Primrose School Of Wexford
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Contact Information
📞 (412) 585-8307Reviews
Let me start out by saying that I should have trusted my gut about this place. I initially reached out in January 2022, when I was 3 months pregnant, because I knew that waitlists would be long. The director, Ashley, responded to my online form submission via email and then disappeared. It took a follow up email, a missed phone call, and a comment on Facebook to finally get her to call me back a month later at the end of February 2022. Almost all of her email communications were delayed and she was unresponsive. I tried calling many times, but not ONCE have I called this place and had someone answer the phone. These were the first red flags.
Still, I scheduled a tour with Ashley in March. The tour went fine, and she told me that a spot would be available for my infant in November 2022 for Fall enrollment. She sent me home with the paperwork. My husband and I took the night to think about it, and the very next day scanned and emailed our application to Ashley. She responded and confirmed she received the application and told us "Welcome to Primrose". I emailed her again to ask if I could drop off the $150 deposit in person, as I live right down the road, which I did do. Ashley again emailed me after this and told me she received my check (she wasn't available when I arrived) and "Welcome to Primrose". My check was cashed shortly after.
Now, in September, I'm making plans to go back to work and email Ashley for an official start day. Two weeks go by with no response. I call - as usual, they don't pick up the phone. Finally, I sent ANOTHER email and she responds back that she 'regrets to inform me' that she never processed my application through their system and therefore she never actually reserved my spot - despite cashing my deposit. That was it - no offer to return my deposit, no mention of a way to remedy the situation, not even information on when a new spot might be available.
I thought for sure there was a mistake. I called Ashley's direct line and the main line to the daycare - big surprise, no answer. I left voicemails on both. I got tired of waiting and sent another email to Ashley saying that I didn't understand what was happening, as I'd submitted an application, paid a deposit, and was welcomed to the school. She responded to my email and told me that it was her error, but there is nothing they could do. The soonest availability for my daughter would be June 2023 when she turned a year old. I emailed her back and told her to call me, I wanted to speak on the phone.
I spoke with both Ashley (Director) and Liz (Owner) over the phone. Both were unapologetic, unsympathetic and nonchalant about the entire situation. Liz said "I don't know what you want us to do, we're just humans here." Yes, we all make mistakes, but when I make a mistake, I fix it.
This is a mistake that is going to cost me greatly financially, professionally and emotionally. My options are to take a leave of absence from work, pay almost triple to hire a full-time nanny (if I can even find one on short notice) or to sacrifice both the quality of my daughter's care and the quality of my work by juggling both. Yet, Primrose doesn't care.
So, ask yourself if you want incompetent, unsympathetic people caring for your child. And if you do decide to enroll at Primrose, double, triple, quadruple check that they do their jobs.
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About the Provider
Hours of Operation
- HoursNot listed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
|---|---|---|---|
| 2026-07-09 | Unannounced Monitoring | 3270.132(a) - Contact parent/keep record | Compliant - Finalized |
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Regulation: 3270.132(a) Description: Contact parent/keep record Noncompliance Area: Based on the investigation, the parents of Child #1 were not called by phone at the time child #1 received an injury that required immediate medical attention. Correction Required: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent. |
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Provider Response: (Contact the State Licensing Office for more information.) We will ensure that in all cases of injury that require emergency medical care, the parent is contacted as soon as practical in the best interest of the child, by phone. Notification in Procare alone is not sufficient notification when emergency medical care is required. If the parent cannot be reached, we will record in writing the reason emergency care was required and the attempts made to inform the parent. |
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| 2026-03-03 | Unannounced Monitoring | 3270.51 - Similar Age Level | Compliant - Finalized |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: During an unannounced monitoring inspection on 3/3/36 at 3:28 PM, in Early Preschool 1, with 10 older toddlers and 2 staff present, Staff person #1 claimed responsibility for 7 older toddlers and Staff person #2 claimed responsibility for 3 older toddlers. Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. |
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Provider Response: (Contact the State Licensing Office for more information.) After the inspection on 3/3/2026 we made sure we posted the classroom ratio in each room as well as numbered each classroom whiteboard (used to track each staff member in the classroom and the children they are responsible for supervising) to ensure that each staff in the classroom only has placeholders to list children up to the maximum ratio for that age group. |
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| 2025-12-08 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: There were sensory bottles in Infant B and Toddler (Room 3) containing items smaller than an inch inside with an unsecured lid making the items 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The sensory bottles in Infant 2 were sealed with hot glue and duct tape. The sensory bottles in toddler (room 3) were emptied when discovered in the inspection. |
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| 2025-12-08 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The most recent Child Service report on file for Child #1, #2, #3, #4, #5, and #6 is dated more than 6 months after the previous Child Service. 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). |
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Provider Response: (Contact the State Licensing Office for more information.) We will ensure that all Child Service Reports are dated when completed and are less than 6 months after the previous report. |
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| 2025-12-08 | Renewal | 3270.124(b)(2) - Physician name, address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(2) Description: Physician name, address, phone Noncompliance Area: The emergency contact form on file for Child #3 does not include the telephone number for the child's pediatrician 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We updated the emergency contact form for Child #3 to include the telephone number for the child's pediatrician. |
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| 2025-12-08 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The emergency contact form on file for Child #1, #2 does not include a complete address for all listed release persons. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We updated the emergency contact forms for Child #1 & Child #2 to include a complete address for all listed release persons. |
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| 2025-12-08 | Renewal | 3270.124(c) - Each child care space | Compliant - Finalized |
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Regulation: 3270.124(c) Description: Each child care space Noncompliance Area: Two children were observed receiving care in Preschool Pathways without their emergency contact forms being in the classroom. Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. |
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Provider Response: (Contact the State Licensing Office for more information.) The two children that were observed in Preschool Pathways without their emergency contact forms being in the classroom, were students that are enrolled in a different same-age classroom, but where in Preschool Pathways on the day of inspection. Going forward, we will ensure that emergency contact forms are moved to the classrooms with the child. |
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| 2025-12-08 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: The most recent 6-month review signature for the emergency contact form on file for Child #2 is dated more than 6 months ago. The most recent 6-month review signature for the emergency contact form and agreement on file for Child #3, #4, and #8 is dated more than 6 months after the previous 6-month review signature. Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. |
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Provider Response: (Contact the State Licensing Office for more information.) The 6-month review signature for the emergency contact forms for child #2, #3, #4, #8 were dated and reviewed and presented at inspection, however the time between the signatures was greater than 6-months. |
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| 2025-12-08 | Renewal | 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(b)(2)/3270.182(1) Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Noncompliance Area: The two most recent health assessments on file for Child #7, who is a preschool age child, are dated 7.31.24 and 8.7.25, more than 12 months apart. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) The two most recent health assessments for child #7 were more than 12 months apart, moving forward we will ensure to obtain health assessments at least every 12 months. |
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| 2025-12-08 | Renewal | 3270.133(5) - Original label | Compliant - Finalized |
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Regulation: 3270.133(5) Description: Original label Noncompliance Area: There was an EpiPen in the Explorers classroom that had expired on 112024, and was therefore not in accordance with the manufacturer's original label. Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. |
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Provider Response: (Contact the State Licensing Office for more information.) After discussions with the parents of the child with the expired EpiPen, they informed us that the child no longer needed the EpiPen. The expired EpiPen was returned to the family. |
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| 2025-12-08 | Renewal | 3270.133(6) - Written consent | Compliant - Finalized |
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Regulation: 3270.133(6) Description: Written consent Noncompliance Area: There was an AuviQ pen in Preschool Pathways labeled for use by a specific child which did not have written parental permission to administer. There was an EpiPen in Pre-K 2 labeled for use by a specific child which did not have written parental permission to administer. There was an EpiPen in Preschool 2 labeled for use by a specific child which did not have written parental permission to administer. Correction Required: A parent shall provide written consent for administration of medication or a special diet. |
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Provider Response: (Contact the State Licensing Office for more information.) We obtained written parental permission to administer the AviQ pen to the child in Preschool Pathways. After discussions with the child's parents in Pre-K 2, it was determined the child no longer needs the EpiPen and it was returned to the family. We obtained written parental permission to administer the EpiPen to the child in Preschool 2. |
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| 2025-12-08 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: The Shaken Baby Policy submitted by the facility does not include language regarding 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We will update our Shaken Baby Policy to include language regarding the prevention and identification of child maltreatment. |
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| 2025-12-08 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.192(3) Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test Noncompliance Area: The 2 most recent health assessments on file for Staff person #5 were dated 1.27.23 and 2.18.25, more than 24 months apart. The file for Staff person #6 includes a health assessment that is dated more than 12 months prior to hire (See LIS CODE SHEET). Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) The two most recent health assessments for staff #5 were obtained but were more than 24 months apart. Staff person #6 obtained their health assessment on 1/30/2026, which was sent to our inspector on 2/2/2026. |
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| 2025-12-08 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.192(3) Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test Noncompliance Area: The initial health assessment on file for Staff person #1 does not indicate that a physical examination was conducted by the health care provider (See LIS Code Sheet). Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1 no longer works at Primrose School of Wexford. Their termination date was 12/8/2025 and their last day at work was 12/1/2025. |
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| 2025-12-08 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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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/Pediatric CPR. Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1 no longer works at Primrose School of Wexford. Their termination was 12/8/25 and their last day working here was 12/1/2025. |
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| 2025-12-08 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The NSOR clearance on file for Staff person #2 is dated 11.7.25, after the first date in a childcare position (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #3 included a Child Abuse clearance and Sex Offender Registry search from New York, where the staff person lived in the previous 5 years, that were dated after the first date in a childcare position (See IS CODE SHEET) required for provisional hiring under the CPSL. The NSOR clearance on file for Staff person #4 is dated 7.29.25, after the first date in a childcare position (See IS CODE SHEET) required for provisional hiring under the CPSL. The NSOR clearance on file for Staff person #7 is dated 9.5.25, after the first date in a childcare position (See IS CODE SHEET) required for provisional hiring under the CPSL. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) NSOR clearance for staff person #2 was not obtained prior to the first date in a childcare position but was corrected on 11.7.2025 and present at the inspection. The New York child abuse and sec offender registry search in New York for staff #3 was not obtained prior to the first date in childcare position but was corrected on 8/21/2025 and present at the inspection. NSOR clearance for staff person #4 was no obtained prior to the first date in a childcare position but was corrected on 7.29.2025 and present at the inspection. NSOR clearance for staff person #7 was no obtained prior to the first date in a childcare position but was corrected on 9.5.2025 and present at the inspection. |
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| 2025-12-08 | Renewal | 3270.33(a)/3270.192(2)(ii) - Each staff person meets quals/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.33(a)/3270.192(2)(ii) Description: Each staff person meets quals/Exp, educ., training prior to facility Noncompliance Area: The file for Staff person #6, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) For staff #6, her Colombian High School diploma is currently being translated and evaluated by the ECE. Once received, her file will include a high school diploma equivalent. |
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| 2025-12-08 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Regulation: 3270.75(c) Description: Has all items Noncompliance Area: The first aid kit in Early Preschool 1 did not include tweezers. The first aid kit in Preschool 2 did not include bandages. Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. |
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Provider Response: (Contact the State Licensing Office for more information.) After the inspection was complete, we searched the first aid kit in Early Preschool 1 and found the tweezers. A photo has been provided. We added bandages to the first aid kit in Preschool 2. |
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| 2025-11-06 | Self-Reported Non Compliance | 3270.113(a) - Supervised at all times | Non Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: According to staff interviews, on 11.3.25, at approximately 11:22 AM, Staff person #1 and #2 left Child #1 alone in the outside fenced playground for 2-5 minutes, with no staff person present to provide supervision. Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: 1) Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2) Each staff member will complete DHS training on the topic of Supervision provided by the ELRC. Documentation of the completed training will be submitted to the certification representative within 1 week of completion of the training. This portion of the plan will have a date within one week of the completion of the approved training. 3) The legal entity will create a form to be used to conduct supervision and ratio checks. The form will include the name of the classroom, the time and date the check was performed, the staff present and the number of children present by age and a notation indicating if staff knew the whereabouts of the children in their supervisory group. The director(s) will conduct random supervision and ratio checks in all classrooms a minimum of 3 times each week for a minimum of 2 months. The legal entity will record the results on the DHS approved form and will submit the forms to the certification representative biweekly. This portion of the plan will have a correction date 2 months after the approval of the supervision monitoring form. |
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Provider Response: (Contact the State Licensing Office for more information.) 1) 11/4/2025-We will ensure that children are supervised at all times. IMPLEMENTED 3.3.26 2) 2/23/25-We have scheduled ELRC to attend our in-service meeting on 2/16/2026 and all staff will be completing the DHS training on Supervision. We will submit documentation of completed training no later than 2/23/2026 to our certification representative. IMPLEMENTED 2.17.26 3)-3/7/26-2026 We created and received approval (approved via email on 1/7/2026) on a form to be used for random supervision checks performed by a member of leadership. These checks will begin the week of 1/12/2026 and occur three times a week for two months. The completed forms will be submitted to our certification representative biweekly. |
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| 2025-11-06 | Self-Reported Non Compliance | 3270.113(a)(1) - Staff assigned to specific children | Non Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: According to staff statements, on 11.3.25 at approximately 11:22 AM, Staff person #1 and #2 left Child #1 alone in the outside fenced playground for 2-5 minutes, with no staff person physically present with the child on the playground after the class returned to their room. Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) We will ensure that each child is assigned to a staff person in the classroom for supervision. That staff person will know the names and whereabouts of their assigned group at all times. The staff person will be physically present with their assigned children in the classroom, on the playground and off facility premises if applicable. Each classroom has a whiteboard on the wall to document the assigned children per staff member. We conducted an additional training on 11/11/2026 that included discussion of using these whiteboards for assigned children as well as detailed discussions of name-to-face procedures. |
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| 2025-11-06 | Self-Reported Non Compliance | 3270.51 - Similar Age Level | Non Compliant - Finalized |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: According to staff statements, on 11.3.25 at approximately 11:22 AM, Staff person #1 and #2 left Child #1 on the outside fenced playground for 2-5 minutes, when the group returned to the classroom. There was no staff person present with Child #1, causing the facility to be out of ratio. Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. |
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Provider Response: (Contact the State Licensing Office for more information.) When children are grouped in similar age levels, we will maintain the required maximum child group sizes and ratios of staff persons. Immediately following the incident, we required staff #1 and Staff #2 to have a member of leadership present during their name-to-face procedures for a period of two weeks. In addition, leadership led additional training at our in-service meeting on 11/11/2025 for name-to-face and student ratios. |
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| 2025-10-09 | Self-Reported Non Compliance | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: Based on staff interviews Staff person #1 admitted to picking up the wrong bottle and feeding approximately 2oz of another infant's breastmilk to Child #1 before noticing the mistake. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) We started a process where the infant teacher who is about to feed a child, will announce to their co-teacher that they are giving a bottle to "child's name", so the other teacher can verify that the correct child is bring fed. In addition, we assigned a different color to each child in the infant room and sent home a roll of masking tape in that color. We asked our families to put that colored tape on the children's bottles, that way in addition to the bottles being properly labeled with names and dates, they also have colors that are easy to see. |
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| 2025-05-22 | Unannounced Monitoring | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: The fire alarm 30-day test log includes test dates 1.3.25-2.3.25; 3.3.25-4.4.25; and 4.4.25-5.5.25, more than 30 days apart 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We completed the next three fire alarm system tests on 6/4/2025, 6/24/2025, and 7/21/2025 - all less than 30 days apart from each other. |
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| 2024-12-09 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: Yarn pompoms less than 1 inch size were observed in Room 5, where children are placing things in their mouths. Staff reported the pompoms are used by the children for arts and craft projects. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider removed the yarn pompoms from the Room 5 craft and spoke to the teachers in that classroom to reiterate that toys and objects with a diameter of less than 1 inch cannot be in the classroom. |
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| 2024-12-09 | Incident Investigation | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: According to staff statements, on 11-26-24, child #1 was standing on the seat in a wagon and fell out of the wagon approximately 2.5-3 feet to the hardwood floor. The child landed on their back on the floor. The wagon was parked in the hallway alongside another wagon, each with 1 year olds in the wagons. Staff person #2 walked away from the wagon that had child #1 in order to open the door while staff person #2 was walking towards the wagon. Child #1 was not buckled into the seat while the wagon was in use. Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider retrained all staff in room 5 on the proper way to use the stroller, to ensure all children are being strapped in. In addition, we changed the process of loading and unloading the strollers. The teachers now push the strollers inside the classroom, to load and unload inside the classroom, which allows the teachers to be closer to the children as they are not having to hold open the door and straddle the entryway. |
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| 2024-12-09 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The file for Child #1, #2, #3, #4, #5, #6, who began receiving care more than 6 months ago, does not include a child service report on a Department approved form which provides information to the family about the child's growth and development in the context of the services being provided Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will complete a Child Service Report on a department approved form for child #1 through #6. |
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| 2024-12-09 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: The emergency contact form on file for Child #7 does not include the work telephone number for the enrolling parent. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider obtained the work telephone number for the enrolling parent of Child #7 on 12/10/24. |
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| 2024-12-09 | Renewal | 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission | Compliant - Finalized |
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Regulation: 3270.124(b)(4)/3270.182(3) Description: Written consent/Consent for emergency medical care required prior to admission Noncompliance Area: The file for Child #3 does not include written parental permission for the facility to obtain emergency medical care. Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider obtained written parental permission for the facility to obtain emergency medical care on 12/11/2024. |
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| 2024-12-09 | Renewal | 3270.124(b)(6) - Insurance coverage information | Compliant - Finalized |
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Regulation: 3270.124(b)(6) Description: Insurance coverage information Noncompliance Area: The emergency contact form on file for Child #6 does not include the child's health insurance coverage and policy number for the child's health care benefits. Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. |
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Provider Response: (Contact the State Licensing Office for more information.) The child's health insurance coverage and policy number were provided on 12/10/2024. |
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| 2024-12-09 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The emergency contact form on file for Child #2 and #6 does not include a complete address for all listed release persons. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency contact forms for child #2 and child #6 received the complete address for all listed release persons. |
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| 2024-12-09 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: The most recent 6-month review signature for the emergency contact form and financial agreement on file for Child #1, #2, #3, #5 is dated more than 6 months after the previous 6-month review signature. Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. |
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Provider Response: (Contact the State Licensing Office for more information.) The 6-month reviews were observed by the inspector on 12/9/2024. |
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| 2024-12-09 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: The initial health assessment on file for Child #6 with an enrollment date of 4/1/24, is dated 9/24/24, more than 60 days after enrollment. Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider obtained an initial health assessment for Child #6 on 9/24/24, as observed on 12/9/24. |
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| 2024-12-09 | Renewal | 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy | Compliant - Finalized |
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Regulation: 3270.131(d)(5)/3270.131(e)(3) Description: Immunization record/Dismissal policy Noncompliance Area: The immunization record on file for Child #6, who is 10 months old, included 2 of 3 pneumococcal vaccines recommended by the ACIP for a child this age and 2 of 3 DTAP vaccines recommended by the ACIP for a child this age. Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). |
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Provider Response: (Contact the State Licensing Office for more information.) Provider obtained Child #6 schedule of upcoming vaccinations for pneumococcal and DTAP. |
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| 2024-12-09 | Renewal | 3270.134(a) - Child's hands washed | Compliant - Finalized |
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Regulation: 3270.134(a) Description: Child's hands washed Noncompliance Area: During an observed diaper change in Room 4, the staff person did not ensure that the child's hands were washed following the diaper change. Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider held an all staff meeting on 12/12/2024 which included additional training on the required hand washing times throughout the day, which include after each diaper change or restroom use. |
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| 2024-12-09 | Renewal | 3270.135(a)(3) - Disposable diapers | Compliant - Finalized |
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Regulation: 3270.135(a)(3) Description: Disposable diapers Noncompliance Area: During observed diaper changes in Room 1, 2, 3, and 4, the staff were observed placing the soled diaper on the table and not immediately disposing of the diaper. Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider's infant rooms (rooms 1 & 2) will start using a small plastic lined, hands free, covered bin to place the soiled diapers in immediately after they are removed from the child. Once the diaper change is complete and the child is no longer on the diaper changing table, the soiled diaper will be removed from the small can and placed in the diaper pail. In rooms 3 -- 6, provider will ensure all staff persons are disposing of soiled diapers immediately in a plastic lined, hands-free covered diaper pail for every diaper change. |
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| 2024-12-09 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #5-, staff person #5 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #5 completed her Pediatric First Aid & CPR on 12/23/2024. |
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| 2024-12-09 | Renewal | 3270.151(c)(3)/3270.192(3) - Exam communicable disease/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(c)(3)/3270.192(3) Description: Exam communicable disease/Health assessment, TB test Noncompliance Area: The current health assessment on file for Staff person #6 does not indicate if the staff person was assessed for communicable/contagious disease. Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider obtained a completed Childcare Staff Health Assessment signed 12/11/2024 which indicates the staff person was assessed for communicable/contagious disease. |
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| 2024-12-09 | Renewal | 3270.151(c)(5)/3270.192(3) - Physician/CRNP assessment/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(c)(5)/3270.192(3) Description: Physician/CRNP assessment/Health assessment, TB test Noncompliance Area: The health assessment on file for Staff person #6 does not include the physician or health care professional's assessment of the person's suitability to provide child care. Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider obtained a completed Childcare Staff Health Assessment signed 12/11/2024 which indicates the staff person was assessed for communicable/contagious disease. |
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| 2024-12-09 | Renewal | 3270.182(5) - Consent for administration of minor first-aid required prior to admission | Compliant - Finalized |
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Regulation: 3270.182(5) Description: Consent for administration of minor first-aid required prior to admission Noncompliance Area: The file for Child #3 does not include written parental permission for the facility to administer minor first aid procedures. Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider obtained written parental permission for the facility to administer minor first aid procedures on 12/12/2024. |
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| 2024-12-09 | Renewal | 3270.27(c)/3270.192(2)(iii) - Training regarding plan/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.27(c)/3270.192(2)(iii) Description: Training regarding plan/Exp, educ., training at facility Noncompliance Area: The file for Staff person #6 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet). Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #6 had completed emergency plan training on 4/2/24 however verification of this training was not placed in their file until 12/12/24. |
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| 2024-12-09 | Renewal | 3270.31(e)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)/3270.192(2)(iii) Description: Age and Training/Exp, educ., training at facility Noncompliance Area: The file for Staff person #1 includes 8 of 12 required annual training hours completed between 1/2023-1/2024. The file for Staff person #3 includes 8.5 of 12 required annual training hours completed between 1/2023-1/2024. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1 completed 4 of their 12 required annual training hours on 6/6/2024. Staff person #3 completed 3.5 required annual training hours on 1/6/25. |
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| 2024-12-09 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: Staff person #2 completed her current mandated reporter training on11/11/24, more than 60 months after the previous training dated 9/13/19. Staff person #7 completed her current mandated reporter training on 12.4.24, more than 60 months after the previous training dated 9/13/19 and more than 90 days after the date of hire. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person completed their mandated reporter training on 1/11/24. |
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| 2024-12-09 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #4 did not contain documentation of application of the NSOR certificate prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the completed NSOR certificate is dated 7.10.24. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider received staff person's NSOR certificate on 7/10/24. |
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| 2024-12-09 | Renewal | 3270.33(a)/3270.192(2)(ii) - Each staff person meets quals/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.33(a)/3270.192(2)(ii) Description: Each staff person meets quals/Exp, educ., training prior to facility Noncompliance Area: The file for Staff person #1, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years of experience with children. The file for Staff person #1 did not include verification of 2 years (2500 hours) of experience with children. The file for Staff person #5, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years of experience with children. The file for Staff person #5 included a foreign degree that had not been translated and evaluated. Staff person #5 was observed working unsupervised. Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff file for staff person #1 was updated on 1/6/2025 to include verification of hours of at least 2,500. The staff file for staff person #5 was updated to include the obtained translated and evaluated foreign degree certification on 12/30/2024. |
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| 2024-12-09 | Renewal | 3270.55(a) - Toddler and preschool children | Compliant - Finalized |
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Regulation: 3270.55(a) Description: Toddler and preschool children Noncompliance Area: At 2:09 PM, in Room 7, during naptime supervision and ratio assessment, multiple children were observed off their rest mats and walking around the room with 1 staff person in the room with 9 preschool children and 1 older toddler. At 2:19 PM, in Room 9, during naptime supervision and ratio assessment, multiple children were observed off their rest mats and walking around the room with 1 staff person in the room with 16 preschool children. Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider held an all staff meeting on 12/12/2024 which included additional training on staff to child ratios during naptimes. |
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| 2024-12-09 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Regulation: 3270.75(c) Description: Has all items Noncompliance Area: The first aid kit in Room 12 did not include tweezers. Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider added tweezers to the first aid kit in Room 12. |
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| 2024-07-25 | Allocated Unannounced Monitoring | 3270.106(j) - Prohibit items in crib | Compliant - Finalized |
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Regulation: 3270.106(j) Description: Prohibit items in crib Noncompliance Area: In Infant 2, an infant, under 12 months of age, was observed sleeping in their crip with a toy attached to their pacifier that was in their mouth while sleeping. Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. |
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Provider Response: (Contact the State Licensing Office for more information.) Operator removed the toy attached to an infant¿s pacifier, in infant 2, that was in their mouth while sleeping, and spoke to the parents so they also understand we can no longer use that pacifier while the child is in the crib. |
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| 2024-07-25 | Allocated Unannounced Monitoring | 3270.166(4) - Bottles labeled | Compliant - Finalized |
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Regulation: 3270.166(4) Description: Bottles labeled Noncompliance Area: There was an infant feeding bottle in the refrigerator in Infant 1 that was not labeled with the name for whom the bottle was intended. Correction Required: Disposable nursers and bottles shall be labeled with the child's name. |
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Provider Response: (Contact the State Licensing Office for more information.) Operator labeled the infant feeding bottle in the refrigerator in Infant 1 that was not labeled with the name for whom the bottle was intended, and spoke to the parents and teachers about ensuring all bottles are labeled upon putting them in the refrigerator. |
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| 2024-07-25 | Allocated Unannounced Monitoring | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for Staff person #2, #4 includes only 1 written nonfamily reference attesting to the staff person's suitability to work in childcare. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) We obtained staff person #2 second nonfamily recommendation on 7/26/2024 and staff person #4 second nonfamily recommendation on 8/22/2024. |
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| 2024-07-25 | Allocated Unannounced Monitoring | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 5.13.24. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) As noted above, this violation was corrected on 5/13/24, when her Pediatric First Aid and Pediatric CPR training was completed. |
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| 2024-07-25 | Allocated Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #1 includes a PA Child Abuse clearance dated 7.23.24, after the date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff persons criminal history clearance was obtained on 7/23/24. |
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| 2024-07-25 | Allocated Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #3 does not include a valid Child Abuse clearance from New Jersey, where the staff person resided in the prior 5 years, within 45 days of hire (See IS CODE SHEET). Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #3 child abuse clearance from New Jersey was submitted on 5/30/2024, results of NO RECORDS were obtained 6/26/24. |
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| 2024-07-25 | Allocated Unannounced Monitoring | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: A hole with exposed plaster was observed in Pre-K 2, under the window in the corner by the dollhouse. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The hole in Pre-K 2 under the window in the corner by the dollhouse, has been spackled and painted. |
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| 2024-07-25 | Allocated Unannounced Monitoring | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: The fire alarm 30-day test log includes test dates 2.20.24-3.28.24 and 6.18.24-7.19.24, more than 30 days apart. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Our next fire alarm test was performed on 8/16/2024. |
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| 2023-12-13 | Renewal | 3270.123(a)(1) - Amount of fee | Compliant - Finalized |
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Regulation: 3270.123(a)(1) Description: Amount of fee Noncompliance Area: The agreement forms on file for children #1, #2, and #3 did not specify the amount of the fee to be charged per day or per week. Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. |
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Provider Response: (Contact the State Licensing Office for more information.) Agreement forms for child #1, 2, & 3 have been updated to specify the fee to be charged per week. |
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| 2023-12-13 | Renewal | 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission | Compliant - Finalized |
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Regulation: 3270.124(b)(4)/3270.182(3) Description: Written consent/Consent for emergency medical care required prior to admission Noncompliance Area: The emergency contact forms on file for children #3 and #4 did not include written consent signed by the parents for emergency medical care which is required prior to admission. Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency contact forms for children #3 & 4 have been updated to include written consent signed by the parents for emergency medical care. |
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| 2023-12-13 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: The file for child #3 had an initial health report dated more than 60 days following the first day of attendance at the facility. Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) Child file #3 contained an initial health report dated 10/21/2022 |
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| 2023-12-13 | Renewal | 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(b)(2)/3270.182(1) Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Noncompliance Area: The file for child #5 does not include a health report conducted within the last 12 months. The most recent health report on file is dated 9/30/22. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) Health report for child #5 has been obtained and it was dated 9/15/2023. |
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| 2023-12-13 | Renewal | 3270.133(1) - Original container | Compliant - Finalized |
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Regulation: 3270.133(1) Description: Original container Noncompliance Area: In the first aid bag in Room 7, a prescription of epinephrine injection for child #5 was not in the original container. Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. |
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Provider Response: (Contact the State Licensing Office for more information.) The epinephrine injection for child #5 is now in the original container, which also contains the physician's prescription. |
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| 2023-12-13 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.192(3) Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test Noncompliance Area: The initial health assessment on file for staff person #7 was dated 10/12/23, which was not within 12 months prior to date of hire (See IS CODE SHEET). The initial health assessment on file for staff person #10 was dated 4/20/23, which was not within 12 months prior to date of hire (See IS CODE SHEET). Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #10 was voluntarily terminated on 12/11/2023 Staff person #7 obtained a health assessment on 10/12/203 |
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| 2023-12-13 | Renewal | 3270.151(c)(2) - Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(c)(2) Description: Mantoux TB Noncompliance Area: The tuberculosis screening on file for staff person #10 was dated 5/19/23, which was not at initial employment (See IS CODE SHEET). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #10 was voluntarily terminated on 12/11/2023. |
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| 2023-12-13 | Renewal | 3270.151(c)(3) - Exam communicable disease | Compliant - Finalized |
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Regulation: 3270.151(c)(3) Description: Exam communicable disease Noncompliance Area: The health assessment on file for staff person #6 did not include an examination for communicable diseases and the results of that examination. Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. |
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Provider Response: (Contact the State Licensing Office for more information.) Health assessment for staff person #6 now includes sign off by her physician that an examination for communicable diseases and its results has been completed. |
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| 2023-12-13 | Renewal | 3270.182(5) - Consent for administration of minor first-aid required prior to admission | Compliant - Finalized |
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Regulation: 3270.182(5) Description: Consent for administration of minor first-aid required prior to admission Noncompliance Area: The emergency contact forms on file for children #3 and #4 did not include written consent signed by the parents for administration of minor first-aid procedures by facility staff which is required prior to admission. Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency contact forms for children #3 & 4 have been updated to include written consent by the parents for administration of minor first aid procedures. |
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| 2023-12-13 | Renewal | 3270.27(a)(6) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: The facility did not have documentation on file of conducting an annual emergency drill within the last 12 months. The most recent documentation on file was dated 11/28/22. Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) We completed our annual emergency drill of 12/15/2023. |
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| 2023-12-13 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (See IS code sheet): Pediatric first aid/CPR. Correction Required: Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #5 will have until 1/1/24 to complete the required training. Until such time as the required training has been completed, staff person #5 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 #5, staff person #5 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #5 will complete the required Pediatric first aid/CPR training on Dec 27, 2023. |
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| 2023-12-13 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see IS code sheet): Pennsylvania Health and Safety Update 2022. Correction Required: Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #7 will have until 1/1/24 to complete the required training. Until such time as the required training has been completed, staff person #7 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 #7, staff person #7 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #7 completed the PA Health & Safety Update 2022 on Oct 11, 2022 and the certificate was placed in her staff file on Dec 18, 2023. |
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| 2023-12-13 | Renewal | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: Staff persons #1 and #8 completed the required pre-service training Pediatric First Aid/CPR on 11/20/23 but was not within 90 days of their date of hire (See IS CODE SHEET). Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. |
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Provider Response: (Contact the State Licensing Office for more information.) The required pediatric first aid/CPR pre-service training for staff persons #1 & 8 was completed on 11/20/2023. |
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| 2023-12-13 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The files for staff persons #2 and #8 did not contain documentation of application of FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #3 did not contain a valid PA State Police clearance within 45 days of hire (See IS CODE SHEET). The clearance on file, dated 12/7/17, lacked the disseminated date. Staff person #3 now has a current PA State Police clearance on file dated 12/7/23. The file for staff person #4 did not contain documentation of application of PA State Police clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #9 did not contain a valid PA State Police clearance. Staff person #9 renewed their PA State Police Clearance on 5/18/23 but had a status of Pending for control. The file for staff person #10 did not contain a valid PA State Police clearance within 45 days of hire (See IS CODE SHEET). The clearance on file, dated 4/20/23, lacked the disseminated date. The file for staff person #11 did not contain documentation of application of FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The files for staff persons #11 and #12 lacked documentation of Child Abuse clearance results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) The following clearances for each listed staff person were corrected below: Staff person #2 completed their FBI clearance on 10/27/2023 Staff person # 8 completed their FBI clearance on 8/24/2023 Staff person #4 completed her PA state police clearance with a dissemination date of 3/31/2023 Staff person #9 completed her PA state police clearance with a dissemination date of 5/18/2023 Staff person #10 has been voluntarily terminated, her last day of employment was 12/11/2023 Staff person #11 has been voluntarily terminated, her last day of employment was 12/14/2023 Staff person #12 completed Child Abuse clearance on 10/2/2023 |
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| 2023-12-13 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: In Room 7, a handwashing sign was not posted at the sink in the restroom. In Room 8, a handwashing sign was not posted at the toilet in restroom #1, and a handwashing sign was not posted at the sink and toilet in restroom #2. In Room 10, a handwashing sign was not posted at the sink in the restroom. In Room 11, a handwashing sign was not posted at the toilet in restroom #1. In Room 12, a handwashing sign was not posted at the toilet in restroom #2. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Handwashing signs have been posted at each sink and each toilet in classrooms #7, 8, 10, 11, and 12. |
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| 2023-10-23 | Self-Reported Non Compliance | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: It was self-reported and verified through staff interviews that on 10/12/2023 staff persons #1 and #2 left child #1 alone on the playground unsupervised for less than 5 minutes when they returned into the building with the other 14 children in their supervision groups. Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) Children on the facility premises and outdoor play space will be supervised by a staff person at all times. |
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| 2023-10-23 | Self-Reported Non Compliance | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: It was self-reported and verified through staff interviews that on 10/12/2023 staff persons #1 and #2 left child #1 alone on the playground unsupervised for less than 5 minutes when they returned into the building with the other 14 children in their supervision groups. Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) At the start of each day, each staff person is assigned the responsibility for supervision of specific children. The staff person will know their names and be physically present with those children on facility premises, including outdoor play space. |
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| 2023-10-23 | Self-Reported Non Compliance | 3270.166(4) - Bottles labeled | Compliant - Finalized |
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Regulation: 3270.166(4) Description: Bottles labeled Noncompliance Area: It was self-reported and verified through staff interviews that staff person #3 fed ~1/2 ounce of breastmilk to child #2 from a bottle that was labeled with a different child's name. Correction Required: Disposable nursers and bottles shall be labeled with the child's name. |
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Provider Response: (Contact the State Licensing Office for more information.) Infant room staff will ensure that each bottle is labeled with the child's name. |
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| 2023-10-23 | Self-Reported Non Compliance | 3270.51 - Similar Age Level | Compliant - Finalized |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: It was self-reported and verified through staff interviews that on 10/12/2023 staff persons #1 and #2 left child #1 alone on the playground unsupervised for less than 5 minutes when they returned into the building with the other 14 children in their supervision groups. Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. |
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Provider Response: (Contact the State Licensing Office for more information.) We will ensure that when children are grouped in similar age levels, we will follow maximum child group size of preschool children 1:10 with a maximum group size of 20. |
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| 2022-12-05 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: In Room 11, four clear toy bins containing children's toys were observed to be cracked with sharp edges and not in good repair. In Room 12, the Farm carpet near the entrance of the room was observed to be teared and fraying and not in good repair. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Room 11 cracked bins were immediately removed and replaced. |
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| 2022-12-05 | Renewal | 3270.123(a) - Signed | Compliant - Finalized |
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Regulation: 3270.123(a) Description: Signed Noncompliance Area: The agreement on file for children #1, #9 and #10 lacked the operator's signature. Correction Required: An agreement shall be signed by the operator and the parent. |
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Provider Response: (Contact the State Licensing Office for more information.) Operators signature was added to children #1, #9, and #10 agreement. |
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| 2022-12-05 | Renewal | 3270.123(a)(1) - Amount of fee | Compliant - Finalized |
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Regulation: 3270.123(a)(1) Description: Amount of fee Noncompliance Area: The agreements on file for children #1 and #10 lacked the fee to be paid for services. Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. |
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Provider Response: (Contact the State Licensing Office for more information.) Fees to be paid for services were indicated on the agreements of child #1 and #10. |
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| 2022-12-05 | Renewal | 3270.123(a)(2) - Date fee to be paid | Compliant - Finalized |
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Regulation: 3270.123(a)(2) Description: Date fee to be paid Noncompliance Area: The agreement on file for child #10 lacked the date on which the fee is to be paid. Correction Required: An agreement shall specify the date on which the fee is to be paid. |
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Provider Response: (Contact the State Licensing Office for more information.) An agreement was completed and signed for child #10, it includes the date on which fees are to be paid. |
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| 2022-12-05 | Renewal | 3270.123(a)(4) - Arrival/departure times | Compliant - Finalized |
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Regulation: 3270.123(a)(4) Description: Arrival/departure times Noncompliance Area: The agreement on file for children #3 and #10 lacked the child's arrival and departure times. Correction Required: An agreement shall specify the child's arrival and departure times. |
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Provider Response: (Contact the State Licensing Office for more information.) The arrival and departure times were added to the agreements for child #3 and #10. |
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| 2022-12-05 | Renewal | 3270.123(a)(5) - Designated release persons | Compliant - Finalized |
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Regulation: 3270.123(a)(5) Description: Designated release persons Noncompliance Area: The agreement on file for children #4 and #10 lacked 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The persons designated by a parent to whom the child may be released was added to the agreement for child #4 and #10. |
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| 2022-12-05 | Renewal | 3270.123(a)(6)/3270.182(2) - Admission date/Application, admission, withdrawal dates | Compliant - Finalized |
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Regulation: 3270.123(a)(6)/3270.182(2) Description: Admission date/Application, admission, withdrawal dates Noncompliance Area: The agreement on file for children #3, #4 and #5 lacked the date of the child's admission. Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child. |
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Provider Response: (Contact the State Licensing Office for more information.) The date of admission for children #3, #4, and #5 were added to the agreement. |
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| 2022-12-05 | Renewal | 3270.123(b)/3270.182(8) - Parent receives original/Copy of initial and subsequent agreements. Parent receives original. | Compliant - Finalized |
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Regulation: 3270.123(b)/3270.182(8) Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original. Noncompliance Area: The agreements on file for children #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 was observed to be the original agreement, in which the parent shall receive the original agreement and the facility shall retain a copy of the agreement. Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The original copies of child agreements will remain with the parents and copies will be kept on file at the facility. |
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| 2022-12-05 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: The emergency form on file for child #10 lacked the enrolling parent's work address and work telephone number. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #10 enrolling parent's work address and work telephone number has been added to their emergency contact form. |
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| 2022-12-05 | Renewal | 3270.124(b)(6) - Insurance coverage information | Compliant - Finalized |
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Regulation: 3270.124(b)(6) Description: Insurance coverage information Noncompliance Area: The emergency contact form on file for child #10 lacked the health insurance policy number for the child. Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. |
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Provider Response: (Contact the State Licensing Office for more information.) Health insurance policy number for child #10 was added to their emergency contact form. |
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| 2022-12-05 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The emergency contact form on file for child #8 lacked the address of the individual designated by the parent to whom the child may be released. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The address of the individual designated by the parent to whom the child may be released for child #8 has been added to the emergency contact form. |
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| 2022-12-05 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: The emergency contact form on file for children #7 was not updated within 6 months of the previous update. The most current update for child #7 was on 1/9/22. Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency contact form for child #7 was updated on 8/25/22 |
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| 2022-12-05 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: The files for children #8 and #10 lacked an initial health report within 60 days following the first day of attendance at the facility. Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) Health report was obtained on: #8 - 12/5/22 #10 - 12/13/22 |
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| 2022-12-05 | Renewal | 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(b)(2)/3270.182(1) Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Noncompliance Area: The file for children #3, #4, #5, and #6 lacked an updated health report conducted within 12 months of previous health report. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) Updated health assessments were obtained on the following dates: #3 - 12/6/22 #4 - 12/20/22 #5 - 12/5/22 #6 - 12/22/22 |
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| 2022-12-05 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.192(3) Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test Noncompliance Area: The file for staff person #3, #5, #7, and #11 lacked documentation of a health assessment conducted within 12 months prior to providing initial service in a child care setting. Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) health assessments were obtained for: #3 - 12/2/22 #5 - 11/22/22 #7 - 9/20/22 #11 - will be obtained |
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| 2022-12-05 | Renewal | 3270.151(c)(2) - Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(c)(2) Description: Mantoux TB Noncompliance Area: The file for staff #3, #6, #15. and #17 lacked documentation of a tuberculosis screening at initial employment. (See LIS CODE SHEET). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) TB screenings were obtained for": #3 - 12/2/22 #6 - 9/2/22 #15 - 6/28/22 #17 - 11/30/22 |
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| 2022-12-05 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for staff #9, #14, and #20 was observed to be lacking two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) #20 - second reference was obtained on 12/19/22 #9 - second reference will be obtained by 12/30/22 #14 - two references will be obtained by 12/22/22 |
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| 2022-12-05 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: The file for staff person #4, #5, #8, #9, #10, #11, #16 and #23 was observed to lack documentation of emergency plan training at the time of initial employment. Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) EOP training was provided to each staff person. |
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| 2022-12-05 | Renewal | 3270.31(e) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: Staff person #1 and #2 lacked a minimum of 12 annual hours of childcare training Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. |
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Provider Response: (Contact the State Licensing Office for more information.) #2 was corrected on 11/6/22 when they completed their 10-hour health & safety training. #1 corrected their training requirement on 11/8/22 |
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| 2022-12-05 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: The files for staff person #3, #4, #10, #11, #15, #16, #18, and #23 was observed not to have completed the Health and Safety pre-service training within 90 days of hire (See LIS CODE SHEET). Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) #3 - 11/29/22 #4 - 8/13/22 #10 - 10/28/22 #11 - 10/24/22 #15 - 10/27/22 #16 - 12/19/22 #18 - 12/18/22 #23 - 10/19/22 |
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| 2022-12-05 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff persons #18, #21, and #22 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training. Staff person #4 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 #4, #18, #21, and #22 will have until 12/28/22 to complete the required training. Until such time as the required training has been completed, staff person #4, #18, #21, and #22 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 #4, #18, #21, and #22, staff person #4, #18, #21, and #22 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) #18 - 12/18/22 #21 - 12/11/22 #22 - 12/8/22 #4 -12/14/22 |
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| 2022-12-05 | Renewal | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: The files for staff #11, #13, and #23 was observed not to have completed pediatric first aid/CPR within 90 days of hire (See LIS CODE SHEET). Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. |
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Provider Response: (Contact the State Licensing Office for more information.) Pediatric CPR and first aid were completed on: #11 - 8/16/22 #13 - 12/14/22 #23 - 8/16/22 |
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| 2022-12-05 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #3 lacked documentation of application of a NSOR clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #4 lacked documentation of PA Child Abuse clearance results prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #4 was observed to lack documentation of completion of Mandated Reporter Training within the first 90 days of hire (See LIS CODE SHEET). Mandated Reporter Training on file for staff person #4 is dated 8/9/22. The file for staff #5 was observed to lack documentation of NSOR clearance results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The file for staff person #5 was observed to have documentation of PA State Police clearance and PA Child Abuse clearance results that were not renewed before the expiration date of the most current clearances. The two most recent PA State Police clearances are dated 8/16/17 and 11/11/22, and the PA Child Abuse clearances are dated 8/23/17 and 11/29/22. The file for staff person #5 was observed to lack documentation of FBI clearance results. The most current FBI clearance results on file is dated 8/16/17. The file for staff person #8 was observed to lack documentation of Child Abuse clearance results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The file for staff person #9 was observed to lack documentation of out of state clearances for the state of West Virigina, where the staff person resided in the 5 years prior to employment, within 45 days of hire (See IS CODE SHEET). The file for staff person #10 was observed to lack documentation of PA FBI clearance application and NSOR clearance results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The file for staff person #15 was observed to lack documentation of out of state clearances for the state of West Virigina, where the staff person resided in the 5 years prior to employment, within 45 days of hire (See IS CODE SHEET). The file for staff #18 was observed to lack documentation application of the FBI and NSOR clearance prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The file for staff person #19 was observed to have documentation of PA Criminal History Clearance and PA Child Abuse clearance that were not renewed before the expiration date of the most current certification. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #5 cannot work in the facility until the NSOR clearance results are submitted and verified. Staff person #9, and #15 cannot work in the facility until out of state clearances for West Viriginia are submitted and verified. |
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Provider Response: (Contact the State Licensing Office for more information.) #3 NSOR - 8/23/22 #4 child abuse - 2/24/22 #5 NSOR - 11/29/22 #5 FBI - 11/28/22 #8 child abuse - 1/19/22 #9 VW clearances obtained 2/11/22 #10 NSOR - 2/11/22 #10 FBI - 2/9/22 #15 WV clearances obtained 12/6/22 #18 child abuse - 12/16/21 (DOH 8/22/22) #18 FBI - 11/10/22 #19 PA criminal - 11/27/22 #19 child abuse - 11/28/22 |
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| 2022-12-05 | Renewal | 3270.33(a)/3270.192(2)(ii) - Each staff person meets quals/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.33(a)/3270.192(2)(ii) Description: Each staff person meets quals/Exp, educ., training prior to facility Noncompliance Area: The file for staff person #4, #5, #9, #10, #12, #13, #14, #17, and #20 was observed to lack documentation of verification of child care experience in order to meet staff qualification for the position in which the person is performing. Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) #14: 3,401 hours #20: 2,529 hours The below staff have the below total hours, the verification forms were in the staff files at inspection: #4: 6,096 total hours #5: 8,833 total hours #9: 5,022 total hours #10: 7,794 total hours #13: 2,630 total hours #17: 6,235 total hours Staff files have been updated to include documentation for the position they are performing. |
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| 2022-12-05 | Renewal | 3270.33(a)/3270.192(2)(iv) - Each staff person meets quals/Transcript, diploma and letters | Compliant - Finalized |
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Regulation: 3270.33(a)/3270.192(2)(iv) Description: Each staff person meets quals/Transcript, diploma and letters Noncompliance Area: The file for staff person #8 and #20 was observed to lack documentation of acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. |
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Provider Response: (Contact the State Licensing Office for more information.) #8 - obtained transcript on 12/20/22 #20 - awaiting copy of GED. - effective 1/16/23, staff #20 is suspended from employment until diploma is obtained and submitted. |
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| 2022-12-05 | Renewal | 3270.75(a) - In child care spaces | Compliant - Finalized |
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Regulation: 3270.75(a) Description: In child care spaces Noncompliance Area: Room 8 was observed to lack a first aid bag in the child care space while children were receiving care. Correction Required: A first-aid kit shall be in a child care space. |
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Provider Response: (Contact the State Licensing Office for more information.) Frst aid kits were returned to the original assigned classrooms. |
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| 2022-12-05 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: In Room 9, a plastic outlet wall plate located in the right corner of the room was observed to be cracked with sharp edges and not in good repair. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Replaced cracked outlet cover with new outlet cover. |
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