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.