Growing Better Child Care

3270.151(c)(3)/3270.151(c)(4) Exam communicable disease/Information re: medical problems

“During an unannounced visit on 5/18/26 Staff 1's health assessment dated 12/6/24 did not have information that an examination for communicable disease was completed, the results of that exam, or information in regards to if the staff was able to provide care. Staff 1 did not have any other health assessments on file that were current.”

Correction date in the state record: Aug 28, 2026

3270.66(a) Locked or inaccessible

“During a complaint investigation on 5/18/26 Cert rep observed the following items which were labeled "keep out of reach of children" in a staff bag that was kept on an accessible shelf in the bathroom of Room 3: Excedrin Migraine, Advil pain reliever creme, and various lotions. The door to the bathroom was open allowing access to the bathroom. The children in Room 3 are mobile.”

Correction date in the state record: May 18, 2026

3270.151(c)(3)/3270.151(c)(4) Exam communicable disease/Information re: medical problems

“During an unannounced visit on 5/18/26 Staff 1's health assessment dated 12/6/24 did not have information that an examination for communicable disease was completed, the results of that exam, or information in regards to if the staff was able to provide care. Staff 1 did not have any other health assessments on file that were current.”

Correction date in the state record: Aug 28, 2026

3270.66(a) Locked or inaccessible

“During a complaint investigation on 5/18/26 Cert rep observed the following items which were labeled "keep out of reach of children" in a staff bag that was kept on an accessible shelf in the bathroom of Room 3: Excedrin Migraine, Advil pain reliever creme, and various lotions. The door to the bathroom was open allowing access to the bathroom. The children in Room 3 are mobile.”

Correction date in the state record: May 18, 2026

3270.94(a)(1) Every 60 days

“During and unannounced inspection on 12/17/25 the most recent fire drill was 10/14/25. This is more than 60 days between fire drills.”

Correction date in the state record: Dec 18, 2025

3270.113(e) Restraints prohibited

“During a complaint investigation on 12/17/25 Cert rep observed Child 2 in a highchair for at least 3 minutes. Staff 2 reported Child 2 was placed in the high chair to prevent the child from running around. Staff 1, 2, 3 & 4 also acknowledged that Child 1 has been placed in a highchair when they are running around, throwing objects, and attempting to harm staff, other children and themselves so Child 1 can calm down.”

Correction date in the state record: Jan 28, 2026

3270.94(a)(1) Every 60 days

“During and unannounced inspection on 12/17/25 the most recent fire drill was 10/14/25. This is more than 60 days between fire drills.”

Correction date in the state record: Dec 18, 2025

3270.113(e) Restraints prohibited

“During a complaint investigation on 12/17/25 Cert rep observed Child 2 in a highchair for at least 3 minutes. Staff 2 reported Child 2 was placed in the high chair to prevent the child from running around. Staff 1, 2, 3 & 4 also acknowledged that Child 1 has been placed in a highchair when they are running around, throwing objects, and attempting to harm staff, other children and themselves so Child 1 can calm down.”

Correction date in the state record: Jan 28, 2026

3270.35(b) Group sup qualifications

“During a renewal inspection on 12/3/25-12/4/25 Staff 6 has been working as a group supervisor but does not meet at least one of qualification levels specified for a group supervisor. Staff 6's file had a high school diploma, two separate CDA certificates, and 10 years of experience working with children. It was reported that Staff 6 did not obtain an associate's degree or bachelor's degree.”

Correction date in the state record: Dec 4, 2025

3270.75(c) Has all items

“During a renewal inspection on 12/3/25-12/4/25 the first kit in the 2019 Ford Transit did not have scissors. The first aid kit on Older Toddler side of Room 1 did not have tweezers, and the First aid kit on the Preschool side of Room 1 did not have tape.”

Correction date in the state record: Dec 3, 2025

3270.77(a) No peeling paint or plaster

“During a renewal inspection on 12/3/25 Cert rep observed peeling paint on the wall by the Circle time chart on the Older Toddler side of Room 1.”

Correction date in the state record: Dec 3, 2025

3270.106(f) 2 feet apart

“During a renewal inspection on 12/3/25 Cert rep observed that of the pack in plays(rest equipment) that were in use in Room 3(Infants) did not have at least 2 feet of space on 3 sides.”

Correction date in the state record: Dec 12, 2025

3270.192(5) Two written references

“During a renewal inspection on 12/3/25-12/4/25 Staff 2 and 3 each had one reference in their file and Facility Person 4 had 0 references in their files.”

Correction date in the state record: Jan 9, 2026

3270.192(2)(iv) Transcript, diploma and letters

“During a renewal inspection on 12/3/25-12/4/25 Staff 5's file had a high school diploma and a letter which noted Staff 5 had over 2 years experience working with children. This reference letter is not acceptable verification of experience working with children as it was not written or signed by the a representative of the entity where the experience was obtained. Staff 5 has been working as an assistant group supervisor.”

Correction date in the state record: Dec 24, 2025

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

“During a renewal inspection on 12/3/25-12/4/25 Staff 5 had an initial health assessment dated 1/8/24, which is more than 12 months before their first day with children. (See LIS code sheet for 1st day with children.”

Correction date in the state record: Dec 24, 2025

3270.133(3)/3270.133(5) Name on bottle/Original label

“During renewal inspection on 12/3/25 Cert rep observed Aquaphor(exp 1/2025) in Room 2(Young Toddler), and Diaper Rash Paste (exp 9/2025) in the Room 3(Infants). Cert rep also observed Destin(exp 2/2025) in Room 2(Young Toddler) which was for a child, however the child's name was not present on the bottle.”

Correction date in the state record: Dec 3, 2025

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

“During a renewal inspection on 12/3/25 Child 2's immunization record was missing the following immunizations: the 2nd dose of Hepatitis B, the 2nd dose of DTap, the 2nd dose of HIB, the 2nd dose of Pneumococcal and the 2nd dose of Polio vaccines. This is not in accordance with the ACIP schedule(See LIS code sheets for DOB). Child 2 did not have an exemption letter in their files related to these vaccines.”

Correction date in the state record: Dec 3, 2025

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

“During a renewal inspection on 12/3/25 Children 1, 2, and 3's emergency contact forms did not list a work phone number for their respective parents.”

Correction date in the state record: Dec 12, 2025

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

“During a renewal inspection on 12/3/25-12/4/25 there was one incident of more than 30 days between fire detection testing: 8/15/25-9/15/25.”

Correction date in the state record: Dec 3, 2025

3270.31(e)(4)(ii) Fire safety - 1 yr.

“During a renewal inspection on 12/3/25-12/4/25 Staff 3 completed fire safety training on 1/27/24, and 4/8/25, Staff 7 completed fire safety training on 4/27/24, and 5/9/25 and Staff 8 completed fire safety training on 4/27/24, and 6/17/25 which is more than 12 months between fire safety trainings.”

Correction date in the state record: Dec 4, 2025

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

“During a renewal inspection on 12/19/24 Child 1's emergency contact form did not have a home address for the child's mother, a work address and phone number for the child's father or home phone numbers for either parent. Child 3 and Child 4 did not have their mother's work phone number listed on the emergency contact.”

Correction date in the state record: Dec 19, 2024

3270.123(a)(3)/3270.123(a)(4) Services proceeded/Arrival/departure times

“During a renewal inspection on 12/19/24 Child 2 and Child 4 did not have the services to be provided listed on the fee agreement. Child 2 did not have the Child's arrival time or departure time listed on fee agreement.”

Correction date in the state record: Dec 19, 2024

3270.27(c) Training regarding plan

“During a renewal inspection on 12/19/24 Cert rep noted Staff 3 received emergency plan training 1/11/2022 and 1/12/24. This is more than 12 months between emergency plan training. Staff 7 received emergency plan training on 4/2/24 which is more than 90 days after her date of hire. See code sheet for date of hire.”

Correction date in the state record: Dec 19, 2024

3270.31(e)(4)(ii) Fire safety - 1 yr.

“During a renewal inspection on 12/19/24 Cert rep noted Staff 2 completed fire safety training on 2/19/23 and 4/27/24. This is more than 12 months between fire safety trainings.”

Correction date in the state record: Dec 19, 2024

3270.31(f) Health and Safety Training

“During a renewal inspection on 12/19/24 Staff person 8 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Health and Safety Requirement. Staff person 8 has completed Pennsylvania Health and Safety Update 2022 (1 hour) on 12/6/23, but there is no proof of completing a 6 or 10 hour health and safety course.”

Correction date in the state record: Feb 18, 2025

3270.34(a)(6) Staff evaluations

“During a renewal inspection on 12/19/24 Cert rep noted Staff 1 had no staff evaluations available for review in her Staff file. Staff 1 has been employed for more than one year.”

Correction date in the state record: Dec 19, 2024

3270.36(b)(5) HS/GED + 2 yrs

“During a renewal inspection on 12/19/24 Cert rep noted that Staff 5, and 6 do not have verification of experience with children documented in their staff file. Staff 4 had 2251 hours of experience with children documented on file. This is less than two years (or 2500 hours). Staff 4, 5, and 6 all have high school diplomas on file and have been working as assistant group supervisors.”

Correction date in the state record: Feb 14, 2025

3270.66(a) Locked or inaccessible

“During a renewal inspection on 12/19/24 Destin was found in on the bottom shelf of the changing table in the diapering area of the toddler room. The Destin is labeled "keep out of reach of children. This shelf was accessible to children.”

Correction date in the state record: Dec 19, 2024

3270.76/3270.103 Building Surfaces/Small Toys and Objects

“During a renewal inspection on 12/19/24 cert rep observed sharp screws (with less than one inch length) exposed on the latis on the wall of the outdoor PlaySpace. This PlaySpace is used by children of all ages including those who may still be placing objects in their mouths.”

Correction date in the state record: Dec 19, 2024

3270.27(a)(6) Emergency plan

“During a renewal inspection on 12/19/24 the facility did not have the emergency drill documentation from 2024 available for review.”

Correction date in the state record: Dec 19, 2024

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

“During a renewal inspection on 12/19/24 Staff reported that when accident, illness and injuries occur the parent receives the original report, and a copy of the report is placed in the facility's accident file. Staff reported that a copy of this report is not placed in the child's file.”

Correction date in the state record: Dec 19, 2024

3270.181(c) Emergency info/agreement updated 6 mos

“During a renewal inspection on 12/19/24 cert rep noted Child 2's fee agreement was most recently reviewed by the parent on 5/1/24. This is more than 6 months since the previous parental review of the Child's fee agreement.”

Correction date in the state record: Dec 20, 2024

3270.166(3) Disposable nursers or parents

“During a renewal inspection on 12/19/24 Staff reported that infant bottles were being washed a reused at the facility. The facility does not have a commercial dishwasher to wash infant bottles.”

Correction date in the state record: Dec 19, 2024

3270.124(c) Each child care space

“During a renewal inspection on 12/19/24 cert rep observed the infant classroom did not have emergency contact forms present for the children receiving care in the infant classroom.”

Correction date in the state record: Dec 19, 2024

3270.77(a) No peeling paint or plaster

“During a renewal inspection on 12/19/24 Cert rep observed peeling paint on the wall above the colored bones and around the phone outlet of that same wall.”

Correction date in the state record: Dec 19, 2024

3270.27(f) Emergency plan

“During a renewal inspection on 12/19/24 documentation that the emergency plan was sent to the local municipality was not available for cert rep review.”

Correction date in the state record: Feb 11, 2025

3270.123(a)(1)/3270.123(a)(2) Amount of fee/Date fee to be paid

“During a renewal inspection on 12/19/24 Child 3's and 4's fee agreements did not have the fee amount or date the fee was to be paid.”

Correction date in the state record: Dec 19, 2024

3270.103 Small Toys and Objects

“During a renewal inspection on 12/19/24 plastic bags and gloves were found in on the bottom shelf of the changing table in the diapering area of the toddler room. The children in this room may still be placing objects in their mouths. This shelf was accessible to children.”

Correction date in the state record: Dec 19, 2024

3270.102(a) Clean and good repair

“During a renewal inspection on 12/19/24 cert rep observed the following concern regarding equipment and toys at the facility: 1) tear in the black chair in the toddler classroom 2) crack in the microwave door of the teal toy kitchen in the large room 3) tear in the gray high chair seat in the large room.”

Correction date in the state record: Dec 27, 2024

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

“During the Renewal Inspection on 12/5/2023, staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: The required pre-service health and safety training.”

Correction date in the state record: Dec 5, 2023

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

“During the Renewal Inspection on 12/5/2023, staff person #2 had a volunteer state police clearance on file. See LIS code sheet.”

Correction date in the state record: Dec 5, 2023

3270.32(a) Comply with CPSL

“Staff person #3 did not complete mandated reporter training within 60 months. This is evidenced by the updated mandated reporter training on file being dated 9/14/2023 and the previously documented mandated reporter training on file being dated 1/30/2018.”

Correction date in the state record: Sep 14, 2023

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

“On 12/5/2023, the updated health report for Child #1 did not have did not have documentation of the following up-to-date immunization as recommended by the ACIP: The annual influenza immunization. The file for Child #1 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent.”

Correction date in the state record: Dec 6, 2023

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

“The operator has not notified the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.”

Correction date in the state record: Dec 23, 2022

3270.27(a)(6)/3270.27(b) Emergency plan/Plan reviewed/updated annually

“On 12/8/2022, the facility had not conducted an emergency drill during the previous 12 months of operation. The emergency plan also had not been reviewed and documented in writing during the previous 12 months.”

Correction date in the state record: Dec 23, 2022

3270.192(5) Two written references

“During the file review on 12/8/2022, Staff #1 only had one written nonfamily reference on file. Facility person #6, a volunteer did not have any written references on file. See LIS code sheet.”

Correction date in the state record: Dec 23, 2022

3270.151(a)/3270.151(c)(2) 12 months prior to service and every 24 months thereafter/Mantoux TB

“During the staff file review on 12/8/2022, the following was observed: Staff #1 did not have an initial health assessment or tuberculosis screening by the Mantoux method required at initial employment on file. Staff #2 had a current initial health assessment and tuberculosis screening on file on 12/8/2022, but not at the time of hire. Staff #3 did not have the initial assessment and tuberculosis screening on file at the time upon hire. Staff #4 did not have the tuberculosis screening conducted prior to employment. Staff #5 did not have an initial health assessment on file. The tuberculosis screening on file for Staff #5 was not conducted prior to employment. See LIS code sheet.”

Correction date in the state record: Jan 10, 2023

3270.131(d)(5)/3270.131(e)(2)(i) Immunization record/Exemption documentation from parent/guardian

“During the child file review on 12/13/2022, the immunizations attached to the updated health reports for Child #1 and Child #2 did not include immunizations as recommended by the ACIP. Child #1, a young toddler was missing verification of the MMR, Varicella and Hepatitis A immunizations that are recommended by the ACIP between the ages of 12 and 15 months. Child #2, an older toddler did not have the up-to-date influenza immunization as recommended by the ACIP. The files for Child #1 and Child #2 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated by the child's parent. See LIS code sheet.”

Correction date in the state record: Dec 19, 2022

3270.124(f)/3270.181(e) Updated every 6 months/Emergency master file updated

“During the Renewal Inspection on 12/8/2022, the emergency contact forms in each of the 4 classrooms had not been updated in the previous 6 months as required.”

Correction date in the state record: Dec 8, 2022

3270.124(e) Written emergency plan posted

“On 12/8/2022, during the renewal inspection, the childcare spaces did not have a written plan displayed 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: Dec 22, 2022

3270.102(a) Clean and good repair

“On 12/8/2022, the top part of a plastic toy grill outside on the playground had a crack with sharp edges exposed.”

Correction date in the state record: Dec 8, 2022

3270.91(a) Stairs, exits, etc. unobstructed

“On 12/8/2022, during the renewal inspection, the classrooms were observed to have half-doors separating the areas, which had slide locks installed. The slide locks were observed to be locked, obstructing the emergency means of egress for each of the classroom groups. Both the toddler classroom and the front classroom with the door facing Kutztown Road were observed to have a locked emergency exit, with both a large slide lock and a chain lock engaged on each door.”

Correction date in the state record: Dec 23, 2022

3270.77(a) No peeling paint or plaster

“On 12/8/2022, peeling paint was seen on the changing table in the bathroom that is used for the infants.”

Correction date in the state record: Dec 10, 2022

3270.37(c) Aides supervised all times

“Staff #3 was observed to be working alone with a group of children on 12/8/2022 and 12/13/2022. Staff #3 does not have any documented childcare experience on file as of 12/13/2022.”

Correction date in the state record: Dec 22, 2022

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

“During the review of staff files on 12/8/2022, the following was observed: Staff #1 had an expired FBI clearance on file that was dated 10/18/2017. Staff #2 had an updated child abuse clearance on file dated 12/2/2022, but the previous child abuse clearance for Staff #2 was dated 10/16/2017. Staff #2 verified that she resided in New Jersey two years ago. Staff #2 did not have the required child abuse clearance from New Jersey on file on 12/8/2022. Staff #5 had proof of all clearance requests on file on 12/8/2022. However, Staff #5 did not have the completed DHS FBI clearance on file. See LIS code sheet.”

Correction date in the state record: Dec 8, 2022

3270.31(f) Health and Safety Training

“Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training.”

Correction date in the state record: Nov 20, 2022

3270.135(a)(3) Disposable diapers

“on 12/8/2022, it was observed that the diapering can used for the toddler classroom was not hands-free.”

Correction date in the state record: Dec 14, 2022

3270.66(a) Locked or inaccessible

“During an unannounced inspection on 8/5/2022, a group of children were observed lined up at the sink in the classroom to wash their hands. Lysol disinfectant spray and OdoBan disinfectant was observed next to the sink accessible to children while they were washing their hands. Both items were labeled keep out of reach of children.”

Correction date in the state record: Aug 29, 2022

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

“During the Renewal Inspection on 2/16/2022, Staff #1 did not have a completed National Sex Offender Registry (NSOR) clearance on file. The staff data sheet indicated that Staff #1 started working with children at the facility on 12/13/2020. The NSOR clearance was not requested until 1/21/2022. Staff #1 had a completed state police clearance on file, but this clearance was not requested until 1/21/2022. Staff #2 and Staff #3 had each of the required clearances on file on 2/16/2022. However, the staff data sheet indicated that Staff #2 began working with children at the facility on 1/12/2022. The clearances for Staff #2 were requested as follows: NSOR on 1/18/2022 and the state police, child abuse, and proof of being fingerprinted for the DHS FBI clearance on 1/20/2022, Staff #3 began working on 1/10/2022, but was not fingerprinted for the DHS FBI clearance until 1/22/2022.”

Correction date in the state record: Feb 17, 2022

3270.131(d)(5)/3270.131(e)(2)(i) Immunization record/Exemption documentation from parent/guardian

“On 2/16/2022, the health report for Child #1 did not show any documentation of an influenza vaccine for the child. There was not an exemption letter on file from the parent to explain that the child did not have the influenza vaccine due to a religious belief or strong personal objection equated to a religious belief.”

Correction date in the state record: Mar 2, 2022

3270.166(1) Written statement

“During the Renewal Inspection on 2/16/2022, the facility did not have a written statement on file from the parent showing the formula and feeding schedule for the infants that are currently enrolled at the facility.”

Correction date in the state record: Feb 22, 2022

3270.192(5) Two written references

“During the Renewal Inspection on 2/16/2022, Staff #3 did not have any written, nonfamily references on file.”

Correction date in the state record: Feb 22, 2022

3270.76 Building Surfaces

“During the Renewal Inspection on 2/16/2022, a piece of wood with sharp edges exposed was seen on a fence post to the right near the gate entering the outdoor playground.”

Correction date in the state record: Mar 2, 2022

3270.131(c) Completed or signed by physician, PA, or CRNP

“During the review of child files on 2/16/2022, the health report on file for Child #1 did not have a signature from physician, physician's assistant or a CRNP with the individual's professional title. Child #1 began attending on 12/8/2021.”

Correction date in the state record: Mar 2, 2022