Creation Playstation

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact forms for children # 2, # 3 and # 4 did not contain address of release persons. Emergency contact form for child # 4 did not contain telephone numbers for 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.

Regulation: 3270.131(a)/3270.131(b)(2)

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

Noncompliance Area: Files for children # 1 and # 5 did not contain an initial health assessment. File for child # 4 did not contain an updated health assessment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: First aid kit in the Honda Elite van was missing soap.

Correction Required: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Files for Staff # 1 and # 2 were not in compliance with CPSL regulations. State police clearances for staff # 1 and # 2 were in a pending status, they were incomplete.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1 and # 2 may not work in a childcare position at the facility. Tiered LIS: 1. CPSL regulations will be followed at all times. This portion of the plan shall have an immediate correction date. 2.The facility must create a written policy to show how staff clearances will be tracked. The Regional Office must approve of the policy. This portion of the plan shall have a correction date of when the policy will be completed and approved by the Regional Office.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: On 4/7/26 during a complaint inspection 2 infants were observed sleeping in a bouncy seat and a boppy pillow. Staff admitted that they were asleep for over 10 minutes. One infant was observed sleeping in a crib with a pacifier strap attached and one infant was observed with a bib on while sleeping in the crib.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: During complaint inspection it was reported that Staff # 1 was yelling in front of children, causing one child to wake up from a nap in distress. Staff # 1 was terminated due to the incident.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: On 1/7/26 during a complaint inspection it was observed that the Pre-K and 2-year-old rooms did not have a daily schedule posted.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 12/22/25 during a complaint inspection, staff # 1 admitted that while taking children to the bathroom for handwashing staff # 2 would be left out of ratio. This happened several times throughout the day.

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. TIERED LIS: 1. The required staff:child ratios must be maintained at all times. The correction for this portion of the plan must be immediate. 2. The legal entity must arrange for all staff to receive a minimum of 3 hours of training regarding supervision and ratio. The training must be PQAS approved, in-person and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date when this training will be completed.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 12/22/25 during a complaint inspection, staff # 1 admitted that while taking children to the bathroom for handwashing staff # 2 would be left out of ratio. This happened several times throughout the day.

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. See SIN-00279930

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: On October 16, 2025, an unannounced inspection was conducted at the facility and potentially hazardous food (cheese sticks, yogurt, and strawberries) were found on a cart in the preschool room. Staff reported that the food is put in the refrigerator at 8:45. Children begin arriving at 7:30.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On October 16, 2025, a complaint inspection was conducted at the facility. At approximately 8:25 AM it was observed that there were 18 preschool aged children in the preschool room with 1 staff. A second staff did arrive at 8:30 AM. Staff reported that this is not the first time a room at the facility has been out of ratio recently.

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. TIERED LIS: 1.The required staff: child ratios must be maintained at all times. The correction date for this portion of the plan must be immediate. 2.The facility director will develop and implement a ratio policy that will ensure staff fully understand their responsibility regarding the adherence to staff/child ratio of children at all times. This policy should include provisions for staff call offs and other such instances where ratio may be affected and ways ensure ratios are maintained at all times. This policy must be submitted to the DHS Northeast Regional Office prior to implementation for approval. Once this policy is accepted by the DHS Northeast Regional Office the director will ensure all staff and facility persons sign off on this policy as well as all new hires moving forward. The correction for this portion of the plan shall reflect a date that is at least one month from the acceptance of this policy by the DHS Northeast Regional Office in order to ensure staff sign offs.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On October 16, 2025, an unannounced inspection was conducted at the facility and a can of Lysol, and a container of disinfecting wipes were found on a counter within reach of the children in the school age room.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection was conducted at the facility. A review of children's files found that Child #1's file was missing health insurance policy number on the emergency contact information.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On July 10, 2025, a renewal inspection was conducted. A review of staff files found that Staff Person #1 resided outside Pennsylvania within the last 5 years and did not have clearances on file from that state. Staff person #1 has been working in a childcare position at the facility. (See code sheet for date of hire)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position with direct contact with children 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. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On July 10, 2025, a renewal inspection was conducted. A review of staff files found that Staff Person #1 was fingerprinted for their FBI clearance after starting in a direct childcare position at the facility. There was no proof of request of the FBI clearance in the file of Staff Person #1. (See code sheet for date of hire)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position with direct contact with children 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. Facility Person #-1 may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection was conducted at the facility. In the toddler room, a bottle of spray-on hair detangler that said "keep out of reach of children" was found in a bin that was accessible to children. In the unlocked staff bathroom in the preschool room, a spray can of Glade deodorizer was found on a shelf that was within reach of the children.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the toddler room, a plastic bin containing toys had a cracked lid.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the school age room, several outlets did not have protective covers.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There were no handwashing reminder signs in the bathrooms.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were several exposed bolts on the fence surrounding the outdoor play space.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Cribs in the infant room were closer than 2 feet on one side while children were in them napping.

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.

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

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

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

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

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The legal entity did not have comprehensive general liability insurance secured at time of inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.182(5)

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

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

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 has been working in a childcare position for more than 45 days without a National Sex Offender Registry (NSOR) on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: Facility person # 1 hired and working in child care since 7/29/19, did not have a health assessment at time of hire. Facility person # 2 did not have a health assessment conducted in more than 24 months from 11/15/13 to 3/1/19.

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

Noncompliance Area: The emergency plan was not reviewed in more than 12 months. Emergency plan reviewed 5/31/18 to 8/23/19.

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

Noncompliance Area: The facility does not have a local fire, ambulance, police or hospital listed on the emergency phone lists in each classroom.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: Child 2 - DOE - 1/3/17 - did not receive 6 month updated child service reports. Child 2 has child service reports on filed dated 4/10/17 and 4/4/18. Child 3 - DOE - 11/23/15, child 6 - DOE - 8/24/15 and 7 - DOE - 9/23/15 have been enrolled for more than 6 months and have not received updated child service reports within 6 months. Child 5 - 3/7/16 - has been enrolled for more than 6 months and does not have a child service report on file.

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

Noncompliance Area: Emergency contact information for child 1 does not include the address of the child's physician or source of medical care.

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

Noncompliance Area: Emergency contact information for child 8 does not include the address of the individual designated by the parent to whom the child may be released.

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

Noncompliance Area: Emergency contact information for child 8 was not updated in a 6-month period. Updated for child 8 was done 9/16/17 and 8/22/18. Fee agreement and emergency contact information for child 6 was not updated in a 6-month period. Fee agreement was updated 8/28/17 and 8/20/18 and the emergency contact information was updated 8/28/17 and 8/1/18. Fee agreements for child 2 and 7 were not updated in a 6 month period. Fee agreement for child 2 was updated 1/3/17 and 8/21/18 and for child 7 - 9/21/15 and 8/27/18.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA 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.

Noncompliance Area: Child 8 - DOE - 9/18/17 does not have an initial report on file dated no later than 60 days following the first day of attendance at the facility. The only health report on file for child 8 is dated 9/12/18.

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

Noncompliance Area: Staff 7 and 13 do not have updated health assessments on file. Staff 7 has a health assessment on file dated 9/7/16 and staff 13 has a health assessment on file dated 8/23/16. Staff 2 - DOH - 8/22/18 - does not have a 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.

Noncompliance Area: Staff 10 - DOH - 10/18/17 and staff 2 - DOH - 8/22/18- do not have a tuberculosis screening by the Mantoux method completed at initial employment.

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.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.

Noncompliance Area: Staff 9's health assessment does not include an examination for communicable diseases and the results of that examination nor does it include the physician's or CRNP's assessment of the person's suitability to provide child care. Staff 1's health assessment does not have an acceptable examination for communicable diseases and the results of that examination. A box was added stating "unknown" and checked.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: Child 6 does not have signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff which is required prior to admission. Parents initialed the boxes.

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

Noncompliance Area: Child 1 - DOE - 9/18/17, child 3 - DOE - 11/23/15, child 4 -DOE - 11/13/17 , child 5 -DOE - 3/7/16 , and child 8's -DOE - 9/8/17 file does not contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The only fee agreement in the file is dated 8/22/18.

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

Noncompliance Area: Staff 2 - DOH - 8/22/18 did not receive training regarding the emergency plan at the time of initial employment. Staff 2 received training regarding the emergency plan 9/2/18

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.

Noncompliance Area: Staff 5 - DOH - 6/21/17,and staff 6 - DOH - 6/18/17 did not participate in fire safety training annually. Staff 5 and 6 completed fire safety training 8/24/18.

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.

Noncompliance Area: Staff 8 - DOH - 7/30/18 - does not have proof of request for child abuse clearance on file and has a completed child abuse clearance on file dated 8/3/18. Staff 5 - DOH - 6/21/17 does not proof of request for child abuse clearance and has a completed child abuse clearance on file dated 9/10/18. Staff 5 does not have a letters on file removing staff from child care due to child abuse clearance not being on file. Staff 13 - DOH - 9/14/17 does not have proof of request for child abuse clearance on file and has a completed child abuse clearance on file date 9/21/17.

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.

Noncompliance Area: Staff 6 - DOH - 6/18/17 did not receive a written evaluation at the 12 month mark of employment. Staff 6 has an evaluation on file dated 8/21/18.

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

Noncompliance Area: Staff 4 and 12 are listed as group supervisors and do not have the education on file to qualify as a group supervisor.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at 3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Staff 6 is listed as an assistant group supervisor and does not have the education on file to qualify as an assistant group supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Noncompliance Area: Staff 2, 3 and 5 are listed as an assistant group supervisor and does not have education or experience on file to qualify as an assistant group supervisor. Staff 7 is listed as an assistant group supervisor and does not have the experience on file to qualify as an assistant group supervisor.

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 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.

Noncompliance Area: Staff 11 is listed as an aide and does not have education or experience on file to qualify as an aide.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Noncompliance Area: In the pre-k room, the door in the back of the classroom was unlocked and inspector observed toxics (digester, windex, bleach and fresh breeze) on shelves that are accessible to children.

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

Noncompliance Area: Inspector tested the water with the tool given by the state and the water temp registered at 112 F in the infant room.

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

Noncompliance Area: In the older toddler 2 room, inspector observed 2 rows of chairs blocking the right side of the door that exits out the back of the facility and is labeled an exit. In the Preschool room, inspector observed 2 small wooden chairs partially in front of the door that is labeled exit and leads out to the front of the facility.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: THERE WAS A RED SOFA WITH TORN CUSHIONS THAT WERE UNABLE TO BE CLEANED PROPERLY IN THE PRE SCHOOL ROOM. THERE WERE PLAY MATS IN THE 2 YEAR OLD ROOM WITH TORN CORNERS MAKING THEM UNABLE TO BE CLEANED PROPERLY.

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

Noncompliance Area: THE EMERGENCY CONTACT FORMS AND FEE AGREEMENTS WERE NOT UPDATED A MINIMUM OF ONCE EVERY SIX MONTHS FOR CHILDREN # 1, 2, 3, 4, 5, 6, 7, AND 8.

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.