Circle Of Friends Academy
Quick Facts
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Contact Information
📞 (717) 393-0425Reviews
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About the Provider
Hours of Operation
- Monday7:30 AM - 5:30 PM
- Tuesday7:30 AM - 5:30 PM
- Wednesday7:30 AM - 5:30 PM
- Thursday7:30 AM - 5:30 PM
- Friday7:30 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 |
|---|---|---|---|
| 2026-06-30 | Renewal | 3270.102(c) - Outdoor equip.- protective surfacing | Compliant - Finalized |
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Regulation: 3270.102(c) Description: Outdoor equip.- protective surfacing Noncompliance Area: The depth of the mulch on the preschool playground near the large blue slide, the red rope climber, and rock wall measured at 6 to 7 inches. This does not meet the 9 inches of loose fill mulch recommendation of the United States Consumer Product Safety Commission. Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider has spoken with maintenance and has purchased more mulch to meet the required 9 inches. |
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| 2026-06-30 | Renewal | 3270.107 - Refrigerator | Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: The refrigerator in the infant room did not contain a thermometer. (CORRECTED ON SITE) 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.) Provider was able to locate the thermometer and placed it in the refrigerator while inspection was in progress. |
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| 2026-06-30 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The most recent Ounce on file for child #4 was more than 6 months old (dated in August of 2025). The most recent Work Sampling on file for child #5 was more than 6 months old (dated in November of 2025). 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.) Ounce was completed for child #4 and work sampling was completed for child #5. |
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| 2026-06-30 | Renewal | 3270.123(a)(6) - Admission date | Compliant - Finalized |
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Regulation: 3270.123(a)(6) Description: Admission date Noncompliance Area: The agreement on file for child #5 did not specify the date of the child's admission. Correction Required: An agreement shall specify the date of the child's admission. |
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Provider Response: (Contact the State Licensing Office for more information.) The date of admission was added to the child's form |
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| 2026-06-30 | Renewal | 3270.123(b) - Parent receives original | Compliant - Finalized |
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Regulation: 3270.123(b) Description: Parent receives original Noncompliance Area: The files for children #1, #2, #3, #4, and #5 included the original agreements. (CORRECTED ON SITE) Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider has provided the families with the original and has retained the copy. |
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| 2026-06-30 | Renewal | 3270.124(b)(3)/3270.124(b)(6) - Parent home/work address, phone/Insurance coverage information | Compliant - Finalized |
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Regulation: 3270.124(b)(3)/3270.124(b)(6) Description: Parent home/work address, phone/Insurance coverage information Noncompliance Area: The emergency contact information on file for child #2 did not include the enrolling parent's work telephone number, and the child's health insurance coverage and policy number. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. |
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Provider Response: (Contact the State Licensing Office for more information.) The enrolling parent's work telephone number, and the child's health insurance coverage and policy number were added to the form. |
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| 2026-06-30 | Renewal | 3270.124(f)/3270.181(e) - Updated every 6 months/Emergency master file updated | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(e) Description: Updated every 6 months/Emergency master file updated Noncompliance Area: The emergency contact forms in the preschool room were past due to be updated, as the parent signatures were more than 6 months old. 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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records. |
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Provider Response: (Contact the State Licensing Office for more information.) The forms were updated and copies were placed in the room. |
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| 2026-06-30 | 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: The most recent health assessment on file for child #5 (preschooler) was more than 12 months old (dated in January of 2025). 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.) Provider spoke with family and received the updated health report dated 7/18/2025. |
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| 2026-06-30 | Renewal | 3270.135(a)(3) - Disposable diapers | Compliant - Finalized |
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Regulation: 3270.135(a)(3) Description: Disposable diapers Noncompliance Area: The diaper trash cans in the toddler and preschool classrooms were not hands-free. Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider has purchased a new hands-free diaper pail for the toddler room and purchased a medium sized hands-free trash can for the preschool room. |
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| 2026-06-30 | 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: The record for facility persons #10 and #11 did not contain health assessments and TB test results. 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.) Facility person #11 will be required to provide health assessments with TB test results. Facility person #10 is not returning. |
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| 2026-06-30 | Renewal | 3270.151(c)(3)/3270.151(c)(5) - Exam communicable disease/Physician/CRNP assessment | Compliant - Finalized |
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Regulation: 3270.151(c)(3)/3270.151(c)(5) Description: Exam communicable disease/Physician/CRNP assessment Noncompliance Area: The health assessment on file for staff person #8 did not include an examination for communicable diseases and the results of that examination. The health assessment also did not include the physician's or CRNP's assessment of the person's suitability to provide child care. Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #8 obtained an updated health that includes an examination for communicable diseases and the results of that examination along with the physician's or CRNP's assessment of the person's suitability to provide child care. |
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| 2026-06-30 | Renewal | 3270.183(a)/3270.193(a) - Locked cabinet/Confidential; stored in locked cabinet | Compliant - Finalized |
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Regulation: 3270.183(a)/3270.193(a) Description: Locked cabinet/Confidential; stored in locked cabinet Noncompliance Area: Child and facility/staff person files were not being stored in a locked cabinet. Correction Required: Child records are confidential and shall be stored in a locked cabinet. Facility persons' records are confidential and shall be stored in a locked cabinet. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider has purchased locks to install on the current cabinets. |
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| 2026-06-30 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The record for staff persons #3 and #5 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (CORRECTED ON SITE) The record for facility persons #10 and #11 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider obtained references during inspection for staff persons. Facility person #10 will not return. Facility person #11 will not return until 2 written non-family references are on file. |
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| 2026-06-30 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: Staff persons #7 and #8 did not have documentation on file that they have been trained on the emergency plan. They have been employed for more than 90 days. Facility persons #10 and #11 did not have documentation on file that they have been trained on the emergency plan. They have been facility persons for more than 90 days. 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.) Emergency plan training was completed for staff persons #7 and #8, and for facility persons #10 and #11. |
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| 2026-06-30 | 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: Staff persons #1, #2, #4, #6, and #9 competed fire safety in April of 2025 and subsequently more than 12 months later in June of 2026. 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.) Provider will develop a list of all trainings for staff members and when they need to be completed by. |
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| 2026-06-30 | 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: Upon beginning work in the facility, the record for staff person #3 did not contain completed a completed DHS FBI clearance as required under the CPSL. The record also did not include documentation the facility person has requested the outstanding clearance as required for provisional hiring under the CPSL. The clearance was not on file at the time of inspection. The staff person was observed working with children at the time of inspection. Upon beginning work in the facility, the record for staff person #8 did not contain completed a completed DHS FBI clearance as required under the CPSL. The record also did not include documentation the facility person had requested the outstanding clearance as required for provisional hiring under the CPSL. The clearance was obtained 79 days after the employee began working with children. The record for facility person #10 did not contain a DHS FBI clearance as required under the CPSL. In addition, the facility person's criminal record was not submitted for review. The record for facility person #11 did not include a completed disclosure statement. 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 #3 may not work in a child care position at the facility until complete clearances are on file. Facility person #10 may not volunteer at the facility until complete clearances are on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The DHS FBI clearance for staff person #3 has been obtained. The staff person was removed from a child care position until the clearance was on file. Facility person #10 is not returning. Facility person #11 has a completed disclosure on file. |
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| 2026-06-30 | Renewal | 3270.36(b)/3270.192(2)(ii) - Assistant Group Supervisor qualifications/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.36(b)/3270.192(2)(ii) Description: Assistant Group Supervisor qualifications/Exp, educ., training prior to facility Noncompliance Area: Staff person #4's is serving as an assistant group supervisor at the facility. The staff person's record includes documentation of a high school diploma, but does not include documentation of 2 years (2,500 hours) of child care experience. Staff person #7's is serving as an assistant group supervisor at the facility. The staff person's record includes documentation of a high school diploma, but does not include documentation of 2 years (2,500 hours) of child care experience. Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5). (1) A high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. (2) A high school diploma or a general educational development certificate, including 600 or more hours of secondary training described in § 3270.31(c) (relating to age and training). (3) A high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. (4) A high school diploma or a general education development certificate and completion of a post-secondary training curriculum described in § 3270.31(c). (5) A high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff persons #4 and #7 will serve as aides until documentation of child care experience will be obtained. |
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| 2026-06-30 | Renewal | 3270.62(b) - Play space - 65 square feet/child | Compliant - Finalized |
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Regulation: 3270.62(b) Description: Play space - 65 square feet/child Noncompliance Area: 19 children were observed playing in the indoor gym. Based on measurements, the capacity of the space is 15. (CORRECTED ON SITE) Correction Required: Outdoor or indoor play space shall be measured at 65 square feet per child. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will ensure that there are no more than 15 children playing in the indoor space per the measurement of the space. |
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| 2026-06-30 | 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: Uncovered outlets were observed on a live power strip in the preschool room. 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.) The outlet strip was covered. |
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| 2026-06-30 | Renewal | 3270.66(d) - Toxic plants not permitted | Compliant - Finalized |
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Regulation: 3270.66(d) Description: Toxic plants not permitted Noncompliance Area: The following toxic plants were observed on the preschool playground: Hydrangeas, peonies, clematis, boxwood, and bleeding hearts Correction Required: Toxic plants are not permitted in a child care space. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will speak with maintenance to have the toxic plants removed from the child care space. |
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| 2026-06-30 | 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: According to the log on file at the time of inspection, fire drills were conducted on 6/12/25 and subsequently more than 60 days later on 9/16/25. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will ensure that fire drills are conducted at least once every 60 days. |
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| 2026-06-30 | Renewal | 3270.94(a)(9) - Written record | Compliant - Finalized |
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Regulation: 3270.94(a)(9) Description: Written record Noncompliance Area: The written record of fire drills did not include the names of the facility persons and the number of children who participate in the fire drill. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will ensure that the proper DHS fire drill paperwork is completed with each drill, listing the number of children present, staff members, time of day, location and evacuation time. |
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| 2026-06-30 | 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: More than 30 days lapsed between the following manual tests of the fire detection system: 9/16/25 to 10/20/25, 11/6/25 to 12/17/25, 3/4/26 to 4/30/26, and 4/30/26 to 6/17/26. The proof and date of purchase of the interconnected fire detection device or system was not on file with the facility's fire drill logs. 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. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs. A child care center shall keep the proof and date of purchase of an interconnected fire detection device or system with the facility's fire drill logs. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will ensure that the fire detection system is manually tested every 30 days and a written record is kept with the facility's fire drill logs. The system was tested An attestation form was completed for the proof and date of purchase of the fire detection system. |
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| 2025-05-08 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: The operator is not in compliance with the CPSL as facility person #7 (DOH see LIS code sheet) did not update their mandated reporter training within 60 months. This is evidenced by mandated reporter training certificates dated 12/31/2019 and 2/21/2025. 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.) Plan of Correction is to ensure that all staff members complete their required training within the 60 month time frame. |
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| 2025-02-21 | Allocated Unannounced Monitoring | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: The file for facility person #1 contained a NSOR clearance that was dated 1/20/2019 and did not have an update within the 60-month timeframe required under CPSL. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility until NSOR results are returned. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider has submitted for an updated NSOR clearance for facility person #1 to comply with CPSL and Chapter 3490. |
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| 2024-07-22 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The CSR on file for child # 4 and child #5 did not include a date. 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 director will work closely with staff to make sure that CSRs are being filled out in their entirety before being submitted. The CSR on file for child # 4 and child #5 now includes a date of completion. |
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| 2024-07-22 | Renewal | 3270.123(a)(4) - Arrival/departure times | Compliant - Finalized |
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Regulation: 3270.123(a)(4) Description: Arrival/departure times Noncompliance Area: The agreement forms on file for children # 1, #3, #4, and #5 were missing the agreed arrival time and departure time for each child. Correction Required: An agreement shall specify the child's arrival and departure times. |
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Provider Response: (Contact the State Licensing Office for more information.) The director will make sure to highlight all areas on agreement forms to make sure the parents fill out all areas needed. Parents updated the agreement forms on file for children # 1, #3, #4, and #5 with arrival time and departure time for each child. |
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| 2024-07-22 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: It was observed that the emergency contact form and financial agreement forms for child #3, child #4, child # 5 and child #6 were updated by the parent beyond a 6-month period. This was evidenced for child #3 as dates on the financial agreement were 6/26/23 with an update on 1/11/24. This was evidenced for child #3 as dates on the Emergency Contact form were 6/26/23 with an update on 1/4/24. This was evidenced for child #4 as dates on the financial agreement were 6/27/23 with an update on 1/2/24. This was evidenced for child #4 as date on the Emergency Contact form was last updated on 2.5.23. This was evidenced for child #5 as dates on the financial agreement were 6/26/23 with an update on 1/2/24. This was evidenced for child #5 as dates on the Emergency Contact form were 1/23/23 with an update on 1/11/24. This was evidenced for child # 6 as dates on the financial agreements were 10/11/22 with an update on 6/28/23. Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. |
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Provider Response: (Contact the State Licensing Office for more information.) The director will work with the parents to have their forms completed every 6 months as required. This will be completed in June and December of each year. |
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| 2024-07-22 | Renewal | 3270.27(a)(4) - Contact when ended | Compliant - Finalized |
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Regulation: 3270.27(a)(4) Description: Contact when ended Noncompliance Area: The facility's emergency plan did not include a method to inform parents that an emergency has ended and instructions for how to safety be reunited with their children. Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. |
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Provider Response: (Contact the State Licensing Office for more information.) The director of childcare and the director of operations worked together to include an Evacuation Plan breakdown to be added to the emergency plan to inform parents that an emergency has ended and instructions for how to safety be reunited with their children. Please see below: Method to Contact Parents: parents will be called by Daycare Director or Lead Teacher, S.T.A.R.S. Preschool Teacher/Director; and schreiber staff (receptionist, scheduler, operations, family support staff and therapy staff) for clients whose parents are not in attendance with them during the emergency inform parents regarding that emergency has ended and instructions for how to safety be reunited with their children. As deemed necessary, announcements will be posted on Social Media, Lillio and via WGAL TV. |
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| 2024-07-22 | Renewal | 3270.27(a)(5) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(5) Description: Emergency plan Noncompliance Area: The facility's emergency plan did not include specific accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. |
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Provider Response: (Contact the State Licensing Office for more information.) The director of childcare and the director of operations worked together to add a total evacuation plan list to the emergency plan to include Accommodations for infants/young toddlers, children and people with special disabilities or special medical needs: Infants/young children, toddlers and children with special medical needs will be placed in evacuation cribs or wagons, wheelchair, or evacuation chair and escorted out of the building. Toddlers will use a walking rope and be escorted out by teachers. Any medical supplies will be brought by staff. |
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| 2023-06-06 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The files for child #1-#6 did not contain child service reports (CSR) within the 6 month period. 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.) Implemented new CSR for staff to complete for each child |
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| 2023-06-06 | Renewal | 3270.124(b)(6) - Insurance coverage information | Compliant - Finalized |
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Regulation: 3270.124(b)(6) Description: Insurance coverage information Noncompliance Area: The emergency contact form for child #6 did not contain Health Insurance information and policy number. Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. |
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Provider Response: (Contact the State Licensing Office for more information.) Spoke with family to provide information for completion of form. The emergency contact form for child #6 will contain Health Insurance information and policy number. |
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| 2023-06-06 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: It was observed that the Emergency contact forms on file for child #1, and #2, did not include a release person's complete address. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) Asked families to include a release person's complete address on emergency contact. Child #1 is no longer enrolled in the program as of 6/15/23 and unable to obtain the update. Child #2 completed the update address of release persons. |
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| 2023-06-06 | 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: The emergency contact form for Child #1 was last reviewed by an enrolling parent on 6.13.22. The emergency contact form for Child #2 was last reviewed by an enrolling parent on 6.7.22. The emergency contact form for Child #6 was last reviewed by an enrolling parent on 10.1.22. The emergency contact form for child #4 was reviewed on 6.8.22 and updated on 2.5.23 which was beyond a six-month period. The emergency contact form for child #5 was reviewed on 3.14.22 and updated on 1.23.23 which was beyond a six-month period. Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. |
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Provider Response: (Contact the State Licensing Office for more information.) Have Emergency Contact forms reviewed every January and July regardless of start date. |
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| 2023-06-06 | 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: The files for Child #1 and Child #2 did not include an updated health report within the last 12 months. Child #1 had a health assessment dated 8.3.20, and Child #2 had a health assessment dated 2.29..22. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #1 - is no longer enrolled in the program as 6/15/23. We will obtain a new health assessment for child #2. Calendar with Health Assessment dates to make sure they are being updated every 12 months for older toddler, PS children |
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| 2023-06-06 | Renewal | 3270.131(d)(1) - Child's health history | Compliant - Finalized |
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Regulation: 3270.131(d)(1) Description: Child's health history Noncompliance Area: The file for child #1 did not a health report that includes a review of the child's health history. Correction Required: A health report shall include a review of the child's health history. |
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Provider Response: (Contact the State Licensing Office for more information.) Asked parent to provide child health report not just vaccinations record, howevr child #1 is no longer enrolled in the program as of 6/15/23. We will obtain a health report form parents that includes a review of the child's health history. |
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| 2023-06-06 | Renewal | 3270.131(d)(2) - Child's allergies | Compliant - Finalized |
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Regulation: 3270.131(d)(2) Description: Child's allergies Noncompliance Area: Child #1's health report did not include information regarding the child's allergies. Correction Required: A health report shall include a list of the child's allergies. |
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Provider Response: (Contact the State Licensing Office for more information.) Spoke with parent to provide information regarding the child's allergies, if any. Child #1 is no longer enrolled as of 6/15/2023 and provider was unable to obtain new health report. |
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| 2023-06-06 | Renewal | 3270.131(d)(4) - Acute or chronic health problem | Compliant - Finalized |
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Regulation: 3270.131(d)(4) Description: Acute or chronic health problem Noncompliance Area: The file for child #1 health report did not include assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning. Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning. |
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Provider Response: (Contact the State Licensing Office for more information.) Spoke with parent to provide the necessary information to complete the health report and was unable to obtain as child #1 withdrew from program on 6.15.2023. We will collect health reports to reflect an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning. |
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| 2023-06-06 | 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: The file for child #1 did not contain a health report that includes a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. |
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Provider Response: (Contact the State Licensing Office for more information.) Spoke with parent to provide the necessary information to complete the health report and was unable to obtain as child #1 withdrew from program on 6.15.2023. We will obtain correct health report that includes a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. |
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| 2023-06-06 | 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: It was observed that the facility did not have a Prevention of Shaken Baby Syndrome, Abusive Head Trauma, Strategies for Coping with Crying, and Child Maltreatment policy at the time of inspection. Facility person #2 did not complete the required training update within the prescribed frame of December 30, 2022, as outlined in Announcement C-22-06. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) We created and Implemented a Prevention of Shaken Baby Syndrome, Abusive Head Trauma, Strategies for Coping with Crying, and Child Maltreatment policy and updated family handbook. All staff and parents received the policy. Ensure staff completed updated trainings with the prescribed timeframe. |
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| 2023-06-06 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The file for facility person #1 included a health assessment dated 10.21.20 and did not contain an updated health assessment completed within 24 months of their prior assessment. The file for facility person #3 included a health assessment dated 11.16.20 and did not contain an updated health assessment completed within 24 months of their prior assessment. The file for facility person #2 included a health assessment dated 11.5.19 and an updated health assessment dated 7.6.22. The file for facility person #9 included a health assessment dated 11.16.20 and an updated health assessment dated 2.21.23. The file for facility person #10 included a health assessment dated 10.30.20 and an updated health assessment dated 12.1.22. Facility persons #2 , # 9 , and #10 did not have an updated health assessment completed within 24 months of their prior assessment. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility person #1 submitted an updated a health assessment dated 6.7.2023 and Facility Person # 3 submitted an updated health assessment date 6.15.23. We will ask staff to obtain a new physical within 24 months of their prior assessment. Spoke with HR to have a better system of marking when physicals will be due. |
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| 2023-06-06 | 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: The financial agreement on file for child #1-#6 were not reviewed every 6 months are when changes occurred respectively Child #1 - 6.13.22 , Child #2 - 1.24.22, Child #3 - 6.17.22 , Child #4 6.8.22 , Child #5 - 6.8.22, and Child #6 - 9.15.22. The emergency contact form for Child #1 was last reviewed by an enrolling parent on 6.13.22. The emergency contact form for Child #2 was last reviewed by an enrolling parent on 6.7.22. The emergency contact form for Child #6 was last reviewed by an enrolling parent on 10.1.22. The emergency contact form for child #4 was reviewed on 6.8.22 and updated on 2.5.23 which was beyond a six-month period. The emergency contact form for child #5 was reviewed on 3.14.22 and updated on 1.23.23 which was beyond a six-month period. Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. |
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Provider Response: (Contact the State Licensing Office for more information.) We will have parents of Child #2, #3, #4, #5, and #6 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. We will implement a calendar for completing these documents every January and July. Child #1 is no longer in the program. |
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| 2023-06-06 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for facility person # 8 did not contain written non-family references. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Spoke with employee and received two references.. Followed up with employees after two weeks of initial conversation by 6/19/23 |
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| 2023-06-06 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: It was observed that the facility's Emergency Plan did not contain or address a Continuity Of Operations. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) Added Continuity of Operations to Emergency Plan |
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| 2023-06-06 | Renewal | 3270.27(a)(5) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(5) Description: Emergency plan Noncompliance Area: It was observed that the emergency plan on file did not include accommodations for infants, toddler, children with disabilities and children with chronic conditions. Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency plan has been updated to include accommodations for infants, toddler, children with disabilities and children with chronic conditions. |
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| 2023-06-06 | Renewal | 3270.27(f) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(f) Description: Emergency plan Noncompliance Area: There was no evidence on file indicating that the facility's emergency plan was sent to the local municipality and EMA. Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will send updated emergency plan to local municipality and Lancaster County EMA. |
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| 2023-06-06 | Renewal | 3270.31(e) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: The file for facility person # 2 contained 5 hours of professional development training during the course of a year timeframe. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. |
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Provider Response: (Contact the State Licensing Office for more information.) Assigned classes to employee to complete by the end of 7/12/2023. |
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| 2023-06-06 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: The file for facility person #7 does not contain a child abuse clearance or FBI clearance prior to working in a childcare position. The file for facility person #8 contained a Mandated reporter training dated 6.5.2023 and was not completed within 90 days of hire. The file for facility person # 2 contained clearances with updates greater than the 60 months. The current FBI clearance is dated 1.19.23 and the previous one is dated 10.04.17. The current State Police clearance is dated 12.8.22 and the previous one is dated 9.27.17. The current Child abuse clearance is dated 1.26.23 and the previous one is dated 10.5.17. The current clearance is dated 1.26.23 and the previous one is dated 10.5.17. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 7 may not work in a childcare position at the facility until FBI or Child Abuse Clearance are obtained. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility person #7 provided Child Abuse clearance after re-applying. The file for facility person #7 has a child abuse clearance on file. Mandated reporter training will be completed within 90 days of hire. All clearance for staff will be updated every 60 months. Have a calendar that coordinates with HR. |
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| 2023-06-06 | Renewal | 3270.34(a)(6) - Staff evaluations | Compliant - Finalized |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: The file for facility person # 10 contained evaluations dated 7.9.21 and 11.8.22 which were not completed annually. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) Spoke with HR to provide evaluations from previous supervisor for employee files. |
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| 2022-09-06 | Unannounced Monitoring | 3270.106(f) - 2 feet apart | Compliant - Finalized |
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Regulation: 3270.106(f) Description: 2 feet apart Noncompliance Area: Cert rep observed cribs in the infant room had less than 2 feet of space on three sides of while the rest equipment was in use. Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. |
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Provider Response: (Contact the State Licensing Office for more information.) Infant teachers worked together to rearrange the room to meet the standard of cribs being 2 feet apart. |
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| 2022-06-24 | Renewal | 3270.102(c) - Outdoor equip.- protective surfacing | Compliant - Finalized |
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Regulation: 3270.102(c) Description: Outdoor equip.- protective surfacing Noncompliance Area: It was observed that only 4 inches of mulch was present under the embedded outdoor preschool slide, swing, and twirler equipment. United States Consumer Product Safety Commission requires 9 inches of mulch under embedded equipment. Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. |
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Provider Response: (Contact the State Licensing Office for more information.) Mulch will be 9 inches on the playground. It will be 9 inches under the embedded outdoor equipment such as the twirler, swing, and slide. We have an annual delivery of mulch in order to be in compliance. This delivery is scheduled for August. |
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| 2022-06-24 | 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: The file for child #5 included a health report dated 6/22/20 with an updated report dated 10/26/21. The file did not include an updated health report at least every 12 months. 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.) Updated health reports will be in the child's file to stay in compliance. Health assessments will be updated every 2 months for infants, 6 months for toddlers and yearly for preschoolers. If the parents cant have the health assessment by the time of update, then a physicians note with the date and time of the appointment will be in the child's file. |
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| 2022-06-24 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The file for staff person #13 did not include documentation of an initial adult health assessment prior to providing initial service in a childcare setting. The file for staff person #3 included a health assessment dated 11/5/19 and did not contain an updated health assessment completed within 24 months of their prior assessment. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) A health assessment will be in the staff members file at the time of employment. All initial paperwork will be given to me by our HR staff member before the start date. Updates are due every 2 years and will be completed and in the staff members file. A health assessment for # 13 is in the employment file and an updated assessment is in # 3 file. |
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| 2022-06-24 | Renewal | 3270.151(c)(2) - Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(c)(2) Description: Mantoux TB Noncompliance Area: The file for facility person #9 included an initial adult health assessment with date 4/18/22 and did not include a Tuberculosis screening by the Mantoux method. Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member #9 has the completed health assessment and Tuberculosis test in the their file. |
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| 2022-06-24 | Renewal | 3270.192(2)(ii) - Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.192(2)(ii) Description: Exp, educ., training prior to facility Noncompliance Area: The file for staff person #9, #11 and #12 did not contain verification of education and training prior to service at the facility in the form of a transcript or a diploma or a letter signed by a representative of the educational entity. The file for staff person #9, #10, #11, #12, and #13 did not contain verification of childcare experience. Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) A staff members verification of trainings and experiences will be in the file at the time of employment. The information will be given to me by our HR staff member and placed in the staff members file. All verification forms will show hours of experience (2,500) and proof of diploma/degree. The staff person #9, #11 and #12 is no longer employed at the facility. Staff person #10 and #13 will submit experience verification. |
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| 2022-06-24 | Renewal | 3270.27(a)(5) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(5) Description: Emergency plan Noncompliance Area: It was observed that the emergency plan on file did not include accommodations for infants, toddler, children with disabilities and children with chronic medical conditions. Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. |
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Provider Response: (Contact the State Licensing Office for more information.) Our emergency plan will detail the procedure for children with a disability when an emergency occurs . It will be posted on our parent boards and signed by families as well. |
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| 2022-06-24 | Renewal | 3270.31(e) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: It was observed that staff did not complete an annual minimum of 12 hours of professional development childcare training. The file for staff person #1 included 4 hours of training. The file for staff person #2 included 3 hours of training. The file for staff person #5 included 11 hours of training. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff will have 12 clock hours of professional development annually. This will continue to be recorded in the Professional Development Registry. Staff members #1, #2 and #5 all have 12 hours of professional development in the registry. |
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| 2022-06-24 | 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: Staff fire safety training was not conducted annually. The file for staff person #2, #3, #5, #6, #7, and #8 did not include documentation of annual 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.) Moving forward all staff will have fire safety training completed annually. |
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| 2022-06-24 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #8 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 12/2021. Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #8 will have until 7/28/2022 (actual date- 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #8 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #8, staff person #8 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.) Moving forward all staff will maintain updated Pediatric First Aide and CPR. Staff person #8 is signed up to take a class on Thursday July 28. 2022. The class instructor is John Schmidt and his credentials are from The American Safety and Health Institute. Staff person #8 no longer works for the facility. |
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| 2022-06-24 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: The file for staff person # 9 and #11 did not contain FBI clearance results within the 45 day provisional employment timeframe. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person # 9 & Staff Person #11-- may not work in a child care position at the facility until complete clearances are obtained. |
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Provider Response: (Contact the State Licensing Office for more information.) All required clearances will be completed by the first day of employment or by the time the provisional hiring period expires. Staff member # 9 has her updated FBI clearance in her personnel file. Staff member #11 is no longer employed by the facility as of 7/22/2022. |
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| 2022-06-24 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: It was observed that walls and bathroom areas in the preschool classrooms contained plaster in preparation to be repaired. Floor molding along the entire classroom was also removed. It was observed children were temporarily placed in a different facility space. Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. |
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Provider Response: (Contact the State Licensing Office for more information.) Preschool and Toddler room had minor renovations completed and are back in compliance. The floors, walls and ceilings are renovated and the rooms are in compliance according to DHS regulations and the Keystone STARS Environmental Rating Scale. |
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