Willow Cove Early Learning Center
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About the Provider
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 |
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| 2026-07-30 | Unannounced Monitoring | 3270.113(a) - Supervised at all times | Needs Verification |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: On 7/30/26, at approximately 1:50pm during naptime in PS 4 Room, two preschool age children were observed sleeping on their cots with their blanket covering their entire face therefore making it difficult for staff to see and assess the needs of those children as they napped. Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon being made aware of the concern, the classroom staff immediately reviewed the children's sleeping positions and ensured that the children's faces remained uncovered and visible to staff. The Provider/Director reviewed with classroom staff the importance of maintaining appropriate supervision of children during naptime and ensuring that children's faces remain visible so staff can readily observe and assess their needs. |
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| 2026-07-30 | Unannounced Monitoring | 3270.113(a)(1) - Staff assigned to specific children | Needs Verification |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: 2ND CITATION: On 7/30/26, at approximately 1:30pm, this certification rep. was let into the building by Staff person #2. At the onset of a supervision and ratio check in the Infant Room, 1 staff and 5 children of mixed ages (4 infants and 1 young toddler) were observed and Staff person #1 claimed responsibility for all 5 children. Staff person #2 stated they were in the room prior to certifications arrival and responsible for 2 infants. Staff person #2 stated they had left the room to alert Staff person #4 that certification was present prior to letting this certification rep. into the building. During that time Staff person #2 was not physically present with their children in their supervisory group. PREVIOUSLY CITED ON 5/5/26 Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) The Provider/Director recognizes the seriousness of this repeat finding and the importance of maintaining continuous, direct supervision of children at all times. Staff Person #2's departure from the Infant Room resulted in children being left without the staff member assigned to their supervisory group. Staff have been reminded that they must remain physically present with the children for whom they are responsible unless another qualified staff member has explicitly assumed responsibility for those children. Staff will not leave their assigned supervisory group to communicate with administration, greet visitors, respond to a certification representative, or perform another task without first ensuring that another qualified staff member has assumed responsibility for the children. |
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| 2026-07-30 | Unannounced Monitoring | 3270.21 - General Health and Safety | Needs Verification |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #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. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon notification of this finding, the provider immediately reviewed the staffing and training requirements with the staff member and management team. Staff Person #3 will not be permitted to care for children unsupervised until all required pre-service training requirements have been completed and documentation of completion has been received and verified by the provider. Staff Person #3 will complete the required Pediatric First Aid/CPR training through an approved training provider. A copy of the completed training certificate will be maintained in the staff member's personnel/training file. Until the required training has been completed, Staff Person #3 may only be present in the classroom under the direct supervision of a staff member who has met all applicable training and supervision requirements. Staff Person #3 had training scheduled through approved training provider and since completed her training. |
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| 2026-07-30 | Unannounced Monitoring | 3270.25(b) - Post the inspection summary | Needs Verification |
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Regulation: 3270.25(b) Description: Post the inspection summary Noncompliance Area: The facility's inspection summary from 5/5/26 that contained a regulatory noncompliance citation needing verified as corrected, was not posted in a conspicuous location used by parents. Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon receipt of the Department's inspection summary, the Provider/Director will immediately post a complete copy of the inspection summary in a conspicuous and easily accessible location used by parents, such as the parent information area. The inspection summary will remain posted and visible to parents until an agent of the Department verifies that all regulatory noncompliance items identified on the summary have been corrected. |
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| 2026-07-30 | Unannounced Monitoring | 3270.51 - Similar Age Level | Needs Verification |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: On 7/30/26, at approximately 1:40pm during naptime in the Nursery Room, 1 staff and 9 older toddlers were observed. 7 children were observed resting on cots, 1 one toddler was awake in a highchair, and another toddler was awake walking around the room and engaging with the toddler in the highchair. The staff: child ratio was exceeded by 3 children. Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon review of this incident, the Provider/Director immediately addressed the staffing concern with the classroom staff and administrative team. The center recognizes the importance of maintaining the required staff-to-child ratio at all times, including during nap/rest periods. Staff will be reminded that nap time does not eliminate the requirement to maintain the appropriate staff-to-child ratio. Children who are awake, resting, or otherwise in care must be included when determining the number of children assigned to a staff member. |
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| 2026-07-30 | Unannounced Monitoring | 3270.52 - Mixed Age Level | Needs Verification |
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Regulation: 3270.52 Description: Mixed Age Level Noncompliance Area: On 7/30/26, at approximately 1:30pm in the Infant Room, 1 staff person and 5 children of mixed ages (4 infants and 1 young toddler) were observed. Therefore, the staff: child ratio was exceeded by 1 child. 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). |
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Provider Response: (Contact the State Licensing Office for more information.) Upon review of this finding, the Provider/Director immediately addressed the staffing and ratio concern with the staff member and administrative team. The center recognizes that staff-to-child ratios must be maintained at all times and that children of different age groups must be counted according to the applicable ratio requirements. The classroom will not exceed the required staff-to-child ratio. When children of mixed ages are present in a classroom, administration will ensure that the appropriate ratio is maintained based on the ages of all children present. |
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| 2026-05-05 | Renewal | 3270.113(a) - Supervised at all times | Needs Verification |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: At 10:20am, in the Littles Room, a preschool age child was observed receiving a therapy session with a third-party therapist and a facility staff person was present to supervise that child. The facility was unable to provide documentation of a release form signed by the parent allowing their child to receive services outside of the classroom. Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) The facility immediately reviewed supervision procedures related to third-party therapy sessions conducted on site. Staff were reminded that children on the facility premises must be supervised by a facility staff person at all times and that staff supervision responsibilities must remain clearly assigned and documented during therapy services. Procedures for coordinating with third-party providers were clarified to ensure continuous facility staff supervision and regulatory compliance. The Intermediate Unit maintains documentation within the child's Individualized Education Program (IEP) included in the child's center file, along with parent consent forms, indicating the child's participation in therapeutic services that may occur outside the classroom setting during the program day. We will obtain and maintain a signed parent authorization/release form for any therapy sessions occurring outside of the classroom environment. |
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| 2026-05-05 | Renewal | 3270.113(a)(1) - Staff assigned to specific children | Needs Verification |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: At approximately 1:40pm during naptime in the Preschool 4 Room, two staff and 22 preschool age children were observed. During the onset of a supervision/ratio check, when staff were asked to identify and name all of the children who they were responsible for Staff person #5 identified and named 10 preschool age children and Staff person #8 identified and named 10 preschool aged children thus leaving 2 preschool age children unaccounted for. When asked who was responsible for the 2 unnamed children Both staff said that Staff person #9, who was not present in the room, was responsible for those two children. When staff were asked where Staff #9 was neither staff knew where or why staff person #9 was not in the room. Correction Required: TIERED IS: 1.) Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. This portion of the plan shall have an immediate correction date. 2.) The director will physically observe and manually evaluate random assessments of each classroom at least 3 times per week, during nap time, for the next 3 months. During the assessment, the director will ask each staff person in each classroom to identify the children that are in their assigned supervision group by naming each child and pointing to each child. The director will develop a log to manually document the date, time, classroom. number of staff, and number and ages of children present, and if all children were accounted for. The log will be submitted to the DHS representative prior to use. The completed logs will be made available to the Western Region Office representative upon request. Assessments will begin immediately upon acceptance of the plan of correction. The correction date for this portion of the plan should be at minimum 3 months from the date that Western Region Office gives feedback on the tool. 3.) The director will create a step-by-step supervision training plan for newly hired staff. The policy will name the specific online training sessions that new hires will be required to complete and describe how new staff will be trained on using the facility's system for identifying the specific children for whom each staff is responsible, along with a timeline of when the training items will be completed. This training policy will be submitted to the Department within two weeks of acceptance of the plan of correction. The operator shall provide a date for when this training policy will be completed. |
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Provider Response: (Contact the State Licensing Office for more information.) 1.) 5/5/26: Immediately upon discovery, classroom supervision assignments and procedures were reviewed with all staff. Staff were reminded that each staff person must be assigned responsibility for specific children, must know the names and whereabouts of children in their assigned group, and must be physically present with the children in their assigned group at all times. Classroom staff assignments were clarified and adjusted to ensure all children are individually assigned, accounted for, and supervised by a physically present staff person. Immediate retraining regarding assigned supervision groups, active supervision, and accountability procedures was completed. Provider's Plan to Maintain Compliance -- Tier 2: #2) 9/1/26: The Director will physically observe and manually evaluate random classroom supervision assessments a minimum of three (3) times per week during nap time for the next three (3) months immediately upon acceptance of this Plan of Correction. During each assessment, the Director will ask each staff person to identify the children in their assigned supervision group by naming each child and pointing to each child. The Director will create and maintain a written monitoring log documenting the date, time, classroom, number of staff present, number and ages of children present, and whether all children were accurately identified and accounted for. The assessment tool/log will be submitted to the DHS representative prior to use. Completed logs will be maintained onsite and made available to the Western Region Office representative upon request. #3) 7/15/26: Willow Cove Early Learning Center & Preschool will develop and implement a [training] plan to strengthen and sustain active supervision practices across all classrooms. This will include [new hire] staff [online] training[s]/retraining, reinforcement of classroom supervision expectations [using the facility's system for identifying the specific children for whom each staff is responsible, along with a timeline of when the training items will be completed], ongoing monitoring by administration, documentation of observations, and corrective coaching when needed to ensure children are consistently supervised according to regulation requirements. |
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| 2026-05-05 | Renewal | 3270.131(b)(1) - Infant: updated health report every 6 months | Needs Verification |
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Regulation: 3270.131(b)(1) Description: Infant: updated health report every 6 months Noncompliance Area: The child file for Child #1, who is a young toddler, was observed to contain an updated health report dated 2/4/26 which was conducted more than 6 months from the previously dated 7/12/25 health report on file. Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. |
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Provider Response: (Contact the State Licensing Office for more information.) An updated health report for Child #1 has been obtained and placed in the child's file. Administration reviewed the child's file and health report due dates to ensure the required documentation is current and compliant with regulatory requirements for infants and young toddlers. |
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| 2026-05-05 | Renewal | 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months | Needs Verification |
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Regulation: 3270.131(b)(2) Description: Toddler/preschool: updated health report every 12 months Noncompliance Area: The child file for Child #2, who is a preschool age child, was observed to contain an updated health report dated 6/9/25 which was conducted more than 12 months from the previously dated 5/30/24 health report on file. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. |
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Provider Response: (Contact the State Licensing Office for more information.) An updated health report for Child #2 has been obtained and placed in the child's file. Administration reviewed the child's file and verified that required health documentation is current and compliant with regulatory requirements for preschool-aged children. |
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| 2026-05-05 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Needs Verification |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The staff file for Staff person #1, was observed to contain a current health assessment dated 6/2/24 which was conducted more than 12 months prior to providing initial service in a childcare setting (See IS CODE SHEET). Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. |
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Provider Response: (Contact the State Licensing Office for more information.) An updated health assessment meeting regulatory requirements has been obtained for Staff person #1 and placed in the staff file. Administration reviewed the employee's file and onboarding documentation to ensure all required health assessment requirements for direct care staff were completed and properly documented. |
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| 2026-05-05 | Renewal | 3270.31(e) - Age and Training | Needs Verification |
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Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: The staff file for Staff person #2 lacked 6 of the 12 clock hours of annual childcare training required from 12/2024 - 12/2025. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #2 has completed the additional required child care training hours to meet the annual minimum 12 clock hour requirement. Documentation of completed training has been obtained and placed in the staff file. Administration reviewed the staff member's training record to ensure compliance with annual training requirements. |
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| 2026-05-05 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Needs Verification |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: The staff file for Staff person #5 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 7/14/25 and 5/6/24. Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. |
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Provider Response: (Contact the State Licensing Office for more information.) The identified staff person has completed updated annual fire safety training conducted by a fire protection professional to ensure compliance with 55 Pa. Code §3270.31(e)(4)(ii). Staff training records were reviewed and updated to verify completion dates and maintain accurate documentation in the staff file. |
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| 2026-05-05 | Renewal | 3270.31(f) - Health and Safety Training | Needs Verification |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR training. Staff person #3 has since completed the training on 4/4/26. Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR training. Staff person #7 has since completed the training on 4/27/26. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #3 [and Staff person #7] has completed the required Pediatric First Aid and CPR training. Documentation of completion has been obtained and placed in the employee's file. Administration reviewed the staff member's training requirements and file to ensure all required pre-service trainings are now complete and compliant. |
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| 2026-05-05 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Needs Verification |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The staff file for Staff person #5 contained a current DHS FBI clearance dated 1/6/25 which was not renewed within 60 months of the previously dated 12/4/19 DHS FBI clearance expiring. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #5 obtained an updated DHS FBI clearance dated 1/6/25. The staff file has been reviewed and updated to include the current clearance documentation. Administration conducted a review of employee clearances to identify renewal dates and ensure all required background clearances are current and maintained in accordance with CPSL requirements. |
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| 2026-05-05 | Renewal | 3270.34(a)(6) - Staff evaluations | Needs Verification |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: The staff file for Staff person #7 was observed to lack a staff evaluation. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) A written staff evaluation for Staff person #7 has been completed and placed in the employee's file. Staff person #7 had a break of employment while returning to school. Administration reviewed staff files to verify required evaluations are completed and documented in accordance with regulatory requirements. |
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| 2026-05-05 | Renewal | 3270.36(b)(5)/3270.192(2)(ii) - HS/GED + 2 yrs/Exp, educ., training prior to facility | Needs Verification |
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Regulation: 3270.36(b)(5)/3270.192(2)(ii) Description: HS/GED + 2 yrs/Exp, educ., training prior to facility Noncompliance Area: The staff file for Staff person #4 who is functioning as an Assistant Group Supervisor, lacked proof of education. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Documentation verifying Staff person #4's education qualifications for the Assistant Group Supervisor position has been obtained and placed in the staff file. Administration reviewed the employee's file to ensure all required qualification documentation is complete and maintained in accordance with position requirements and regulatory standards. |
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| 2026-05-05 | Renewal | 3270.37(b)(3)/3270.192(2)(ii) - 8th grade + 2 yrs/Exp, educ., training prior to facility | Needs Verification |
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Regulation: 3270.37(b)(3)/3270.192(2)(ii) Description: 8th grade + 2 yrs/Exp, educ., training prior to facility Noncompliance Area: The staff file for Staff person #6 who is functioning as an Aide, lacked proof of two years of experience working with children. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Documentation verifying Staff person #6's required child care experience has been obtained and placed in the staff file. Administration reviewed the employee's qualifications and file to ensure all required education and experience documentation is complete and maintained in accordance with regulatory requirements for the aide position. |
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| 2026-05-05 | Renewal | 3270.75(b) - Inaccessible to children | Needs Verification |
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Regulation: 3270.75(b) Description: Inaccessible to children Noncompliance Area: The outdoor play space bag containing the first-aid kit was observed on the table accessible to the preschool age children playing outside. Correction Required: A first-aid kit must be inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The first-aid kit was immediately moved to a location inaccessible to children while remaining readily available to staff during outdoor play. Staff were reminded of the requirement that all first-aid supplies must be kept out of children's reach at all times. Outdoor safety procedures were reviewed with staff to ensure understanding and compliance. |
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| 2026-04-16 | Unannounced Monitoring | 3270.183(a) - Locked cabinet | Compliant - Finalized |
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Regulation: 3270.183(a) Description: Locked cabinet Noncompliance Area: The child files were observed to be stored in a filing cabinet that was not locked at time of the unannounced inspection. Correction Required: Child records are confidential and shall be stored in a locked cabinet. |
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Provider Response: (Contact the State Licensing Office for more information.) Immediately upon notification, all child files were secured in the filing cabinet and the cabinet was locked to ensure confidentiality and compliance. Child records are confidential and will be maintained in a locked filing cabinet at all times when not in use. |
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| 2026-04-16 | Unannounced Monitoring | 3270.193(a) - Confidential; stored in locked cabinet | Compliant - Finalized |
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Regulation: 3270.193(a) Description: Confidential; stored in locked cabinet Noncompliance Area: The staff files were observed to be stored in a filing cabinet that was not locked at time of the unannounced inspection. Additionally, a staff persons file was observed left out on a desk in the same area. Correction Required: Facility persons' records are confidential and shall be stored in a locked cabinet. |
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Provider Response: (Contact the State Licensing Office for more information.) Immediately upon notification, all staff files were secured in the filing cabinet and the cabinet was locked to ensure confidentiality and compliance. Staff records are confidential and will be maintained in a locked filing cabinet at all times when not in use. |
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| 2026-02-09 | Complaints- Legal Location | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: The file for Staff #1, who has resided out of Pennsylvania in the last five years, lacked required West Virginia Clearances. The file for Staff #2 contained Mandated Reporter training that was updated in an interval greater than 60 months. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a childcare position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon review of staff files, although Staff #1 had all current Pennsylvania clearances present in the file, it was discovered that Staff #1 had resided outside of Pennsylvania within the last five years and one of the required West Virginia clearance documents was not present in the file. Staff #1 was immediately removed from duties involving child care until all required clearances are obtained and verified in compliance with the Child Protective Services Law (CPSL) and Chapter 3490. Additionally, the file for Staff #2 contained Mandated Reporter training that exceeded the required 60-month renewal period. Staff #2 had already completed the updated Mandated Reporter training at time of visit one day past due and the updated certificate has been placed in the employee's file. All staff files were reviewed to ensure required clearances and training are current and properly documented. |
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| 2025-11-04 | Complaints- Legal Location | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: During a complaint investigation conducted on 11/4/25, video surveillance footage from 10/28/25 showed that at approximately 11:20am in the Littles Room, Staff #1 was observed sweeping the floor and, at times, had their back turned to the children and lacked sightlines to the five children in care. During the time while staff was sweeping, Child #2 walked over to a table, picked up a pair of adult scissors, and walked around with them for approximately 19 seconds, after which Child #1 grabbed the scissors away from Child #2 and cut themselves. The lapse in supervision resulted in Child #2 being able to obtain the scissors and Child #1 sustained an injury that required stitches. Correction Required: TIERED IS: 1.) Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The correction date for this portion of the plan will be immediate. 2.) The director/ operator will arrange for all staff, including the director, to attend an in-person training with ELRC #4 entitled "Active Supervision". This training can occur at the provider's location. Verification for completion of training will be an attendee list obtained from the ELRC. This training can count toward attendee's required annual training requirements, as long as acceptable documentation is on file. The correction date for this portion of the plan will be the anticipated date that the training will be completed. 3.) The director/ operator will arrange for ELRC #4 staff to conduct a minimum of 2 onsite technical assistance visits, to be conducted after supervision training has occurred, to conduct observations and provide input regarding active supervision, classroom management and safe environment. The correction date for this portion of the plan will be after training has been conducted. 4.) The director/ operator will conduct monthly staff meetings for the next 4 months to include the topics of active supervision, classroom management and safe environment as part of the agenda. The director/ operator will arrange for ELRC #4 staff to attend these meetings. Agendas and staff attendance sheets shall be completed and filed for the meetings and provided upon the request of the Certification Representative. The correction date for this portion of the plan will be a minimum of four months from the acceptance of the plans of correction. |
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Provider Response: (Contact the State Licensing Office for more information.) 1.) 10/30/25: Effective immediately, Willow Cove Early Learning Center has corrected supervision practices to ensure that children are always supervised by a staff person, with continuous sightlines and active engagement. Staff are no longer permitted to complete cleaning tasks, such as sweeping, while responsible for direct supervision of children. Classroom procedures have been reviewed to ensure that hazardous items, including adult scissors, are always stored securely in locked or elevated locations inaccessible to children. [Implemented 4/17/26] 2.) 2/9/26: The Director/Operator will arrange for all staff, including the Director, to attend an in-person Active Supervision training conducted by ELRC #4. [Implemented 2/9/26] 3.) 3/25/26: Following completion of the supervision training, the Director/Operator will coordinate with ELRC #4 to schedule a minimum of two onsite technical assistance visits. [Implemented 3/25/26] 4.) 4/16/26: In addition, the Director/Operator will conduct monthly staff meetings for the next four months with agenda items focused on active supervision, classroom management, and maintaining a safe environment. ELRC #4 staff will be invited to attend these meetings. Agendas and staff attendance sheets will be completed for each meeting and kept on file and will be made available to the Certification Representative upon request. [Implemented 4/17/26] |
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| 2025-11-04 | Complaints- Legal Location | 3270.20(a)(1) - Inpatient hospitalization or ER treatment of child | Compliant - Finalized |
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Regulation: 3270.20(a)(1) Description: Inpatient hospitalization or ER treatment of child Noncompliance Area: During a complaint investigation conducted on 11/4/25 it was determined that on 10/28/25 Child #1 sustained an injury while in care that required stitches, was taken to the emergency room for treatment, and the facility did not notify the Western Region Office of the incident within 24 hours. Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. |
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Provider Response: (Contact the State Licensing Office for more information.) Effective immediately, the operator has reviewed and reinforced the requirement under 55 PA Code Chapter 3270.20(a)(1) that the appropriate regional office must be notified by telephone within 24 hours when a child in care is hospitalized or receives emergency room treatment. The operator has ensured that all required reporting procedures are understood and will be followed moving forward. |
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| 2025-11-04 | Unannounced Monitoring | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: During a complaint investigation conducted on 11/4/25, video surveillance footage from 10/28/25 showed that at approximately 11:20am in the Littles Room, during the time while staff was sweeping the floor, Child #2 walked over to a table, picked up a pair of adult scissors, and walked around with them for approximately 19 seconds, after which Child #1 grabbed the scissors away from Child #2 and cut themselves. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) Effective immediately, Willow Cove Early Learning Center has reviewed classroom procedures with staff to ensure that hazardous items, including adult scissors, are always stored securely in locked or elevated locations inaccessible to children. |
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| 2025-10-27 | Self-Reported Non Compliance | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: During a self-reported noncompliance investigation conducted on 10/27/25, video surveillance footage from 10/14/25 showed that at approximately 1:46pm in the Preschool 3 room during naptime, Staff person #1 was observed picking up Child #1, who is the staff's own child from their cot, taking them over to the teacher's desk in the back right corner of the room, where Staff #1 sits down in the chair with Child #1 on their lap and then can be seen slapping Child #1's face with an open right hand. Staff person #1 can then be seen turning Child #1 over, laying them over their lap, and proceeded to hit Child #1 on their back side four times with a closed right fist. Child #1 walked over to his cot upset and laid down. At approximately 1:48pm Staff person #1 returned to Child #1's cot and slapped them on their head before resuming putting items away in the children's cubbies inside that were inside the room. This all occurred while other children were in the room napping. Correction Required: A facility person may not use any form of physical punishment, including spanking a child. |
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Provider Response: (Contact the State Licensing Office for more information.) Effective immediately, Willow Cove Early Learning Center has corrected this violation by enforcing its zero-tolerance policy regarding physical punishment. The staff person involved is no longer employed by the facility and no longer has access to children in care. All staff were immediately reminded, verbally and in writing, that no form of physical punishment is permitted at any time, including but not limited to spanking, hitting, slapping, or any physical discipline, regardless of a child's behavior or the staff member's personal relationship to the child. The Director/Operator reviewed the facility's guidance and discipline policy with all staff to ensure understanding of appropriate behavior management practices, positive guidance techniques, and professional boundaries while supervising children. |
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| 2025-10-08 | Renewal | 3270.107 - Refrigerator | Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: The refrigerator located in the Littles Room was observed to lack a thermometer. Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. |
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Provider Response: (Contact the State Licensing Office for more information.) All refrigerators at the center [now] have a thermometer present to make sure current temperature is below 42 degrees Fahrenheit. The thermometer in the Little's classroom refrigerator migrated to the Tiny Tot fridge with a lunch bag. The Tiny Tot fridge contained two thermometers. |
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| 2025-10-08 | Renewal | 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(b)(2)/3270.182(1) Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Noncompliance Area: The child file for Child #1, who is a preschool age child, was observed to contain an updated health report dated 4/1/25 which was conducted more than 12 months from the previously dated 3/26/24 health report on file. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) All parents of older toddlers or preschool aged children are required to submit the children's health report within 12 months. We will continue to track health reports and notify parents two months prior of expiration of the child's health report. |
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| 2025-10-08 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The staff file for Staff person #4 contained a current health assessment dated 3/3/25 which was not conducted prior to providing initial service in a childcare setting. The staff file for Staff person #8, contained a current health assessment dated 9/22/25 which was conducted more than 24 months from the previously dated 11/15/22 health assessment on file. Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff in direct care of children have a current health assessment [on file]. |
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| 2025-10-08 | Renewal | 3270.151(c)(3)/3270.192(3) - Exam communicable disease/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(c)(3)/3270.192(3) Description: Exam communicable disease/Health assessment, TB test Noncompliance Area: The staff file for Staff person #6 contained a current health assessment dated 9/5/24 that lacked examination for communicable diseases and the results of that examination. Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) We provided the staff with a new form to have completed. As of 10/16/25 Staff person #6 no longer works at the facility. |
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| 2025-10-08 | Renewal | 3270.151(c)(5)/3270.192(3) - Physician/CRNP assessment/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(c)(5)/3270.192(3) Description: Physician/CRNP assessment/Health assessment, TB test Noncompliance Area: The staff file for Staff person #6 contained a current health assessment dated 9/5/24 that the physician's or CRNP's assessment of the person's suitability to provide childcare. Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide childcare. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) We provided the staff with a new form to have completed. As of 10/16/25 Staff person #6 no longer works at the facility. |
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| 2025-10-08 | Renewal | 3270.163(b) - Breakfast items from three groups | Compliant - Finalized |
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Regulation: 3270.163(b) Description: Breakfast items from three groups Noncompliance Area: Upon observing the breakfast menu, it was observed that only 2 out of 3 food groups were being offered during the week: either cereal and milk, French toast and milk, Waffles and milk, and pancakes and milk. Correction Required: Breakfast prepared at the facility for children of toddler age or older shall have at least one item from three of the following four food groups: dairy, protein, fruit and vegetable, grain. |
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Provider Response: (Contact the State Licensing Office for more information.) The center will begin providing bananas for breakfast again to fulfill all four food groups are served to the children. We paused serving bananas because of a child's severe banana allergy. |
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| 2025-10-08 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training. Staff person #3 and Staff person #7 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training; Staff person #3 has since completed the training on 9/16/25 and Staff person #7 on 9/27/25. Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 11/14/25 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1 resigned from the center 10/9/25. Staff persons #3 and #7 completed their Pediatric First Aid/CPR training. Staff that do not yet have Pediatric First Aid/CPR training are supervised by staff that have completed their training until their pre-service training is complete. All staff should complete their Pediatric First Aid/CPR training with the first 90 days of hire. |
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| 2025-10-08 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: The staff file for Staff person #2 contained current mandated reporter training dated 7/19/25 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 7/18/20. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) All staff file will contain a current mandated reporter training and renewed within 60 months from the previously existing mandated reporter certificate. |
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| 2025-10-08 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for Staff person #1 (See IS Code Sheet), who has resided out of state within the previous five years, was observed to lack a New Jersey Sex Offender Registry Check Child as required by the Child Protective Service Law (CPSL). The staff file for Staff person #2 contained a current State Police clearance dated 7/18/25, a current Child Abuse clearance dated 7/21/25 and a current DHS FBI clearance dated 7/22/25 all of which were not renewed within 60 months of the previously dated 6/3/20 State Police clearance, 6/2/20 Child Abuse clearance and 6/11/20 DHS FBI clearance expiring. The file for staff person #5 was observed to contain a current National Sex Offender Registry (NSOR) check dated 8/27/25 which was not obtained prior to first day working with children (See IS CODE SHEET) required for provisional hiring under the CPSL. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 resigned from the center on 10/9/25. Staff #2 reapplied for clearances when returning from medical leave. Staff #5 completed staff onboarding and was not supervising children at the center until after 8/27/25. All staff [will] have completed clearances in their files before start date and supervising children. |
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| 2025-10-08 | Renewal | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: The current annual fire system inspection report was not on file at time of inspection and was not done annually. The previous inspection report on file was dated 9/9/24. Staff person #9 reported the fire company was at the facility to test the alarms the morning of 10/8/25 however a written report of that test was not on file at time of inspection. Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. |
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Provider Response: (Contact the State Licensing Office for more information.) The provider will contact the landlord and request that the businesses located at the plaza be tested earlier next year. The center does not schedule the inspection date or time and the fire system is linked to all businesses at the plaza. The fire company was contacted immediately following the inspection to obtain the written documentation of the October 8, 2025 inspection and system test. The fire system inspection report has now been received and filed in the facility's safety compliance binder and scanned into the digital compliance folder for backup storage. The date of completion and the fire company contact information have been recorded on the Annual Maintenance Log to ensure documentation is easily accessible for all future inspections. |
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| 2024-12-20 | Change in Location Capacity | Change in Location Capacity | Compliant - Finalized |
| 2024-12-04 | Complaints- Legal Location | 3270.166(2) - New foods - parent's consent | Compliant - Finalized |
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Regulation: 3270.166(2) Description: New foods - parent's consent Noncompliance Area: Per staff statements Child #1, an infant age child, was fed puffs on 11/19/24 without parental consent. Correction Required: New foods shall be introduced to an infant only after consultation with the child's parent. |
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Provider Response: (Contact the State Licensing Office for more information.) We will include a form in the new infant enrollment packet specifically about puffs. It will be in addition to the information already provided in the handbook. In order for a child to receive puffs, the parent must give written consent and a tag will be added to the child's bin indicating that puffs are allowed for a child at the appropriate age. |
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| 2024-10-02 | Renewal | 3270.106(f) - 2 feet apart | Compliant - Finalized |
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Regulation: 3270.106(f) Description: 2 feet apart Noncompliance Area: At approximately 10:28am, in the Infant Room, an infant was observed to be asleep in a crib that was up against another crib resulting in there not being at least 2 feet of space on three sides of the crib while it was in use. Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. |
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Provider Response: (Contact the State Licensing Office for more information.) The infant room will provide at least 2 feet of space on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. |
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| 2024-10-02 | Renewal | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: ***At approximately 1:35pm, during naptime in the PS 4 Room, one staff and 15 preschool age children were observed. During the onset of supervision/ratio check, Staff person #1 identified and named only 7 children thus leaving the other 8 children unaccounted for. When asked who was responsible for the 8 unnamed children Staff person #1 said Staff person #4, who was out of the room on their break, was responsible for those children. At approximately 1:40pm, during naptime in the Older Toddler (Nursery Room), one staff and 12 older toddlers were observed. During the onset of supervision/ratio check, Staff person #10 identified and named only 6 children thus leaving the other 6 children unaccounted for. When asked who was responsible for the 6 unnamed children Staff person #10 said Staff person #6, who was out of the room on their break, was responsible for those children. Correction Required: ***Legal Entity must schedule an on-site, in-person, technical assistance session with their ELRC quality coach, who will support the program in implementation of the tag system and conduct in-classroom supports to provide feedback and answer tag system questions |
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Provider Response: (Contact the State Licensing Office for more information.) To better implement the tag system and conduct in-classroom support, the operator will schedule an on-site, in-person session with ELRC Quality Coach. |
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| 2024-10-02 | Renewal | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: **At approximately 1:35pm, during naptime in the PS 4 Room, one staff and 15 preschool age children were observed. During the onset of supervision/ratio check, Staff person #1 identified and named only 7 children thus leaving the other 8 children unaccounted for. When asked who was responsible for the 8 unnamed children Staff person #1 said Staff person #4, who was out of the room on their break, was responsible for those children. At approximately 1:40pm, during naptime in the Older Toddler (Nursery Room), one staff and 12 older toddlers were observed. During the onset of supervision/ratio check, Staff person #10 identified and named only 6 children thus leaving the other 6 children unaccounted for. When asked who was responsible for the 6 unnamed children Staff person #10 said Staff person #6, who was out of the room on their break, was responsible for those children. Correction Required: **Legal Entity must develop and implement a tangible hands-free method of identify the specific children for which each staff person is responsible for. Staff will utilize the tangible hands-free method appropriately at all times while on duty at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) As a tangible hands-free method of identifying children, the tag system will be implemented by the operator. |
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| 2024-10-02 | Renewal | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: *At approximately 1:35pm, during naptime in the PS 4 Room, one staff and 15 preschool age children were observed. During the onset of supervision/ratio check, Staff person #1 identified and named only 7 children thus leaving the other 8 children unaccounted for. When asked who was responsible for the 8 unnamed children Staff person #1 said Staff person #4, who was out of the room on their break, was responsible for those children. At approximately 1:40pm, during naptime in the Older Toddler (Nursery Room), one staff and 12 older toddlers were observed. During the onset of supervision/ratio check, Staff person #10 identified and named only 6 children thus leaving the other 6 children unaccounted for. When asked who was responsible for the 6 unnamed children Staff person #10 said Staff person #6, who was out of the room on their break, was responsible for those children. Correction Required: *Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff were able to account of all children in their care. The tag system of identifying each child will be used to assign staff members the responsibility of supervising specific children. |
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| 2024-10-02 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The staff file for Staff person #3, contained a current health assessment dated 5/7/24 which was conducted more than 24 months from the previously dated 3/11/22 health assessment on file. The staff file for Staff person #4, contained a current health assessment dated 7/8/24 which was conducted more than 24 months from the previously dated 6/28/22 health assessment on file. The staff file for Staff person #6 contained a current health assessment dated 3/20/24 and tuberculosis screening test and results dated 3/11/24 which were not conducted prior to providing initial service in a childcare 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #3, #4, and #6 now have a current health assessment on file. |
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| 2024-10-02 | Renewal | 3270.181(c) - Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.181(c) Description: Emergency info/agreement updated 6 mos Noncompliance Area: The child file for Child #1 contained a current emergency contact form that was not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form were signed on 5/24/23 and 12/5/23. Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #1's file is current and up to date. |
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| 2024-10-02 | Renewal | 3270.27(a)(6) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: An annual emergency drill was observed to be conducted on 8/2/24 which was more than 12 months after the previously documented emergency drill dated 5/8/23. Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Operators will ensure that the emergency drill takes place every 12 months. |
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| 2024-10-02 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: The staff file for Staff person #8 lacked documentation of having participated in annual emergency plan training for 2024; the last documented training was dated 8/21/23. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Training on the emergency plan has been provided to all staff members and the signatures have been documented. |
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| 2024-10-02 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: The staff file for Staff person #2 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 8/1/24 and 7/25/23. The staff file for Staff person #4 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 8/1/24 and 7/26/23. Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff have current fire safety training on file. |
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| 2024-10-02 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #5 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training; Staff person #5 has since completed the training on 1/12/24. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) Health and Safety Training must be completed within 90 days of hire for all employees. |
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| 2024-10-02 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: The staff file for Staff person #5 contained current mandated reporter training dated 3/18/24 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 2/5/19. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) Within 60 months of the last mandated reporter training, all staff will have completed the current mandated reporter training. |
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| 2024-10-02 | Renewal | 3270.34(a)(6) - Staff evaluations | Compliant - Finalized |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: The staff file for Staff persons #2, #3, #4, and #7 contained a current staff evaluation that was not dated therefore it cannot be determined if the staff evaluations were completed at least once every 12 months from the previously dated 9/27/23 staff evaluation on file. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff persons #2, #3, #4, and #7 now have a current evaluation on file. |
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| 2024-10-02 | Renewal | 3270.36(b)(5)/3270.192(2)(ii) - HS/GED + 2 yrs/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.36(b)(5)/3270.192(2)(ii) Description: HS/GED + 2 yrs/Exp, educ., training prior to facility Noncompliance Area: The staff file for Staff person #4 who is functioning as an Assistant Group Supervisor, lacked one year of experience working with children. The staff file for Staff person #9 who is functioning as an Assistant Group Supervisor, lacked two years of experience working with children; only 2, 078 hours were documented. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The operator has provided verification for staff. |
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| 2024-10-02 | Renewal | 3270.78/3270.113(a) - Lighting/Supervised at all times | Compliant - Finalized |
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Regulation: 3270.78/3270.113(a) Description: Lighting/Supervised at all times Noncompliance Area: At approximately 1:40pm, in the Older Toddler Room during nap time, the room was observed to lack adequate lighting thus making is difficult for staff to see the children's faces in order to properly supervise the children as they napped. Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) In order to make the older toddler room adequately lit, the operator has added additional lighting to allow for staff to be able to properly supervise the children during naptime. |
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| 2024-10-02 | Renewal | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: Observed the annual fire system inspection report was completed more than 12 months after the previous inspection report. The previous inspection report was dated 5/31/23 and the most recent inspection report is dated 9/9/24. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Operators will request a fire system inspection and report within the next 12 months from the property owner. The property owner sets the appointment for inspection. |
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| 2024-08-05 | Allocated Unannounced Monitoring | 3270.113(a)(1) - Staff assigned to specific children | Non Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: In the PK 4 Room, 3 staff and 21 PreK children were observed. When asked to name the children in their respective supervision groups, the following occurred: Staff person #1 stated that 7 children were in their supervision group, but only named 4 and disclosed they did not know the names of the other three children in their group. Staff person #2 took approximately 3 minutes to match names to children in their group and after naming the 9th child in their supervision group, children in the room reminded Staff person #2 that the child they named was not in attendance. Staff person #3 required assistance from Staff person #2 to say the names of the two children in their supervision group. Therefore, it was determined that the staff did not know the names of all of the children in their respective supervision groups Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) As a team, staff member #'s 1 and 2 have better communication skills, and they have created an improved method of listing the children in care, which makes it easier to communicate their names when asked for a large grouping of names. Each staff person is assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. |
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| 2024-08-05 | Complaints- Legal Location | 3270.136(b) - Parent info communicable diseases | Compliant - Finalized |
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Regulation: 3270.136(b) Description: Parent info communicable diseases Noncompliance Area: As a result of a complaint investigation conducted on 8/5/24, it was determined that the facility failed to inform parents of enrolled children during specific and separate outbreaks of COVID and Hand, Foot Mouth disease. Correction Required: The operator shall inform parents of enrolled children when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency in the opinion of the Department of Health. |
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Provider Response: (Contact the State Licensing Office for more information.) The operator informed parents of enrolled children that there was a suspected outbreak of a communicable disease or an outbreak of unusual illness that represents a public health emergency in the opinion of the Department of Health. |
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| 2024-08-05 | Allocated Unannounced Monitoring | 3270.137 - Children with Symptoms of Disease | Non Compliant - Finalized |
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Regulation: 3270.137 Description: Children with Symptoms of Disease Noncompliance Area: Based on staff interviews a child who was excluded from care for having a communicable disease was permitted to return to care without a doctor's note indicating that they are no longer considered a threat to the health of others. Correction Required: An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases). |
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Provider Response: (Contact the State Licensing Office for more information.) All children will require a doctor's note for the time they are permitted to return to the center in the future, regardless of whether or not they are scheduled to return on the following day or next week. An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases). |
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| 2024-08-05 | Allocated Unannounced Monitoring | 3270.153 - Facility Person/Symptoms of Disease | Non Compliant - Finalized |
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Regulation: 3270.153 Description: Facility Person/Symptoms of Disease Noncompliance Area: Based on staff interviews multiple staff who were excluded from working at the facility for having a communicable disease were permitted to return to work without a doctor's note indicating that they are no longer considered a threat to the health of others. Correction Required: A facility person with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall be excluded from attendance until the facility operator receives notification from a physician or CRNP that the person is no longer considered a threat to the health of others. The notification shall be retained in the facility person's file. Exclusion from the facility is required for diseases and conditions specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases). |
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Provider Response: (Contact the State Licensing Office for more information.) An operator will be notified if any staff members present communicable symptoms. Staff must provide a doctor's note as an indication that they are well to return to work. The results of home testing kits will no longer be accepted. |
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| 2024-08-05 | Allocated Unannounced Monitoring | 3270.192(2)(ii) - Exp, educ., training prior to facility | Non Compliant - Finalized |
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Regulation: 3270.192(2)(ii) Description: Exp, educ., training prior to facility Noncompliance Area: The staff file for Staff person #1 who is functioning as an Assistant Group Supervisor, lacked proper documentation of verification of two years' experience working with children; Staff person #1 disclosed that they filled out the employee verification form themself and did have the previous employer complete to verify employment. Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1's documentation was properly signed by the previous employer indicating proof of her years of verified childcare experience. |
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| 2024-08-05 | Allocated Unannounced Monitoring | 3270.192(2)(iv) - Transcript, diploma and letters | Non Compliant - Finalized |
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Regulation: 3270.192(2)(iv) Description: Transcript, diploma and letters Noncompliance Area: The staff file for Staff person #1, who is functioning as an assistant group supervisor, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position. Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1 provided proof of college acceptance and credits in the United States to verify high school graduation in a foreign country and current educational status in the US. |
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| 2024-08-05 | Allocated Unannounced Monitoring | 3270.33(a)/3270.36(b)(5) - Each staff person meets quals/HS/GED + 2 yrs | Non Compliant - Finalized |
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Regulation: 3270.33(a)/3270.36(b)(5) Description: Each staff person meets quals/HS/GED + 2 yrs Noncompliance Area: The staff file for Staff person #1, who is functioning as an assistant group supervisor, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position. Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1 and all staff including substitute staff shall meet one of the applicable staff qualifications for the position in which the person is performing. An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. Staff #1 provided validated proof of education and experience to the center to perform her position. |
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| 2024-08-05 | Allocated Unannounced Monitoring | 3270.65 - Protective Outlet Covers 5 yrs. or less | Non Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: In the Nursery School Room (Older Toddler Room) an electrical outlet located on the wall above the small children's bookshelf and accessible to children under 5 years of age was observed to be missing an outlet cover. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) All receptacles have protective receptacle covers placed in electrical outlets accessible to children 5 years of age or younger. |
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| 2024-03-11 | Unannounced Monitoring | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person # 1 did not complete the following required pre-service training within 90 days of their date of hire. SEE IS CODE SHEET. The current revised 10-hour health and safety training is now on file and dated 1/2/24. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff members have completed their revised Pennsylvania Health and Safety Update 2022 training. |
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| 2024-03-11 | Unannounced Monitoring | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/5/19. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person/facility person/volunteer #-1 ill have until 15 days from POC requested date to complete the mandated reporter training. Until such time as the required training has been completed, staff person/facility person/volunteer #1 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person/facility person/volunteer #1, staff person/facility person/volunteer #1 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 has current mandated reporter training on file. |
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| 2023-10-19 | Renewal | 3270.131(b)(1) - Infant: updated health report every 6 months | Compliant - Finalized |
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Regulation: 3270.131(b)(1) Description: Infant: updated health report every 6 months Noncompliance Area: The child file for Child #1, who was a young toddler at the time, was observed to contain an updated health report dated 2/6/23 which was conducted more than 6 months from the previously dated 1/10/22 health report on file. The child file for Child #2, who is a young toddler, was observed to contain health reports that were conducted more than 6 months apart; those health report dates are dated 9/30/22 and 12/13/21. The child file for Child #3, who is a young toddler, was observed to contain health reports that were conducted more than 6 months apart; those health report dates are dated 10/3/22 and 10/4/21. Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. |
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Provider Response: (Contact the State Licensing Office for more information.) All children have current health reports on file. |
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| 2023-10-19 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: Staff person #10 through Staff person #15 had not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06. All staff have now completed the required 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All new staff members have completed their one-hour Pennsylvania Health and Safety Update 2022 training. |
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| 2023-10-19 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The file for staff person #4 was observed to lack a health assessment on file prior to hire (See IS CODE SHEET); The health assessment on file for staff person #4 is dated 9/20/23. The file for staff person #6 was observed to lack a health assessment on file prior to hire (See IS CODE SHEET); The health assessment on file for staff person #6 is dated 4/12/23. The file for staff person #8 was observed to lack a health assessment on file prior to hire (See IS CODE SHEET); The health assessment on file for staff person #8 is dated 10/3/23. Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. |
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Provider Response: (Contact the State Licensing Office for more information.) Health assessments have been completed by all staff members and are current. |
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| 2023-10-19 | Renewal | 3270.151(c)(2) - Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(c)(2) Description: Mantoux TB Noncompliance Area: The staff file for Staff person #4 contained a current tuberculosis screening and results dated 9/29/23 which was not conducted prior to providing initial service in a childcare setting. The staff file for Staff person #6 contained a current tuberculosis screening and results dated 4/12/23 which was not conducted prior to providing initial service in a childcare setting. Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. |
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Provider Response: (Contact the State Licensing Office for more information.) A tuberculosis screening has been completed by all staff members. |
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| 2023-10-19 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: In the PS 3 Room a stapler was observed stored in a 3-tier rolling cart accessible to the preschool age children in care. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) In the PS 3 room, staplers and staples have been removed from areas where children could access them. |
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| 2023-10-19 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #1, Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training. Staff person #1 and Staff person #2 have since completed the training. Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Updated 10hr. Health and Safety Training; the 6hr and 1hr Health and Safety Trainings were on file which are not acceptable for new staff hired after 10/4/22. Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. Staff person #7 has since completed the training. Staff person #9 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training and Pediatric First Aid/CPR. Staff person #9 has since completed the trainings. Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #6 will have until 11/21/23 to complete the required training. |
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Provider Response: (Contact the State Licensing Office for more information.) Health and Safety training and Pediatric First Aid/CPR have been completed by all staff members. |
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| 2023-10-19 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: Staff person #1 had not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/2/18. Staff person #1 completed the required mandated reporter training on 10/18/23. Staff person #3 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #3 has since completed the training on 5/17/23. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) Both staff have current mandated reporter training on file. |
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| 2023-10-19 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for Staff person #2 was observed to lack a valid DHS FBI Clearance. The file for Staff person #3 was observed to contain a Child Abuse Clearance on file dated 5/23/23 which was not obtained prior to hire (See IS CODE Sheet). The file for Staff person #7 was observed to contain a National Sex Offender Registry (NSOR) check on file dated 10/26/22 and there was no documentation of having applied for the NSOR check prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #8 was observed to lack a valid DHS FBI Clearance; A Department of Education (DOE) FBI clearance was on file which is not an acceptable FBI clearance per the Child Protective Service Law (CPSL). Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #2 and Staff person #8 may not work in the facility. 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 Person #2 and Staff person #8--- may not work in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #2 and Staff person #8 were removed from the facility until proper clearances were obtained. All staff have current clearances on file. |
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| 2023-10-19 | Renewal | 3270.82(e) - Toilet and sinks proper height | Compliant - Finalized |
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Regulation: 3270.82(e) Description: Toilet and sinks proper height Noncompliance Area: The sink in the Infant Room, which is occasionally used by toddlers whenever they receive care in that space, was observed to lack a platform or steps for the toddlers to use while washing their hands. Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps. |
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Provider Response: (Contact the State Licensing Office for more information.) To wash their hands while visiting the infant room, the young toddlers were provided with a step stool. |
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| 2023-10-19 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: The sink in the Young Toddler Room was observed to lack a handwashing sign. Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) In the young toddler room, we posted a hand washing sign near the sink. |
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| 2022-10-14 | Renewal | 3270.123(a)(6) - Admission date | Compliant - Finalized |
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Regulation: 3270.123(a)(6) Description: Admission date Noncompliance Area: The child file for Child #7 and Child #8 contained a financial agreement form that lacked the child's admission date. Correction Required: An agreement shall specify the date of the child's admission. |
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Provider Response: (Contact the State Licensing Office for more information.) The children's admission dates were added to the financial agreements. |
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| 2022-10-14 | Renewal | 3270.124(b)(2) - Physician name, address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(2) Description: Physician name, address, phone Noncompliance Area: The child file for Child #2 contained an emergency contact information form that lacked the name 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The name of the child's physician, address, and telephone number were added to the emergency contact. |
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| 2022-10-14 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The child file for Child #1 contained an emergency contact information form that lacked the address for one of the designated release persons. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) The child's emergency contact sheet was updated with the child's emergency contact's name, address, and telephone number. |
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| 2022-10-14 | Renewal | 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(b)(2)/3270.182(1) Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Noncompliance Area: The child file for Child #3, who is a preschool age child (See IS CODE SHEET), was observed to contain an updated health report dated 10/3/22 which was conducted more than 12 months from the previously dated 4/8/21 health report on file. The child file for Child #4, who is a preschool age child (See IS CODE SHEET), was observed to contain an updated health report dated 10/6/22 which was conducted more than 12 months from the previously dated 9/22/21 health report on file. The child file for Child #6, who is a preschool age child (See IS CODE SHEET), was observed to contain an updated health report dated 10/6/22 which was conducted more than 12 months from the previously dated 8/9/21 health report on file. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) We will ensure health reports are better tracked. Reminders will be sent out sooner upon upcoming due dates giving parents more time to schedule appointments. |
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| 2022-10-14 | Renewal | 3270.133(3) - Name on bottle | Compliant - Finalized |
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Regulation: 3270.133(3) Description: Name on bottle Noncompliance Area: In Preschool 4 room a Tylenol was observed to lack the name of the child for whom the medication is intended to be used by. Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider labeled medication bottle with child's name using a sharpie marker and placed it back into locked medicine box. |
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| 2022-10-14 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: The facility emergency plan lacked information regarding volunteer emergency preparedness and continuity of operations included in their emergency plan. The facility also lacked a handwritten policy and procedure identifying the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) We included a policy and procedure identifying the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment into our emergency plan. An addendum will be added to address continuity of operations as well as volunteers. |
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| 2022-10-14 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The file for staff person #2 was observed to not contain documentation of a health assessment being completed within 12 months prior to date of hire (See IS CODE SHEET). The health assessment on file for staff person # 2 is dated 6/30/22. The file for Staff person #12 lacked a health assessment on file prior to date of hire {See IS CODE SHEET). Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff have current health assessments on file. |
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| 2022-10-14 | Renewal | 3270.151(c)(2) - Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(c)(2) Description: Mantoux TB Noncompliance Area: The file for staff person #2 was observed to not contain documentation of a tuberculosis screening and the results prior to date of hire (See IS CODE SHEET); the tuberculosis screening on file for staff person # 2 is dated 6/30/22. The file for Staff person #12 lacked tuberculosis screening and the results on file prior to date of hire (See IS CODE SHEET). The file for staff person #10 was observed to not contain documentation of a tuberculosis screening and the results prior to date of hire (See IS CODE SHEET); the tuberculosis screening on file for staff person #10 is dated 9/21/22. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff members will have completed health assessment and TB test before the start date. |
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| 2022-10-14 | Renewal | 3270.151(c)(5) - Physician/CRNP assessment | Compliant - Finalized |
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Regulation: 3270.151(c)(5) Description: Physician/CRNP assessment Noncompliance Area: The staff file for Staff Person #8 contained a current health assessment dated 8/25/22 that lacked the physician's or CRNP's assessment of the person's suitability to provide child care. Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. |
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Provider Response: (Contact the State Licensing Office for more information.) The member's current health assessment was returned to the physician to be checked and initialed by the physician. |
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| 2022-10-14 | Renewal | 3270.181(c) - Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.181(c) Description: Emergency info/agreement updated 6 mos Noncompliance Area: The child file for Child #2 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the last two reviews for the emergency contact form were dated 10/10/21 and 6/20/22 and were 1/11/22 and 9/9/22 for the financial agreement. The child file for Child #3 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the last two reviews for the emergency contact form were dated 10/5/21 and 9/15/22 and were 1/3/22 and 8/14/22 for the financial agreement. The child file for Child #4 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the last two reviews for the emergency contact form were dated 1/24/22 and 9/19/22 and were 1/3/22 and 9/19/22 for the financial agreement. The child file for Child #5 contained a financial agreement that was not reviewed and updated by the parent at least once in a 6-month period; the last two reviews for the financial agreement were dated 1/3/22 and 9/21/22. Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. |
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Provider Response: (Contact the State Licensing Office for more information.) We will create a better way to track financial agreements and keep them up to date every 6-month period. |
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| 2022-10-14 | Renewal | 3270.192(3) - Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.192(3) Description: Health assessment, TB test Noncompliance Area: The file for Staff person #12 lacked a health assessment and tuberculin skin test on file prior to date of hire {See IS CODE SHEET). Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff members will have completed health assessment and TB test before the start date. |
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| 2022-10-14 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The staff file for Staff person #10 and Staff person #12 lacked one nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) A second reference letter was submitted for these staff members. |
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| 2022-10-14 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: In PS 4 Room a container of push pins were observed inside the top left desk drawer which was unlocked and accessible to children in care. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) The push pins were removed from the drawer and the drawer has been locked with a key. |
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| 2022-10-14 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #1, #3, #5, #7, #12, #13, and #14 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid/CPR. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff members have completed their required pre-service training and Pediatric First-Aid/CPR. |
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| 2022-10-14 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #1 lacked a disclosure statement on file at time of hire a disclosure dated 10/12/22 is on file. Staff person #2 lacked a valid DHS FBI clearance at time of hire; a DOE FBI clearance dated 5/13/20 was on file which is not an acceptable FBI clearance per the Child Protective Service Law (CPSL). The file for staff person #3 was observed not to contain a National Sex Offender Registry (NSOR) certificate within 45 days of hire (See IS CODE SHEET). Staff person #3 also lacked a valid DHS FBI clearance at time of hire; a DOE FBI clearance was on file which is not an acceptable FBI clearance per the Child Protective Service Law (CPSL). The file for staff person #4 was observed to lack a valid DHS FBI clearance; a DOE FBI clearance was on file. The file for staff person #5 was observed not to contain a NSOR certificate within 45 days of hire (See IS CODE SHEET). Staff person #5's NSOR certificate is dated 9/23/22. The file for staff person #6 lacked a Child Abuse clearance prior to hire (See IS CODE SHEET); Staff person #6 has a Child Abuse clearance on file dated 3/29/22. Staff person #6 was also observed not to contain a NSOR certificate within 45 days of hire; a NSOR certificate dated 9/22/22 is on file. The staff file for Staff person #7 was observed to lack a valid DHS FBI clearance; a DOE FBI clearance was on file. The staff file for Staff person #9 was observed to lack a Child Abuse clearance. The file for staff person #10 was observed not to contain documentation of application of an FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. Staff person #10 also lacked a valid State Police and Child Abuse clearance prior to hire; a State Police clearance dated 9/23/22 and a Child Abuse clearance dated 9/27/22 are on file. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #3, #4, #7, #9 and #10 may not work in a child care position at the facility. 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 Person #3, #4, #7, #9 and #10 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff members were removed from working with children until they acquired or provided the correct clearances and documentation. |
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| 2022-10-14 | Renewal | 3270.35(b)(1)/3270.192(2)(iv) - Bachelor's/Transcript, diploma and letters | Compliant - Finalized |
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Regulation: 3270.35(b)(1)/3270.192(2)(iv) Description: Bachelor's/Transcript, diploma and letters Noncompliance Area: The staff file for Staff person #3 and Staff person #10 and Staff person #11, who are functioning as a Group Supervisor, contained a bachelor of science diploma that did not list the degree awarded thus making is difficult to determine if the degree is in a related human service field. Correction Required: A group supervisor shall have 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. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff members have provided their credentials and transcripts in writing. |
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| 2022-10-14 | Renewal | 3270.36(b)(5)/3270.192(2)(ii) - HS/GED + 2 yrs/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.36(b)(5)/3270.192(2)(ii) Description: HS/GED + 2 yrs/Exp, educ., training prior to facility Noncompliance Area: The staff file for Staff person #2, who is functioning as an Assistant Group Supervisor, lacked one year of experience working with children. The staff file for Staff person #4, Staff person #7, Staff person #9, and Staff person #12 who are all functioning as Assistant Group Supervisors, lacked two years of experience working with children. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff members provided the correct experience verification that they are Assistant Group Supervisors. |
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| 2022-10-14 | Renewal | 3270.82(e) - Toilet and sinks proper height | Compliant - Finalized |
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Regulation: 3270.82(e) Description: Toilet and sinks proper height Noncompliance Area: The sink located within the Young Toddler room was observed to lack a platform or steps for the young toddlers to use while washing their hands. Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps. |
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Provider Response: (Contact the State Licensing Office for more information.) We have provided a step stool for the young toddlers to use to wash their hands after diaper changes and before snacks and meals. |
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| 2022-10-14 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: Staff person #6 self reported that after a young toddler's diaper is changed that child's hands are cleaned with a baby wipe and not washed at the sink with soap and water. Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Each toddler will use the toddler room step stool to wash their hands after diaper changes and before snacks and meals. |
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| 2022-10-14 | Renewal | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: The current fire inspection was not conducted annually as evidence by the last two fire inspections were dated 4/7/22 and 2/22/21. Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. |
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Provider Response: (Contact the State Licensing Office for more information.) A fire inspection was completed for 2022. We will reach out to the owner to remind him of the importance of the annual inspection dates to ensure they are done annually. |
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| 2022-08-09 | Unannounced Monitoring | 3270.94(a)(1) - Every 60 days | Compliant - Finalized |
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Regulation: 3270.94(a)(1) Description: Every 60 days Noncompliance Area: Upon review of the facility's fire drill log it has been more than 60 days since a fire drill was conducted as evidence by the last documented fire drill was conducted on 6/7/22. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. |
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Provider Response: (Contact the State Licensing Office for more information.) We will plan to complete a fire drill by end of week. |
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| 2022-08-09 | Unannounced Monitoring | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: Upon review of the facility's fire alarm testing log it has been more than 30 days since the fire alarms were tested as evidence by the last documented test was conducted on 7/7/22. Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. |
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Provider Response: (Contact the State Licensing Office for more information.) We will plan to test the alarm by end of week. |
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| 2021-12-27 | Initial review | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Regulation: 3270.131(e)(1) Description: Exemption documentation from parent/guardian Noncompliance Area: Child file #1 lacked documentation of annual influenza vaccination 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Parent submitted letter declining flu vaccination. |
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| 2021-12-27 | Initial review | 3270.27(a)(5) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(5) Description: Emergency plan Noncompliance Area: The facility's emergency plan lacked a plan that provides accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency Plan was developed to accommodate infants, toddlers, children with disabilities, and children with chronic medical conditions. |
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| 2021-12-27 | Initial review | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: Staff files #2, #3 and #4 lacked documentation of completion of Pediatric First Aid and Pediatric CPR within 90 days of hire., Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will complete Pediatric First Aid and Pediatric CPR on this date. Staff has completed professional development in Pediatric First Aid and Pediatric CPR on 12/29/21. |
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| 2021-12-27 | Initial review | 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(2)(iii) Description: Comply with CPSL/Exp, educ., training at facility Noncompliance Area: Staff file #1 contained documentation of mandated reporter training completed on 6/24/15 and 7/18/20 which exceeded the 60 months as required by CPSL. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 completed mandated reporter training as required. |
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| 2021-12-27 | Initial review | 3270.91(a) - Stairs, exits, etc. unobstructed | Compliant - Finalized |
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Regulation: 3270.91(a) Description: Stairs, exits, etc. unobstructed Noncompliance Area: The emergency exit door in the infant room was obstructed with a pack n play and a rocking chair. Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. |
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Provider Response: (Contact the State Licensing Office for more information.) Pack N Play and rocking chair were moved away from exit door opening up the obstructed exit way from the building. |
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If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.
Providers in ZIP Code 15012
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