Nurturing Arms Daycare

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

“During the inspection, staff person #8 was observed to be caring for children unsupervised. Staff person #8 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training”

Correction date in the state record: Aug 19, 2026

3270.33(c)/3270.192(2)(ii) Supervised volunteer/Exp, educ., training prior to facility

“At the time of the inspection, staff person #9 had foreign education on file that was not evaluated and therefore, could not qualify as an AGS, which was the position they were performing.”

Correction date in the state record: Sep 18, 2026

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

“At the time of the inspection, the NSOR certificates on file for staff persons #7 and #8 were dated 6/17/26, which was after their dates of hire, and after they had direct contact and routine interaction with children (see LIS code sheet for date of hire).”

Correction date in the state record: Aug 19, 2026

3270.77(a) No peeling paint or plaster

“At the time of the inspection, the yellow wall in the bathroom in the preschool room had peeling paint.”

Correction date in the state record: Aug 20, 2026

3270.94(a)(5) Evacuation routes posted

“At the time of the inspection, evacuation routes were missing from the school age room, located on the second-floor loft.”

Correction date in the state record: Feb 25, 2026

3270.163(a)(1) Dairy

“At the time of the inspection, in the older toddler class with staff person #2, the children were not served a dairy product during lunch. Their lunch consisted of corn, penne pasta with marinara meat sauce and water to drink.”

Correction date in the state record: Feb 25, 2026

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

“At the time of the inspection, staff persons #2 and #13 did not update their health assessment every 24 months, as required. This is evidenced by the current health assessment date of 9/25/25 and 8/4/25, respectively. The previous health assessments were dated 8/18/23 and 6/19/23, respectively.”

Correction date in the state record: Feb 25, 2026

3270.131(b)(1) Infant: updated health report every 6 months

“At the time of the inspection, the last documented health assessment on file for child #5 was conducted on 4/10/25, and not every 6 months as required.”

Correction date in the state record: Mar 20, 2026

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

“At the time of the inspection, staff person #5 did not update their PA State Police clearance, Child Abuse clearance, FBI clearance and NSOR certificate every 60 months, prior to the current clearance's expiration, as required. This is evidenced by the current clearance on file dated 8/5/25, 1/28/26, 1/27/26, and 8/8/25, respectively. The previous clearance dates were 4/21/20, 4/29/20, 4/24/20, and 5/4/20, respectively. Staff person #5 had routine interaction and direct contact with children. Staff person #8 did not update their NSOR certificate every 60 months, prior to the current certificate's expiration. This is evidenced by the current NSOR date of 1/26/26 and the previous clearance date of 2/25/20. Staff person #8 had routine interaction and direct contact with children.”

Correction date in the state record: Feb 25, 2026

3270.75(c) Has all items

“At the time of the inspection, soap was missing from the first aid kit in the infant room.”

Correction date in the state record: Feb 25, 2026

3270.104(a) Clean, good repair, proper size

“At the time of the inspection, the white shelf in the younger preschool room and the black shelf in the school age room were wobbly, not secured to a surface and able to be tipped over posing a hazard to children.”

Correction date in the state record: Mar 13, 2026

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

“At the time of the inspection on 2/25/26, the last documented manual monthly monitoring of the fire detection system was conducted on 1/9/26 and not every 30 days, as required.”

Correction date in the state record: Feb 25, 2026

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

“At the time of the inspection, the last documented date that the facility notified the local traffic safety authorities in writing regarding the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility was on 1/13/25 and not annually, as required.”

Correction date in the state record: Feb 25, 2026

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

“At the time of the inspection, staff person #1 did not complete fire safety training annually as required. This is evidenced by the current fire safety training date of 2/1/26 and the previous fire safety training date of 1/24/25.”

Correction date in the state record: Feb 25, 2026

3270.65 Protective Outlet Covers 5 yrs. or less

“At the time of the inspection, protective receptacle covers were missing from the older toddler and younger preschool rooms.”

Correction date in the state record: Feb 25, 2026

3270.31(e)(4)(i) Age and Training

“At the time of the inspection, staff person #8 did not renew the Pediatric First Aid/CPR training until 12/7/24. The previous training date was 7/20/22. This reflects a timeframe of when staff person #8 did not have current Pediatric First Aid/CPR training.”

Correction date in the state record: Dec 7, 2024

3270.31(f) Health and Safety Training

“Staff person #14 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training. This is evidenced by the Pediatric First Aid/CPR training on file dated 12/7/24.”

Correction date in the state record: Dec 7, 2024

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

“At the time of the inspection, staff person #5 did not have a signed disclosure statement at time of hire (see LIS code sheet for date of hire).”

Correction date in the state record: Feb 12, 2025

3270.66(a)/3270.133(4) Locked or inaccessible/Locked

“At the time of the inspection, in the Preschool classroom, staff person #3's purse was accessible to children. Inside the purse was a bottle of Benadryl and a bottle lavender oil. In the preschool room, in a closet that was only partially closed off by a curtain, there were cans of paint accessible to children.”

Correction date in the state record: Feb 12, 2025

3270.71 Heat Source

“At the time of the inspection, the baseboard heaters in the middle right room, the Preschool bathroom and the toddler room exceeded 110° F and were accessible to children. The temperatures they measured were 282° F, 142° F and 145° F, respectively.”

Correction date in the state record: Mar 3, 2025

3270.76 Building Surfaces

“At the time of the inspection, in the toddler room, the heat vent cover was broken and exposed the metal guard edges, posing a hazard to children. In the school age room, a shelf was not secured to a surface and posed a tipping hazard.”

Correction date in the state record: Mar 3, 2025

3270.82(j) Running water - diapering

“At the time of the inspection, the 5 gallon receptacles used for water for handwashing in the infant and toddler rooms were filled with water. This is evidence that they are not emptied daily.”

Correction date in the state record: Feb 12, 2025

3270.102(a)/3270.135(b) Clean and good repair/Surfaces cleaned

“At the time of the inspection, the changing table pad in the middle-left room was torn, and the inside foam was exposed. This prevents the changing pad from being properly cleaned with a sanitizing solution.”

Correction date in the state record: Feb 14, 2025

3270.104(a) Clean, good repair, proper size

“At the time of the inspection, the fold down changing tables located in the infant and toddler rooms had a label reading "suitable for child up to 11kg or 12 months." Child #8, a three-year-old, was observed being changed on one of these tables in the toddler room. These changing tables are not appropriate for the children's age and size who were present in care in these spaces.”

Correction date in the state record: Mar 3, 2025

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

“At the time of the inspection, the Flovent inhaler, which the operator stated was child #7's, was observed inside a plastic bag at the facility. It did not contain a label identifying the name of the child for whom the medication is intended. The medication itself also read to discard after 1/2024.”

Correction date in the state record: Feb 12, 2025

3270.135(a)(3) Disposable diapers

“At the time of the inspection, the trash can used for diapering in the infant and toddler rooms contained used diapers and was not plastic-lined.”

Correction date in the state record: Feb 12, 2025

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

“At the time of the inspection, staff person #8 did not have a health assessment conducted every 24 months, as required, on file. This is evidenced by the health assessment on file dated 11/3/22.”

Correction date in the state record: Feb 20, 2025

3270.166(1) Written statement

“At the time of the inspection, staff person #2 had acknowledged that written statements giving the formula and feeding schedule for an infant are not obtained from the parent.”

Correction date in the state record: Feb 13, 2025

3270.171(c)/3270.171(d) Safe routes posted/Pick-up and drop-off at specified areas

“At the time of the inspection, written notification of safe routes were not posted in the facility.”

Correction date in the state record: Feb 12, 2025

3270.61(h) Exceeding Capacity

“During the inspection, there were 4 mixed aged children in the infant room. The maximum capacity for this room is 3 children.”

Correction date in the state record: Feb 12, 2025

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

“At the time of the inspection on 2/12/25, the last documented testing of the fire detection system was conducted on 1/10/25 and not every 30 days as required.”

Correction date in the state record: Feb 12, 2025

3270.77(a) No peeling paint or plaster

“At the time of the inspection, there was peeling paint behind the toilet in the preschool bathroom. There was peeling paint on the blue wall in the toddler room.”

Correction date in the state record: Mar 3, 2025

3270.102(g)/3270.119 Hazardous toys and equipment/Infant sleep position

“At the time of the inspection, Child #1, a 7-month old (see LIS code sheet for date of birth), as reported by staff and confirmed through enrollment paperwork, was observed sleeping unsupervised in a Fisher Price Infant-to-Toddler Rocker inside a crib in the infant room. The child was not placed in the recommended sleeping position, in approved rest equipment, to sleep. In June 2022, the Consumer Product Safety Commission and Fisher-Price issued a warning for consumers about infant deaths in Fisher-Price Infant-to-Toddler and Newborn-to-Toddler Rockers and advised rockers should never be used for sleep, and infants should never be unsupervised.”

Correction date in the state record: Nov 4, 2024

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“On 11/4/24 at approximately 9:30am, Child #1, a 7-month old, was observed sleeping unsupervised in a Fisher Price Infant-to-Toddler Rocker inside a crib in the infant room. Child #1 was assigned to staff #10, who was observed in the young toddler room at this time, and no other adults were present in the infant room with Child #1.”

Correction date in the state record: Nov 4, 2024

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“On 11/4/24 at approximately 9:30am, Child #1, a 7-month old, was observed sleeping unsupervised in a Fisher Price Infant-to-Toddler Rocker inside a crib in the infant room. Child #1 was assigned to staff #10, who was observed in the young toddler room at this time, and no other adults were present in the infant room with Child #1.”

Correction date in the state record: Dec 20, 2024

3270.102(g)/3270.119 Hazardous toys and equipment/Infant sleep position

“At the time of the inspection, Child #1, a 7-month old (see LIS code sheet for date of birth), as reported by staff and confirmed through enrollment paperwork, was observed sleeping unsupervised in a Fisher Price Infant-to-Toddler Rocker inside a crib in the infant room. The child was not placed in the recommended sleeping position, in approved rest equipment, to sleep. In June 2022, the Consumer Product Safety Commission and Fisher-Price issued a warning for consumers about infant deaths in Fisher-Price Infant-to-Toddler and Newborn-to-Toddler Rockers and advised rockers should never be used for sleep, and infants should never be unsupervised.”

Correction date in the state record: Dec 20, 2024

3270.52 Mixed Age Level

“On 11/4/24 at approximately 9:23am, 12 children (11 older toddlers and 1 young toddler) were present with staff person #8 and staff person #9. This number and age of children requires there to be three staff people present at all times.”

Correction date in the state record: Nov 4, 2024

3270.33(a) Each staff person meets quals

“At the time of the inspection, staff person #10 had foreign education on file that was not evaluated and translated and therefore, could not qualify for the position she was performing.”

Correction date in the state record: Dec 6, 2024

3270.52 Mixed Age Level

“On 11/4/24 at approximately 9:23am, 12 children (11 older toddlers and 1 young toddler) were present with staff person #8 and staff person #9. This number and age of children requires there to be three staff people present at all times.”

Correction date in the state record: Nov 29, 2024

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

“During the inspection on 10/2/24, staff persons #1, #2 and #3 did not have documentation of 2,500 hours of childcare experience on file and therefore, could not qualify as assistant group supervisors.”

Correction date in the state record: Oct 11, 2024

3270.106(f) 2 feet apart

“During the inspection on 10/2/24 at rest time in the preschool room, there was not at least 2 feet of space on three sides of each child's cot.”

Correction date in the state record: Oct 3, 2024

3270.81 Glass

“During the inspection on 10/2/24, the two sliding glass doors in the toddler room which lead to the outdoor play space did not have a visual strip or other visual identification on them.”

Correction date in the state record: Oct 4, 2024

3270.65/3270.76 Protective Outlet Covers 5 yrs. or less /Building Surfaces

“During the inspection on 10/2/24, a protective receptacle cover was missing from the outlet in the toddler room. There were two holes in the wall above the wooden vent cover in the young toddler room.”

Correction date in the state record: Oct 4, 2024

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

“During the inspection on 10/2/24, the health assessment dated 8/18/23 on file for staff person #2 did not include an examination for communicable diseases and the results of that examination or include the physician's or CRNP's assessment of the person's suitability to provide childcare.”

Correction date in the state record: Oct 4, 2024

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

“During the inspection on 10/2/24, staff person #1, a provisional hire, did not have a completed FBI clearance on file and was observed working unsupervised in the infant room. Staff person #4 did not update the Child Abuse and FBI clearance every 60 months as required. This is evidenced by the current clearance dates of 7/12/24 and 7/13/24, respectively. The previous dates of the clearances on file are 3/28/19 and 3/29/19, respectively. Staff person #8 did not update the PA State Police, Child Abuse clearance and FBI clearance every 60 months as required. This is evidenced by the current clearances on file dated 11/30/23, 12/26/23 and 11/30/23, respectively. The previous clearance dates on file are 11/26/18, 11/26/18 and 11/29/18, respectively.”

Correction date in the state record: Oct 2, 2024

3270.27(a)(6) Emergency plan

“During the inspection on 10/2/24, the operator acknowledged that she has never had documentation on file regarding conducting annual emergency drills.”

Correction date in the state record: Oct 11, 2024

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

“During the inspection on 10/2/24, the manual monthly monitoring of the fire detection device was last documented as being conducted on 8/14/24 and not every 30 days as required.”

Correction date in the state record: Oct 4, 2024

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

“During the inspection on 10/2/24, the TB screening on file for staff person #1 was conducted on 5/12/23 and not within 12 months of initial hire at the facility (see LIS code sheet for date of hire). Staff person #8 did not update the health assessment on file every 24 months as required. This is evidenced by the most current health assessment on file dated 7/7/22.”

Correction date in the state record: Oct 4, 2024

3270.27(c) Training regarding plan

“During the inspection on 10/2/24, the emergency plan was last updated on 2/27/24 with continuity of operations added. Facility and staff persons were not trained at the time of this plan update. This is evidenced by the last date of emergency plan training being conducted on 12/20/23.”

Correction date in the state record: Oct 4, 2024

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

“During the inspection on 10/2/24, 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: PQAS approved Pediatric First Aid/CPR and Health and Safety training requirements.”

Correction date in the state record: Oct 2, 2024

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

“During the inspection on 10/2/24, the operator acknowledged that she did not have a policy and procedure to identify the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and addressing the prevention and identification of child maltreatment. Infants and toddlers receive care at this facility.”

Correction date in the state record: Oct 4, 2024

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

“During the inspection, the operator acknowledged that the parents are not provided Chapter 3270 regulations electronically.”

Correction date in the state record: Oct 4, 2024

3270.104(a)/3270.135(b) Clean, good repair, proper size/Surfaces cleaned

“During the inspection on 10/2/24, the changing table pad used for diapering in the toddler room was torn and the inside foam was exposed. This prevents the changing table pad from being properly sanitized after each use.”

Correction date in the state record: Oct 9, 2024

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

“A renewal inspection was conducted on 2/27/24. At that time, the emergency contact information for the following children did not include the work address and phone number of the parents: Child #1, Child #2, and Child #4,”

Correction date in the state record: Mar 5, 2024

3270.124(c) Each child care space

“A renewal inspection was conducted on 2/27/24. At that time, the emergency contact information was not located in each child care space.”

Correction date in the state record: Feb 27, 2024

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

“A renewal inspection was conducted on 2/27/24. At that time, the thirty day testing log for the fire detection system was reviewed. The dates of testing were as follows, showing more than 30 days between testing on occasion: 3/15/23, 4/27/23, 5/16/23, 6/28/23, 7/10/23, 8/18/23, 9/26/23, 10/20/23, 11/9/23, 12/12/23, 1/23/24, 2/22/24.”

Correction date in the state record: Feb 27, 2024

3270.14 Pertinent Laws & Regulations

“A renewal inspection was conducted on 2/27/24. At that time, the facility bus used for field trips was inspected. The bus had not been inspected under Title 75 §4705 that requires all school buses be inspected annually by the PSP Commercial Vehicle Safety Division.”

Correction date in the state record: Apr 19, 2024

3270.31(f) Health and Safety Training

“A renewal inspection was conducted on 2/27/24. At that time, the staff files were reviewed. The file for Staff Person #1 contained the six hour health and safety training completed 11/30/18, which is outside of the acceptable date range for the six hour training. The file for Staff Person #2 contained the six hour health and safety training completed 7/1/29, which is outside of the acceptable date range for the six hour training.”

Correction date in the state record: Mar 13, 2024

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

“A renewal inspection was conducted on 2/27/24. At that time, the staff files were reviewed. The file for Staff Person #3 included an FBI clearance request dated 7/6/23, which was after the staff's date of hire. The file did not include a completed FBI Clearance for Staff Person #3.”

Correction date in the state record: Feb 27, 2024

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

“A renewal inspection was conducted on 2/27/24. At that time, the staff files were reviewed. Staff Person #3, an assistant group supervisor, did not have verification of any experience working with children on file at the facility.”

Correction date in the state record: Mar 12, 2024

3270.66(a) Locked or inaccessible

“A renewal inspection was conducted on 2/27/24. At that time, Clorox cleaning spray was observed in an unlocked, floor level cabinet under the sink the overflow bathroom and was accessible to the children using the bathroom. The Clorox spray was labeled "keep out of reach of children."”

Correction date in the state record: Feb 27, 2024

3270.72(b) Screened

“A renewal inspection was conducted on 2/27/24. At that time, three small windows in the upstairs classroom were used for ventilation but were not equipped with screens.”

Correction date in the state record: Mar 5, 2024

3270.82(j) Running water - diapering

“A renewal inspection was conducted on 2/27/24. At that time, there was no sink or source of running water in the young toddler 2 room or the infant room, where the children's diapers are changed at the changing table.”

Correction date in the state record: Mar 5, 2024

3270.103 Small Toys and Objects

“A renewal inspection was conducted on 2/27/24. At that time, plastic bags containing diapers and wipes were observed in an unlocked drawer next to the changing table, approximately 18 inches high, where they were accessible to the toddlers in care.”

Correction date in the state record: Feb 27, 2024

3270.123(a)(5) Designated release persons

“A renewal inspection was conducted on 2/27/24. At that time, the financial agreement for the following children did not include the names of the release persons: Child #1, Child #3, and Child #4,”

Correction date in the state record: Mar 5, 2024

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

“Staff #1 hired as a provisional staff does not have a record of a PA State Police Clearance and a NSOR clearance.”

Correction date in the state record: Mar 15, 2023

3270.106(a)/3270.119 Clean, age appropriate/Infant sleep position

“Per investigation on 9/22/22, staff interviews and observation revealed that on 9/16/22 and as an ongoing practice, child #1 and child #2 had been placed to sleep in infant seats that did not allow them to be in the sleeping position recommended by the American Academy of Pediatrics.”

Correction date in the state record: Sep 22, 2022