Stepping Stones Preschool/childcare Inc

Regulation: 3270.166(3)

Description: Disposable nursers or parents

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. The infant room staff indicated that bottles are washed at the facility. The facility does not contain a commercial dishwasher to wash the infant bottles.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire safety system was conducted. Regulation requires the fire safety system to be tested at least every 30 days. The following tests were not conducted at least every 30 days: 9/12/25 - 10/15/25.

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.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Children were observed near an area of cabinets in the upper-level preschool area. These cabinets were not locked or restrict access by the children. Attached to a child's bookbag in this same area was a bottle of hand sanitizer. The cabinets contained sunscreens and bug sprays that indicated the need to keep out of reach of children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. During the inspection, children were observed supervised walking through an area of the facility that contained a stove to an exit in the rear of the building to enter the play area. The stove was not equipped with a protective stove guard.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. A nonworking rusty heater casing was observed in bathroom/changing table area of the older toddler room.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.81

Description: Glass

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. The upper-level preschool room contained two sets of sliding glass doors. A visual strip/identification was not found on these sliding glass doors. Children were observed receiving care in this area of the facility at the time of the inspection.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted in the upper outdoor play area. The upper play area contained play equipment such as swings and ladders. These areas did not contain the appropriate amount of impact absorbing material under and around the swings and ladders as required by the Consumer Product Safety Commission. At the bottom of the swings, slide, ladder the mulch had been kicked/washed away and dirt was exposed. The play area is on a hill and the rubber mulch was gone. At least 9" of loose-fill wooden mulch (or 6" of loose-fill rubber mulch) is required around all embedded equipment. These areas were identified with the Director at the time of the inspection.

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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection occurred at the facility. A review of child files was conducted. See the code sheet for the date of enrollment. Regulation requires staff to track the growth and development of children on an approved child assessment form every 6 months. The following children were enrolled more than 6 months and did not have an approved assessment form completed to track their growth and development: Child #1 and Child #4.

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).

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Regulation requires medication to be stored either in a locked area of the facility or an area that is out of reach of children. In the lower-level right room, a black bag was observed on a shelf that contained a bottle of pain reliever that indicated the need to be stored out of reach of children. This bag was accessible to children and children were observed receiving are in the child care space during this inspection.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to update their health assessments at least every 24 months. The following staff did not update their health assessments at least every 24 months: Staff #1 (previous 1/26/23, current 2/20/25), Staff #3 (previous 9/14/21, current 11/15/23), Staff #4 (previous 7/8/22, current 11/14/24) and Staff #6 (previous 3/7/22, current 10/21/24) Regulation also requires staff to have a health assessment on file prior to providing child child care. See the code sheet for the date of hire. The following staff did not have on file a health assessment prior to providing child care: Staff #2.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to have a tuberculosis screening on file prior to initial employment. The following staff did not have a tuberculosis screening on file prior to providing child care: Staff #2 and Staff #9.

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.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection occurred at the facility. A review of child files was conducted. See the code sheet for the date of enrollment. Regulation requires children's agreement forms to be updated at least every 6 months. The agreement form for Child #4 was not updated at least every 6 months (previous 3/4/24, current 1/2/25).

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires two written, nonfamily references attesting to the person's suitability to serve as a facility person. Staff #2 was missing these two letters of reference in their file.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #8 has not completed the mandated reporter training within 90 days of their date of hire. Staff #8 completed mandated reporter training on 1/25/23.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, staff #8 # must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff #8, staff #8 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. At the time of hire, the CPSL required a child abuse clearance on file prior to a staff working in a child care role at the facility. Staff #4 and #8 began employment prior to receiving a child abuse clearance. Staff #4 received the child abuse clearance on 2/22/23 and Staff #8 received the child abuse clearance on 6/22/22. The CPSL requires all staff that have lived out of state within the last 60 months to obtain the clearances of that state(s) prior to working in child care. Documentation found in the file of Staff #7 showed the need for out of state clearances. Staff #7 did not apply for/receive the out of state clearance(s) until 3/28/25, which was after this staffs hire date of working in child care. Documentation found in the file of Staff #5 showed the need for out of state clearances. Staff #5 is all appropriate clearances of these states, minus the child abuse clearance dated 6/26/24. Staff #5 and #7 were working in child care during this inspection and the files did not contain the appropriate out of state clearances. The CPSL requires clearances to be updated every 60 months. Staff #10 did not update their state police clearance every 60 months (previous2/11/16 and not updated until 4/8/21).

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 #4, #8, #7, #5 and #10 may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Regulation requires cleaning material and other toxic materials to be kept in an area either inaccessible to children or locked. In the lower-level right room, a container labeled Arm & Hammer Moisture Absorber and Odor Eliminator was observed on the floor, to the left side of the cubbies, that indicated the need to be stored out of reach of children. This product was accessible to children and children were observed receiving care in the child care space during this inspection.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Regulation requires hand washing signs to be posted at each sink. Hand washing signs were missing in the following areas: infant room (top level, left room) and the toddler room at both sinks (lower level, left room).

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.113(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: An incident occurred on 11/26/24 and roughly a 5-minute video clip of the incident was viewed. On the video, Staff #1 was observed forcefully pulling Child #1 by the arm on several occasions, forcefully pushing Child #1's legs away several times, forcing Child #1 and another child down on to their matt at nap time and forcefully moving Child #1 as they lay on their back to laying on their stomach. Staff #1 was also observed picking Child #1 up by the arms and legs and dropping the child to the ground. Staff #1 was also observed restraining, using their leg, Child #1 to their nap matt. The Child #1 is viewed on several occasions, without success, attempting to get away from Staff #1 and out from under the leg of Staff #1.

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. The Legal Entity/Director must update existing supervision policies for staff. The updated policies must include specific expectations for supervision of children at naptime, including developmentally appropriate interactions. The policies and procedures must clearly indicate that staff are prohibited from using physical punishment or restraints in dealing with children at the facility. The Legal Entity/Director will submit the updated policies 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 in their files.

Regulation: 3270.113(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: An incident occurred on 11/26/24 and roughly a 5-minute video clip of the incident was viewed. On the video, Staff #1 was observed forcefully pulling Child #1 by the arm on several occasions, forcefully pushing Child #1's legs away several times, forcing Child #1 and another child down on to their matt at nap time and forcefully moving Child #1 as they lay on their back to laying on their stomach. Staff #1 was also observed picking Child #1 up by the arms and legs and dropping the child to the ground. Staff #1 was also observed restraining, using their leg, Child #1 to their nap matt. The Child #1 is viewed on several occasions, without success, attempting to get away from Staff #1 and out from under the leg of Staff #1.

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.

Regulation: 20.71(b)(5)

Description: Perpetrator in an indicated or founded report of child abuse

Noncompliance Area: Staff #1, #2 and #3 have been named as perpetrators in indicated reports of child abuse.

Correction Required: A facility person who has been named as perpetrator in a founded/an indicated report of child abuse may not be present in the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: See SIN 00256046

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. Children must be supervised at all times.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 11/21/24, an incident occurred where Child #1 received 3rd degree burns on 40% of their body. Child #1 was in a pack and play located behind a mini refrigerator, which had a microwave stacked on top of it, and a crock pot, which contained hot water, on top of that. The cord for the crock pot ran down the rear of the refrigerator/microwave, accessible to Child #1 in the pack and play. Child #1 was able to pull the crock pot down on themselves. Child #1 was burned by the hot water that was contained within the crock pot. Staff #3, #4 and #5 were on the front side of the refrigerator/microwave/crock-pot stack. Based on the location of the pack and play behind this stack, and the physical location of the staff at the time of the incident, staff were unable to properly supervise Child #1.

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 Legal Entity or Director will review and update supervision policies to include supervision at nap time so that all children can be seen, heard, directed and assessed properly, which also includes the placement of rest equipment in relation to staff's vision. This supervision policies must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 11/21/24, an incident occurred where Child #1 received 3rd degree burns on 40% of their body. Child #1 was in a pack and play located behind a mini refrigerator, which had a microwave stacked on top of it, and a crock pot, which contained hot water, on top of that. The cord for the crock pot ran down the rear of the refrigerator/microwave, accessible to Child #1 in the pack and play. Child #1 was able to pull the crock pot down on themselves. Child #1 was burned by the hot water that was contained within the crock pot. Staff #3, #4 and #5 were on the front side of the refrigerator/microwave/crock-pot stack. Based on the location of the pack and play behind this stack, and the physical location of the staff at the time of the incident, staff were unable to properly supervise Child #1.

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. Children must be supervised at all times.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 11/21/24, an incident occurred where Child #1 received 3rd degree burns on 40% of their body. Child #1 was in a pack and play located behind a mini refrigerator, which had a microwave stacked on top of it, and a crock pot, which contained hot water, on top of that. The cord for the crock pot ran down the rear of the refrigerator/microwave, accessible to Child #1 in the pack and play. Child #1 was able to pull the crock pot down on themselves. Child #1 was burned by the hot water that was contained within the crock pot. Staff #3, #4 and #5 were on the front side of the refrigerator/microwave/crock-pot stack. Based on the location of the pack and play behind this stack, and the physical location of the staff at the time of the incident, staff were unable to properly supervise Child #1.

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 legal entity must arrange for all facility staff to receive a minimum of three hours of in-person, PQAS-approved training, regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. To show proof of the training, the legal entity will submit the staff attendance/sign-in sheet to the Regional Office after completion of the training.

Regulation: 3270.132(a)

Description: Contact parent/keep record

Noncompliance Area: See SIN 00256046

Correction Required: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent.

Regulation: 3270.132(a)

Description: Contact parent/keep record

Noncompliance Area: On 11/21/24, an incident occurred where Child #1 received 3rd degree burns on 40% of their body. Child #1 was in a pack and play located behind a mini refrigerator, which had a microwave stacked on top of it, and a crock pot, which contained hot water, on top of that. The cord for the crock pot ran down the rear of the refrigerator/microwave, accessible to Child #1 in the pack and play. Child #1 was able to pull the crock pot down on themselves. Child #1 was burned by the hot water that was contained within the crock pot. Emergency medical care was never obtained for Child #1.

Correction Required: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent.

Regulation: 3270.32(c)

Description: Convicted or awaiting trial

Noncompliance Area: See SIN 00256046

Correction Required: The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: See SIN 00256046

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.69(b)/3270.71

Description: 110º F or less/Heat Source

Noncompliance Area: On 11/21/24, an incident occurred where Child #1 received 3rd degree burns on 40% of their body. Child #1 was in a pack and play located behind a mini refrigerator, which had a microwave stacked on top of it, and a crock pot, which contained hot water, on top of that. The cord for the crock pot ran down the rear of the refrigerator/microwave, accessible to Child #1 in the pack and play. Child #1 was able to pull the crock pot down on themselves. Child #1 was burned by the hot water that was contained within the crock pot.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F. Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: See SIN 00256046

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: See SIN 00256046

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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 11/21/24, an incident occurred where Child #1 received 3rd degree burns on 40% of their body. Child #1 was in a pack and play located behind a mini refrigerator, which had a microwave stacked on top of it, and a crock pot, which contained hot water, on top of that. The cord for the crock pot ran down the rear of the refrigerator/microwave, accessible to Child #1 in the pack and play. Child #1 was able to pull the crock pot down on themselves. Child #1 was burned by the hot water that was contained within the crock pot.

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. The legal entity must arrange for all facility staff to receive a minimum of two hours of in-person, PQAS-approved training, regarding health and safety - healthy environments. The legal entity must receive DHS approval of the training content prior to scheduling the training. To show proof of the training, the legal entity will submit the staff attendance/sign-in sheet to the Regional Office after completion of the training.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 11/21/24, an incident occurred where Child #1 received 3rd degree burns on 40% of their body. Child #1 was in a pack and play located behind a mini refrigerator, which had a microwave stacked on top of it, and a crock pot, which contained hot water, on top of that. The cord for the crock pot ran down the rear of the refrigerator/microwave, accessible to Child #1 in the pack and play. Child #1 was able to pull the crock pot down on themselves. Child #1 was burned by the hot water that was contained within the crock pot.

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. The facility shall have no occurrences of non-compliance related to visible hazards at the facility's physical site, which includes the facility's outdoor play space. The operator shall demonstrate compliance at unannounced visits over the next 3-months.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 11/21/24, an incident occurred where Child #1 received 3rd degree burns on 40% of their body. Child #1 was in a pack and play located behind a mini refrigerator, which had a microwave stacked on top of it, and a crock pot, which contained hot water, on top of that. The cord for the crock pot ran down the rear of the refrigerator/microwave, accessible to Child #1 in the pack and play. Child #1 was able to pull the crock pot down on themselves. Child #1 was burned by the hot water that was contained within the crock pot.

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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On both outdoor play grounds, there were several bolts that were exposed. In the 3s room there was a play kitchen that had a small hole in the plastic.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: There was spill in the infant room refrigerator that hadn't been cleaned up.

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.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #1's emergency contact information was missing the parents work address and telephone numbers.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: Child #1 did not have signed parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Child #1 did not have signed parental consent for administration of minor first-aid procedures.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The emergency plan was reviewed 1/17/23 and then not again until 2/20/24.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the toddler 2 room, there was an area of the baseboard heating unit that was separated creating a pinch point.

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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Per the fire drill and detection log, there were more than 30 days between tests of the fire detection system 12/11/23-1/17/24 and 1/17/24-2/22/24.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 5/3/23, the fence on the infant toddler playground and the fence on the PS playground had numerous exposed bolts.

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.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On 5/3/23, owner verified that there is an embedded swing set and an embedded wooden ship climber/slide on the preschool playground. The loose-fill surfacing that is on the playground is recycled rubber. The required depth of shredded/recycled rubber is six inches. At the inspection on 5/3/23 there was less than one inch of loose-fill impact absorbing material underneath the swings and wooden ship structure.

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. The swings and the wooden ship structure shall be made inaccessible and will not be used by the children until such time as the loose impact absorbing material meets the recommendations of the United States Consumer Product Safety Commission. For these pieces of equipment there needs to be six inches of the recycled rubber material under the swings and wooden ship structure.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On 5/3/23, owner verified that there is an embedded swing set and an embedded wooden ship climber/slide on the preschool playground. The loose-fill surfacing that is on the playground is recycled rubber. The required depth of shredded/recycled rubber is six inches. At the inspection on 5/3/23 there was less than one inch of loose-fill impact absorbing material underneath the swings and wooden ship structure.

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. The operator shall add more loose-fill impact absorbing material to bring the depth into compliance with the recommendations of the Consumer Product Safety Commission.

Regulation: 3270.102(g)

Description: Hazardous toys and equipment

Noncompliance Area: On 5/3/23, a Fisher Price Rock N Play was observed in the infant/young toddler room. This item was recalled by the CPSC on 1/9/23.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility.

Regulation: 3270.111(c)/3270.113(e)

Description: Promote development/Restraints prohibited

Noncompliance Area: On 5/3/23, 2 young toddlers were observed sitting in highchairs to watch TV from 10:15 am to 10:55 am. They did not have any food or other activity. They were watching TV.

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

Regulation: 3270.119/3270.166(6)

Description: Infant sleep position/Infant/toddler - no bottle in mouth to sleep

Noncompliance Area: On 5/3/23 at 10:15 am, a 10-month-old was observed sleeping in a Pack N Play. There was a bottle in the child's mouth and a blanket in the Pack N Play.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 5/3/23, there were 9 gallon-size cans of paint in two open boxes in the main entry area of the facility. All of the children present walked through this area to get to their respective classrooms.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: On 5/3/23, a preschool child was observed blowing their nose and throwing the tissue into a trash can with no lid.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 5/3/23, a few faint mildew spots were observed on a ceiling tile in the older toddler room.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 5/3/23, a damaged ceiling was observed in the office. The children were observed going through the office to exit the building during a fire drill at 11:11 am. Staff admitted that children go through the office to go out to the play areas.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On 5/3/23 chipped/damaged paint was observed on the blue/black table in the preschool room.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: On 5/3/23, there was some water on the floor around the base of the toilet in the first-floor bathroom.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 5/3/23 the fire drill log and fire alarm test log were reviewed. The fire drill log was compliant. The last documented manual alarm test was done on 3/7/23. Manual alarm testing has not been done since 3/7/23. It has been more than 30 days since the manual alarm testing was done.

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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During renewal inspection on 3/27/23 cert rep observed the bathroom vanity cabinet on the main floor is missing a knob and there is a screw protruding from the inside of the cabinet to the outside.

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.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During renewal inspection on 3/27/23 cert rep reviewed several children's files. CHILD # 1 emergency contact form did not include enrolling parent's work address and phone number. CHILD #2 emergency contact form did not include enrolling parent's work address and phone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: During renewal inspection on 3/27/23 cert rep reviewed several children's files. CHILD #2 emergency contact form did not include information on disability.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.131(c)/3270.131(e)

Description: Completed or signed by physician, PA, or CRNP/ACIP recommended immunization record

Noncompliance Area: During renewal inspection on 3/27/23 cert rep reviewed several children's files. CHILD # 1 health assessment form was not signed and dated by a physician, physician's assistant or a CRNP. CHILD #1 (see code sheet for start date) has been enrolled at the facility more than 60 days.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.64

Description: Outside Walkways

Noncompliance Area: During renewal inspection on 3/27/23 cert rep observed pipe/drainage work being done around the side and back of building. There are wide trenches. The children have to walk around these trenches and under pine trees to get to the playground in the back. There are no barricades or fencing around the open trenches.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection on 3/27/23 cert rep observed Lysol Disinfectant spray, 7th Generation disinfectant spray, Microban Sanitizing spray, disinfecting solution for tables, bug spray and olive oil lotion in the Pre-K room. all were accessible to children. Cert rep observed Microban sanitizing spray and Lysol Disinfectant spray on top of the hand dryer in the main level bathroom. There was a stepstool in the bathroom. Children could use the stepstool and access the sprays. Cert rep observed Lysol cleaner, Windex, Bleach & water solution, and Glade Air freshener spray in the cabinet in the main level bathroom. The child proof latch could not be used because there was a broken knob on the cabinet. These items were accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During renewal inspection on 3/27/23 cert rep observed damaged paint in the bathroom on the main floor by the light switch.

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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

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: RS stated that their child was injured at the center and RS signed an incident report. RS did not remember the date of the incident. RS was not given a copy of the incident report. When interviewed, director stated that they put the reports in the children's files and only give it to the parent if the parent requests it. TA was provided regarding incident reports.

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.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: During unannounced complaint investigation on 2/9/23, I reviewed all staff files. STAFF #2 has not completed the following required pre-service training within 90 days of their date of hire (see code sheet for date of hire): Pediatric first aid and pediatric CPR.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. STAFF #2 will have until March 10, 2023 to complete the required training. Until such time as the required training has been completed, STAFF #2 must be supervised, when interacting with children, by an AGS or GS who has completed the required training relating to this citation. If there are no staff available to supervise STAFF #2, STAFF #2 may not work in a childcare position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During unannounced complaint investigation on 2/9/23, I checked the sink vanity cabinet in the baby room. The cabinet had doors on it, but the doors did not have any type of lock on them. There was a bottle of Odo-Ban, a bottle of peroxide, a sanitizing spray, and 8 containers of sunscreen under the cabinet. These items were accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

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

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

Noncompliance Area: During renewal inspection on 3/1/22 CR reviewed several staff files. STAFF # 1 (start date 10/20/21) health assessment was dated 8/6/20 which was more than 12 months prior to employee's start date. STAFF # 1 TB screening was dated 9/2/20 which was 13 months prior to initial hire date.

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.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During renewal inspection on 3/1/22 CR reviewed several children's files. CHILD # 1 emergency contact form did not include signed parental consent for emergency medical care and signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During renewal inspection on 3/1/22 CR reviewed several staff files. STAFF # 2 Mandated Reporter training was dated 9/14/16. MR training is valid for 60 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection on 3/1/22 CR observed damaged paint in the PS/T3 room under the coats and by the air purifier.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: There is no written consent for emergency medical care or the administration of minor first aid on file for child # 1.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The mandated reporter training for staff person # 1 (start date 9/10/19) is dated 2/6/20; training was not completed within 90 days of hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: There is no release persons address listed on the emergency contact form on file for child # 1.

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.

Noncompliance Area: There is no documentation that Children # 1 and # 2 received their annual flu vaccine as required by the ACIP. Neither child has an exemption on file. According to their records, child # 1 last received a flu vaccine on 1/26/2016 and child # 2 last received a flu vaccine on 10/25/17.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: There was no initial health assessment conducted within 12 months prior to start date for staff person # 2. Staff person # 2 was hired on 2/25/18 and their initial health assessment was dated 2/6/19.

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

Noncompliance Area: Staff person # 1 was hired to be an aide; there is no proof of education or verification of experience in their file to qualify them as such.

Correction Required: An aide shall have attained one of the qualification levels specified in 3270.37(b)(1)-(3). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: There is a hole in the ceiling of the preschool classroom.

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.

Noncompliance Area: More than 60 days passed between documented fire drills at the facility. Fire drills were documented on 3/2/18, 5/10/18, and 7/20/18. The most recent fire drill was documented on 2/26/19.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: THERE ARE PLASTIC BAGS ACCESSIBLE TO THE CHILDREN IN THE 2 YEAR OLD BATHROOM. THERE ARE TOY CARS IN THE 2 YEAR OLD ROOM WITH REMOVABLE PARTS THAT ARE LESS THAN AN INCH IN DIAMETER.

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.

Noncompliance Area: THE AGREEMENTS ON FILE FOR CHILDREN # 1, 2, 3, 4, AND 5 WERE NOT SIGNED BY THE OPERATOR.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: THERE IS NO RELEASE PERSONS ADDRESS ON THE EMERGENCY CONTACT FORMS FOR CHILDREN # 1 AND # 3.

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.

Noncompliance Area: THE TRASH CAN IN THE 3 YEAR OLD ROOM AT THE DIAPERING STATION DID NOT HAVE A LID.

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.

Noncompliance Area: STAFF PERSONS # 1 AND # 2 DID NOT HAVE A HEALTH ASSESSMENT AT THE TIME OF HIRE. STAFF PERSON # 1 WAS HIRED 5/31/17 AND THEIR HEALTH ASSESSMENT IS DATED 7/11/17. STAFF PERSON # 2 WAS HIRED ON 8/31/17 AND THEIR HEALTH ASSESSMENT IS DATED 3/1/18.

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.

Noncompliance Area: THERE IS AN EXTENSION CORD IN THE 2 YEAR OLD ROOM ACCESSIBLE TO THE CHILDREN WITH AN UNUSED OUTLET AND NO COVER.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: THE FIRST AID KIT IN THE 3 YEAR OLD ROOM IS STORED UNDER A TABLE ACCESSIBLE TO THE CHILDREN.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: THERE ARE CORDS HANGING FROM A SHELF IN THE INFANT ROOM THAT ARE ACCESSIBLE TO CHILDREN.

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.

Noncompliance Area: THERE IS NOT NINE INCHES OF MULCH UNDER THR MOUNTED EQUIPMENT ON THE OUTDOOR PLAYSPACE.

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.

Noncompliance Area: SCHOOL AGE STAFF IS NOT ABLE TO IDENTIFY CHILDREN IN THEIR PRIMARY SUPERVISION GROUPS.

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

Noncompliance Area: THERE IS DIAPER CREAM ON A SHELF UNDER THE CHANGING TABLE IN THE PRESCHOOL ROOM.

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.

Noncompliance Area: CHILD #1, CHILD #2, & CHILD#3 DO NOT HAVE INSURANCE COVERAGE INFORMATION OR POLICY NUMBERS ON EMERGENCY CONTACT INFORMATION FORMS.

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.

Noncompliance Area: THERE IS NO PLASTIC-LINED, HANDS-FREE COVERED CAN FOR DISPOSABLE DIAPERS NEAR CHANGING TABLE IN INFANT ROOM.

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.

Noncompliance Area: STAFF #1 DOES OT HAVE VERIFICATION OF EDUCATION.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: CORTISONE CREAM & MOTRIN ARE IN A DRAWER THAT IS ACCESSIBLE TO CHILDREN IN TODDLER ROOM

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.