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Child Care Center ✓ Licensed

Tammy Powers Nest

Rural Valley, PA · Armstrong County
112 Line St, Rural Valley, PA 16249
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Quick Facts

Capacity
55 children
Subsidized Program
Participates
State Rating
1

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Contact Information

📞 (724) 783-2402
112 Line St
Rural Valley, PA 16249
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✓ Licensed Child Care Center
Active License
License Number
CER-00252542
License Issued
Apr 18, 2026
Active Through
Apr 18, 2027
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 3

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About the Provider

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TAMMY POWERS NEST is a Child Care Center in RURAL VALLEY PA, with a maximum capacity of 55 children. It is open Monday - Friday, 6:00 AM - 6:00 PM. The provider also participates in a subsidized child care program.

Hours of Operation

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

Inspection/Report History

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

Inspection Date Reason Description Status
2026-01-09 Renewal 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months Compliant - Finalized

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The current health report on file for Child #2, a preschooler, dated 4/2/25 was obtained more than 12 months from the previous health report dated 3/22/24. The current health report on file for Child #3, a preschooler, dated 12/5/25 was obtained more than 12 months from the previous health report dated 11/27/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Provider Response: (Contact the State Licensing Office for more information.)
Child #2's health report was late due to the schedule conflict with the parent and doctors office. Child #3's health report was late due to the doctor's office being the soonest available they had.
2026-01-09 Renewal 3270.131(d)(5)/3270.131(e) - Immunization record/ACIP recommended immunization record Compliant - Finalized

Regulation: 3270.131(d)(5)/3270.131(e)

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: The file for Child #1, enrolled more than 60 days, lacked verification of vaccinations in accordance with the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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. Child #1 must be dismissed from care by close of business (DATE of provider notification) and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Provider Response: (Contact the State Licensing Office for more information.)
Child #1 lacked the vaccination record; this was an oversight on our part. We phoned the mother of this child whom then called the doctor's office and had them fax over the child's vaccination report.
2026-01-09 Renewal 3270.192(4) - CPSL information Compliant - Finalized

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: The file for Staff person #4 contained a disclosure form which lacked the employee's signature.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Provider Response: (Contact the State Licensing Office for more information.)
Staff # 4 signed her disclosure paper when she came for her shift on 1/9/26
2026-01-09 Renewal 3270.31(e) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff person #3 lacked documentation for 9 of the 12 required annual training hours for the review window September 2024-September 2025.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #3 will no longer be employed at this facility.
2026-01-09 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #1 lacked a current NSOR. The NSOR on file was dated 12/9/19 which was obtained more than 60 months ago. The file for Staff person #2 lacked a current NSOR. The NSOR on file was dated 12/3/19 which was obtained more than 60 months ago.

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. Staff persons #1 and #2 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff # 1 & 2 filed for an updated NSOR on 1/13/26 and reiceived their NSOR back on 1/15/26
2026-01-09 Renewal 3270.52 - Mixed Age Level Compliant - Finalized

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 1/9/26 at approximately 10:00am, Staff persons #5, #6 and #7 were caring for 12 children (1 YT; 5 OT; 6 PS) in the Main Room. Staff person #5 stepped out of the room to answer the door, leaving Staff persons #6 and #7 out of ratio.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Provider Response: (Contact the State Licensing Office for more information.)
Staff # 5 should have taken her tag of children with her to answer the door.
2026-01-09 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Pre Preschool room, ink dobbers labeled "Keep out of reach of children" were on the counter, accessible to children.

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

Provider Response: (Contact the State Licensing Office for more information.)
We removed the ink dobbers from the daycare that day.
2026-01-09 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Main Room there was splintered wood on the coat rack next to the entrance.

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

Provider Response: (Contact the State Licensing Office for more information.)
This was sanded and repaired on the spot.
2026-01-09 Renewal 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the Baby Room, the refrigerator was sitting on a black table with peeling paint. In the Main Room between the kitchen and restrooms was a conduit with peeling paint.

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

Provider Response: (Contact the State Licensing Office for more information.)
The baby room table has been sanded and repaired on 1/12/26. The conduit was sanded and taped on the spot on 1/9/26.
2025-11-03 Allocated Unannounced Monitoring 3270.31(e)(4)(i) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff person #1 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 9/2025. Documentation of updated Pediatric first aid and CPR training is not on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 no longer works here at the daycare, she quit on Friday nov 7th, 2025
2025-11-03 Allocated Unannounced Monitoring 3270.37(b)(3)/3270.192(2)(ii) - 8th grade + 2 yrs/Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3270.37(b)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff Person #2, an aide, lacked documentation of education.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #2 brought her copy of transcripts in on 11/5/2025 from the school she attends.
2025-11-03 Allocated Unannounced Monitoring 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation of the fire alarm system test shows more than 30 days between testing. (3/20/25 and 4/20/25)

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

Provider Response: (Contact the State Licensing Office for more information.)
The wrong date was written. We did the fire drill on 4-18-2025 I apologize, I wrote my deceased FILS ' birthday, I had that on my head.
2025-04-01 Renewal 3270.123(b)/3270.182(8) - Parent receives original/Copy of initial and subsequent agreements. Parent receives original. Compliant - Finalized

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files for Child #1, Child #2, and Child #3 contained the original fee agreement form signed by the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Provider Response: (Contact the State Licensing Office for more information.)
We made copies for ourselves and gave the parents the originals, this was a mistake on our part. We also went through all our children's folders to check for any other missed originals.
2025-04-01 Renewal 3270.82(g) - Clean and good repair Compliant - Finalized

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The toilet seat in the bathroom off the Main Room was loose and unstable.

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

Provider Response: (Contact the State Licensing Office for more information.)
We fixed the toilet seat during the inspection.
2024-11-12 Renewal 3270.111(b) - Posted in group space Compliant - Finalized

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The Preschool room lacked a daily schedule of activities posted in the group space.

Correction Required: The written plan of daily activities shall be posted in the group space.

Provider Response: (Contact the State Licensing Office for more information.)
We re-hung the daily schedule while the inspector was on site.
2024-11-12 Renewal 3270.123(a)(5) - Designated release persons Compliant - Finalized

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement form for Child #1 lacked the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Provider Response: (Contact the State Licensing Office for more information.)
The parent filled in the persons to whom the child may be released. I am sending the paper to the inspector to look over.
2024-11-12 Renewal 3270.131(e)(2)(i)/3270.131(e)(3) - Exemption documentation from parent/guardian/Dismissal policy Compliant - Finalized

Regulation: 3270.131(e)(2)(i)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The file for Child #2 lacked a written statement signed by the parent or physician for exemption from immunization. According to the child care manager, the family "is not vaccinating at this time".

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 will be dismissed from care by close of business November 25, 2024 until either the immunization record is updated or a parent provides a written, signed exemption letter.

Provider Response: (Contact the State Licensing Office for more information.)
The parent of child #2 wrote and signed the letter. We have it on file in his folder and also sent the letter to the inspector.
2024-11-12 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The health assessment for Staff Person #1 dated 8/1/23 was obtained more than 24 months from the previous assessment dated 7/8/21.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 did obtain her health assessment late but will continue to comply in a timely manner.
2024-11-12 Renewal 3270.182(4) - Consent for administration of medications or special dietary needs Compliant - Finalized

Regulation: 3270.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: The emergency contact form for Child #3 lacked parental consent for administration of medications or special dietary needs.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Provider Response: (Contact the State Licensing Office for more information.)
Child #3's parent filled out the missing information on the emergency paper and sent it to the inspector for viewing.
2024-11-12 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #2 contained only 1 of the 2 required written letters of reference attesting to the person's suitability to work with children.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #2 now has 2 letters of reference on file. fixed on site
2024-11-12 Renewal 3270.27(e) - Letter to parents Compliant - Finalized

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility's parent letter explaining the emergency plan lacked information regarding Lockdown procedures.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Provider Response: (Contact the State Licensing Office for more information.)
We updated the letter and have resent it to all the parents. It is attached for your review.
2024-11-12 Renewal 3270.27(f) - Emergency plan Compliant - Finalized

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of the emergency plan and subsequent plan updates were sent to the local municipality and the county emergency management agency.

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.

Provider Response: (Contact the State Licensing Office for more information.)
I could not find the paper for this during the time of inspection however, I did find it and I have the proper documentation. We did have it sent. It's being sent to the inspector for review.
2024-11-12 Renewal 3270.31(e) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #1 lacked 6 of the 12 annual training hours required for the review period of December 19, 2022 through December 19, 2023.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Provider Response: (Contact the State Licensing Office for more information.)
Six training hours were allocated to cover the missing training hours for Saff person #1 for the review window Dec. 2022-Dec. 2023.
2024-11-12 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 contained current clearances dated more than 60 months from previous date: PA State Police Clearance dated 7/24/23 and 6/11/18; PA Child Abuse Clearance dated 12/28/23 and 6/20/18; DHS FBI Clearance dated 8/1/23 and 6/26/18. The file for Staff Person #2 lacked a PA Child Abuse Clearance for Employment. The PA Child Abuse Clearance in the file dated 3/14/23 was a Volunteer clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person #2 cannot work in a child care position until correct clearances are on file.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 did get the proper clearances they were not in the proper time but we do have them on file. Staff #2 was removed from the facility until her paper came back stating employment.
2024-11-12 Renewal 3270.34(c) - Employed and present 30 hrs/wk Compliant - Finalized

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: 4TH CITATION: 11/12/24, at the time of renewal inspection, the facility lacked a qualified director employed and present at the facility for a minimum of 30 hours per week. PREVIOUSLY CITED ON 4/16/24, 7/3/24, and 7/9/24.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Provider Response: (Contact the State Licensing Office for more information.)
We have been actively looking to hire a director at our facility. We have asked the local schools if they had any substitute teachers looking for another part-time job, we have hung flyers, posted on social media, and used word of mouth.
2024-11-12 Renewal 3270.52/3270.113(a) - Mixed Age Level/Supervised at all times Compliant - Finalized

Regulation: 3270.52/3270.113(a)

Description: Mixed Age Level/Supervised at all times

Noncompliance Area: On 11/12/24, at approximately 1:50pm in the infant room, staff Person #3 was responsible for 1 infant and 3 younger toddlers. Staff #3 was observed asleep in the rocking chair and was not supervising the children.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Provider Response: (Contact the State Licensing Office for more information.)
Staff #3 was removed from the infant room immediately. On 11/13/24 the staff person was spoken to by the office staff after becoming confrontational about the previous incident she did not return to the facility and has been terminated.
2024-11-12 Renewal 3270.69(b) - 110º F or less Compliant - Finalized

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water temperature in the infant room was 139°.

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

Provider Response: (Contact the State Licensing Office for more information.)
We turned off the hot water in the infant room. It is now cold water only and will remain that way.
2024-07-09 Unannounced Monitoring 3270.34(c) - Employed and present 30 hrs/wk Non Compliant - Finalized

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: 3RD CITATION: At the time of renewal inspection, the facility does not have a director on staff. Provider's correction date on previous inspection summary was 7/8/24, as of 7/9/24 facility is still without a director. PREVIOUSLY CITED ON 4/16/24 and 7/3/24.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Provider Response: (Contact the State Licensing Office for more information.)
We have a worker enrolled in early childhood associates degree program to become director. We are also actively advertising for a Director.
2024-07-03 Unannounced Monitoring 3270.123(a)(3) - Services proceeded Non Compliant - Finalized

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: 2ND CITATION: The files for Child #1, Child #2, Child #3 and Child #4 are lacking reports on information to the family about the child's growth and development in the context of the services being provided. PREVIOUSLY CITED ON 4/16/24

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Provider Response: (Contact the State Licensing Office for more information.)
We did the child service reports on 5/17/24 emailed copies to inspector
2024-07-03 Unannounced Monitoring 3270.34(c) - Employed and present 30 hrs/wk Non Compliant - Finalized

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: 2ND CITATION: At the time of renewal inspection, the facility does not have a director on staff. PREVIOUSLY CITED ON 4/16/24

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Provider Response: (Contact the State Licensing Office for more information.)
We have a worker enrolled in early childhood associates degree program to become director. We are also actively looking for a director and have signs posted.
2024-04-16 Renewal 3270.123(a)(1) - Amount of fee Non Compliant - Finalized

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The fee agreement on file for Child #4 was lacking the amount of the fee to be charged per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Provider Response: (Contact the State Licensing Office for more information.)
Child #4's fee amount was updated right away and documentation to support it was sent to inspector.
2024-04-16 Renewal 3270.123(a)(2) - Date fee to be paid Non Compliant - Finalized

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The fee agreement for Child #4 was lacking the specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Provider Response: (Contact the State Licensing Office for more information.)
Child #4's fee amount date was updated right away and supporting document sent to inspector.
2024-04-16 Renewal 3270.123(a)(3) - Services proceeded Non Compliant - Finalized

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Child #1, Child #2, Child #3 and Child #4 are lacking reports on information to the family about the child's growth and development in the context of the services being provided.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Provider Response: (Contact the State Licensing Office for more information.)
Child1,2,3,4 were lacking service reports this was our fault for falling behind on it, We are actively working on updating these for all children that needed them.
2024-04-16 Renewal 3270.123(a)(4) - Arrival/departure times Non Compliant - Finalized

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The fee agreement on file for Child #4 is lacking the arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Provider Response: (Contact the State Licensing Office for more information.)
Child #4's arrival and departure time has been updated on the fee agreement paper. Sent supporting documentation to inspector.
2024-04-16 Renewal 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission Non Compliant - Finalized

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

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

Noncompliance Area: The emergency contact form for Child #2 is lacking written consent signed by a parent 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.

Provider Response: (Contact the State Licensing Office for more information.)
This was taken care of and signed by the parent right away.
2024-04-16 Renewal 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months Non Compliant - Finalized

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The file for preschool aged Child #4 was lacking an updated health assessment. The most current health assessment on file is dated 9/21/22.

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.

Provider Response: (Contact the State Licensing Office for more information.)
This was an oversight on the attending doctor and on our part. We did get the doctor to sign and send it to us. The document has been sent to the inspector.
2024-04-16 Renewal 3270.135(a)(3) - Disposable diapers Non Compliant - Finalized

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: It was observed in the infant room that the lidded garbage can used for disposable diapers was 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.

Provider Response: (Contact the State Licensing Office for more information.)
We were able to correct this on site of the inspection.
2024-04-16 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Non Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff Person #1 did not contain the one-hour Health and Safety Update 2022 which was required to be completed by 12/30/22.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 has completed the one-hour Health & Safety Update on 4-29-24 This was our fault , we thought it was taken care of last year Document sent to inspector
2024-04-16 Renewal 3270.182(5) - Consent for administration of minor first-aid required prior to admission Non Compliant - Finalized

Regulation: 3270.182(5)

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

Noncompliance Area: The emergency contact form on file for Child #2 was lacking 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Provider Response: (Contact the State Licensing Office for more information.)
This was signed and fixed that day at parent pick up. Supporting document has been sent to the inspector.
2024-04-16 Renewal 3270.31(e) - Age and Training Non Compliant - Finalized

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #2 included 7 of 12 required training hours completed between 12/19/22-12/19/23. The file for Staff Person #3 included 3 of 12 required training hours completed between 12/19/22-12/19/23.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #2 has retired and did not have time to do any more training hours before her departure. Staff person #3 is currently working on the 9hours that she needs to complete and I will send them as soon as i receive them from that staff member.
2024-04-16 Renewal 3270.31(f) - Health and Safety Training Non Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff Person #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Getting Started with Center-based Care: building Blocks for Quality Revised 2022. The certificate on file for Staff Person #4 is dated 11/14/23.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #4 completed the mandatory training late on 11-14-2023 This was our fault.
2024-04-16 Renewal 3270.34(c) - Employed and present 30 hrs/wk Non Compliant - Finalized

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: At the time of renewal inspection, the facility does not have a director on staff.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Provider Response: (Contact the State Licensing Office for more information.)
We expect to have a director by June 28, 2024. We are currently advertising for a Director and have it posted.
2024-04-16 Renewal 3270.82(h) - Handwashing signs Non Compliant - Finalized

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was no handwashing sign above the changing table in the bathroom.

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

Provider Response: (Contact the State Licensing Office for more information.)
We made the correction and added the sign while the inspector was on site.
2024-04-16 Renewal 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Non Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The smoke detection log on file contained dates of testing from 7-10-23 to 8-10-23, 10-6-23 to 11-6-23, and 1-5-24 to 2-5-24, all more than 30 days apart.

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

Provider Response: (Contact the State Licensing Office for more information.)
This was an oversight on our part. We will not let that happen again.
2023-07-21 Complaints- Legal Location 3270.34(c) - Employed and present 30 hrs/wk Compliant - Finalized

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: Facility reported that their director resigned and they currently do not have a director.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Provider Response: (Contact the State Licensing Office for more information.)
We are currently in the process of re-hiring one of our past directors. She will be in the facility for at least 30 hours a week on whatever days and times suit her best during business hours. We are not sure of her official start date yet due to being unsure of her last day at her current job. We are hopeful she will be ready to work here by the end of October. We are going to work on updating all of her paperwork in the meantime.
2023-04-17 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the outdoor play space #2, a plastic children's playhouse was cracked near the front door of the playhouse. To the left of the door, a piece of the equipment was observed to be broken off. These conditions expose the children in care to rough edges, sharp corners and pinch points.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Provider Response: (Contact the State Licensing Office for more information.)
We will check over all the toys inside and outside thoroughly. We will make sure nothing is broken, cracked, or sharp that any child can get hurt on. We removed the play house the following day it has been hauled away off the facility grounds.
2023-04-17 Renewal 3270.123(a)(2) - Date fee to be paid Compliant - Finalized

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement form on file for child #3 lacked the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Provider Response: (Contact the State Licensing Office for more information.)
We missed this by mistake and we fixed it right away.
2023-04-17 Renewal 3270.123(a)(4) - Arrival/departure times Compliant - Finalized

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement forms on file for children #2 and #3 lacked the child's arrive and departure times. The agreement form on file for child #1 lacked the child's departure time.

Correction Required: An agreement shall specify the child's arrival and departure times.

Provider Response: (Contact the State Licensing Office for more information.)
We fixed these papers while inspectors were on site it was our mistake.
2023-04-17 Renewal 3270.124(b)(2) - Physician name, address, phone Compliant - Finalized

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for child #2 lacked the address of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Provider Response: (Contact the State Licensing Office for more information.)
We fixed this right away while inspectors were present. This was our overlook.
2023-04-17 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for child #4 lacked the health insurance coverage 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.

Provider Response: (Contact the State Licensing Office for more information.)
We filled this out right away. Mom gave us the information the very next day. It was held up when we originally asked for it due to her not having the card yet. He started with us before she received it.
2023-04-17 Renewal 3270.124(e) - Written emergency plan posted Compliant - Finalized

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the Pre-Preschool Room.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Provider Response: (Contact the State Licensing Office for more information.)
We did fix this same day as inspection. We had one up in the past unsure as to where it ended up. But it is hanging now and will continue to.
2023-04-17 Renewal 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy Compliant - Finalized

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #1, with an enrollment date of 1/23/23, lacked documentation of the child's immunized status according to recommendations of the ACIP and has been enrolled more than 60 days at the facility.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Provider Response: (Contact the State Licensing Office for more information.)
We called the enrolling child's parent and had them bring us in a note. The note stated that due to strong religious beliefs the child did not have immunizations. The note has been sent to inspector and also placed in child's folder.
2023-04-17 Renewal 3270.133(5) - Original label Compliant - Finalized

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: In the medicine cabinet in the kitchen, children's Benadryl for a child enrolled was observed to be expired on 1/2023.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Provider Response: (Contact the State Licensing Office for more information.)
We gave the expired medicine to the child's parent at pick up time same day. That was our mistake.
2023-04-17 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster). The file for staff person #1 lacked completion of the required 1-hour health and safety training update prior to 12/30/22. The file for staff person #3 had documentation of the required 1-hour health and safety training that was completed on 3/19/23, which is past 12/30/22.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Provider Response: (Contact the State Licensing Office for more information.)
Continuity of operations Plan has been made and sent to the inspector. Staff#1 & staff#3 we have had them complete the trainings it was our fault that they were late
2023-04-17 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff person #2 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification: 11/11/20 and 1/11/23. The file for facility person #6 lacked documentation of a health assessment conducted within 12 months prior to providing initial service in a child care setting.

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

Provider Response: (Contact the State Licensing Office for more information.)
1.This was an overlook on our part and the worker. 2. Staff#6 we did not have it and we removed her until we receive it. Staff #6 had tb placed on 4/19/23 and it was read on 4/22/23 physical exam also done 4/22/23. send paper to inspector also.
2023-04-17 Renewal 3270.151(c)(2) - Mantoux TB Compliant - Finalized

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for staff person #5 lacked documentation of a tuberculosis screening at initial employment. (See LIS CODE SHEET). The TB screening on file is dated 7/22/22.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Provider Response: (Contact the State Licensing Office for more information.)
We did have a negative TB result paper attached to the back of staff person #5's health assessment. It states that staff person #5 had a negative TB result on 8/2/21 which would be acceptable in the one-year period before their start date 7/20/22. Staff person #5 had our paper done with physical and another TB on 7/22/22.
2023-04-17 Renewal 3270.151(c)(3)/3270.151(c)(5) - Exam communicable disease/Physician/CRNP assessment Compliant - Finalized

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health assessments on file for staff persons #1 and #4 lacked an examination for communicable diseases and the results of that examination, and lacked the physician's assessment of the staff 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff#1 went and had the missing boxes filled out and signed by the doc. we did send copy. Staff#4 TB/Exam on our assessment paper 4/26/23 . TB read on 4/28/23 AM. we did send a copy to inspector.
2023-04-17 Renewal 3270.166(1) - Written statement Compliant - Finalized

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: The facility lacked a written statement giving the formula and feeding schedule for an infant observed receiving care.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Provider Response: (Contact the State Licensing Office for more information.)
We had both infants parents sign and fill out their child's feeding schedule's and formula. We have it hanging in the baby room for anyone that is in their to see and know what to do. Also we sent to the inspector.
2023-04-17 Renewal 3270.166(4) - Bottles labeled Compliant - Finalized

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: In the Baby Room, an infant's bottle was not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Provider Response: (Contact the State Licensing Office for more information.)
We did take care of this right away. The was our overlook. We have not had more than 1 infant at a time in the baby room for awhile. the bottles were different for both children but we were at fault for not properly labeling them.
2023-04-17 Renewal 3270.27(c) - Training regarding plan Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The two most recent emergency plan trainings on file for staff persons #3 and #4 are dated more than 12-months apart. Staff person #3 has completion dates of 1/13/22 and 2/25/23, and staff person #4 has completion dates of 1/7/22 and 2/8/23.

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.

Provider Response: (Contact the State Licensing Office for more information.)
This was an overlook on our part and we will make sure it stays up to date.
2023-04-17 Renewal 3270.31(e)(4)(ii) - Fire safety - 1 yr. Compliant - Finalized

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The two most recent fire safety trainings in the file for staff person #3 are dated more than one year apart: 2/8/22 and 3/27/22.

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.

Provider Response: (Contact the State Licensing Office for more information.)
This was an over look on our part that we ran late on these fire trainings and it will not happen again.
2023-04-17 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files for staff persons #1, #7, and #8 lacked completion of the required Health and Safety pre-service training by April 29, 2022. The Health and Safety training on file for staff person #1 is dated 10/14//22, staff person #7 has a completion date of 12/21/22, and staff person #8 has a completion date of 12/1/22.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Provider Response: (Contact the State Licensing Office for more information.)
Health and Safety trainings were done late. This was at fault due to no longer accepting the 6 hour trainings.
2023-04-17 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 was observed to have documentation Mandated Reporter training that was not renewed before the expiration date of the most current certification required under CPSL. The two most current trainings are dated 6/29/17 and 11/2/22. The file for staff person #4 was observed not to contain documentation of completion of Mandated Reporter Training within the first 90 days of hire (See LIS CODE SHEET). Mandated Reporter Training on file for staff person #4 is dated 10/14/22. The file for facility person #6 was observed not to contain documentation of application of a PA FBI Clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. Facility person #6 cannot work in the facility until the PA FBI clearance results are verified.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility person #6 cannot work in the facility until the PA FBI clearance results are verified.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 was late doing the mandated reporter we are at fault they will have it done in appropriate time for the next time it needs to be completed. Staff#4 did not have it done in time we are at fault Facility person #6 has been temporarily removed until proper papers for FBI clearance results are on file (we have her receipt on file she completed fingerprints 4/22/23@10:22am).
2023-04-17 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations on file for staff person #3 are dated more than 12-months apart: 1/7/22 and 2/28/23.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Provider Response: (Contact the State Licensing Office for more information.)
Staff#3 evaluations were done late by mistake on our part.
2023-04-17 Renewal 3270.82(h) - Handwashing signs Compliant - Finalized

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the Main room, handwashing signs were not posted at the two toilets in bathroom #1 and were not posted at the diapering area and the toilet in bathroom #2.

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

Provider Response: (Contact the State Licensing Office for more information.)
We were at fault for this. I assume the must have fell down at some point and then never were hung back up. We took care of hanging the sings while the inspection was being held.
2023-04-17 Renewal 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility's documentation of testing the fire alarm detection system exceeded 30 days from 10/7/22 to 11/7/22 and from 2/20/23 to 3/27/23.

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

Provider Response: (Contact the State Licensing Office for more information.)
We will continue to test fire alarms every 30 days. We were a little off on a few of these times due to extra days in some months. This was our mistake.
2022-08-12 Unannounced Monitoring 3270.124(d) - Excursions Compliant - Finalized

Regulation: 3270.124(d)

Description: Excursions

Noncompliance Area: The emergency contact information for the group of younger and older school-age children on an excursion to a local playground was not present.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Provider Response: (Contact the State Licensing Office for more information.)
We added children emergency sheets to our outside bag.
2022-08-12 Unannounced Monitoring 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #1, #2, #3, and #4 were observed to be caring for children unsupervised. Staff persons #1-4 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety and Mandated reporter training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons #1-4 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 persons #1-4, staff persons #1-4may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff complete trainings. In the future, Tammy Powers Nest will have the staff complete the Health and Safety and Mandated Reporter training to be done on time. They will not work unsupervised.
2022-08-12 Unannounced Monitoring 3270.52 - Mixed Age Level Compliant - Finalized

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 10:40 a.m., observed staff person #1 and staff person #2 supervising a group of 17 children in the outdoor gross motor space. Staff person #1 identified responsibility for 2 younger school -age children and staff person #2 identified responsibility for two young toddlers and three older toddlers, leaving ten children not identified by the staff present. Staff person #1 and #2 stated that the remaining 10 children were being supervised by staff person #3, who was observed to be on an excursion with a group of younger and older school-age children at a location off the facility premises. Staff person #3 stated that they left their supervisory group to cover another staff person's group .

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Provider Response: (Contact the State Licensing Office for more information.)
I will make sure the staff is aware that they are not to leave their group even it ids within10 ft. Never leave your own group.
2022-08-12 Unannounced Monitoring 3270.75(b) - Inaccessible to children Compliant - Finalized

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Observed an accessible first aid kit on a bench at the playground where a group of older and younger school-aged children were on an excursion.

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

Provider Response: (Contact the State Licensing Office for more information.)
We will make sure that the staff has the outside bag on them at all times when outside with first aid kit.
2022-04-04 Renewal 3270.124(b)(2) - Physician name, address, phone Compliant - Finalized

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child #3, #4, and #7 contain emergency contact information which lacks the complete address of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Provider Response: (Contact the State Licensing Office for more information.)
Child #7 no longer attends this facility child #3 has been completed and sent child#4 has been completed and sent
2022-04-04 Renewal 3270.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #4 contains emergency contact information which lacks the complete work address of the enrolling parent.

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

Provider Response: (Contact the State Licensing Office for more information.)
child#4 papers have been updated and sent to our inspector.
2022-04-04 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #2 and #3 contains emergency contact information which lacks the complete address of the parent-designed release person(s). The file for child #7 contains emergency contact information which lacks the complete address and phone number of the parent-designated release person(s).

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Provider Response: (Contact the State Licensing Office for more information.)
child #2 has been completed and sent to inspector child #3 has been completed and sent to inspector Child #7 no longer enrolled at this facility
2022-04-04 Renewal 3270.124(e) - Written emergency plan posted Compliant - Finalized

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The following rooms lacked a posting of the emergency transportation plan: pre-preschool and preschool.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Provider Response: (Contact the State Licensing Office for more information.)
We fixed this while the inspector was in the building
2022-04-04 Renewal 3270.131(a) - Health information Compliant - Finalized

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health reports on file for child #1 and child #5 are dated more than 60 and 90 days after the first day of attendance at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
child#1 no longer attended facility at time of inspection child#5 no longer attends the facility and was not present the week of the inspection even tho paperwork had been sent prior for the inspector before the inspector came on site
2022-04-04 Renewal 3270.131(d)(7)/3270.131(d)(8) - Free from contagious/communicable disease/Age appropriate screenings complete Compliant - Finalized

Regulation: 3270.131(d)(7)/3270.131(d)(8)

Description: Free from contagious/communicable disease/Age appropriate screenings complete

Noncompliance Area: The file for child #3 and child #4 contains a health report which lacks a statement that the child is able to participate in child care and a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Provider Response: (Contact the State Licensing Office for more information.)
child #3 we have the papers on file and we have been sent to inspector child #4 we have the papers on file and have been sent to inspector We are unsure of why we are getting these violations on things that we had in the children's folders?
2022-04-04 Renewal 3270.131(e)(1) - Exemption documentation from parent/guardian Compliant - Finalized

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1 and child #4 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

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

Provider Response: (Contact the State Licensing Office for more information.)
child#1 no longer enrolled at the facility Child#4 we have sent all her health records that we have on file and we will continue to keep a good check on all other records we unfortunately missed this however we have her 3 year on file 2/23/21 NO WHERE HAVE WE BEEN INFORMED ITS A LAW THAT THE CHILD HAS TO HAVE AN INFLUENZA VACCINE?? ALSO WE SPOKE WITH CHILDS DOC OFFICE THEY ALSO ARE NOT AWARE THIS IS A LAW FOR A CHILD TO BE FLU VACCINATED FOR DAYCARE OR SCHOOL
2022-04-04 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The two most recent health assessments on file for staff person #2 are dated more than 24 months apart. The file for staff person #4 is dated after staff person #4 began in a child care taking position.

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

Provider Response: (Contact the State Licensing Office for more information.)
staff #2 we will not let this happen again staff #4 we will not let this happen again
2022-04-04 Renewal 3270.181(c) - Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent updates to the emergency contact information and agreement on file for child #1, child #3, child #5 are dated more than 6 months apart.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Provider Response: (Contact the State Licensing Office for more information.)
child#1 No longer attended facility at the present time of inspection he was taking off our child roster and he just recently re enrolled and and we made sure all papers were re signed and updated upon recent re- enrollment. Child#3 we will make sure this does not happen again Child#5 no longer attends facility
2022-04-04 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #8 contains one reference letter dated after staff person #8 began in a child care taking position.

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

Provider Response: (Contact the State Licensing Office for more information.)
staff#8 has 4 reference letters only 1 of them are dated after starting the rest do not even require a date on the papers!! 3 were on file before starting one came afterwards. ONnly need to have 2 reference letters anyways.
2022-04-04 Renewal 3270.25(a) - Availability of certificate of compliance and applicable regulations Compliant - Finalized

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of inspection, the facility lacked a posting which provided parents information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Provider Response: (Contact the State Licensing Office for more information.)
We have posted both of these during the inspection and they are posted in sight of the parents to have access if they choose.
2022-04-04 Renewal 3270.27(a)(6) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility lacks a documented emergency drill held during 2021.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
We held an emergency drill held in and will conduct them annually. It is documented and on file. papers sent to inspector
2022-04-04 Renewal 3270.31(e) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff person #1 and staff person #5 lack verification of 12 clock hours of child care training completed in the most recent service year.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Provider Response: (Contact the State Licensing Office for more information.)
Staff#1 we have the papers showing her 12 hours and sent them to the inspector. confused why we received this violation she has 13 1/2 hrs Staff#5 no longer employed
2022-04-04 Renewal 3270.31(e)(4)(i) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for staff person #5 contains verification of Baisic first aid and CPR which lack the pediatric endorsement, making the trainings invalid.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Provider Response: (Contact the State Licensing Office for more information.)
staff # 5 is no longer an employee at this facility
2022-04-04 Renewal 3270.31(f)/3270.31(h) - Health and Safety Training/Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: The file for staff person #3 and staff person #4 contain verification of Health and Safety training completed more than 90 days after both staff began in a child care taking position. The verification of Health and Safety training on file for staff person #1 is an expired version of the training, making it invalid.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: All staff persons shall complete the professional development under subsection (f).

Provider Response: (Contact the State Licensing Office for more information.)
staff#1 has her Health and Safety training on file we have sent it to inspector. THis was moved from 6hours to 10 hour training with no notice. staff#3 no longer employed staff #4 Did complete the Health and Safety training and it was past the 90 days we are aware.
2022-04-04 Renewal 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file for staff person #3 and staff person #4 contains verification of mandated reporter training completed more than 90 days after staff person #3 began in a child care taking position.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #4 we told employee many times to get this done. Staff is taken off schedule till completed. Staff #3 no longer employed.
2022-04-04 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 contains an expired FBI clearance. The two most recent child abuse and FBI clearances on file for staff person #5 are dated in an interval greater than 5 years or 60 month. Current CPSL requires clearances to be renewed on or before 5 years or 60 months from the date of the previous clearance.

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. Staff persons #1 and #5 may not work in a child care position at the facility until valid clearances are on file.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 has received all new clearances and we have sent them over to inspector. This was a regulation we were unaware of because she had the educational clearances not the child care clearances. Staff # 5 is not longer employed at the facility.
2022-04-04 Renewal 3270.34(b)(1)/3270.192(2)(ii) - Bachelor's + 1 yr/Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3270.34(b)(1)/3270.192(2)(ii)

Description: Bachelor's + 1 yr/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #7 lacks verification of one year of experience to qualify as director, the position assigned to and currently being performed by staff person #7.

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

Provider Response: (Contact the State Licensing Office for more information.)
staff #7 has verification of one year plus experience and has a Bachelors Degree from an accredited college. Paper work has all been sent to inspector. staff #7 has more than 1 year experience in elementary education with children.
2022-04-04 Renewal 3270.34(c) - Employed and present 30 hrs/wk Compliant - Finalized

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: At the time of inspection, the facility lacks a director employed by and present at the facility a minimum of 30 hours per week.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Provider Response: (Contact the State Licensing Office for more information.)
This is a regulation that just came out and we have abided by it. Our parents have met her and know her from before also when she was a director and have met her as a renewal coming back with us. We do have a director and she does work at least 30 hours a week. We gave proof of our director not sure why this was even a write up?
2022-04-04 Renewal 3270.36(b)(5)/3270.192(2)(ii) - HS/GED + 2 yrs/Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #3, staff person #4, #6 and #8 lacks verification of 2 years' experience with children to qualify for the position of assistant group supervisor, the role assigned to and being performed by staff person #3, #4, #6, and #8..

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff#3 no longer employed staff #6 no longer employed staff#4 has high school diploma and 2 years plus experience with children papers sent to inspector. staff#8 has several years experience with children and High school diploma papers sent to inspector. Also currently enrolled in collage for a associates degree in early Childhood education.
2022-04-04 Renewal 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A review of the fire detection system testing log revealed that during the interval of 8/27/21-9/28/21, the testing occurred more than 30 days from the previous test. The last documented fire detection system testing recorded is dated 3/22/22, more than 30 days ago.

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

Provider Response: (Contact the State Licensing Office for more information.)
Fire detection system will be logged and tested every 30 days as required
2021-10-29 Unannounced Monitoring 3270.113(a)(1) - Staff assigned to specific children Compliant - Finalized

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff person #1 could only identify four of the seven children she was supervising.

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.

Provider Response: (Contact the State Licensing Office for more information.)
When we have a new staff person start we will place name tags on their group of children so the staff person will know the children's names and where the children are in the room.
2021-10-29 Complaints- Legal Location 3270.113(b) - No physical punishment Compliant - Finalized

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: ** During staff interviews staff stated that while children are standing facing the wall for time out they have held the children's hands behind their backs and placed their knee up against the child so the child stayed against the wall.

Correction Required: The legal entity will ensure that all staff persons will receive a minimum of two hours of training on positive discipline. The training must be approved by the regional office prior to scheduling the training.

Provider Response: (Contact the State Licensing Office for more information.)
** The LE will make sure that all of the staff receive a minimum of two hours of training.
2021-10-29 Complaints- Legal Location 3270.113(b) - No physical punishment Compliant - Finalized

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: *During staff interviews staff stated that while children are standing facing the wall for time out they have held the children's hands behind their backs and placed their knee up against the child so the child stayed against the wall.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Provider Response: (Contact the State Licensing Office for more information.)
* When a child acts inappropriate the child will be asked to go to the corner. If the child refuses the child will be asked to sit on a chair. If this does not work and we have no control of the child the child will be released.
2021-10-29 Complaints- Legal Location 3270.113(e) - Restraints prohibited Compliant - Finalized

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: ** During staff interviews staff stated that while children are standing facing the wall for time out they have held the children's hands behind their backs and placed their knee up against the child so the child stayed against the wall.

Correction Required: The legal entity is required to create a policy for positive discipline. Nowhere in the policy can restraint be used as a form of discipline. Once the positive discipline policy is approved by the regional office all staff persons will be required to sign the positive discipline policy attesting that they read the policy and will abide by the policy..

Provider Response: (Contact the State Licensing Office for more information.)
** A policy for positive discipline will be created.
2021-10-29 Complaints- Legal Location 3270.113(e) - Restraints prohibited Compliant - Finalized

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: *During staff interviews staff stated that while children are standing facing the wall for time out they have held the children's hands behind their backs and placed their knee up against the child so the child stayed against the wall.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
* The staff are asking the children to stand in the corner and are no longer touching the children in any way.
2020-09-23 Renewal 3270.123(a)(6)/3270.182(2) - Admission date/Application, admission, withdrawal dates Compliant - Finalized

Noncompliance Area: The files for children #1 and #2 lacked an agreement that specified the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Provider Response: (Contact the State Licensing Office for more information.)
The files for children #1 and #2 now have agreements that have the child's admission date on them. In the future all children files will contain an agreement that has their admission date written on it.
2020-09-23 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

Noncompliance Area: The file for staff person #1 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessment in the file was dated 9/10/18.

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. 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.

Provider Response: (Contact the State Licensing Office for more information.)
The file for staff person #1 has a health assessment in it dated for 9/12/2020. In the future, all staff members will have a health assessment conducted within 24 months of their initial exam, that was received before working with children.
2020-09-23 Renewal 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility Compliant - Finalized

Noncompliance Area: The file for staff person #2, whom was hired as an aide on 7/29/19, lacked mandated reporter training that was completed within 90 days from her start date. The mandated reporter training in the file was dated 1/13/20. The file for staff person #3, whom was hired as an assistant group supervisor on 9/19/19, lacked mandated reporter training that was completed within 90 days from her start date. The mandated reporter training in the file was dated 4/4/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
The file for staff members #2 and #3 now contain a current mandated reporter training. In the future, all staff members will have a completed mandated reporter training on file within 90 days of their start date.
2020-09-23 Renewal 3270.61(h)(2)(iv) - No more than twice measured space Compliant - Finalized

Noncompliance Area: It was observed during the renewal inspection around 9:30am 9 preschool children were receiving care in the Gray Room for a period of 1 and 1/2 hours. The capacity of the room is 4 so the capacity of the room was exceeded by one preschool child.

Correction Required: When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space the number of children present in the space may not be more than twice the measured capacity of the space.

Provider Response: (Contact the State Licensing Office for more information.)
The child that made the room over capacity was removed from the Gray room and placed in another room with other kids his age, where the room was not over capacity. In the future, when the preschoolers are in the Gray room for preschool, the number will not exceed twice the measured capacity of the space (8) for a period of more than a half hour.

Showing the 100 most recent of 122 records.

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