Apples of Gold Child Care

3270.102(a)/3270.103 Clean and good repair/Small Toys and Objects

“Broken magnatiles were observed in Room 2 and were accessible to children who are still placing objects in their mouths.”

Correction date in the state record: Mar 17, 2026

3270.77(a) No peeling paint or plaster

“Peeling paint was observed on the wall to the right of the diaper changing area gate in Room 1 and under the air conditioner and television in Room 2.”

Correction date in the state record: Mar 27, 2026

3270.72(c) Good repair

“In Room 1, a window used for ventilation was observed with a hole in the screen and was not in good repair.”

Correction date in the state record: Mar 27, 2026

3270.32(a) Comply with CPSL

“Staff #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 9/28/20.”

Correction date in the state record: Mar 9, 2026

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The file for Staff #2 lacked a Child Abuse clearance.”

Correction date in the state record: Mar 24, 2026

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“The most recent documented fire alarm testing was dated 10/14/25, more than 30 days prior.”

Correction date in the state record: Mar 27, 2026

3270.94(a)(1) Every 60 days

“The most recent documented fire drill on the facility's fire drill log was dated 10/14/25, more than 60 days prior.”

Correction date in the state record: Mar 27, 2026

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“The initial health assessment on file for Staff #2 was dated 8/12/24, more than 1 year prior to Staff #2's date of hire (SEE IS CODE SHEET).”

Correction date in the state record: Mar 27, 2026

3270.103 Small Toys and Objects

“Loose plastic garbage bags were observed in an unlocked cabinet under the sink in Room 2 and were accessible to children who are still placing objects in their mouths.”

Correction date in the state record: Mar 17, 2026

3270.65 Protective Outlet Covers 5 yrs. or less

“In Room 2, outlet covers were missing in the outlet near the computer.”

Correction date in the state record: Mar 27, 2026

3270.66(a) Locked or inaccessible

“In Room 1, an unlocked cabinet contained cleaning products labeled "Keep out of reach of children" were observed in the bathroom and were accessible to children.”

Correction date in the state record: Mar 9, 2026

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“Staff #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 9/28/20. Staff #2 was observed to be caring for children unsupervised. Staff #2 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter Training. Staff #1 was observed to be caring for children unsupervised.”

Correction date in the state record: Mar 27, 2026

3270.27(a)(6) Emergency plan

“SECOND CITATION During the unannounced correction inspection, Staff #1 stated that they did not complete an emergency drill. Previously cited on 8/19/25: The facility's most recent annual emergency drill is dated 6/26/24, more than 12 months prior.”

Correction date in the state record: Nov 6, 2025

3270.27(b) Plan reviewed/updated annually

“SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the emergency plan required to verify correction. Previously cited on 8/19/25: The facility's most recent annual review of the emergency plan is dated 7/24/24, more than 12 months prior.”

Correction date in the state record: Nov 6, 2025

3270.66(a) Locked or inaccessible

“Toilet cleaning products labeled 'Keep out of reach of children' were observed in an unlocked cabinet in the bathroom and were accessible to children. Two bottles of Clorox Cleaner + Bleach and Lysol Disinfectant Spray both labeled 'Keep out of reach of children' were observed in an unlocked cabinet under the sink in the Preschool Room and were accessible to children. Clorox Disinfectant Wipes, Lysol Disinfectant Spray, and a bucket of Plaster of Paris all labeled "Keep out of reach of children" were observed in an unlocked office, which was accessible to children.”

Correction date in the state record: Nov 6, 2025

3270.31(f) Health and Safety Training

“SECOND CITATION Staff #2 did not complete the required health and safety training (PA Required Health and Safety for Centers-Group Child Care Part 1 & Part 2) and the correction date listed was 9/15/25. Previously cited on 8/19/25: Staff #2 has not completed the following required pre-service training within 90 days of their date of hire: Get Started with Center Based Care or Get Started with Center Based Care -- Revised 2022.”

Correction date in the state record: Nov 6, 2025

3270.27(d) Plan posted

“SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the emergency plan required to verify correction. Previously cited on 8/19/25: The facility's emergency plan was not posted in a conspicuous location in the facility.”

Correction date in the state record: Nov 6, 2025

3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports

“SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The file for Child #2 and Child #4, enrolled more than 60 days, lacked an initial health report (SEE IS CODE SHEET). The file for Child #5 contained an initial health assessment lacking a date, making it invalid.”

Correction date in the state record: Nov 6, 2025

3270.182(5) Consent for administration of minor first-aid required prior to admission

“SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The emergency contact form on file for Child #1 and Child #4 lacked the enrolling parent's signature giving the facility written consent to administer minor first aid.”

Correction date in the state record: Nov 6, 2025

3270.124(b)(7) Name/address/phone release person

“SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The emergency contact forms on file for Child #1, Child #3, and Child #5 lacked complete addresses and phone numbers for all listed release persons.”

Correction date in the state record: Nov 6, 2025

3270.124(b)(3)/3270.182(3) Parent home/work address, phone/Consent for emergency medical care required prior to admission

“SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The emergency contact form on file for Child #1 and Child #4 lacked the enrolling parent's signature giving the facility written consent to obtain emergency medical care.”

Correction date in the state record: Nov 6, 2025

3270.123(a)(3) Services proceeded

“SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The files for Child #2 and Child #3 did not contain any child service reports and the child has been enrolled for more than 6 months (SEE IS CODE SHEET). The file for Child #5, who has been enrolled for more than 6 months (SEE IS CODE SHEET), contained a child service report dated 7/25/25 and none prior.”

Correction date in the state record: Nov 6, 2025

3270.123(a)(1) Amount of fee

“SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The financial agreement form on file for Child #4 lacked a fee amount.”

Correction date in the state record: Nov 6, 2025

3270.123(a) Signed

“SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The financial agreement on file for Child #4 lacked the operator's signature”

Correction date in the state record: Nov 6, 2025

3270.123(a) Signed

“The financial agreement on file for Child #4 lacked the operator's signature.”

3270.131(e)/3270.131(e)(3) ACIP recommended immunization record /Dismissal policy

“The file for Child #2, enrolled more than 60 days, lacked an immunization record. Child #2 must be dismissed from care by close of business on 8/19/25 and may only return to care when the immunization record is provided or when a parent provides a written, signed exemption letter.”

Correction date in the state record: Sep 15, 2025

3270.133(3) Name on bottle

“A box of Equate Children's Cetirizine Hydrochloride Allergy Relief Oral Solution and Parent's Choice Gas Relief Drops were observed in the locked medication bin in Room 1 (Left) lacking the name of the child(ren) whom the medication is intended for.”

Correction date in the state record: Sep 15, 2025

3270.131(b)(1)/3270.182(1) Infant: updated health report every 6 months/Initial and subsequent health reports

“The two most recent health assessments on file for Child #3 (Young Toddler) are dated 3/22/24 & 7/30/25, more than 6 months apart.”

Correction date in the state record: Sep 15, 2025

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“The fire alarm 30-day test log includes test dates 1/3/2025-2/3/2025 and 5/16/25-6/16/25, more than 30 days apart. The most recent fire alarm test date on the facility's test log is dated 7/14/25, more than 30 days prior.”

Correction date in the state record: Sep 15, 2025

3270.27(a)(6) Emergency plan

“The facility's most recent annual emergency drill is dated 6/26/24, more than 12 months prior.”

3270.124(b)(7) Name/address/phone release person

“The emergency contact forms on file for Child #1, Child #3, and Child #5 lacked complete addresses and phone numbers for all listed release persons.”

3270.124(b)(6) Insurance coverage information

“The emergency contact form on file for Child #5 lacked the child's health insurance or MA policy number.”

Correction date in the state record: Sep 15, 2025

3270.124(b)(3)/3270.182(3) Parent home/work address, phone/Consent for emergency medical care required prior to admission

“The emergency contact form on file for Child #1 and Child #4 lacked the enrolling parent's signature giving the facility written consent to obtain emergency medical care.”

3270.124(b)(3) Parent home/work address, phone

“The emergency contact form on file for Child #5 lacked the enrolling parent's work address.”

Correction date in the state record: Sep 15, 2025

3270.123(b)/3270.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

“The file for Child #2, Child #3, and Child #5 contained the original financial agreement when the parent is to receive the original agreement.”

Correction date in the state record: Sep 15, 2025

3270.123(a)(3) Services proceeded

“The files for Child #2 and Child #3 did not contain any child service reports and the child has been enrolled for more than 6 months (SEE IS CODE SHEET). The file for Child #5, who has been enrolled for more than 6 months (SEE IS CODE SHEET), contained a child service report dated 7/25/25 and none prior.”

3270.123(a)(1) Amount of fee

“The financial agreement form on file for Child #4 lacked a fee amount.”

3270.182(5) Consent for administration of minor first-aid required prior to admission

“The emergency contact form on file for Child #1 and Child #4 lacked the enrolling parent's signature giving the facility written consent to administer minor first aid.”

3270.151(c)(3)/3270.192(3) Exam communicable disease/Health assessment, TB test

“The current health assessment on file for Staff #4 indicates that the staff person has a communicable/contagious disease, with no additional information given.”

Correction date in the state record: Aug 20, 2025

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“The two most recent health assessments on file for Staff #3 are dated 1/25/23 and 6/13/25, more than 24 months apart.”

Correction date in the state record: Aug 20, 2025

3270.135(a)(3) Disposable diapers

“In Room 1 (Left), the diaper changing area contained a trash can that was not hands-free.”

Correction date in the state record: Sep 15, 2025

3270.131(e) ACIP recommended immunization record

“The immunization record on file for Child #4 is dated 8/4/25, more than 60 days after Child #4's date of enrollment (SEE IS CODE SHEET).”

Correction date in the state record: Sep 15, 2025

3270.72(d) Above ground window opening restricted to 6"

“The window in the bathroom of Room 1 (Left), used by children and located on the second floor of the building, lacked any form of window restrictions limiting the window opening to six inches or less.”

Correction date in the state record: Sep 15, 2025

3270.76 Building Surfaces

“An exposed bolt was observed at the base of the toilet in Room 1 (Left) and was accessible to children. The fence in the toddler area of the outdoor play space was observed to be detached in the front and back of the space and could cause injury to children.”

Correction date in the state record: Sep 15, 2025

3270.77(a) No peeling paint or plaster

“A hole with damaged drywall was observed under the windows near the pack and plays in Room 1 (Left). Peeling paint and plaster were observed under the windows and to the right of the television in Room 2 (Right).”

Correction date in the state record: Sep 15, 2025

3270.82(h) Handwashing signs

“The women's bathroom in the Gym lacked handwashing signs at every toilet and sink.”

Correction date in the state record: Sep 15, 2025

3270.113(a) Supervised at all times

“At approximately 10:06 AM, a preschool child was observed exiting Room 2 (Right) and walked down the hallway to the bathroom, without a staff member present. Neither Staff #1 nor Staff #4, who were both in the room at the time, were aware that the child left the room until 10:07 AM.”

3270.113(a)(1) Staff assigned to specific children

“At approximately 10:06 AM, a preschool child was observed exiting Room 2 (Right) and walked down the hallway to the bathroom, without a staff member present. Neither Staff #1 nor Staff #4, who were both in the room at the time, were aware that the child left the room until 10:07 AM.”

Correction date in the state record: Aug 19, 2025

3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports

“The file for Child #2 and Child #4, enrolled more than 60 days, lacked an initial health report (SEE IS CODE SHEET). The file for Child #5 contained an initial health assessment lacking a date, making it invalid.”

3270.27(b) Plan reviewed/updated annually

“The facility's most recent annual review of the emergency plan is dated 7/24/24, more than 12 months prior.”

3270.27(d) Plan posted

“The facility's emergency plan was not posted in a conspicuous location in the facility.”

3270.31(f) Health and Safety Training

“Staff #2 has not completed the following required pre-service training within 90 days of their date of hire: Get Started with Center Based Care or Get Started with Center Based Care -- Revised 2022.”

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The two most recent Nation Sex Offender Registry certificates on file for Staff #1 (4/9/20 & 7/29/25) and Staff #3 (11/8/19 & 8/13/25) are dated more than 60 months apart. The most recent National Sex Offender Registry certificate on file for Staff #2 is dated 4/9/20, more than 60 months prior.”

3270.36(b)(5)/3270.192(2)(iii) HS/GED + 2 yrs/Exp, educ., training at facility

“The file for Staff #4, classified as an assistant group supervisor, lacked documentation of a high school diploma or general education development certificate and 2 years of experience with children.”

Correction date in the state record: Aug 20, 2025

3270.51 Similar Age Level

“At approximately 10:06 AM, a preschool child was observed exiting Room 2 (Right) and walked down the hallway to the bathroom, without a staff member present. Neither Staff #1 nor Staff #4, who were both in the room at the time, were aware that the child left the room until 10:07 AM.”

3270.52 Mixed Age Level

“At approximately 10:00 AM on 8/19/25, Staff #1, responsible for 6 children (2 preschoolers, 3 young school-age, and 1 older school-age), was observed in the hallway, leaving Staff #4 to care for 14 total children between the ages of 3-15 in Room #2. The staff:child ratio for a group of mixed-age children is determined by the youngest child in the group, which would be 1:10.”

3270.66(a) Locked or inaccessible

“In the bathroom of Room 1 (Left), a Clorox ToiletWand was observed on the floor to the left of the toilet and was accessible to children. Clorox Disinfectant Wipes, Clorox Disinfectant Spay, Sprayway Glass Cleaner, and a container of Destin Maximum Strength Diaper Cream all labeled "Keep out of reach of children" and were observed accessible to children in the unlocked cabinet in the bathroom near the office. Hand sanitizer was observed in an unlocked cabinet in the hallway and was accessible to children. A closet at the facility's entry area containing various paint cans and cleaning products was observed to be unlocked and accessible to children.”

3270.67(d) Contaminated trash in closed plastic-lined receptacle

“Unlidded trash cans containing used paper towels were observed in the Men's and Women's restrooms in the Gym.”

Correction date in the state record: Aug 19, 2025

3270.171(c) Safe routes posted

“The facility lacked written notification of safe routes posted in a conspicuous location in the child care facility.”

Correction date in the state record: Sep 19, 2024

3270.94(a)(5) Evacuation routes posted

“An evacuation route was not posted in the Gym.”

Correction date in the state record: Oct 15, 2024

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“The fire alarm 30-day test log includes test dates 8/9/23-9/20/23, 9/20/23-10/21/23, 5/3/24-6/3/24, and 6/3/24-7/3/24, more than 30 days apart. The most recent documented fire alarm testing was dated 7/3/24, more than 30 days prior.”

Correction date in the state record: Oct 15, 2024

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“The file for Staff #4 lacked a health assessment at the time of hire (SEE IS CODE SHEET).”

Correction date in the state record: Sep 19, 2024

3270.151(c)(2)/3270.192(3) Mantoux TB/Health assessment, TB test

“The file for Staff #4 lacked a tuberculosis test at the time of hire (SEE IS CODE SHEET).”

Correction date in the state record: Sep 19, 2024

3270.102(a) Clean and good repair

“In the cozy corner in Room 2, an unstable and wobbly decorative wood frame was observed and could be hazardous to children.”

Correction date in the state record: Sep 19, 2024

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The facility lacked Shaken Baby, Child Maltreatment, and Abusive Head Trauma policies.”

Correction date in the state record: Sep 19, 2024

3270.66(b) Original container

“An accessible container of Clorox wipes was observed on the bottom shelf of an unlocked cabinet located in the Toddler bathroom.”

Correction date in the state record: Sep 19, 2024

3270.27(c) Training regarding plan

“The two most recent Emergency Plan trainings for Staff #1 are dated 7/20/23 and 8/2/24, more than 12 months apart. The file for Staff #4 lacked Emergency Plan training within 90 days of hire (SEE IS CODE SHEET).”

Correction date in the state record: Sep 19, 2024

3270.103 Small Toys and Objects

“In the Room 1 infant space, AA batteries were observed in an unlocked drawer and was accessible to children.”

Correction date in the state record: Sep 19, 2024

3270.106(f) 2 feet apart

“In Room 1, a crib and a pack and play were observed with less than 2 feet of space on three sides while in use.”

Correction date in the state record: Sep 19, 2024

3270.123(a)(3) Services proceeded

“The two most child service reports on file for Child #1 are dated 5/26/23 and 2/26/24, more than 6 months apart. The file for Child #2 lacked a child report and is beyond 6 months from date of enrollment (SEE IS CODE SHEET). The most recent child service report on file for Child #4 is dated 9/12/23, more than 6 months prior.”

Correction date in the state record: Sep 19, 2024

3270.123(a)(4) Arrival/departure times

“The financial agreement forms on file for Child #2 and Child #4 lacked arrival and departure times.”

Correction date in the state record: Sep 19, 2024

3270.123(b)/3270.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

“The file for Child #2 contained the original financial agreement when the parent is to receive the original agreement.”

Correction date in the state record: Sep 19, 2024

3270.124(b)(6) Insurance coverage information

“The Emergency Contact forms for Child #1 and Child #5 lacked the child's health insurance/MA policy number for the child's health care benefits.”

Correction date in the state record: Oct 15, 2024

3270.124(b)(7) Name/address/phone release person

“The Emergency Contact form for Child #1 and Child #2 lacked complete addresses and telephone numbers for all listed release persons.”

Correction date in the state record: Oct 15, 2024

3270.124(e) Written emergency plan posted

“The Gym lacked a posted emergency transportation plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.”

Correction date in the state record: Oct 15, 2024

3270.131(b)(2)/3270.182(1) Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

“The most recent health assessment on file for Child #1 (PSA, dated 2/2/23), Child #3 (PSA, dated 7/25/23), and Child #4 (PSA, dated 7/31/23) are more than 12 months prior.”

Correction date in the state record: Oct 15, 2024

3270.131(d)(5)/3270.131(e)(1) Immunization record/Exemption documentation from parent/guardian

“The immunization record for Child #1 (PSA) lacked the following immunizations: 1 doses of Hepatitis B, 1 dose of Rotavirus, 2 doses of DTAP, 2 doses of Hib, 2 doses of Pneumococcal, 2 doses of Polio, 1 dose of MMR, 1 dose of Varicella, and 2 doses of Hepatitis A without a Letter of Exemption in the file. The immunization record for Child #2 (PSA) lacked the following immunizations: 2 doses of Rotavirus and 1 dose of Hepatitis A without a Letter of Exemption in the file. The immunization record for Child #5 (OT) lacked the following immunizations: 1 dose of Rotavirus and 1 dose of Hepatitis A without a Letter of Exemption in the file. Child #1, Child #2, and Child #5 must be dismissed from care by close of business on 8/6/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.”

Correction date in the state record: Oct 15, 2024

3270.135(a)(3) Disposable diapers

“In Room 1, the diaper changing area contained a diaper genie that was not hand-free.”

Correction date in the state record: Sep 19, 2024

3270.27(e) Letter to parents

“The facility's emergency plan lacked a letter to parents explaining the emergency procedures for the following topics: shelter and lockdown, evacuation, method to contact parents during an emergency, method to inform parents the emergency has ended and instructions on how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities and chronic medical conditions.”

Correction date in the state record: Sep 19, 2024

3270.65 Protective Outlet Covers 5 yrs. or less

“The outlets in the Gym were missing receptacle covers.”

Correction date in the state record: Sep 19, 2024

3270.25(a) Availability of certificate of compliance and applicable regulations

“The provider did not have their current certificate of compliance posted in a conspicuous location used by parents.”

Correction date in the state record: Sep 19, 2024

3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports

“The files for Child #2 and Child #5 contained health assessments lacking a date, making them invalid. The file for Child #4 contained an initial health assessment dated 7/31/23, more than 60 days beyond enrollment (SEE IS CODE SHEET).”

Correction date in the state record: Oct 15, 2024

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The files for Staff #1 and Staff #4 lacked disclosure statements. The file for Staff #3 lacked a disclosure statement at time of hire (SEE LIS CODE SHEET). The two most recent Mandated Reporter trainings for Staff #2 are dated 5/15/18 and 7/31/23, more than 60 months apart.”

Correction date in the state record: Sep 19, 2024

3270.75(c) Has all items

“The first aid kit in the Preschool room lacked tweezers.”

Correction date in the state record: Sep 19, 2024

3270.171(a) Pick-up and drop-off points

“The facility lacked written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.”

Correction date in the state record: Sep 19, 2024

3270.74 Emergency Numbers Posted

“The telephone number of the nearest hospital, police department, fire department, ambulance, and poison control center were not posted in the Gym.”

Correction date in the state record: Oct 15, 2024

3270.76 Building Surfaces

“In Room 2, a white board on the floor with an exposed screw was observed to be accessible and could be harmful to children.”

Correction date in the state record: Sep 19, 2024

3270.82(h) Handwashing signs

“The bathrooms in the Gym lacked handwashing signs at every toilet and sink.”

Correction date in the state record: Sep 19, 2024

3270.182(7) Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

“Based on interviews with staff, child #1 tripped and fell and hit their mouth in late November or early December of 2023. The child's file and the accident file lack an incident report for all of November and December 2023 for child #1.”

Correction date in the state record: Mar 12, 2024

3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports

“The file for Child #4, who has been enrolled for more than 60 days, did not include an initial health report.”

Correction date in the state record: Sep 9, 2023

3270.25(a) Availability of certificate of compliance and applicable regulations

“Information on how to access the regulations electronically for PA Chapter 3270 were not posted at the facility.”

Correction date in the state record: Sep 9, 2023

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“30 day fire system checks were not documented on the Fire Drill/Fire System Check Log.”

Correction date in the state record: Sep 9, 2023

3270.192(5) Two written references

“The file for Staff Person #5 lacked two written reference letters.”

Correction date in the state record: Sep 9, 2023

3270.182(8) Copy of initial and subsequent agreements. Parent receives original.

“The file for Child #4 did not include a fee agreement.”

Correction date in the state record: Sep 9, 2023

3270.182(3)/3270.182(5) Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

“The emergency contact form in the file for Child #4 did not include signed parental consent for emergency medical care for the child and administration of minor first-aid procedures by facility staff”

Correction date in the state record: Sep 9, 2023

3270.181(c) Emergency info/agreement updated 6 mos

“The emergency contact form and fee agreement in the file for Child #1 have not been updated by the parents in the past 6 months.”

Correction date in the state record: Sep 9, 2023

3270.171(c) Safe routes posted

“Pick up and drop off procedures were not posted at the facility.”

Correction date in the state record: Sep 9, 2023

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“The initial health assessment in the file for Staff Person #5 was conducted after the staff person's first day working in child care. The initial health assessment in the file for Staff Person #2 was conducted more than one year prior to the staff person's first day working in child care and is not valid (See LIS Code Sheet).”

Correction date in the state record: Sep 9, 2023

3270.131(b)(2)/3270.182(1) Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

“The file for Child #2, an Older Toddler, did not contain an updated health report conducted within the past 12 months.”

Correction date in the state record: Sep 9, 2023

3270.131(b)(1)/3270.182(1) Infant: updated health report every 6 months/Initial and subsequent health reports

“The file for Child #1, a Young Toddler, did not contain an updated health report conducted within the past 6 months.”

Correction date in the state record: Sep 9, 2023

3270.124(e) Written emergency plan posted

“Emergency Transportation Plans were not posted in the child care spaces.”

Correction date in the state record: Sep 9, 2023

3270.124(c) Each child care space

“Emergency contact forms for Child #1, 2, 3 and 4 were not present in the rooms where the children were receiving care.”

Correction date in the state record: Sep 9, 2023

3270.124(b)(6) Insurance coverage information

“The emergency contact forms in the files for Child #3 and #4 did not include the insurance policy number.”

Correction date in the state record: Sep 9, 2023

3270.123(a)(3) Services proceeded

“The file for Child #1, who has been enrolled for more than 6 months, did not include a child service report.”

Correction date in the state record: Sep 9, 2023

3270.111(b) Posted in group space

“The daily activity schedule was not posted in the Preschool Room.”

Correction date in the state record: Aug 8, 2023

3270.103 Small Toys and Objects

“Observed teeth marks in the foam blocks and small math cubes less than one inch in diameter in the Preschool Room, where Older Toddlers also receive care. This presents a potential choking hazard for children who may still be placing objects in their mouths.”

Correction date in the state record: Aug 8, 2023

3270.102(a) Clean and good repair

“Observed in the outdoor play areas: Basketball set was not secured, which creates a potential toppling hazard. Splintering wood on a sliding board, a torn, frayed tire and rust on the metal parts of a tricycle on the Preschool/SA side. A broken wand on the Infant/Toddler side.”

Correction date in the state record: Aug 8, 2023

3270.82(h) Handwashing signs

“The sinks and toilets in the gym, the toilet in the Infant/Toddler Room, and one toilet stall in the hallway bathroom lacked handwashing signs.”

Correction date in the state record: Sep 9, 2023

3270.76 Building Surfaces

“Observed peeling drywall in the Infant Room where the baseboard had been removed.”

Correction date in the state record: Sep 9, 2023

3270.66(a) Locked or inaccessible

“Observed cleaning products, which were accessible to children, in an unlocked cabinet under the sink in the Infant/Toddler Room. The childproof lock was not working on the door of the cabinet, which contained cleaning products, in the hallway bathroom.”

Correction date in the state record: Aug 8, 2023

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“THE NSOR Certificates in the files for Staff Person #1 and #3 were acquired more than 45 days after the staff persons' first day working in child care (SEE LIS Code Sheet). The file for Staff Person #5, who has been working at the facility for more than 45 days (See LIS Code Sheet) did not include an NSOR Certificate.”

Correction date in the state record: Sep 8, 2023

3270.31(f) Health and Safety Training

“Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 Hour Health and Safety Training.”

Correction date in the state record: Aug 25, 2023

3270.31(f) Health and Safety Training

“The pediatric First Aid/CPR training in the file for Staff Person #2 was conducted more than 90 days after the staff person's first day working in child care (SEE LIS Code Sheet).”

Correction date in the state record: Aug 9, 2023

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The one-hour health and safety update in the file for Staff Person #4 was dated 8/3/23. This is after the prescribed timeframe of 12/30/22.”

Correction date in the state record: Aug 8, 2023

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster) to maintain compliance with 45 CFR § 98.41(a)(1)(vii)”

Correction date in the state record: Sep 9, 2023

3270.124(b)(7) Name/address/phone release person

“The emergency contact form in the file for Child #4 did not include the address for the release persons.”

Correction date in the state record: Sep 9, 2023

3270.102(a) Clean and good repair

“Two plastic containers located in areas accessible to children in care in the outside play space were observed to have cracked edges that could cause laceration injuries.”

Correction date in the state record: Jun 16, 2023

3270.91(a) Stairs, exits, etc. unobstructed

“During the unannounced visit conducted on 04/21/2023 the facility's main hallway was partially obstructed, particularly by a full-size arcade game that was observed to be obstructing hallway traffic, as well an egress to a childcare space.”

Correction date in the state record: Jun 16, 2023

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The file for Staff #2 contained documentation of a PA State Police Clearance; however, said documentation is not accepted by our department. Although the file for Staff #3 contained documentation of completed PA State Police, DHS Child Abuse and FBI Clearances, as well as a completed National Sex Offender Registry Verification, each of the clearances were processed after Staff #3's first date in a child care position at the facility. The files for Staff #3 and #4 contained disclosure statements that were dated as signed following each staff person's first date in a child care position. The file for Staff #1 did not contain a disclosure statement.”

Correction date in the state record: Oct 17, 2022

3270.31(f)/3270.192(2)(iii) Health and Safety Training/Exp, educ., training at facility

“The file for Staff #2, who has been employed in a child care position for more than 90 days, did not contain documentation of the completion of Health and Safety Basics training.”

Correction date in the state record: Oct 10, 2022

3270.21 General Health and Safety

“An approximately 5'x18" wooden shelving unit was observed in the facility hallway. Said shelving unit presented a tipping hazard, which could result in blunt force trauma injury. An ethernet cable was observed hanging from the ceiling to the floor in an accessible area in the School age Room. Though said cable appeared to be exiting from the ceiling and entering into the floor, there was enough slack in the cable to present as a strangulation hazard. In both the Toddler and School Age rooms unsecured cupboard drawers in areas accessible to children in care were observed to contain sharply pointed screws.”

Correction date in the state record: Oct 5, 2022

3270.171(a) Pick-up and drop-off points

“Written notification of local traffic authorities of the location of the facility and use of pedestrian and vehicular routes was not documented to have been completed in the past 12 months.”

Correction date in the state record: Oct 14, 2022

3270.25(a) Availability of certificate of compliance and applicable regulations

“Information regarding the process to access PA 3270 regulations was not available at the facility.”

Correction date in the state record: Oct 14, 2022

3270.171(c) Safe routes posted

“Written notification of safe routes was not posted in a conspicuous location at the facility.”

3270.151(c)(2) Mantoux TB

“The file for Staff #5 contained the results of a tuberculosis screening that were completed after Staff #5's first date in a child care position at the facility.”

Correction date in the state record: Sep 14, 2022

3270.151(a) 12 months prior to service and every 24 months thereafter

“Although the file for Staff #1 contained a current health assessment, the previously administered health assessment was completed more than 24 months prior. The file for Staff #3 contained a current health assessment; however, Staff #1's initial health assessment was completed following his first date in a child care position.”

Correction date in the state record: Sep 16, 2022

3270.76/3270.82(g) Building Surfaces/Clean and good repair

“A toilet in the hallway restroom, which is used by children in care, was observed to have an exposed, upwardly facing bolt at the base where it connects to the floor. Contact with said bolt could cause laceration and/or puncture injuries.”

Correction date in the state record: Oct 14, 2022

3270.65 Protective Outlet Covers 5 yrs. or less

“An unused, unprotected electrical outlet was observed in the facility hallway in an area accessible to children under the age of six.”

Correction date in the state record: Oct 14, 2022

3270.124(b)(7) Name/address/phone release person

“The file for Child #2 contained an emergency contact form that did not include the addresses of two persons listed as persons to whom the child can be released.”

Correction date in the state record: Sep 21, 2022

3270.32(a)/3270.192(2)(iii) Comply with CPSL/Exp, educ., training at facility

“Although the file for Staff #2 contained documentation of the completion of mandated reporter training that was completed within the past 60 months, the previously documented mandated training was completed more than 60 months prior.”

Correction date in the state record: Sep 16, 2022

3270.124(b)(6) Insurance coverage information

“The files for Child #1 and #3 contained emergency contact forms that did not include each child's health isnurance policy number.”

Correction date in the state record: Oct 14, 2022

3270.124(c) Each child care space

“The emergency contact form was not available in the child care space while Child #2 was present.”

Correction date in the state record: Sep 21, 2022

3270.124(b)(2) Physician name, address, phone

“The file for Child #3 contained an emergency contact form that did not include the telephone number of the child's physician.”

Correction date in the state record: Oct 14, 2022

3270.103 Small Toys and Objects

“Several marbles were observed in an unsecured cupboard drawer in an area accessible to children who are still placing things in their mouths in the School Age room. Though the room is referred to as the School Age room at the facility, a young toddler was observed receiving care in said room during the inspection.”

Correction date in the state record: Oct 14, 2022

3270.66(a) Locked or inaccessible

“Several containers of chemicals used to treat aquarium water, each labeled keep out of reach of children, were observed in the cabinet supporting a 4'x12" aquarium located in the facility hallway in an area accessible to children in care.”

Correction date in the state record: Oct 14, 2022

3270.192(4) CPSL information

“The file for staff person #1, hire date (see IS facility person list), is lacking a signed disclosure statement, a request for NSOR verification or completed NSOR verification, and contains a child abuse clearance for the purpose of volunteer which is not permitted by CPSL for employment in a child care facility. Staff person #1 was observed working unsupervised and caring for school aged children.”

Correction date in the state record: Mar 18, 2022

3270.136(d) Communicate report to DOH

“The operator self-disclosed that staff person #2 tested positive for a reportable communicable disease and the operator did not report to the department of health and to OCDEL.”

Correction date in the state record: Feb 18, 2022

3270.52 Mixed Age Level

“***On 2/18/2022 at approximately 1:00pm, staff person #2 left staff person #3 out of ratio in the infant room with 1 infant, 2, young toddlers, 2 older toddlers and 2 preschoolers while staff #2 opened the door for certification staff.”

Correction date in the state record: Jun 18, 2022

3270.52 Mixed Age Level

“****On 2/18/2022 at approximately 1:00pm, staff person #2 left staff person #3 out of ratio in the infant room with 1 infant, 2, young toddlers, 2 older toddlers and 2 preschoolers while staff #2 opened the door for certification staff.”

Correction date in the state record: Jun 18, 2022

3270.52 Mixed Age Level

“*On 2/18/2022 at approximately 1:00pm, staff person #2 left staff person #3 out of ratio in the infant room with 1 infant, 2, young toddlers, 2 older toddlers and 2 preschoolers while staff #2 opened the door for certification staff.”

Correction date in the state record: Jun 18, 2022

3270.52 Mixed Age Level

“**On 2/18/2022 at approximately 1:00pm, staff person #2 left staff person #3 out of ratio in the infant room with 1 infant, 2, young toddlers, 2 older toddlers and 2 preschoolers while staff #2 opened the door for certification staff.”

Correction date in the state record: Jun 18, 2022

3270.32(a) Comply with CPSL

“*The file for staff person #1, hire date (see IS facility person list), is lacking a signed disclosure statement, a request for NSOR verification or completed NSOR verification, and contains a child abuse clearance for the purpose of volunteer which is not permitted by CPSL for employment in a child care facility. Staff person #1 was observed working unsupervised and caring for school aged children.”

Correction date in the state record: Mar 18, 2022

3270.32(a) Comply with CPSL

“**The file for staff person #1, hire date (see IS facility person list), is lacking a signed disclosure statement, a request for NSOR verification or completed NSOR verification, and contains a child abuse clearance for the purpose of volunteer which is not permitted by CPSL for employment in a child care facility. Staff person #1 was observed working unsupervised and caring for school aged children.”

Correction date in the state record: Jun 30, 2022

3270.113(b) No physical punishment

“Based on video observation staff person #1 used physical discipline with child #1 when staff #1 picked up child #1 by the wrists and swung child #1 around and dropped child #1 to the floor.”

Correction date in the state record: Aug 24, 2021