changes were requested. Director once again contacted the company that owns the forms and requested that services be added to the agreement section, in which the company updated the forms immediately.

2017-11-27	Renewal	3270.124(b)(2) - Physician name, address, phone	Compliant - Finalized
Noncompliance Area: The file of Child #2 lacked the complete address of the child's physician or source of medical care. The files of Children #4 and #5 lacked the address of the child's physician or source of medical care. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
Provider Response: (Contact the State Licensing Office for more information.) All parents were informed again that all addresses on the electronic form must be completed in the proper format, ie. Number, street, city, state, zip. Director will ensure that all addresses are entered correctly at enrollment and when the form is updated every 6 months.

2017-11-27	Renewal	3270.124(b)(3) - Parent home/work address, phone	Compliant - Finalized
Noncompliance Area: The files of Children #4 and #5 lacked the work address of the enrolling parent on the emergency contact form. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
Provider Response: (Contact the State Licensing Office for more information.) All parents were informed again that electronic forms need to have information entered in all fields throughout the form. Provider contacted the business that owns the electronic forms and had them make the business name and business address, for each parent listed on the form, a required field. Therefore, when parents are completing the form they will be unable to submit the form for successful completion until this information is provided.

2017-11-27	Renewal	3270.124(b)(7) - Name/address/phone release person	Compliant - Finalized
Noncompliance Area: The files of Children #2 and #6 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #4 lacked the complete address and the telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
Provider Response: (Contact the State Licensing Office for more information.) All parents were informed again that all addresses on the electronic form must be completed in the proper format, ie. number, street, city, state, zip. Director will ensure that all addresses are entered correctly at enrollment and when the form is updated every 6 months.

2017-11-27	Renewal	3270.166(4) - Bottles labeled	Compliant - Finalized
Noncompliance Area: Observed bottles in the infant room which were not labeled with the child's name. Correction Required: Disposable nursers and bottles shall be labeled with the child's name.
Provider Response: (Contact the State Licensing Office for more information.) Bottles are all labeled. This particular bottle was out of use and the name had rubbed off, however Staff will ensure that the labels have not rubbed off during cleaning and sanitizing of the each bottle.

2017-11-27	Renewal	3270.21 - General Health and Safety	Compliant - Finalized
Noncompliance Area: Observed an electrical cord to an air conditioner in the toddler room which was not secured creating a potential strangulation hazard. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.
Provider Response: (Contact the State Licensing Office for more information.) The cord to the air conditioner was behind a play kitchen set, however Staff taped it to the wall during the time of inspection. Staff will ensure that any and all cords are secured to something to prevent a potential strangulation hazard.

2017-11-27	Renewal	3270.32(a) - Comply with CPSL	Compliant - Finalized
Noncompliance Area: The file of Staff #9 contained a State Police Clearance dated 5/25/17 indicating volunteer not employment. During the inspection, an updated State Police Clearance indicating employment was obtained. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).
Provider Response: (Contact the State Licensing Office for more information.) Director will be sure to check all clearances prior to employee's first day of work to ensure that proper clearances were obtained.

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Providers in ZIP Code 16630

LITTLE RED SCHOOL HOUSE

CHILDRENS EXPRESS INC

MAC LEARNING CENTER

Pre-Primary School

Mount Aloysius Head Start

Start Smart Learning Center Sankertown

PENN CAMBRIA BEFORE & AFTER SCHOOL PROGRAM

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