Ava's Garden

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

“Continued noncompliance from renewal inspection - Trash can in the preschool bathroom was observed to contain trash, but no liner was present in the trash can. Corrected on site by placing a liner in the can.”

Correction date in the state record: Jul 10, 2026

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

“Continued noncompliance from renewal inspection: During the verification visit, a smoke detector (independent from the interconnected system) was heard to beep intermittently, indicating the need for a new battery.”

Correction date in the state record: Jul 10, 2026

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

“Documentation showed that fire system testing was conducted on 8/8/25 and again on 9/9/25, which exceeds the requirement that fire system testing be conducted every 30 days. During the inspection, a smoke alarm in the preschool room was observed to be beeping continuously, indicating the need for a new battery.”

3270.192(5) Two written references

“Documentation showed that staff #2 had 2 references that were obtained from family members. Written, non-family references were not available.”

Correction date in the state record: May 15, 2026

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

“Written parent consent for administration of first aid procedures was not available on the emergency contact form for child #1.”

Correction date in the state record: May 20, 2026

3270.133(6) Written consent

“Documentation on file included a medication log and authorization for Advair. Advair was not available. Symbicort was the medication available. Written consent to administer Symbicort was not available.”

Correction date in the state record: May 13, 2026

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

“Documentation showed that child #2, a young toddler, (see LIS for date of birth) had an initial health assessment dated 5/20/25 and an updated health assessment dated 3/11/26. exceeding the requirement that health assessment for young toddlers be obtained every 6 months.”

Correction date in the state record: May 6, 2026

3270.124(e) Written emergency plan posted

“An emergency transportation plan was not available in the gross motor space. Corrected on site by hanging the document in the room.”

Correction date in the state record: May 20, 2026

3270.124(b)(4)/3270.182(3) Written consent/Consent for emergency medical care required prior to admission

“Written parent consent for emergency medical care was not available on the emergency contact form for child #1.”

Correction date in the state record: May 20, 2026

3270.103 Small Toys and Objects

“Three pieces of foam filler, under 1 inch in diameter, were observed in the block area of the toddler classroom. It was determined that a vinyl block had a ripped seam that was allowing children access to the foam material inside. The pieces of foam and the ripped block were removed from the classroom during the inspection. Plastic bags were observed to be accessible to children on the bottom shelf of the unlocked changing table. The changing table storage area was locked during the inspection.”

Correction date in the state record: May 22, 2026

3270.102(a) Clean and good repair

“A child sized couch in the toddler room was observed to have a ripped cover, which made the cushion inside accessible to children. The couch was removed from the classroom during the inspection. A two-inch puddle of an unidentified yellow substance was observed to be on the base of the toilet in the preschool classroom. Cleaned during the inspection.”

Correction date in the state record: May 22, 2026

3270.66(a) Locked or inaccessible

“Diaper wiped labeled "Keep out of reach of children" were observed to be accessible to children in the following areas: 1. In the infant room , under the unlocked changing table. 2. In the toddler room, under the unlocked changing table. 3. In the two's classroom and in the bathroom. 4. In the preschool classroom on the table and a shelf. Wipes were made inaccessible by locking the changing tables and placing the wipes out of reach of children.”

Correction date in the state record: May 6, 2026

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

“An unlined trash can in the preschool bathroom was observed to contain trash, including a soiled diaper.”

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

“Documentation showed that staff #1 had a mandated reporter training dated 10/4/19 and a new mandated reporter training dated 1/30/25, exceeding the requirement that mandated reporter training be completed within 60 months of the previous completion date.”

Correction date in the state record: Jan 30, 2025

3270.82(h) Handwashing signs

“On 4/2/25, It was observed that the toddler bathroom does not have handwashing signs posted at each training chair. CONTINUED NON-COMPLIANCE. On 5/27/25, It was observed that the toddler bathroom does not have handwashing signs posted at each training chair.”

Correction date in the state record: Jun 4, 2025

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

“Child #1, 2, 3, 4, and 5 Emergency Contact Forms do not include the enrolling parent's home phone number.”

Correction date in the state record: May 5, 2025

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

“Child #1, 2, 3, 4, and 5 files contain the original Fee Agreements.”

Correction date in the state record: May 5, 2025

3270.123(a)(1) Amount of fee

“Child #1, 4, and 5 Fee Agreements do not include the fee amount.”

Correction date in the state record: May 5, 2025

3270.103 Small Toys and Objects

“It was observed in the older toddler space, that there were pom-poms less than 1 inch in diameter, accessible to children. It was observed in the younger toddler space, there was a box of materials in plastic packaging under the teachers desk, accessible to children.”

Correction date in the state record: May 5, 2025

3270.101(a) Age appropriate

“It was observed, in preschool 3's space, that more materials should be added to the dramatic play area to preclude long waits for use. It was observed, in preschool 1's space, that more materials should be added to the kitchen area to preclude long waits for use.”

Correction date in the state record: May 5, 2025

3270.192(2)(ii)/3270.192(2)(iv) Exp, educ., training prior to facility/Transcript, diploma and letters

“Staff person #1 and 2's files do not contain acceptable verification of child care experience prior to service at the facility.”

Correction date in the state record: May 5, 2025

3270.131(d)(4) Acute or chronic health problem

“Child #2's file does not contain a complete initial health report. The health report does not include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.”

Correction date in the state record: May 5, 2025

3270.131(d)(1) Child's health history

“Child #2's file does not contain a complete initial health report. The health report does not include a review of the child's health history.”

Correction date in the state record: May 5, 2025

3270.131(e) ACIP recommended immunization record

“Child #2's file does not contain a complete initial health report. The health report does not include a written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.”

Correction date in the state record: May 5, 2025

3270.36(b)(5)/3270.192(2)(ii) HS/GED + 2 yrs/Exp, educ., training prior to facility

“Staff person #1 and 2's files do not contain acceptable verification of child care experience prior to service at the facility. Staff person #1 cannot be used as an Assistant Group Supervisor until verification of child care experience is determined.”

Correction date in the state record: May 5, 2025

3270.124(b)(5) Information re: special needs

“Child #1, 3, and 5 Emergency Contact Forms do not include information on special needs or indicated as not applicable.”

Correction date in the state record: May 5, 2025

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

“Child #2's Emergency Contact Forms does not include the physician/medical care name and address. Child #4's Emergency Contact Forms does not include the physician/medical care phone number.”

Correction date in the state record: May 5, 2025

3270.82(h) Handwashing signs

“It was observed that the toddler bathroom does not have handwashing signs posted at each training chair.”

3270.77(a) No peeling paint or plaster

“It was observed, in the infant space, that there is peeling/chipping paint above the second pack n play from the right. It was observed, in preschool 3's space, that there is exposed plaster on the corner beside the bookshelf. This was covered by tape, but the tape is peeling off.”

Correction date in the state record: May 5, 2025

3270.66(a) Locked or inaccessible

“It was observed in the young toddler space, the grey cabinet was not locked, giving children access to cleaning materials.”

Correction date in the state record: May 5, 2025

3270.76 Building Surfaces

“It was observed that all vents with small squares in the ceiling are covered with dust. It was observed that many wheel fixtures on the patrician walls are exposed in the infant, young toddler and older toddler spaces. It was observed in the young toddler space, the grey cabinet was not locked, giving children access to an extension cord.”

Correction date in the state record: May 5, 2025

3270.131(d)(7) Free from contagious/communicable disease

“Child #2's file does not contain a complete initial health report. The health report does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.”

Correction date in the state record: May 5, 2025

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

“During a correction verification visit, it was observed that the preschool classroom had 16 total children but staff only named 12 in their primary care groups.”

Correction date in the state record: Jul 24, 2024

3270.27(a)(5) Emergency plan

“Previously cited from the renewal inspection (SIN: 00242904) Documentation of the emergency plan letter that the parents receive, did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. This was corrected during the correction verification visit.”

Correction date in the state record: Jul 2, 2024

3270.95(b) Director or designated staff person ensure compliance

“Previously cited from the renewal inspection (SIN: 00242904) Documentation of the fire detection system testing wasn't completed every 30 days. Testing was completed on 8/8/23 and again on 9/15/23 which is 38 days and on 10/12/23 and again on 11/29/23 which is 48 days and on 5/3/24 and again on 6/4/24 which is 32 days”

Correction date in the state record: Jul 3, 2024

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

“Previously cited from the renewal inspection (SIN: 00242904) Documentation of the emergency contact information on file for child 2 did not include the enrolling parent's home address. The emergency contact information on file for child 3 did not include the enrolling parent's work phone number.”

Correction date in the state record: Jul 3, 2024

3270.25(b) Post the inspection summary

“During the time of the correction verification visit, it was observed that the inspection summary from the renewal inspection(SIN-00242904) was not posted in a conspicuous location used by the parents. This was posted during the correction verification visit.”

Correction date in the state record: Jul 2, 2024

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

“Previously cited from the renewal inspection (SIN: 00242904) Documentation of the emergency contact information on file for child 1,child 2, and child 3 did not include complete addresses for the designated individuals by the parents to whom the child may be released.”

Correction date in the state record: Jul 3, 2024

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

“Previously cited from the renewal inspection (SIN: 00242904) Documentation of the emergency contact information on file for child 2 did not include the address of the child's physician or source of medical care.”

Correction date in the state record: Jul 3, 2024

3270.123(a)(6)/3270.182(2) Admission date/Application, admission, withdrawal dates

“Previously cited from the renewal inspection (SIN: 00242904) Documentation of the agreement on file for child 3 did not specify the date of the child's admission.”

Correction date in the state record: Jul 3, 2024

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

“Previously cited from the renewal inspection (SIN: 00242904) Documentation on file for staff member 3, did not include documentation of two years' experience working with children.”

3270.76 Building Surfaces

“Previously cited from the renewal inspection (SIN: 00242904) Four ceiling tiles with water marks on them were observed in the preschool classroom.”

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

“Previously cited from the renewal inspection (SIN: 00242904) An updated health report was not on file for child 1. The health report on file is dated 2/22/21.”

Correction date in the state record: Jul 12, 2024

3270.171(c) Safe routes posted

“Previously cited from the renewal inspection (SIN: 00242904) Written notification of safe routes were not posted in a conspicuous location at the facility. This was corrected during the inspection. This was corrected during the correction verification visit on 6/28/24”

Correction date in the state record: Jun 28, 2024

3270.192(5) Two written references

“Previously cited from the renewal inspection (SIN: 00242904) Documentation on file for staff member 1 and staff member 2 did not include two written references.”

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

“An updated health report was not on file for child 1. The health report on file is dated 2/22/21.”

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

“Documentation of the health assessment on file for staff member 2 was updated more than 24 months of the original health assessment date. The initial health assessment was on 3/15/22 and updated on 4/2/24.”

3270.124(f)/3270.181(c) Updated every 6 months/Emergency info/agreement updated 6 mos

“Documentation of the 6 month update for the agreement and emergency contact information on file for child 2 and child 6 were updated more than 6 months of the original date.”

Correction date in the state record: May 8, 2024

3270.131(d)(5)/3270.131(e)(3) Immunization record/Dismissal policy

“Documentation of the immunization record on file for child 4 did not include the recommended doses of the Hepatitis B vaccine at birth, 2 months and 6-18 months . The 2 month, 4 month and 6 month dose of the DTAP, HIB, PCV13, and IPV vaccines. The 12-15 month dose of the MMR and Varicella vaccines.”

3270.134(a)/3270.152 Child's hands washed/Adult Hygiene

“During the time of inspection, it was observed that the staff member did not wash their hands prior to serving a snack to the children and the children didn't wash their hands prior to snack.”

Correction date in the state record: May 31, 2024

3270.27(d) Plan posted

“During the time of inspection, it was observed that the facility did not have the emergency plan posted in a conspicuous location.”

Correction date in the state record: May 7, 2024

3270.18(a) On file at facility

“Documentation of liability insurance was not on file at the facility. This was corrected during the inspection.”

Correction date in the state record: Apr 15, 2024

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

“Documentation of the emergency plan on file does not include a continuity of care plan.”

Correction date in the state record: May 10, 2024

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

“During the time of inspection, it was observed that the facility did not have the current certificate of compliance posted in a conspicuous location. The current certificate of compliance was posted during the inspection.”

Correction date in the state record: Apr 15, 2024

3270.103 Small Toys and Objects

“During the time of inspection, a staple was observed on the climbing equipment in the young toddler classroom. The staple was removed during the inspection.”

Correction date in the state record: Apr 15, 2024

3270.95(b) Director or designated staff person ensure compliance

“Documentation of the fire detection system testing wasn't completed every 30 days. Testing was completed on 8/8/23 and again on 9/15/23 which is 38 days and on 10/12/23 and again on 11/29/23 which is 48 days.”

3270.94(a)(1) Every 60 days

“Documentation of fire drills on file showed that fire drills were conducted on 8/8/23 and again on 10/12/23 which is more than 60 days.”

Correction date in the state record: May 10, 2024

3270.123(a)(6)/3270.182(2) Admission date/Application, admission, withdrawal dates

“Documentation of the agreement on file for child 6 did not specify the date of the child's admission.”

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

“Documentation of the emergency contact information on file for child 3 did not include the address of the child's physician or source of medical care.”

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

“Documentation of the emergency contact information on file for child child 2 and child 3 did not include the enrolling parent's home address. The emergency contact information on file for child 5 did not include the enrolling parents work address or work phone number. The emergency contact information on file for child 6 did not include the enrolling parent's work phone number.”

3270.124(b)(4)/3270.182(3) Written consent/Consent for emergency medical care required prior to admission

“Documentation of the emergency contact information on file for child 5 did not include written parental consent for emergency medical care.”

3270.27(a)(5) Emergency plan

“Documentation of the emergency plan letter that the parents receive, did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.”

3270.192(5) Two written references

“Documentation on file for staff member 3, staff member 5, staff member 6 and staff member 7 did not include two written references.”

3270.107 Refrigerator

“During the time of inspection, it was observed that the refrigerator in the infant classroom did not contain an operable thermometer.”

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

“Documentation of the emergency contact information on file for child 1, child 2, child 3, child 5 and child 6 did not include complete addresses for the designated individuals by the parents to whom the child may be released.”

3270.171(c) Safe routes posted

“Written notification of safe routes were not posted in a conspicuous location at the facility. This was corrected during the inspection.”

3270.102(a) Clean and good repair

“During the time of inspection, it was observed that the climber in the young toddler classroom had significant dust/dirt on the equipment. The toys on the train track in the older toddler classroom were visibly dirty and the couches in the older toddler classroom were ripped. The couches were corrected during the inspection.”

3270.82(g) Clean and good repair

“During the time of inspection, it was observed that the sink in the older toddler bathroom had rust spots on the legs of the sink and the sink itself had visible dirt on it.”

3270.77(a) No peeling paint or plaster

“During the time of inspection, it was observed that there was paint peeling by the bathroom in the indoor gross motor space. Paint was peeling behind the sink in the older toddler bathroom. Plaster was broken on the corner of a wall in the preschool classroom. The plaster in the preschool classroom was corrected during the inspection.”

Correction date in the state record: May 31, 2024

3270.76 Building Surfaces

“During the time of inspection, it was observed that there were two ceiling tiles with water marks on them in the older toddler bathroom, four ceiling tiles with water marks on them in the indoor gross motor space and three broken tiles and four ceiling tiles with water marks on them in the preschool classroom. The walls and baseboards in the older toddler bathroom had visible dirt on them. Baseboards in the older toddler bathroom were broken and or missing behind the toilet with visible mold on them. The wall behind the base of the toilet had broken drywall and had an exposed pipe coming out of the wall. The pipe had toilet paper stuffed into the part that was exposed. There was a square cut out in the wall where new piping had to be replaced for the toilet with exposed insulation. DIRECTED PLAN OF CORRECTION: The the older toddler bathroom cannot be used until the mold is removed from the baseboard behind the toilet and the walls behind the toilet area are fixed.”

3270.67(c) No insects or rodents

“During the time of inspection, it was observed that a light in the indoor gross motor space, a light in the hallway leading the preschool classroom from the gross motor space and a light in the preschool classroom all had a significant number of dead bugs in them.”

Correction date in the state record: May 31, 2024

3270.65 Protective Outlet Covers 5 yrs. or less

“During the time of inspection, it was observed that outlet covers were missing in two surge protectors in the preschool classroom. Both surge protectors were removed during the inspection.”

Correction date in the state record: Apr 15, 2024

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

“Documentation on file for staff member 3, staff member 5, staff member 6, and staff member 7 did not include documentation of two years' experience working with children. Documentation on file for staff member 5 did not include documentation of education. This was corrected during the inspection.”

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

“Documentation of the child abuse clearance on file for staff member 1 was updated more than 60 months of the original clearance date. The original child abuse clearance was obtained on 3/28/19 and updated on 4/2/24. Documentation of the child abuse clearance on file for staff member 5 was obtained after the staff member began working with children. Documentation of the disclosure statement on file for staff member 3, staff member 4, staff member 6 and staff member 7 were not signed by a witness.”

3270.151(c)(3)/3270.151(c)(5) Exam communicable disease/Physician/CRNP assessment

“Documentation of the health assessment on file for staff member 6 did not include an examination for communicable diseases and the results of that examination or a physician's or CRNP's assessment of the person's suitability to provide child care.”

Correction date in the state record: May 10, 2024

3270.76 Building Surfaces

“It was observed in the preschool classroom that the door to the classroom was missing the door handle. It was observed on the playground that there were several pieces of trash piled up along the fence and in 2 corners. It was also observed that there was a sharp screw exposed from the fence wall accessible to children.”

Correction date in the state record: May 8, 2023

3270.77(a) No peeling paint or plaster

“It was observed in the preschool classroom that there were large areas of missing paint and exposed plaster accessible to children.”

Correction date in the state record: May 8, 2023

3270.82(g) Clean and good repair

“It was observed in the bathroom used by older toddler children that the sink and toilet in the bathroom did not work.”

Correction date in the state record: Jun 29, 2023

3270.27(a)(6) Emergency plan

“It was observed that the facility did not conduct an emergency drill within the previous 12 months. No prior emergency drills were conducted or documented at the facility.”

Correction date in the state record: Apr 26, 2023

3270.62(c) Space safe for large muscle activity

“It was observed that the measured indoor gross motor space to be used by infants and toddlers was being used for storage. Unsafe items observed in the child care space included computers with hanging cords, 40 stacked folding chairs and stacked decorative items that were a tipping hazard. The space did not contain gross motor equipment and was not safe for large muscle activity.”

Correction date in the state record: Apr 27, 2023

3270.131(a) Health information

“The file for Child #1 did not have a health assessment on file.”

Correction date in the state record: May 12, 2023

3270.105 High Chairs

“It was observed in the infant classroom that there were 4 high chairs, used by infants that did not have T-shaped safety straps.”

Correction date in the state record: Jun 30, 2023

3270.106(j) Prohibit items in crib

“It was observed in the infant classroom that there were soft toys, a bib and blankets draped over the sides of pack n' plays used by sleeping infants.”

Correction date in the state record: Apr 26, 2023

3270.135(a)(3) Disposable diapers

“It was observed in the Preschool room bathroom used by children still potty training, that there was not a hands-free covered trashcan to dispose of soiled pull-ups.”

Correction date in the state record: Apr 27, 2023

3270.107 Refrigerator

“It was observed in the infant classroom that the refrigerator did not contain a thermometer.”

Correction date in the state record: Apr 27, 2023

3270.133(3) Name on bottle

“It was observed in the two-year old classroom that there was a bottle of Tylenol unlabeled.”

Correction date in the state record: Apr 26, 2023

3270.133(6) Written consent

“It was observed in the two-year old classroom that there was Tylenol that did not have written parental consent for administration of the medication.”

Correction date in the state record: Apr 28, 2023

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

“Facility person #1 and #4 completed have not the required one hour Pennsylvania health and safety update 2022 by December 30, 2022.”

Correction date in the state record: May 4, 2023

3270.192(5) Two written references

“The file for Facility Person #1, #2, #3, #4, #5 ,#6, #7 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.”

Correction date in the state record: May 12, 2023

20.71(b)(1) Convicted of a felony

“Facility Person #3 and #4 were observed working unsupervised with children and have been convicted of Felony charges. Director did not submit Facility Person #3 and #4 clearance and RAP sheets to the department for review.”

Correction date in the state record: Apr 26, 2023

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

“The file for Facility Person #2 did not include DHS FBI fingerprint results. The file for Facility Person # 3 and #4 included RAP sheets with Felony offenses. The RAP sheets and clearances were not sent to the department for review for Facility Person #3 and #4. (see code sheet for hire dates).”

Correction date in the state record: Apr 26, 2023

3270.95(b) Director or designated staff person ensure compliance

“The facility director did not ensure that the facility smoke alarms were tested every 30 days and that the testing was documented.”

Correction date in the state record: May 2, 2023

3270.107 Refrigerator

“The classroom refrigerator in the infant space was observed to have no thermometer inside.”

Correction date in the state record: Apr 20, 2022