Riverview Christian Early Learning Center
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About the Provider
Hours of Operation
- Monday6:30 AM - 5:30 PM
- Tuesday6:30 AM - 5:30 PM
- Wednesday6:30 AM - 5:30 PM
- Thursday6:30 AM - 5:30 PM
- Friday6:30 AM - 5:30 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
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| 2026-06-15 | Self-Reported Non Compliance | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Needs Verification |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: It was verified that on 6/9/26 Child 1 was left unsupervised in the bathroom for approximately 15 minutes between 9:03AM-9:18AM. Prior to and during this time Staff 1, 2, and 3 were responsible for a group of 23 preschool children including Child 1. Staff 1, 2 and 3 reported that the 23 children including Child 1 were not assigned to specific staff members for supervision. Staff 1, 2, and 3 reported they were not aware of Child 1 being in the bathroom. Child 1 was found by Staff 4 at approximately 9:18AM. This concern was self reported electronically on 6/10/26. 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. 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. TIERED LIS: 1. 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. 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. This portion of the plan shall have an immediate correction date. 2. The operator will have Staff 1, 2, and 3 participate in in the following trainings on Better Kid Care: "Supervision: What's required?" (1 hour long) and "Supervision: Teamwork" (1 hour long) or the Spanish version of these trainings. If Staff 1, 2, and 3 has already completed these trainings the legal entity shall have Staff 1, 2, and 3 complete 2 hours of PQAS approved trainings related to supervision. The trainings used to fulfill this portion of the plan must be approved by the NE Regional Office before completion. The legal entity shall maintain documentation of the training certificates in the staff files. The provider shall provide a date when this portion of the plan will be completed. 3. The Legal entity, the director, and all staff will demonstrate compliance with with these regulations as they relate to supervision during unannounced monitoring visits over the course of the next 3 months. The correction date for this portion of the plan shall be at minimum 3 months from the date an acceptable plan is received. |
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Provider Response: (Contact the State Licensing Office for more information.) 1. The three staff members involved in the incident were placed on temporary suspension pending completion of the investigation and review of additional corrective measures. The staff members returned to work on Monday, June 15, 2026. Upon their return, all three staff members were placed on a 30-workday probationary period from June 15, 2026, through July 27, 2026. During the probationary period: . The staff members were not permitted to be alone with children at any time. . The staff members were required to remain under the supervision of another qualified staff member at all times. . This requirement applied during classroom supervision, transitions, bathroom trips, nap time, outdoor play, and break coverage. . The staff members were not permitted to independently supervise a group of children. 2. The three staff members were also required to complete the following four Better Kid Care supervision trainings before the end of their probationary period: 1. Supervision: Counting Children 2. Supervision: Moving Children 3. Supervision: Teamwork 4. Supervision: What's Required? The trainings "Supervision: Teamwork" and "Supervision: What's Required?" were completed as part of the facility's immediate corrective action before the citation was received. The additional supervision trainings were required as part of the facility's corrective action and probationary requirements. Training certificates will be maintained in each staff member's personnel file. 3. The facility immediately reviewed the supervision violation and implemented corrective actions to ensure that children are supervised by a staff person at all times. An emergency staff meeting was held to review the incident, the facility's supervision procedures, the staff handbook, and expectations for active supervision. Staff were reminded that each staff person must know the names and whereabouts of the children assigned to their care and must be physically present and actively supervising children at all times. Effective immediately, the following procedures were implemented: · Each staff member is assigned responsibility for specific children. · Staff assignments and Care Cards are completed and posted visibly in each classroom. · Each child will remain assigned to the same staff member throughout the day unless a documented staff transition or reassignment occurs. · Staff must wear their Care Cards at all times while supervising children. · Staff will complete a name-to-face count at every transition, throughout the transition, and immediately upon arriving at the destination. · A standardized Care Card template is being implemented throughout the entire facility to ensure that all classrooms, including new and existing staff, follow the same supervision system and expectations. · Care Card signs will be completed daily, clearly identify staff and child assignments, and be placed in a visible location in the classroom. · Children will use the bathroom in small groups. · The supervising staff member will be the first person to enter the bathroom area and the last person to leave. · Before leaving the bathroom, the staff member will physically check all areas of the bathroom to ensure no child remains behind. · After completing the bathroom check, the staff member will verbally state, "All Clear," before the group leaves the area. The Legal entity, the director, and all staff will demonstrate compliance with with these regulations as they relate to supervision during unannounced monitoring visits over the course of the next 3 months. Tier 1: Immediate Correction date: 6/10/26 Tier 2: Training Correction date: 8/13/26 Tier 3: Demonstrating Compliance over 3 months: 11/30/26 |
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| 2026-04-30 | Self-Reported Non Compliance | 3270.113(b)/3270.113(e) - No physical punishment /Restraints prohibited | Needs Verification |
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Regulation: 3270.113(b)/3270.113(e) Description: No physical punishment /Restraints prohibited Noncompliance Area: On 4/30/26 Self reported non-compliance investigation verified that on 4/20/26 around 4:00PM-4:30PM Staff 1 used physical means of punishment with Child 1 by grabbing the child by the ankles and lifting their body off the ground. Staff 1 also restricted Child 1's movements by straddling the child's legs with their body in a way that prevented the child from moving. Investigation also verified that on 4/21/26 around 11:00AM Staff 1 used physical means of punishment with Child 2 and restricted the with Child 2's movement by grabbing the child's hoodie, prevent the child from moving away, and pulling Child 2 forcefully backwards. Staff 1 is no longer employed at the facility. Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. This Portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for the director and all administrative staff that participate in the developing, writing and implementation of policies at the facility to receive a minimum of two hours of technical assistance regarding Policy Development with a focus on updating the existing discipline policy and procedure to address the administrative responsibilities following reports of concerns with staff interactions. The technical assistance must be, in-person, and may not be during times that the participating staff are being used to meet staff:child ratios. The legal entity must receive DHS approval of the technical assistance content prior to scheduling. The operator shall provide a correction date for when this training and technical assistance will be completed. 3. The legal entity must update their written discipline policy and procedure to be implemented in the facility. These policy and procedures must included information about acceptable discipline and positive guidance to be used by facility persons at the facility. The written policy must include the information found in 3270.113(b)-3270.113(e). The written policy must address the steps a facility person shall take regarding reporting concerns when a facility person have witnessed or otherwise become aware of a facility person using any unacceptable forms of discipline or punishment against a child. The written policy must address the timeframe for reporting these concerns and to whom these concerns are to be reported to, including but not limited to when the facility person who has used the unacceptable form of punishment is the supervisor of the facility person with concerns. The policy and procedures must include the the specific steps that shall be taken by administration in regards to any concerns of facility behavior towards children, including but not limited to when the concerns involve allegations of any of physical punishment, restriction of movement, or otherwise physically interacting with a child in a concerning way such as grabbing or pulling children. These policies and procedures shall include information in regards to when the involved staff is able to return to a classroom or have interaction with children following a report of concerns. These polices and procedures shall address the timeframe for notification of all necessary parties including but not limited to the involved staff persons, parents of any Children involved, and other appropriate agencies such as ChildLine, Regional Office or Law Enforcement if necessary. The legal entity will submit policy to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented at the facility. The provider will provide a date for when this portion of the plan will be completed. |
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Provider Response: (Contact the State Licensing Office for more information.) 1. Immediate corrective action was taken upon learning of the incidents. The staff member involved was immediately terminated on 4/21/26 and is no longer employed by the facility. Staff will not use any physical punishment or means of restraining/restricting a child's movements (Correction date 4/30/26) 2. The legal entity will arrange for the director and all administrative staff responsible for developing, implementing, and monitoring facility policies to complete a minimum of two hours of DHS-approved, in-person technical assistance on policy development, with a focus on discipline procedures, reporting requirements, administrative response protocols, and staff accountability. DHS approval of the technical assistance content will be obtained prior to scheduling. The technical assistance must be, in-person, and may not be during times that the participating staff are being used to meet staff:child ratios. (Correction 7/24/26) Implemented 8/7/26 3. The facility has reviewed and revised its written discipline and behavior management policies to explicitly prohibit all forms of physical punishment, physical restraint, restriction of movement, grabbing, pulling, or any other inappropriate physical interaction with children in accordance with 55 Pa. Code §3270.113. These policy and procedures will included information about acceptable discipline and positive guidance to be used by facility persons at the facility. The written policy will address the steps a facility person shall take regarding reporting concerns when a facility person has witnessed or otherwise became aware of a facility person using any unacceptable forms of discipline or punishment against a child. The written policy will address the timeframe for reporting these concerns and to whom these concerns are to be reported to, including but not limited to when the facility person who has used the unacceptable form of punishment is the supervisor of the facility person with concerns. The policy and procedures will include the the specific steps that shall be taken by administration in regards to any concerns of facility behavior towards children, including but not limited to when the concerns involve allegations of any of physical punishment, restriction of movement, or otherwise physically interacting with a child in a concerning way such as grabbing or pulling children. These policies and procedures shall include information in regards to when the involved staff is able to return to a classroom or have interaction with children following a report of concerns. These polices and procedures shall address the timeframe for notification of all necessary parties including but not limited to the involved staff persons, parents of any Children involved, and other appropriate agencies such as ChildLine, Regional Office or Law Enforcement if necessary. Updated policies will be submitted to the Northeast Regional Office for review and approval. Upon approval, all current staff and future hires will receive documented training on the revised policies and procedures, including mandated reporting requirements, timelines for reporting concerns, parent notification procedures, notification of regulatory agencies, and administrative actions following allegations involving inappropriate staff conduct. Correction date 8/14/26 |
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| 2026-04-30 | Self-Reported Non Compliance | 3270.182(7) - Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file | Needs Verification |
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Regulation: 3270.182(7) Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file Noncompliance Area: During a self reported non-compliance investigation on 4/30/26 it was verified that Child 2 had sustained scratches while at the facility. It was reported that there was no written report of the injuries provided to Child 2's parent, nor was a report documented in the child's file or a facility wide injury, accident file. Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon discovery of the non-compliance, the facility immediately reviewed the incident involving Child 2 and implemented corrective measures to ensure all accidents and injuries are documented in accordance with 55 Pa. Code §3270.182(7). The facility reviewed and revised its accident and injury reporting procedures with all staff. Staff were retrained on the requirement that all accidents, injuries, and illnesses occurring at the facility must be documented on the approved incident report form on the day of the occurrence. Staff were instructed that not only a verbal communication needed to happened with the parent and documented but that the original written report must be provided to the parent or guardian on the day of the incident, we will make copies of a the second copy to be maintained in the facility's accident file, and the third copy must be placed in the child's file. The director will conduct training with all current staff and incorporate these procedures into new employee orientation. Documentation of training will be maintained at the facility. |
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| 2026-01-14 | Renewal | 3270.111(b) - Posted in group space | Compliant - Finalized |
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Regulation: 3270.111(b) Description: Posted in group space Noncompliance Area: During a renewal inspection on 1/14/26 Cert rep observed the daily activities were not posted in Room 118/School Age 1. Correction Required: The written plan of daily activities shall be posted in the group space. |
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Provider Response: (Contact the State Licensing Office for more information.) On 1/14/26, during the inspection, it was observed that the daily activities were not posted in Room 118/School Age 1. Immediate corrective action was taken: the teacher posted the written plan of daily activities the same day in the group space, in the presence of the DHS Certification Representative (please see attached picture), ensuring compliance. |
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| 2026-01-14 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: During a renewal inspection 1/14/26-1/16/26 Child 9's most recent Child Service report that was signed by the parent was dated 5/17/25, which is more than 6 months ago. 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.) The delay in obtaining the parent's signature was due to the mother being on maternity leave. The Child Service Report has now been updated and signed by the parent on 1/20/26 (please see attached), ensuring current documentation of services provided and compliance |
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| 2026-01-14 | Renewal | 3270.123(a)(6)/3270.124(b)(7) - Admission date/Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.123(a)(6)/3270.124(b)(7) Description: Admission date/Name/address/phone release person Noncompliance Area: During a renewal inspection 1/14/26-1/16/26 the agreements for Children 2, 3, 4, 5, 8, and 9 did not list the children original date of admission. Additionally the emergency contact form for Child 6 did not have the addresses for the release persons listed. Correction Required: An agreement shall specify the date of the child's admission. 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.) Immediate corrective action was taken: all children's agreements were updated to include the original date of admission, and Child 6's emergency contact form was updated by the parent to include addresses for all release persons. |
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| 2026-01-14 | Renewal | 3270.131(a) - Health information | Compliant - Finalized |
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Regulation: 3270.131(a) Description: Health information Noncompliance Area: During a renewal inspection on 1/14/26-1/16/26 Infant Child 6's initial health report was dated 1/14/26, which is beyond 60 days from their date of admission(See LIS code sheet for DOB and DOA). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Immediate corrective action was taken: the parent provided an updated health report, which has now been added to the child's file (please see attached), ensuring compliance. |
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| 2026-01-14 | Renewal | 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months | Compliant - Finalized |
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Regulation: 3270.131(b)(2) Description: Toddler/preschool: updated health report every 12 months Noncompliance Area: During a renewal inspection on 1/14/26-1/16/26 Preschool Child 4's most recent health report was dated 8/13/24, which is more than 12 months old (See LIS code sheet for DOB). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) An updated health report for Preschool Child 4 was uploaded by the parent to the facility's internal system (Playground) prior to the inspection but had not yet been printed and placed in the physical file at the time of review. Documentation is now verified in the child's electronic record. The child's last day of attendance was 1/15/26. |
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| 2026-01-14 | Renewal | 3270.131(d)(7) - Free from contagious/communicable disease | Compliant - Finalized |
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Regulation: 3270.131(d)(7) Description: Free from contagious/communicable disease Noncompliance Area: During a renewal inspection on 1/14/26-1/16/26 Infant Child 6's health report dated 1/14/26, and Older Toddler Child 7 health report dated 12/30/25 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease (See LIS code sheet for DOB). Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. |
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Provider Response: (Contact the State Licensing Office for more information.) Immediate corrective action was taken: one of health reports child # 6 was updated by physician to include the required statement and added to the children's files, ensuring compliance. We are still waiting for child # 7. Mom communicated that she will provide the updated physical on Monday 2/2/2026. |
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| 2026-01-14 | Renewal | 3270.133(5) - Original label | Compliant - Finalized |
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Regulation: 3270.133(5) Description: Original label Noncompliance Area: During a renewal inspection on 1/14/26 Cert rep observed Aquaphor (exp 7/2025) in Room 101/Toddler 2, and Albuterol breathing treatment (exp 11/2025), Epipen (exp 12/2025), & Albuterol inhaler (exp 6/2024) in the office's child medication storage drawer. 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.) Immediate corrective action was taken: all expired medications were removed from the facility to prevent use. Parents were notified and asked to pick up expired medications and provide new, in-date replacements, ensuring compliance. |
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| 2026-01-14 | 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: During a renewal inspection on 1/14/26-1/16/26 the facility emergency plan did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. 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. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. |
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Provider Response: (Contact the State Licensing Office for more information.) The facility is revising its emergency plan to include continuity of operations during and after an emergency, including temporary relocation to an alternate site to continue daily operations, remote access to children's records through the internal portal system, and continuity of financial operations. Digital backup staff files are being created to ensure documentation is accessible in the event of an emergency. |
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| 2026-01-14 | Renewal | 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.151(c)(2) Description: 12 months prior to service and every 24 months thereafter/Mantoux TB Noncompliance Area: During a renewal inspection on 1/14/26-1/16/26 the following staff had more than 24 months between their health assessments: Staff 1 (5/30/23 and 12/31/25), Staff 2 (7/24/23 and 1/6/26), Staff 3 (10/25/23 & 12/4/25), Staff 5 (10/24/23 and 1/2/26), Staff 6 (6/3/22 and 9/18/24) & Staff 11 (8/22/23 and 11/25/25). It was reported or otherwise verified that Staff 1, 2, 3, 5, 6 and 11 worked in a child care role at the facility between the expiration of their previous health assessment and the receipt of their current health assessment. Additionally the Initial TB test for Staff 4 was dated 12/30/25, which is after first day with children(See LIS code sheet for first day with children). Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff identified with expired health assessments (Staff 1, 2, 3, 5, 6, and 11) have obtained updated health assessments. Staff were reminded that health assessments must remain current while working in a child care role. |
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| 2026-01-14 | Renewal | 3270.192(4) - CPSL information | Compliant - Finalized |
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Regulation: 3270.192(4) Description: CPSL information Noncompliance Area: During a renewal inspection on 1/14/26-1/16/26 Staff 20 had a Disclosure statement that was signed, dated and witnessed dated 9/18/24, however the disclosure statement was not the most recently available disclosure statement at staff 20's first day with children. See LIS code sheet for first day with children. Correction Required: 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 20 may not work in a child care position or have direct contact with children at the facility until such time as a signed dated, and witnessed disclosure statement is on file. . |
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Provider Response: (Contact the State Licensing Office for more information.) Staff 20 signed and dated the most current Disclosure Statement on 1/16/26 during the inspection. The updated disclosure statement is now on file. Operator will comply with the CPSL. |
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| 2026-01-14 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: During a renewal inspection on 1/14/26-1/6/26 Facility Persons 15, 16, 17, 18, and 19 had 0 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person available for review: 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.) Written, nonfamily reference requests were issued and obtained for Facility Persons 16, 17, 18, and 19. References were placed in each staff file. Facility Person 15 provided 2 references. Evidence of completion will be sent to our DHS representative. |
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| 2026-01-14 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: During a renewal inspection on 1/14/26-1/16/26, Staff 12 had initial emergency plan training dated 8/21/25, which is beyond 90 days from their date of hire(See LIS code sheet for date of hire). 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.) Staff #12 completed emergency plan training, (8/21/25) and documentation is kept on file. Under new administration, emergency plan training is provided to all new hires on their first day of employment. A staff training tracking system and onboarding checklist have been implemented to ensure all required trainings are completed and documented timely. Administration will review staff files regularly to ensure ongoing compliance. |
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| 2026-01-14 | Renewal | 3270.27(e) - Letter to parents | Compliant - Finalized |
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Regulation: 3270.27(e) Description: Letter to parents Noncompliance Area: During a renewal inspection on 1/14/26-1/16/26 the facility emergency plan letter to the parents did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. |
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Provider Response: (Contact the State Licensing Office for more information.) The facility updated the emergency plan letter to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. The revised letter explains the use of emergency cribs for infants, buses for pre-toddlers, safety ropes for toddlers, and individualized accommodations for children with disabilities or chronic medical conditions with a designated staff person assigned. The updated letter was distributed to all parents on 1/29/2026. |
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| 2026-01-14 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: During a renewal inspection on 1/14/26-1/16/26 the following staff and facility persons had more than 12 months between fire safety training dates: Staff 1, 3, 8, 10, 11, 14, 21, 22, 23, 24, 25, & 26. This is evidence by the respective fire safety training certificates available for review on site: Staff 1 (4/11/24 & 5/1/25), Staff 3 (4/23/24, & 5/1/25), Staff 8 (4/12/24 & 5/1/25), Staff 10 (4/12/24 & 5/1/25), Staff 11 (4/12/24 & 5/1/25), Staff 14 (2/5/24 & 5/1/25), Staff 21 (4/11/24 & 5/1/25), Staff 22 (4/9/24, & 5/1/25), Staff 23 (4/21/24, & 5/1/25), Staff 24 (4/22/24, & 5/1/25), Staff 25 (4/12/24 & 5/1/25), Staff 26 (4/11/24 & 5/1/25). Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. |
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Provider Response: (Contact the State Licensing Office for more information.) All listed staff have completed annual fire safety training conducted by a fire protection professional. Documentation of completion is maintained onsite and available for review. |
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| 2026-01-14 | 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: During a renewal inspection 1/14/26-1/16/26 Staff 7, 9, and 13 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet for date of hire): Pediatric First Aid and CPR. This is evidenced by the Pediatric first aid and CPR training on file for Staff 7, 9, and 13 dated 12/18/25 which is beyond 90 days from their date of hire. 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.) Staff 7, 9, and 13 have completed the required Pediatric First Aid and CPR training. Documentation of completion is maintained onsite and available for review. |
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| 2026-01-14 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: During a renewal inspection on 1/14/26-1/16/26 Facility Person 16, 18 and 19 have not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff 6 and Staff 10 did not complete mandated reporter training within the last 60 months of the previous mandated report training. This is evidenced by the previously documented mandated reporter training on file being dated 12/9/20(Staff 6 and 10) and the current mandated reporter training being dated 12/31/25 (Staff 6) and 1/1/26 (Staff 10). It was reported that Staff 6 and 10 worked as staff between 12/9/25 and 12/23/25. It was reported that Facility Persons 16, 18 and 19 are facility persons who have interaction with children. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person 16, 18, and 19 may not work in a child care position or have direct contact with children at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff 6 and 10 have completed mandated reporter training (12/31/25 and 1/1/26). Facility Person 16, 18, and 19 also completed the Mandated training but were placed on administrative leave as of 1/15/26 and did not have direct contact with children until completion of the required training. Documentation of completion is maintained onsite and available for review. Operator will comply with the CPSL. |
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| 2026-01-14 | 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: During a renewal inspection on 1/14/26-1/16/26 Cert rep noted the following violations of the CPSL(See LIS code sheet for first days): Staff 8 had PSP clearances dated 6/4/19 and 9/10/24, Child Abuse clearances dated 5/20/19 & 10/1/24, DHS FBI clearances dated 5/13/19 & 10/4/24 - which is more than 60 months between clearance certificates. It was reported that Staff 8 worked as staff between 5/14/24-10/4/24. Facility Person 15 had a PSP clearance dated 1/8/26, and Child Abuse clearance dated 1/9/26 which are both after their date of hire/first day. Facility Person 16 did not have an NSOR certificate on file. Facility person 16 had Child abuse clearance dated 11/19/20, and FBI clearance dated 11/14/20, which are more than 60 months old, and therefore expired. Facility Person 16 did not have a valid Child abuse or FBI clearance on file. Facility Person 17 had a Child Abuse clearance dated 1/16/26, and NSOR clearance dated 12/3/25 which are both after their date of hire/first day. It was reported that Facility Persons 15, 16, and 17 are facility persons who have interaction with children. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person 16 may not work in a child care position or have direct contact with children at the facility until such time as a valid Child abuse clearance, DHS FBI clearance and NSOR clearance is on file. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person 16 may not work in a child care position or have direct contact with children at the facility until such time as a valid Child abuse clearance, DHS FBI clearance and NSOR clearance is on file. This portion of the plan shall have an immediate correct date. 2. The legal entity representative, Director, and any Staff responsible for the hiring of staff or maintaining staff files will be required to attend Existing Provider Orientation conducted by one of the four Regional Offices. The legal entity representative must contact the Regional Office of where they wish to attend the training in order to schedule this training. The operator shall provider that date for which this training shall be completed. |
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Provider Response: (Contact the State Licensing Office for more information.) Tier 1: Staff 8 , and Facility Persons 15, 16, 17 now have valid CPSL clearances. Facility Person 16 was placed on administrative leave on 1/15/2026 and was not allowed to work in child care position until all required clearances were valid. Operator will comply with the CPSL. (Correction date 1/15/2026) Implemented 2/3/26 Tier 2: The Director and staff responsible for maintaining staff files will attend Existing Provider Orientation conducted by one of the four Regional Offices. Training will take place on February 25th, 2026. Evidence of completion will be sent to DHS. (Correction date 2/25/26) Per request of provider on 2/25/26 Correction date changed to 3/3/26 due to the training date being moved due to weather. Updated Correction Date: 3/3/26. Per request of provider on 3/2/26 Correction date changed to 3/4/26 due to the training date being moved due to weather. Updated Correction Date: 3/4/26 Implemented 3/5/26 |
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| 2026-01-14 | Renewal | 3270.37(c) - Aides supervised all times | Compliant - Finalized |
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Regulation: 3270.37(c) Description: Aides supervised all times Noncompliance Area: During a renewal inspection on 1/16/26 Staff 4 and 9 were observed to be caring for children unsupervised in Room 101/Toddler 2. Staff 4 and 9 are both aides. Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. |
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Provider Response: (Contact the State Licensing Office for more information.) On 1/16/26, Upon review of personnel records, Staff 4 was verified to meet the qualifications of an Assistant Group Supervisor, based on a high school diploma and documented experience totaling 3,597.6 hours (2.87 years). This includes 3,117.6 hours previously on record and 480 hours from prior employment, as supported by attached documentation. Staff 9 remains classified as an aide and is not permitted to supervise children independently. Classroom coverage was adjusted to ensure appropriate supervision. |
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| 2026-01-14 | Renewal | 3270.66(a)/3270.133(4) - Locked or inaccessible/Locked | Compliant - Finalized |
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Regulation: 3270.66(a)/3270.133(4) Description: Locked or inaccessible/Locked Noncompliance Area: During a renewal inspection on 1/14/26 Cert rep observed Bleach, Fabuloso, Lysol, & spray paint in an unlocked cabinet in Room 119/Children's Church, Swiffer floor spray in unlocked closet in Room 114/Pre K 1, and Fabuloso, Lysol & Swiffer floor spray in unlocked closet in Room 117/Pre-Toddler 1. All of these items were labeled keep out of reach of children. Cert rep also observed Advil in Staff's bag which was stored on an accessible shelf in an unlocked closest in Room 116/Preschool 1. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. |
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Provider Response: (Contact the State Licensing Office for more information.) During inspection, items were secured immediately and removed from out of children reach. Child safety locks installed in Room 119 during inspection. Cleaning supplies moved out of reach and doors secured and locked in Rooms 114, 117, and 116. Door knobs replaced on rooms 114 and 116 and additional latch installed on 1/15/26. Medication removed and stored in the office until door was completely fixed. Please see the attached pictures |
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| 2026-01-14 | Renewal | 3270.75(a)/3270.75(c) - In child care spaces/Has all items | Compliant - Finalized |
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Regulation: 3270.75(a)/3270.75(c) Description: In child care spaces/Has all items Noncompliance Area: During a renewal inspection on 1/14/26 Cert rep observed that Room 119/Children's Church did not have a first aid kit. Cert rep also observed that the first aid kit in Room 100/Toddler 1 was missing tweezers. Correction Required: A first-aid kit shall be in a child care space. 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.) On 1/14/26, immediate corrective action was taken. A complete first-aid kit was placed in Room 119/Children's Church. In Room 100/Toddler 1, tweezers were provided and placed inside the existing first-aid kit and emergency bag. All corrections were completed the same day in the presence of the DHS cert rep. Each first-aid kit now contains all required items. |
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| 2026-01-14 | Renewal | 3270.75(b) - Inaccessible to children | Compliant - Finalized |
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Regulation: 3270.75(b) Description: Inaccessible to children Noncompliance Area: During a renewal inspection on 1/14/26 Cert rep observed the following first aid kits to be in the following accessible locations: Room 114/Pre K 1(Located on accessible cart), Room 110/Pre K Counts 3 (On hook, which made bag accessible/within children's reach) & Room 113/Pre Counts 2- Accessible hook (On hook, which made bag accessible/within children's reach). Correction Required: A first-aid kit must be inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) On 1/14/26, immediate corrective action was taken. All first-aid kits/emergency bags in Rooms 114 (Pre-K 1), 110 (Pre-K Counts 3), and 113 (Pre-K Counts 2) were removed from accessible locations and placed inside locked closets, making them inaccessible to children. |
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| 2026-01-14 | Renewal | 3270.76/3270.102(a) - Building Surfaces/Clean and good repair | Compliant - Finalized |
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Regulation: 3270.76/3270.102(a) Description: Building Surfaces/Clean and good repair Noncompliance Area: During a renewal inspection on 1/14/26 Cert rep observed a pulling hazard from hanging loose cord on mounted TV in Room 119/Church's Church, Frayed Carpets(not in good repair) in Room 116/Preschool 1, Room 110/Pre K Count 3, & Room 109/Pre K Counts 6, A loose broken floor tile with rough edges in Room 108/Pre K Counts 5, and tears in the diaper mats in Room 120/Gym 1 & Room 115/Pre-Toddler 2 which would prevent proper sanitation. 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. 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.) On 1/14/26, all hazards were immediately addressed in the presence of the DHS Cert. Representative. The loose hanging TV cord in Room 119/Children's Church was secured and then placed inside a closet to eliminate the pulling hazard. Frayed carpet areas in Rooms 116 (Preschool 1), 110 (Pre-K Counts 3), and 109 (Pre-K Counts 6) were repaired by securing the affected areas with heavy-duty duct tape. The broken floor tile with rough edges in Room 108 (Pre-K Counts 5) was completely covered with heavy-duty duct tape on 1/14/26 to immediately eliminate the hazard. The tile was then fully replaced with a new tile on 1/15/26 to permanently correct the issue. Diaper mats in Rooms 120 (Gym 1) and 115 (Pre-Toddler 2) were removed and replaced with new mats the same day (1/14/26), in the presence of the DHS Cert. Representative, to ensure proper sanitation. All corrective actions were completed during the inspection or immediately thereafter. |
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| 2026-01-14 | Renewal | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: During a renewal inspection on 1/14/26 Cert rep observed Peeling paint on the closet door in Room 116/Preschool 1. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Immediate action was taken on 1/14/26 in the presence of the DHS certification representative. The peeling paint on the closet door in Room 116/Preschool 1 was immediately covered with duct tape to prevent further exposure. A permanent repair was completed on 1/19/26, at which time the affected area was properly filled, sanded, and repainted to restore the surface to good repair and eliminate the hazard. |
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| 2026-01-14 | Renewal | 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: During a renewal inspection on 1/14/26-1/16/26 Cert rep noted more than 30 days between fire detection testing: 10/30/25-12/1/25. Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. |
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Provider Response: (Contact the State Licensing Office for more information.) The lapse in fire drills and fire detection testing was identified during the renewal inspection. Immediate corrective action was taken to ensure that all fire drills are conducted and documented appropriately. The Director has been designated as the staff responsible for ensuring compliance. |
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| 2025-10-30 | Self-Reported Non Compliance | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: Self reported non-compliance investigation on 10/30/25 verified that on 10/20/25 Staff 1 dragged Child 1 by the ankles down the hallway. Staff 1 was terminated from employment on 10/21/25. Correction Required: A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a written discipline policy to be implemented in the facility. The written policy must address 3270.113(b)-(e). The written policy must address the steps and timeframe for using these steps a facility person shall take when they have witnessed or otherwise become aware of Staff using a physical punishment against a child. The legal entity will submit policy to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures and it must be documented at the facility. The provider will provide a date for when this portion of the plan will be completed. |
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Provider Response: (Contact the State Licensing Office for more information.) Tier 1: The staff member involved in the incident was terminated from employment on 10/21/2025. Physical punishment of any kind is strictly prohibited at the facility. This prohibition has been immediately reinforced with all staff. All staff were verbally informed that no form of physical punishment, including but not limited to dragging, spanking, or any other physical force, is permitted under any circumstances. Any future violation of this regulation will result in immediate disciplinary action, up to and including termination, in accordance with facility policy and state regulations. Correction date: 10/30/25 Tier 2: The legal entity updated the existing written discipline policy to be implemented in the facility. The written policy will address 3270.113(b)-(e). The written policy will address the steps and timeframe for using these steps a facility person shall take when they have witnessed or otherwise become aware of Staff using a physical punishment against a child. The legal entity will submit policy to the Northeast Regional Office for approval. Once approved, all existing staff and new hires will be trained on the approved policies and procedures and it will be documented at the facility. Correction date 1/9/2026 |
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| 2025-10-16 | Complaints- Legal Location | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: During an investigation of a complaint on 10/16/25, it is verified that on 9/25/25, during a transition at approximately 3:15 pm, Child 1 was left alone and unsupervised in their classroom for approximately 2 minutes until child 1 was found sleeping by a staff member. 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. 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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for the legal entity, the director and all staff to receive a minimum of three hours of training regarding Supervision and Ratios. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for when this training will be completed. 3. The Legal entity, the director, and all staff will demonstrate compliance with with these regulations as they relate to supervision during 3 unannounced monitoring visits over the course of the next 3 months. The correction date for this portion of the plan shall be at minimum 3 months from the date an acceptable plan is received. |
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Provider Response: (Contact the State Licensing Office for more information.) 1. The Director immediately addressed the incident with classroom staff on 9/25/25. Staff involved received documented guidance and action plan on active supervision, child transitions, and maintaining appropriate staff-to-child ratios at all times. Supervision policy has been reviewed and updated to ensure that every child is accounted for before and after each transition. Head PreK Counts Teachers were instructed to stay an additional hour each day to help with transitions, assist, train, guide and support assistant teachers at the end of the day. New schedule and routine was also implemented to minimize overload of children transitioning together at the same time. (Correction 10/16/25) 2. All staff will receive a minimum of three hours of training in supervision and ratios. The training will be scheduled upon approval from the Regional Office. The legal entity will schedule the training on or before 12/12/25. If the training can not occur on or before 12/12/25, the legal entity or director will contact the cert. rep before 12/12/25 to provide the updated information regarding when this training is scheduled and will be completed. Per Legal entity request on 12/12/25 the correction date was updated to 1/9/26, as the training had to be rescheduled to that date. (Correction 1/9/26) Implemented 1/15/26 3. The legal entity, director and all staff will demonstrate compliance with with these regulations as they relate to supervision during 3 unannounced monitoring visits over the course of the next 3 months. (Correction 2/4/26) |
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| 2025-10-16 | Unannounced Monitoring | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: During an unannounced inspection on 10/16/25 Staff 1 did not renew their pediatric first aid and CPR training certificate on or before the expiration date of the most current certification. This is evidenced by the previously documented pediatric first aid and CPR training on file being dated 8/15/23(expired 8/31/2025). Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, Staff 1 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise Staff 1, Staff 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 #1 was previously scheduled to completed this training at the BCIU. Staff #1 was immediately supervised by an AGS and remained supervised until the completion of the Pediatric First Aid and CPR certification. Staff #1 has since renewed their Pediatric First Aid and CPR certification on 10/25/2025. A copy of the updated certificate has been placed in their personnel file. The Director has reviewed certification requirements with all staff to ensure timely renewals moving forward. |
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| 2025-10-16 | Unannounced Monitoring | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: During an unannounced inspection on 10/16/25 Staff 2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/25/2020. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, Staff 2 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise Staff 2, Staff 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 #2 was immediately supervised by an AGS and was required to complete mandated training before starting her shift the next day. Staff #2 completed updated mandated reporter training on 10/17/2025. A copy of the new training certificate has been placed in the staff file. The Director reviewed the training requirement with all staff to ensure understanding of the 60- month renewal requirement. |
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| 2025-10-16 | 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: During an unannounced inspection on 10/16/25 Cert rep note 1 incident of more than 30 days between fire detection testing: 7/17/25-9/19/25. Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. |
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Provider Response: (Contact the State Licensing Office for more information.) Plan of Correction: The fire detection system was tested (Fire Drill) on 10/16/2025. A new maintenance schedule has been implemented to ensure that fire detection testing occurs every 30 days or less, as required by regulations. The schedule will be now maintained in a physical compliance calendar as well in a binder and also in an electronic calendar. |
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| 2025-08-07 | Swimming | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: During a swimming inspection on 8/7/25 it was noted that Facility Person 1, and 2 did not have documentation available for review for annual emergency plan training from 2024 or 2025. Facility Person 3 did not have documentation of emergency plan training to review. Facility Person 3 has been employed for more than 90 days. (See LIS code sheets for dates of hire). Facility Person 1 and 3 were on leave, and did not have direct contact with children from 8/16/24-6/17/25. Facility Person 2 was on leave, did not have direct contact with children from 8/16/24-7/21/25. 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.) Facility Person 1, 2, and 3 will receive Emergency plan training. |
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| 2025-08-07 | Swimming | 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: During a swimming inspection on 8/7/25 Facility Person 3 had a NSOR request dated 6/26/24, and did not have a NSOR certificate on file. Facility Person 3 is beyond their 45 day provisional hire window (See LIS code sheet for date of hire). Facility Person 3 was on leave, and did not have direct contact with children from 8/16/24-6/17/25. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. As of 8/7/25 Facility Person 3 may not work in a child care position or have direct contact with children until the required NSOR certificate is on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility Person 3 is suspended effective 8/7/25 and will not return until their NSOR is on file. Administration contacted Facility Person 3 to produce NSOR clearance, and if they do not have it a new request for the NSOR clearance will be made. Facility Person 3 will provide a valid NSOR certificate. Swimming activities end on 8/15/25, at which time Facility Person 3 would be on leave until summer 2026. |
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| 2025-08-07 | Swimming | 3270.75(d) - On excursions | Compliant - Finalized |
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Regulation: 3270.75(d) Description: On excursions Noncompliance Area: During a swimming inspection on 8/7/25 Cert rep observed two first aid kits were taken for the four child care groups on the excursion to the pool. Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c). |
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Provider Response: (Contact the State Licensing Office for more information.) The Staff leader in charge of camp will assemble 1 first aid kits for every care group. The kits will have all required items and a water botttle. |
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| 2025-06-26 | Change in Location Capacity | Change in Location Capacity | Compliant - Finalized |
| 2025-05-14 | 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: During unannounced inspection on 5/14/25 Staff person 1 completed Pediatric First aid and CPR on 4/24/25, which is beyond 90 days from their date 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.) Staff person 1 completed Pediatric First aid and CPR on 4/24/25 |
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| 2025-04-11 | Complaints- Legal Location | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: Complaint investigation on 4/11/25 verified that on 4/3/25 Child 1 had multiple 1/4 inch diameter objects (dyed couscous) in both ears that were from a sensory table in the Pre-K 4 classroom. Staff reported not seeing how the objects ended up in Child 1's ears or who placed them there. 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. 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.) Children will be supervised at all times where staff can see hear direct and assess children, esp. when engaging in activities that may pose a higher risk based upon the development abilities of the children in the group. The items were removed from the sensory table. |
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| 2025-04-11 | Complaints- Legal Location | 3270.182(7) - Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file | Compliant - Finalized |
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Regulation: 3270.182(7) Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file Noncompliance Area: Complaint investigation on 4/11/25 verified that the facility did not place a copy of the illness report from 4/3/25 regarding Child 1 into the facility wide accident, injury, illness file. Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. |
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Provider Response: (Contact the State Licensing Office for more information.) A copy of the digital documents were printed and placed in the facility file. |
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| 2025-04-11 | Complaints- Legal Location | 3270.20(a)(1)/3270.20(b) - Inpatient hospitalization or ER treatment of child/Mail or deliver written report to regional office within 72 hours | Compliant - Finalized |
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Regulation: 3270.20(a)(1)/3270.20(b) Description: Inpatient hospitalization or ER treatment of child/Mail or deliver written report to regional office within 72 hours Noncompliance Area: Complaint investigation on 4/11/25 verified that the facility was made aware on 4/7/25 that Child 1 received medical attention due to an incident that was reported to have happened at the facility on 4/3/25. As of 4/11/25 the Northeast Regional Office did not receive telephone notice or a written report of this incident. Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department. |
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Provider Response: (Contact the State Licensing Office for more information.) The office was notified upon the visit of our cert rep. Attempts to enter data into Pelican failed and lead to an error message on 4/12/25. Should difficulties occur again in the future the office will be notified via phone call and email. Data was entered into Pelican on 4/23/25 with success and confirmation: EVE 00090683. (Paperwork regarding claimed ER visit was still not provided by the parent until 4/24/25 after administration requested again. Up until this point we did not even know what ER was involved.) |
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| 2025-02-26 | Self-Reported Non Compliance | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: During an investigation of self-reported noncompliance on 2/26/25, it is verified that on 2/18/25, during a transition at approximately 4:30 pm, child #5 was left alone and unsupervised in Gym 2 for 3 minutes until child #5 was found by a family member. 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. 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. Directed Plan: The legal entity must update their supervision policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision when transition to different rooms. This policy must include the use of name-to-face checks as a means of maintaining proper supervision. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. |
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Provider Response: (Contact the State Licensing Office for more information.) Children will be supervised at all times with revisions made to current Policies to include name to face checks (in addition to current counting practices) during transitions, naptimes., The revisions to our current policies were emailed to our cert' rep on 3/14/25 For review and approval, All staff were required to attend a 3-hour Supervision training by a PQAs instructor to understand the importance and reasoning behind Supervision Policies. The supervision policy was updated and sent to OCDEL for review. Once reviewed /approved by OCDEL-the policy will be again reviewed and shared with Staff. Signed documents pertaining to policy will be Collected and Sent to OCDEL for verification. The signed documents will be kept in staff files. |
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| 2025-02-26 | Self-Reported Non Compliance | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: During an investigation of self-reported noncompliance on 2/26/25, it is verified that on 2/18/25, during a transition at approximately 4:30 pm, child #5 was left alone and unsupervised in Gym 2 for 3 minutes until child #5 was found by a family member. 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. 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. Children must be supervised at all times. |
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Provider Response: (Contact the State Licensing Office for more information.) Children will be supervised at all times. All staff are equipped with primary care cards and will conduct name to face in addition to counting children, included in revised, policies Supervision training, (3hrs) will be provided 3/13/25 by POAS instructor and mandatory for all Staff to participate. (Attendance listing emailed to our cert rep 3/14/25: PQAs Signature 3/19/25 Staff were suspended (2/18/25), without pay, required to undergo additional training and separated and Supervised by equal or higher staff upon retuning. |
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| 2025-02-26 | 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: During an unannounced inspection on 2/26/24 Cert rep noted that there was more than 30 days between fire detection testing (1/23/25 to 2/27/25) Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. |
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Provider Response: (Contact the State Licensing Office for more information.) Fire System test was overdue due to program closure, and has been rectified. Additional tests conducted since- documentation emails to cert rep 3/20/25. The leadership team(team of 3 people) will create a share calendar reminder that will have the dates of the fire detection system testing schedule. The staff who tests the system by pulling the alarm will log the completed test on the fire system testing log and the shared calendar as completed. All three of the leadership team will be responsible for ensuring the fire testing occurs within 30 days and will complete the testing as required. |
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| 2025-01-23 | 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: During a renewal inspection on 1/23/25 cert rep observed hand tools and sharp screws on an accessible/open shelf in the Transition Room. Cert rep observed the following furniture to not be in good repair: Blue couch in Toddler 1(tears in fabric), Black chair in Pre K 1 library ( holes and tears in fabric), and the changing mat in Gym 1 (tears). 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.) Hand tools and Screws were removed from the transition room. Reminder is being provided to outside workers and facility persons to not leaving hand tools and screws in this room while it is under repair. Blue couch, Black chair and changing mat tears were covered with tape. |
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| 2025-01-23 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: During a renewal inspection on 1/23/25 Cert Rep observe gloves to be kept on the changing table in the follow spaces: Gym 2, Infant 2, Toddler 2, and Pre-Toddler 1. These gloves would be accessible to children while they are being changed. Children in these rooms may still be 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.) Gloves were removed from the changing table and placed in locations that are not accessible to children. |
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| 2025-01-23 | Renewal | 3270.107 - Refrigerator | Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: During a renewal inspection on 1/23/25 Cert rep observed the refrigerator in Infant 1 and Pre Toddler 1 was not at 45° F or below. They read at 46° F and 50° F respectively. The refrigerator in Pre-Toddler 2 did not have a thermometer. Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. |
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Provider Response: (Contact the State Licensing Office for more information.) The thermometer in refrigerator in Infant 1 was moved to the back of the fridge and read under 45 degrees. Pre Toddler 1 fridge was replaced and the new fridge has a thermometer which reads under 45 degrees. Thermometer was added to Pre-Toddler 2 fridge. |
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| 2025-01-23 | Renewal | 3270.123(a)(1)/3270.123(a)(4) - Amount of fee/Arrival/departure times | Compliant - Finalized |
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Regulation: 3270.123(a)(1)/3270.123(a)(4) Description: Amount of fee/Arrival/departure times Noncompliance Area: During a Renewal inspection on 1/23/25 and 1/24/25 Cert rep noted Child 6 did not have a fee amount listed on the fee agreement. Child 2 did not have an arrival time or departure time on their fee agreement. Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. 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.) Child 2 is no longer enrolled. Fee amount was added to Child 6's fee agreement |
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| 2025-01-23 | 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: During a renewal inspection on 1/23/25 Child 2's Emergency contact form did not have a work phone number for the child's mother. 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 is no longer enrolled. |
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| 2025-01-23 | Renewal | 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months | Compliant - Finalized |
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Regulation: 3270.131(b)(2) Description: Toddler/preschool: updated health report every 12 months Noncompliance Area: During a renewal inspection on 1/23/25 Child 6's Health assessment was dated 8/10/23. Child 6 is still enrolled in the program. This health assessment is more than 1 year old (See Code Sheet for Child's date of birth) 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Parents provided an updated health assessment dated 2/5/25 for Child 6 which meets all DHS regulations. |
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| 2025-01-23 | 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: During a renewal inspection on 1/23/25 Child 4 did not have documentation of receiving the 1st dose of the MMR vaccine in accordance with recommendations of the ACIP (See code sheet for DOB). Child 4 did not have an exemption letter on file and was still in care at the facility. 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). Directed Plan: Child 4 must be dismissed from care by close of business 1/23/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. |
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Provider Response: (Contact the State Licensing Office for more information.) Child 4 was dismissed from care at the end of 1/23/25 and did not return until his health assessment was received. Child 4 received his new health assessment that meets all DHS regulations for required questions and required vaccines. |
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| 2025-01-23 | Renewal | 3270.131(d)(7) - Free from contagious/communicable disease | Compliant - Finalized |
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Regulation: 3270.131(d)(7) Description: Free from contagious/communicable disease Noncompliance Area: During a Renewal inspection on 1/23/25 Child 4's Health assessment did not have an answer to if the child was able to participate in child care and appears to be free from contagious or communicable disease. Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. |
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Provider Response: (Contact the State Licensing Office for more information.) Child 4 was dismissed from care at the end of 1/23/25 and did not return until his health assessment was received. Child 4 received his new health assessment that meets all DHS regulations for required questions and required vaccines. |
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| 2025-01-23 | Renewal | 3270.133(5) - Original label | Compliant - Finalized |
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Regulation: 3270.133(5) Description: Original label Noncompliance Area: During a renewal inspection on 1/23/25 cert rep observed the following expired children's medications: A & D ointment that expired 9/2024 in Infant 2, an Albuterol inhaler that expired 1/31/24 in Pre K 1, and expired diaper cream in Pre Toddler 2. 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.) Epired medications and creams were removed from the child care space and returned to the parents for replacement. |
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| 2025-01-23 | Renewal | 3270.133(6)/3270.133(7)(i) - Written consent/Name of medication | Compliant - Finalized |
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Regulation: 3270.133(6)/3270.133(7)(i) Description: Written consent/Name of medication Noncompliance Area: During a renewal inspection on 1/23/25 cert rep observed an EpiPen in PS 1. The facility did not have signed/written consent from the child's parent for the administration of the medication. Cert rep observed a medication log for Albuterol inhaler in Pre K 1 that did not document the name of the medication on the log. This medication was administered to the child. Correction Required: A parent shall provide written consent for administration of medication or a special diet. A medication log shall include the name of the medication. |
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Provider Response: (Contact the State Licensing Office for more information.) Operator will locate the Epipen in Preschool 1 to identify the child and will receive parental consent to administer the medication. Operator will locate the medication log for the Albuterol in Pre-K 1 and update to add the medication name. |
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| 2025-01-23 | 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 a renewal inspection on 1/23/25 Cert Rep observed an infant child being changed. After the child's diaper was changed the staff person did not wash the child's hands. 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.) Child's hands were immediately washed when Cert Rep addressed staff. |
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| 2025-01-23 | 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: During a renewal inspection on 1/23/25 the facility did not have a Written policy to address the following: 1) Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, 2) Strategies for coping with a crying, fussing, or distraught child and 3) 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. The operator shall have a Written policy to address the following: 1) Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, 2) Strategies for coping with a crying, fussing, or distraught child and 3) The prevention and identification of child maltreatment |
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Provider Response: (Contact the State Licensing Office for more information.) Leadership will create a written policy to address these requirements. This policy will be provided to all staff. |
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| 2025-01-23 | Renewal | 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.151(c)(2) Description: 12 months prior to service and every 24 months thereafter/Mantoux TB Noncompliance Area: During a renewal inspection on 1/24/25 and 2/7/25 Staff 4 did not have a health assessment or initial TB test on file. Staff 7 had an initial TB test dated 5/23/24. This is after his DOH. Staff 9 had an initial health assessment dated 3/15/24, and initial TB test dated 3/18/24. This is after her date of hire. Staff 14 had an initial health assessment and initial TB test dated 1/27/25. This is after her date of hire. (see code sheet for DOHs). Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff 7, 9, and 14 had TB on file and health assessment on file. Staff 4 has obtained a health assessment and TB test. These will be in the Staff files. |
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| 2025-01-23 | Renewal | 3270.161(d) - Potentially hazardous food refrigerated | Compliant - Finalized |
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Regulation: 3270.161(d) Description: Potentially hazardous food refrigerated Noncompliance Area: During a renewal inspection on 1/23/25 Cert Rep observed the following foods in children's lunch boxes: yogurt(in Toddler 1 and Toddler 2 rooms) and hot dogs (in Pre K Counts 4 Room). The lunchboxes were not being kept in a refrigerator. These foods are considered potentially hazardous foods that require refrigeration. Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated. |
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Provider Response: (Contact the State Licensing Office for more information.) The yogurts were moved to the Fridge. Cert rep provided guidance during the inspection that ice packs are not acceptable as a replacement for refrigeration. |
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| 2025-01-23 | Renewal | 3270.181(c) - Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.181(c) Description: Emergency info/agreement updated 6 mos Noncompliance Area: During a renewal inspection on 1/23/25 and 1/24/25 Child 3's most recent emergency contact and fee agreement was reviewed by parents on 6/2/24, Child 4's most recent emergency contact and fee agreement was reviewed by parents on 5/16/24, and Child 5's most recent fee agreement was reviewed 5/31/24. This is more than 6 months since the most recent emergency contact and fee agreement parental reviews. Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. |
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Provider Response: (Contact the State Licensing Office for more information.) Operator will have parents review and sign the emergency contact form and fee agreements for Children 3, 4 and 5 |
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| 2025-01-23 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: During a renewal inspection on 1/24/25 and 2/7/25 The following staff did not have 2 references in their staff/facility person file: Staff 6(0 references), Staff 10 (1 reference). 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.) Staff 10 no longer in employed. Staff 6 will obtain references which will be kept in the staff's file. |
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| 2025-01-23 | Renewal | 3270.25(a) - Availability of certificate of compliance and applicable regulations | Compliant - Finalized |
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Regulation: 3270.25(a) Description: Availability of certificate of compliance and applicable regulations Noncompliance Area: During renewal inspection on 1/23/25 the facility was not providing the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. |
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Provider Response: (Contact the State Licensing Office for more information.) QR Code for 3270 regulation was posted next to the certificate of compliance. |
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| 2025-01-23 | Renewal | 3270.27(a)(5)/3270.27(f) - Emergency plan/Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(5)/3270.27(f) Description: Emergency plan/Emergency plan Noncompliance Area: During a renewal inspection on 1/23/25 it was noted the facility emergency plan did not address the accommodations being made for infants and toddlers. There was no documentation available for review that the emergency plan was sent to the local municipality. Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. |
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Provider Response: (Contact the State Licensing Office for more information.) the accommodations being made for infants and toddlers was added to the emergency plan and the updated emergency plan was sent to the county and the local municipality. |
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| 2025-01-23 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: During a renewal inspection on 1/24/25 and 2/7/25 Staff 12 and Facility Person 15 have not received emergency plan training. This is more than 90 days from their DOHs. Staff 13 received emergency plan training on 12/12/24. This is more than 90 days from her DOH. See code sheet for all DOHs. 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.) Staff person 13 completed emergency plan training on 12/12/24. Leadership will completed emergency plan training with Staff 12 and Facility Person 15. |
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| 2025-01-23 | Renewal | 3270.31(e) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: During a renewal inspection on 1/24/25 and 2/7/25 the following staff did not have 12 training hours during their training year: Staff 5 (3 hours recorded during training year 10/2023-10/2024) Staff 8 (11 hours recorded during training year 5/2023-5/2024) Staff 17 (10 hours recorded during training year 12/2023-12/2024) Staff 21 (8 hours recorded during training year 12/2023-12/2024) Staff 22 (8 hours recorded during training year 10/2023-10/2024) Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Directed Plan: Staff 5 must take 9 hours of professional development to fulfill requirement for training year 10/2023-10/2024. Hours used to fulfill training year 10/2023-10/2024 may not be used to fulfill current training year. Staff 8 must take 1 hour of professional development to fulfill requirement for training year 5/2023-5/2024. Hours used to fulfill training year 5/2023-5/2024 may not be used to fulfill current training year. Staff 17 must take 2 hours of professional development to fulfill requirement for training year 12/2023-12/2024. Hours used to fulfill training year 12/2023-12/2024 may not be used to fulfill current training year. Staff 21 must take 4 hours of professional development to fulfill requirement for training year 12/2023-12/2024. Hours used to fulfill training year 12/2023-12/2024 may not be used to fulfill current training year. Staff 22 must take 4 hours of professional development to fulfill requirement for training year 10/2023-10/2024. Hours used to fulfill training year 10/2023-10/2024 may not be used to fulfill current training year. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff 5 will complete 9 hours of professional development to fulfill requirement for training year 10/2023-10/2024. Staff 8 will complete 1 hour of professional development to fulfill requirement for training year 5/2023-5/2024. Staff 17 will complete 2 hours of professional development to fulfill requirement for training year 12/2023-12/2024. Staff 21 will complete 4 hours of professional development to fulfill requirement for training year 12/2023-12/2024. Staff 22 will complete 4 hours of professional development to fulfill requirement for training year 10/2023-10/2024. The trainings completed for this correction will be marked with language to remind leadership that these trainings cannot count towards the current training year. |
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| 2025-01-23 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: During a renewal inspection on 1/24/25 and 2/7/25 Staff person 3 most recently had fire safety training 7/21/23. This is more than 12 months since the previous fire safety training. Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff 3 is suspended and will not be allowed to return until such time as the required training is completed. Staff 3 will complete fire safety training before returning to work. |
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| 2025-01-23 | 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: During a renewal inspection on 1/24/25 and 2/7/25 Staff 10 did 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. This is evident by Staff 10 having a pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum dated 1/16/25. 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.) Staff 10 is no longer employed. |
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| 2025-01-23 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: During a renewal inspection on 1/24/25 and 2/7/25 it was noted that Staff 20 did not complete mandated reporter training within 60 months of the previous training. This is evidenced by documented mandated reporter training on file being dated 9/2/19 and 9/20/24. 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 20 completed the Mandated reporter on 9/20/24 |
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| 2025-01-23 | 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: During a renewal inspection on 1/24/25, and 2/7/25 the following CPSL violations were noted(See code sheet for DOHs): More than 60 months between the following clearances: Staff 1's Child abuse clearance (1/8/2020 and 1/31/2025). Staff Person 16's PSP (8/15/19 and 8/20/24), Staff Person 16's Child Abuse (8/19/19-8/29/24), and Staff Person 16's FBI Clearance (8/12/19-8/31/24). It was noted Staff 16 was not working at the facility from 6/7/24 to 8/28/24. Violations of provisional hire guidelines: Facility person 23 had a PSP clearance request on file dated 11/29/23 but did not have the clearance certificate on file. Staff Person 11 did not have a PSP Clearance, FBI Clearance or NSOR Certificate on file. Staff Person 14 did not have a PSP Clearance request. The PSP Clearance certificate was obtained on 1/24/25(after DOH). Staff Person 18 did not have a NSOR clearance or NSOR request on file. Staff Person 19 Child Abuse Clearance dated 11/22/24(after DOH). 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 23 and Staff Person 11 and 18 may not work or volunteer in a child care position at the facility until such time as the required clearances are obtained. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff 1, Staff Person 16, Staff Person 14, Staff Person 19 have all required clearances on file. Facility Person 23 and Staff Person 11 and 18 will not work or volunteer in a child care position until the clearances are obtained and file. Facility Person 23 and Staff Person 11 and 18 obtained the missing clearances before returning to childcare. |
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| 2025-01-23 | 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: During a renewal inspection on 1/24/25, and 2/7/25 the following CPSL violations were noted(See code sheet for DOHs): More than 60 months between the following clearances: Staff 1's Child abuse clearance (1/8/2020 and 1/31/2025). Staff Person 16's PSP (8/15/19 and 8/20/24), Staff Person 16's Child Abuse (8/19/19-8/29/24), and Staff Person 16's FBI Clearance (8/12/19-8/31/24). It was noted Staff 16 was not working at the facility from 6/7/24 to 8/28/24. Violations of provisional hire guidelines: Facility person 23 had a PSP clearance request on file dated 11/29/23 but did not have the clearance certificate on file. Staff Person 11 did not have a PSP Clearance, FBI Clearance or NSOR Certificate on file. Staff Person 14 did not have a PSP Clearance request. The PSP Clearance certificate was obtained on 1/24/25(after DOH). Staff Person 18 did not have a NSOR clearance or NSOR request on file. Staff Person 19 Child Abuse Clearance dated 11/22/24(after DOH). 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 23 and Staff Person 11 and 18 may not work or volunteer in a child care position at the facility until such time as the required clearances are obtained. Directed Plan: The legal entity must create a checklist for new hires that addresses all necessary paperwork and time frames for new hires to begin working in child care. The checklist must be approved by the regional office be used by the person responsible for hiring and maintaining staff records. |
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Provider Response: (Contact the State Licensing Office for more information.) The legal entity will create a checklist for new hires and existing staff that addresses all necessary paperwork and time frames for new hires to begin working in child care and will clearly note when the staff's first day with children is. This will allow leadership to easily see when the 45 day, 90 day, and 1 year mark is. The checklist will be approved by the regional office be used by the person responsible for hiring and maintaining staff records. |
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| 2025-01-23 | Renewal | 3270.34(b) - Director qualifications | Compliant - Finalized |
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Regulation: 3270.34(b) Description: Director qualifications Noncompliance Area: During a renewal inspection on 1/24/25 Staff Person 1 did not have evidence of obtaining an associates or bachelors degree from an accredited college or university. Staff Person 1 had a high school diploma, 30 college credit hours in human services field and over 4 years of experience with children. It was reported that Staff 1 was working as a director. Correction Required: A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). |
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Provider Response: (Contact the State Licensing Office for more information.) Staff 1 will work as an AGS until a degree is obtained and on file. |
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| 2025-01-23 | Renewal | 3270.36(b)(5) - HS/GED + 2 yrs | Compliant - Finalized |
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Regulation: 3270.36(b)(5) Description: HS/GED + 2 yrs Noncompliance Area: During a renewal inspection on 1/24/25 and 2/7/25 Staff 2, 11, 13, 20 had less than 2500 hours (1039.2 hours, 779.2 hours, 666 hours, 1040 hours respectfully) of child experience verified. Staff 2, 11, 13, 20 had a high school diploma on file. Staff person 12 did not have verification of a high school diploma on file. Staff person 12 had 2500 hours of child experience verified on file. Staff 2, 11, 12, 13, 20 have been working as Assistant group supervisors. Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. |
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Provider Response: (Contact the State Licensing Office for more information.) Verification of experience will be obtained for Staff 2, 11, 13, and 20. Staff 12's high diploma will be obtained. Staff 2, 11, 12, 13, and 20 will work as Aides until such time are the missing experience and education is on file. |
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| 2025-01-23 | Renewal | 3270.51/3270.55(a) - Similar Age Level/Toddler and preschool children | Compliant - Finalized |
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Regulation: 3270.51/3270.55(a) Description: Similar Age Level/Toddler and preschool children Noncompliance Area: During a renewal inspection on 1/24/25 in the Toddler 2 classroom Cert rep observed the following during nap time: 9 Older toddlers were in the room with 1 Staff person(Staff 9). 8 Older toddlers were napping, or on their nap mats. 1 Older toddler was off her nap mat and on the other side of the room with the 1 Staff person(Staff 9). Staff reported the child was off her nap mat, and the child's nap mat was put away because the child's parent was coming to pick the child up early. As a result of the Older toddler child off their nap mat the room was no longer able to be in naptime ratios and was out of ratio with 1 Staff to 9 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. The required staff:child ratios must be maintained at all times. 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. Directed Plan: The operator shall update the existing Ratio Policy to include the requirement for children to be resting or on their nap mat for naptime ratios to be used. This updated policy will be submitted to the Northeast regional office for approval and will be reviewed with all staff once approved by the Northeast regional office. Staff will sign acknowledgement of the updated policy which will be kept in their staff files. |
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Provider Response: (Contact the State Licensing Office for more information.) The operator will update the existing Ratio Policy to include the requirement for children to be resting or on their nap mat for naptime ratios to be used. This updated policy will be submitted to the Northeast regional office for approval and will be reviewed with all staff once approved by the Northeast regional office. Staff will sign acknowledgement of the updated policy which will be kept in their staff files. |
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| 2025-01-23 | Renewal | 3270.51/3270.55(a) - Similar Age Level/Toddler and preschool children | Compliant - Finalized |
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Regulation: 3270.51/3270.55(a) Description: Similar Age Level/Toddler and preschool children Noncompliance Area: During a renewal inspection on 1/24/25 in the Toddler 2 classroom Cert rep observed the following during nap time: 9 Older toddlers were in the room with 1 Staff person(Staff 9). 8 Older toddlers were napping, or on their nap mats. 1 Older toddler was off her nap mat and on the other side of the room with the 1 Staff person(Staff 9). Staff reported the child was off her nap mat, and the child's nap mat was put away because the child's parent was coming to pick the child up early. As a result of the Older toddler child off their nap mat the room was no longer able to be in naptime ratios and was out of ratio with 1 Staff to 9 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. The required staff:child ratios must be maintained at all times. 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.) A staff joined the room and had a supervision group assigned to them immediately to ensure the room was back in regular ratios, until the child who was off her nap mat was picked up by the parent. Ratios regulations will be followed at all times. |
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| 2025-01-23 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: During a renewal inspection on 1/23/25 Cert rep observed an uncovered accessible outlet in Pre K 1 room near the tv. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) Protective Out let cover was replaced during inspection |
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| 2025-01-23 | Renewal | 3270.66(a)/3270.133(4) - Locked or inaccessible/Locked | Compliant - Finalized |
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Regulation: 3270.66(a)/3270.133(4) Description: Locked or inaccessible/Locked Noncompliance Area: During a renewal inspection on 1/23/25 Cert rep observed the following accessible cleaning materials and other toxics: 1. Accessible Swiffer cleaner in Pre K 1 2. Diaper cream (located under the unlocked changing table) in Pre Toddler 2 and Toddler 2. These creams are labeled "Keep out of reach of Children" 3. Lysol Spray in unlocked cabinet in Pre K Counts 4 4. Wet Jet Spary on the accessible mop in Pre K Counts 3 Cert rep also observed an albuterol inhaler medication that was accessible to children in Pre K 1. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. |
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Provider Response: (Contact the State Licensing Office for more information.) 1. Accessible Swiffer cleaner in Pre K 1 was moved to inaccessible area. 2. Cabinets with the Diaper cream (located under changing table) in Pre Toddler 2 and Toddler 2 were locked. 3. Cabinet with Lysol Spray was locked in Pre K Counts 4 4. Wet Jet Sprayer mop in Pre K Counts 3 was moved to an inaccessible area. 5. Albuterol inhaler medication in Pre K 1 was moved to an inaccessible location |
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| 2025-01-23 | Renewal | 3270.75(b)/3270.75(c) - Inaccessible to children/Has all items | Compliant - Finalized |
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Regulation: 3270.75(b)/3270.75(c) Description: Inaccessible to children/Has all items Noncompliance Area: During a renewal inspection on 1/23/25 the first aid kits in the following child care spaces were accessible to children: Pre K 1 and Pre Counts 1. Cert rep also observed the first aid kit in the transition Room was missing the following items: soap, tweezers, tape, scissors and disposable, nonporous gloves. Correction Required: A first-aid kit must be inaccessible to children. 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.) Pre K 1 and Pre Counts 1 were moved to non-accessible areas. The following items were added to the transition Room: soap, tweezers, tape, scissors and disposable, nonporous gloves. |
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| 2025-01-23 | Renewal | 3270.75(d)/3270.124(e) - On excursions/Written emergency plan posted | Compliant - Finalized |
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Regulation: 3270.75(d)/3270.124(e) Description: On excursions/Written emergency plan posted Noncompliance Area: During a renewal inspection on 1/23/25 the excursion bags' first aid kitsin the following child care spaces were did not contain a water bottle: Pre K Counts 3 and Pre Counts 4. The excursion bag in Pre K Counts 3 did not contain the facility's emergency medical transportation plan. Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c). A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. |
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Provider Response: (Contact the State Licensing Office for more information.) Water bottles were added to the excursion bags for Pre K Counts 3 and Pre Counts 4. Emergency medical transportation plan was added to the excursion bag for Pre Counts 3. |
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| 2025-01-23 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: During a renewal inspection on 1/23/25 Cert rep observed the carpet in Pre K Counts 2 was curled creating a tripping hazard. Cert rep observed furniture leaning against the wall in the Transition Room creating a tipping hazard. Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. |
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Provider Response: (Contact the State Licensing Office for more information.) The carpet was immediately taped down. Furniture was removed from the transition room. |
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| 2025-01-23 | Renewal | Renewal | Compliant - Finalized |
| 2024-12-13 | Complaints- Legal Location | 3270.21/3270.166(1) - General Health and Safety/Written statement | Compliant - Finalized |
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Regulation: 3270.21/3270.166(1) Description: General Health and Safety/Written statement Noncompliance Area: During a complaint investigation on 12/13/24 staff reported that on 12/5/24 Staff 1 accidentally fed Child 1 ounce of Child 2's breast milk from Child 2's bottle. Staff reported not noticing the incorrect bottle was given to Child 1 until after Child 1 finished Child 2's breast milk. Both children's bottles were labeled. Child 1 was to be given formula not breast milk. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent. |
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Provider Response: (Contact the State Licensing Office for more information.) This was a self-reported incident the day it occurred which we also notified both children's parents immediately. It was determined to be new staff error as bottles were properly labeled prior to the ounce being given. Polices were in place and written schedule was in place. It was immediately addressed that specific name labels were affixed to counters for placing bottles on during feedings when not in use. Training practices strengthened. All infant staff received a review training in regard to existing procedures and training on newly developed procedures for infant feedings. Staff no longer employed at center. |
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| 2024-12-13 | 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: During an unannounced inspection on 12/13/24 cert rep noted Staff person 2, and 3, and 5 have 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. Staff 5 had a first aid/CPR from 9/24/23 that was not from a PQAS approved trainer and a PQAS approved curriculum. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons 2, 3 and 5 will have until 1/23/25 to complete the required training. Until such time as the required training has been completed, staff persons 2,3 and 5 must be supervised, when interacting with children, by an AGS GS or Director who has completed the required training related to this citation. If there are no staff available to supervise staff persons 2, 3, and 5, staff persons 2,3, and 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.) POAS training was scheduled for 12/23/24. Instructor was hospitalized necessitating rescheduled session for 1/16/25. Our classrooms are equipped with staff (at least 1) who are trained in First aid. Staff will complete the pediatric first aid and CPR. Staff will be supervised until the training is complete. |
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| 2024-12-13 | Unannounced Monitoring | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: During an unannounced inspection on 12/13/24 Facility person 2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 9/2/19. Facility Person 4 has not completed an acceptable Child Care facility the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Facility Person 4 has a mandated reporter training for school teachers on file that is dated 8/8/22. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Facility persons 2 and 3 will have until 1/23/25 to complete the mandated reporter training. Until such time as the required training has been completed, facility persons 2 and 3 must be supervised, when interacting with children, by an AGS, GS or Director who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff facility persons 2 and 3, facility persons 2 and 3 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 are to complete mandated reported training by dates required. Will be more aware of differences between Dept. of Education and Dept of Human Services trainings to ensure compliance. |
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| 2024-12-13 | Unannounced Monitoring | 3270.94(a)(1) - Every 60 days | Compliant - Finalized |
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Regulation: 3270.94(a)(1) Description: Every 60 days Noncompliance Area: During an unannounced inspection on 12/13/24 the follow incidence of more that 60 days between fire drills was noted: 1/31/24-4/4/24, 6/21/24-9/12/24. Additionally, it was noted the facility has not had a fire drill since 9/12/24. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. |
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Provider Response: (Contact the State Licensing Office for more information.) A fire drill was completed on 12/16/24. Will conduct fire drills on 60 day rotation as per regulations- despite weather or other conditions. |
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| 2024-12-13 | 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: During a complaint investigation on 12/13/24 cert rep noted the last fire detection testing was 11/10/24. This is more than 30 days since the last fire detection testing. 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.) The smoke detection testing was completed 12/16/24. Test Fire alarm every 30 days or less, frequently as noted in Calendar. Fire System is inspected by Fire marshal annually and B561 monitoring center |
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| 2024-01-09 | Renewal | 3270.133(5) - Original label | Compliant - Finalized |
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Regulation: 3270.133(5) Description: Original label Noncompliance Area: During the Renewal Inspection, two expired inhalers were seen where the child medication is stored at the facility. The inhaler for Child #6 was marked with an expiration date of 11/2023. The inhaler for Child #7 was marked with an expiration date of 10/2023. 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.) We now have an updated inhaler for Child #6 at the facility. We will obtain an updated inhaler for Child #7, if need be, as it has not been used here. |
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| 2024-01-09 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: During the review of staff files on 1/10/2024, Staff #2 did not have any written, nonfamily references on file. See LIS code sheet. 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.) Staff #2 will return with the required two references. |
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| 2024-01-09 | Renewal | 3270.27(a)(6) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: During the Renewal Inspection on 1/9/2024, the facility had not conducted an emergency drill within the previous 12 months. 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 will conduct an emergency drill in February that will be demonstrated for the parents of enrolled children. |
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| 2024-01-09 | 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: During the review of staff files on 1/10/2024, the most recent Pennsylvania child abuse clearance on file for Staff #1 was dated 2/3/2016. Staff #1 also had a state police clearance and request on file that was completed on 3/6/2023. This was after the first date working in a childcare position. Staff #2 had proof of being fingerprinted on 1/3/2023 on file but did not have an FBI clearance on file. Staff #3 did not have a request for the National Sex Offender Registry (NSOR) clearance on file. See LIS code sheet. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include 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. Staff #1 may not work in a childcare position at the facility until the updated Pennsylvania child abuse clearance is on file. Staff #2 may not work in a childcare position at the facility until the completed FBI clearance is on file. Staff #3 may not work in a childcare position at the facility until the completed National Sex Offender Registry (NSOR) clearance is on file. The requests for all staff clearances along with the completed child abuse clearance and FBI or state police clearance must be on file prior to staff working in a childcare position. All required staff clearances must be updated at least once every 60 months. |
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Provider Response: (Contact the State Licensing Office for more information.) The child abuse clearance was immediately requested and received for Staff #1. Staff #2 immediately called to inquire about her FBI clearance. The FBI clearance was remailed to Staff #2. The NSOR request was immediately emailed for Staff #3. Staff #2 and Staff #3 will not work in a childcare position until the completed clearances are on file. |
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| 2024-01-09 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Regulation: 3270.75(c) Description: Has all items Noncompliance Area: On 1/9/2024, the first-aid kit in the Toddler 2 classroom missing gauze pads and tape. Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. |
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Provider Response: (Contact the State Licensing Office for more information.) The missing items were placed in the first-aid kit for the Toddler 2 classroom. |
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| 2024-01-09 | Renewal | 3270.94(a)(1) - Every 60 days | Compliant - Finalized |
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Regulation: 3270.94(a)(1) Description: Every 60 days Noncompliance Area: The Fire Drill/Fire Detection Log was up to date on 1/9/2024. However, the log showed that a fire drill was conducted on 10/18/2023 then not again until 1/2/2024. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. |
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Provider Response: (Contact the State Licensing Office for more information.) This was already corrected at the time of the inspection. |
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| 2023-03-21 | Complaints- Legal Location | 3270.20(a)(1)/3270.20(b) - Inpatient hospitalization or ER treatment of child/Mail or deliver written report to regional office within 72 hours | Compliant - Finalized |
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Regulation: 3270.20(a)(1)/3270.20(b) Description: Inpatient hospitalization or ER treatment of child/Mail or deliver written report to regional office within 72 hours Noncompliance Area: An unannounced inspection was conducted on 3/21/2023. It was discovered that Child #1 received emergency room treatment on 2/21/2023 due to an injury to his thumb that was discovered while he was in care at the facility on 2/21/2023.The Northeast Regional Office had not been notified of this incident. Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department. |
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Provider Response: (Contact the State Licensing Office for more information.) Children's parents will continue being notified via time stamped digital format, as well as via phone going forward. Proper notice will be made via phone and written format to entities based upon verbal notice of medical treatment-no longer requiring documentation. |
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| 2023-03-21 | Unannounced Monitoring | 3270.94(a)(1) - Every 60 days | Compliant - Finalized |
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Regulation: 3270.94(a)(1) Description: Every 60 days Noncompliance Area: An unannounced inspection was conducted on 3/21/2023. The fire drill log showed that the last documented fire drill had been conducted on 1/11/2023. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. |
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Provider Response: (Contact the State Licensing Office for more information.) Conduct Fire Drills within 60 days |
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| 2023-03-08 | Complaints- Legal Location | 3270.182(7) - Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file | Compliant - Finalized |
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Regulation: 3270.182(7) Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file Noncompliance Area: An unannounced inspection was conducted on 3/8/2023. The facility provided 12 separate accident/injury reports for Child #1 that were sent to the parent through the Tadpoles app on the day of each injury. However, it was observed that the facility has not consistently maintained additional copies of these injury reports in the facility accident file and in the child's file, as required. Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility will maintain additional copies of all incident reports-in addition to the digital format (tadpoles) sent to families. These additional copies will be kept in accident & child files. |
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| 2023-01-11 | Renewal | 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months | Compliant - Finalized |
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Regulation: 3270.131(b)(2) Description: Toddler/preschool: updated health report every 12 months Noncompliance Area: During the review of child files on 1/3/2023, the most recent health report on file for Child #1, a preschool child was dated 11/1/2021. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #1 has a physical exam scheduled for 1/30/2023. |
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| 2023-01-11 | Renewal | 3270.131(d)(5)/3270.131(e)(2)(i) - Immunization record/Exemption documentation from parent/guardian | Compliant - Finalized |
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Regulation: 3270.131(d)(5)/3270.131(e)(2)(i) Description: Immunization record/Exemption documentation from parent/guardian Noncompliance Area: On 1/13/2023, Child #2, a preschool child did not have the up-to-date influenza immunization as recommended by the ACIP. The file for Child #2 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent. See LIS code sheet. Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. |
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Provider Response: (Contact the State Licensing Office for more information.) We will either obtain verification that Child #2 has received the up-to-date influenza immunization according to the recommendations of the ACIP or we will obtain a written, signed and dated exemption from immunization statement from the parent for religious belief or strong personal objection equated to a religious belief. |
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| 2023-01-11 | 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, #2, #3 and #7 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff persons #1, #2, #3 and #7 will have until 1/28/2023 to complete the required training. Until such time as the required training has been completed, staff persons #1, #2, #3 and #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 persons #1, #2, #3 and #7, staff persons #1, #2, #3 and #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.) Pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) is scheduled for 1/17/2023 for all staff listed and all for staff that are coming due. |
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| 2023-01-11 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: Staff persons #4, #6, #8, #9 and #10 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter trainings on file being dated as follows: 7/10/2014 for Staff #4, 5/18/2015 for Staff #6, 12/22/2017 for Staff #8, 7/10/2014 for Staff #9 and 5/18/2015 for Staff #10. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons #4, #6, #8, #9 and #10 will have until 1/28/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff persons #4, #6, #8, #9 and #10 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 available to supervise staff persons #4, #6, #8, #9 and #10, staff persons #4, #6, #8, #9 and #10 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.) All staff completed the mandated reporter training prior to the inspection. |
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| 2022-07-20 | Swimming | Swimming | Compliant - Finalized |
| 2022-01-06 | Renewal | 3270.124(f) - Updated every 6 months | Compliant - Finalized |
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Regulation: 3270.124(f) Description: Updated every 6 months Noncompliance Area: During the review of child files on 1/28/2022, it was observed that the emergency contact information for Child #1 and Child #2 had not been updated during the previous 6 months. 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 |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency contact information for both children will be reviewed and updated by the parent. |
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| 2022-01-06 | Renewal | 3270.131(b)(1)/3270.131(b)(2) - Infant: updated health report every 6 months/Toddler/preschool: updated health report every 12 months | Compliant - Finalized |
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Regulation: 3270.131(b)(1)/3270.131(b)(2) Description: Infant: updated health report every 6 months/Toddler/preschool: updated health report every 12 months Noncompliance Area: During the review of child files on 1/28/2022, the following was observed: The most recent health report on file for Child #1 was dated 12/17/2020, the most recent health report on file for Child #3 was dated 1/13/2021, and the most recent health report o file for Child #2 was dated 5/24/2021. Child #1 and Child #3 are older toddlers. Child #2 is currently a young toddler and will not be an older toddler until 2/7/2022. Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. |
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Provider Response: (Contact the State Licensing Office for more information.) Updated health reports will be obtained for all three children. |
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| 2022-01-06 | Renewal | 3270.31(f)/3270.31(f)(10) - Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)/3270.31(f)(10) Description: Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: During the review of staff files on 1/28/2022, it was observed that Staff #2, date of hire 9/23/2021 had not yet completed the required CCDBG health and safety training. The date of hire for Staff #3 was 3/9/2021. Staff #3 had not yet completed the required training pediatric first aid and pediatric cardiopulmonary resuscitation (CPR). Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: The CCDBG health and safety professional development shall be completed within 90 days of hire for new staff persons. 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.) Staff #2 has now completed the required CCDBG health and safety training. Staff #3 and all other staff that are due for training in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) will be scheduled as soon as possible. |
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