The Growing Tree

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

“The file of Staff #3, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.”

Correction date in the state record: Sep 1, 2026

3270.37(c) Aides supervised all times

“At approximately 11:30 AM observed Staff #2, who was designated as an aide, not being supervised by a staff person qualified at minimum as an assistant group supervisor in the Infant Room. Staff #2 was in the Infant Room at that time with Staff #1, who was also designated as an aide.”

Correction date in the state record: Sep 1, 2026

3270.21 General Health and Safety

“Observed 1 Infant, 1 young toddler, and 2 older toddlers in highchairs in which the T-shaped straps were not used to secure them.”

Correction date in the state record: Aug 27, 2026

3270.151(c)(3) Exam communicable disease

“The adult health assessment for Staff #1 did not include an examination for communicable diseases and the results of that examination.”

Correction date in the state record: Aug 24, 2026

3270.151(c)(5) Physician/CRNP assessment

“The adult health assessment for Staff #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.”

Correction date in the state record: Aug 24, 2026

3270.37(b)(3) 8th grade + 2 yrs

“The file of Staff #2, who was designated as an aide, lacked documentation of having a minimum of an 8th grade education and 2 years of experience with children.”

Correction date in the state record: Oct 1, 2026

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): health and safety. Staff person #1 had documentation of completing PA Required Health and Safety for Centers-Group Child Care Part 1 on 8/18/26 but did not have documentation of completing PA Required Health and Safety for Centers-Group Child Care Part 2.”

Correction date in the state record: Aug 20, 2026

3270.192(5) Two written references

“The file of Staff #1 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #1 contained one written reference.”

Correction date in the state record: Aug 24, 2026

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

“The file of Staff #1 lacked a National Sex Offender Registry Certificate (NSOR) updated every 60 months. The file of Staff #1 contained a NSOR dated 9/15/25 with a previous one dated 9/9/20. The file of Staff #2 lacked a DHS FBI Clearance dated prior to or on the date of initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a DHS FBI Clearance dated 11/17/25.”

Correction date in the state record: Jan 6, 2026

3270.75(c) Has all items

“The first-aid kit in the Preschool Room did not contain scissors.”

Correction date in the state record: Dec 10, 2025

3270.82(h) Handwashing signs

“The sink in the Infant Room lacked a handwashing sign.”

Correction date in the state record: Dec 10, 2025

3270.104(a) Clean, good repair, proper size

“Observed shelves containing rest equipment in the Preschool Room which were not anchored creating a potential tipping hazard.”

Correction date in the state record: Dec 29, 2025

3270.123(a)(3) Services proceeded

“Child #1 lacked child service reports completed at least every 6 months. Child #1 had child service reports completed on 9/25/24 and 3/14/25.”

Correction date in the state record: Dec 12, 2025

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

“Child #2, a preschooler, lacked Hepatitis A immunizations according to the recommendations of the ACIP. Child #2 had documentation of one Hepatitis A immunization.”

Correction date in the state record: Jan 7, 2026

3270.131(d)(8) Age appropriate screenings complete

“The health report for Child #2 did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.”

Correction date in the state record: Jan 7, 2026

3270.135(a)(3) Disposable diapers

“Observed a soiled diaper being placed in a plastic bag instead of being discarded immediately by placing it into a plastic-lined, hands-free covered can in the Infant Room.”

Correction date in the state record: Dec 10, 2025

3270.151(b) Conducted by physician, PA or CRNP

“The health assessment for Staff #2 lacked documentation that it was conducted and signed by a physician, physician's assistant or CRNP including the individual's professional title.”

Correction date in the state record: Jan 5, 2026

3270.151(c)(3) Exam communicable disease

“The adult health assessment for Staff #2 did not include an examination for communicable diseases and the results of that examination. The health assessment for Staff #3 did not include an examination for communicable diseases and the results of that examination.”

Correction date in the state record: Jan 5, 2026

3270.151(c)(5) Physician/CRNP assessment

“The adult health assessment for Staff #2 did not include the physician's or CRNP's assessment of the person's suitability to provide child care. The adult health assessment for Staff #3 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.”

Correction date in the state record: Jan 5, 2026

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

“Staff #1 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The file of Staff #1 contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 1/15/25 with a previous one completed on 12/27/22.”

Correction date in the state record: Jan 6, 2026

3270.123(a)(1) Amount of fee

“The agreement for Child #5 did not specify the amount of the fee to be charged per day or per week.”

Correction date in the state record: Dec 10, 2024

3270.123(a)(2) Date fee to be paid

“The agreement for Children #1, #2, #4, and #5 did not specify the date on which the fee is to be paid.”

Correction date in the state record: Dec 10, 2024

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

“The files of Children #1, #2, #3, #4, and #5 contained the original agreement. The facility did not make a copy for the file and give the original to the parent.”

Correction date in the state record: Jan 10, 2025

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

“Emergency contact information for Child #5 did not include the telephone number of the child's physician or source of medical care.”

Correction date in the state record: Dec 10, 2024

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

“Emergency contact information for Child #4 did not include the work address of the enrolling parent.”

Correction date in the state record: Dec 10, 2024

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

“The files of Children #1 and #3 lacked written consent signed by a parent for emergency medical care prior to admission.”

Correction date in the state record: Jan 30, 2025

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

“Emergency contact information for Child #1 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.”

Correction date in the state record: Jan 30, 2025

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

“The file of Child #2 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained health reports dated 8/11/23, 3/7/24, and 8/26/24.”

Correction date in the state record: Jan 10, 2025

3270.131(d)(3)/3270.133(8) Current medication and reason/Special diet - parent's instructions

“The file of Child #3 contained a health report which did not include a list of the child's current medication and the reason for the medication and if a special diet is prescribed for a child.”

Correction date in the state record: Jan 30, 2025

3270.135(a)(3) Disposable diapers

“Observed staff placing soiled diapers in a lidded waste receptacle instead of a plastic-lined, hands-free covered can in the Toddler Room.”

Correction date in the state record: Dec 10, 2024

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

“The files of Staff #3, #6, #7, and #9 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (See LIS Code Sheet). The file of Staff #3 contained a health assessment dated 10/25/24. The file of Staff #6 contained a health assessment dated 8/10/23. The file of Staff #7 contained a health assessment dated 11/19/24. The file of Staff #9 did not contain a health assessment.”

Correction date in the state record: Jan 10, 2025

3270.151(c)(2) Mantoux TB

“The files of Staff #3, #6, #7, and #8 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (See LIS Code Sheet). The file of Staff #3 had a Mantoux test read date of 10/25/24. The file of Staff #6 had a Mantoux test read date of 8/23/21. The file of Staff #7 had a Mantoux test read date of 11/21/24. The file of Staff #8 had a Mantoux test read date of 11/4/24.”

Correction date in the state record: Jan 3, 2025

3270.181(c) Emergency info/agreement updated 6 mos

“The emergency contact for Child #4 was not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was signed on 8/22/23 and reviewed on 2/22/24.”

Correction date in the state record: Jan 10, 2025

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

“The files of Children #1 and #3 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.”

Correction date in the state record: Jan 10, 2025

3270.192(5) Two written references

“The file of Staff #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.”

Correction date in the state record: Jan 10, 2025

3270.33(a) Each staff person meets quals

“The file of Staff #3 lacked documentation of meeting one of the applicable staff qualifications for the position in which the person was performing.”

Correction date in the state record: Jan 20, 2025

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

“The files of Staff #2, #5 and #7, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children. The file of Staff #8, who was designated as an assistant group supervisor, lacked documentation of a high school diploma or a general educational development certificate.”

Correction date in the state record: Jan 20, 2025

3270.66(a) Locked or inaccessible

“Observed Bic Wite-Out which indicated "keep out of the reach of children" in the bin labeled "fine tip sharpies" by the refrigerator in the Preschool Room which was accessible to children.”

Correction date in the state record: Dec 23, 2024

3270.82(e) Toilet and sinks proper height

“The sinks in the Toddler Room and Infant Room lacked platforms or steps to be easily approached by children using them.”

Correction date in the state record: Dec 14, 2024

3270.102(a) Clean and good repair

“Observed a cracked Magna Tile in the Preschool Room.”

Correction date in the state record: Dec 10, 2024

3270.103 Small Toys and Objects

“Observed foam letters with bite marks in the Toddler Room. Observed small foam cubes with bite marks in the Preschool Room. Observed foam bases and foam pieces with numbers with bite marks in the Outdoor Play Space.”

Correction date in the state record: Dec 10, 2024

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

“At approximately 12:32 PM observed Staff #5 send a preschool child to the Toddler Room to use the bathroom and observed Staff #5 stand in the threshold of the door between the Preschool and Toddler Rooms to supervise the child in the bathroom and to supervise 9 preschool age children in the Preschool Room.”

Correction date in the state record: Dec 10, 2024

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

“Staff persons #2 and #3 were observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training, pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum, and health and safety training. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum and health and safety training.”

Correction date in the state record: Jan 20, 2025

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

“The file of Staff #7 lacked documentation of completing the Pennsylvania Health and Safety Update within 90 days of hire (See LIS Code Sheet).”

Correction date in the state record: Dec 26, 2024

3270.31(e) Age and Training

“The file of Staff #6 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.”

Correction date in the state record: Dec 23, 2024

3270.32(a) Comply with CPSL

“Staff person #6 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #6 has documentation of completing mandated reporter training on 8/17/21, but it is not an approved course.”

Correction date in the state record: Dec 23, 2024

3270.31(f) Health and Safety Training

“Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (See LIS Code Sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.”

Correction date in the state record: Dec 23, 2024

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

“Staff #1 and #4 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The file of Staff #1 contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 10/4/24 with a previous one completed on 8/6/22. The file of Staff #4 contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 10/3/24 with a previous one completed on 7/16/22.”

Correction date in the state record: Dec 10, 2024

3270.27(e) Letter to parents

“The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.”

Correction date in the state record: Jan 13, 2025

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

“The files of Staff #2, #3, #7, and #8 lacked a valid disclosure statement (See LIS Code Sheet). The disclosure statement on file for Staff #2, #3, #7, and #8 was not the one updated in 2020. The file of Staff #2 lacked a valid FBI Clearance. The file of Staff #2 contained an FBI Clearance dated 5/14/24 from the Department of Education. The file of Staff #3 lacked a valid Child Abuse Clearance prior to providing initial service in a child care setting (See LIS Code Sheet). The file of Staff #3 contained a Child Abuse Clearance for employment dated 11/4/24 and a Child Abuse Clearance for a volunteer dated 7/14/23. The files of Staff #6, #7, and #8 lacked a disclosure statement signed at the time of initial service in a child care setting (See LIS Code Sheet). The file of Staff #6 contained a disclosure statement dated 10/25/19. The file of Staff #7 contained a disclosure statement dated 9/24/24. The file of Staff #8 contained a disclosure statement dated 9/24/24. The file of Staff #6 lacked a Child Abuse Clearance and FBI Clearance updated every 60 months. The file of Staff #6 contained a Child Abuse Clearance dated 11/5/24 with a previous one dated 10/10/19. The file of Staff #6 contained an FBI Clearance dated 10/29/24 with a previous one dated 10/25/19. The file of Staff #8 did not contain a Child Abuse and Registry Check from the State(s) in which Staff #8 resided. The file of Staff #9 lacked a valid FBI Clearance. The file of Staff #9 contained an FBI Clearance dated 9/6/24 from the Department of Education.”

Correction date in the state record: Dec 13, 2024

3270.31(f)(10) Health and Safety Training - Pediatric First Aid and CPR

“The file of Staff #5 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (See LIS Code Sheet). The file of Staff #5 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 10/3/24.”

Correction date in the state record: Dec 26, 2024

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

“The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 12/1/23, 1/3/24, 2/2/24, 2/7/24, 3/7/24, 4/5/24, 5/3/24, 6/3/24, 7/3/24, 8/5/24, 9/4/24, 10/4/24, 11/1/24, and 11/29/24.”

Correction date in the state record: Jan 3, 2025

3270.34(a)(6) Staff evaluations

“The file of Staff #6 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (See LIS Code Sheet). The file of Staff #6 contained a written evaluation dated 12/23/22 but did not contain one for 2023 or 2024.”

Correction date in the state record: Dec 23, 2024

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

“At the time of reviewing documentation of testing the smoke detection system, the system was not tested every 30 days due to the fact the dates listed were 5-1-23 to 6-5-23 = 35 days and 7-5-23 to 8-7-23 = 33 days.”

Correction date in the state record: Jan 31, 2024

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

“At the time of reviewing documentation, the emergency plan lacked a continuity of operations.”

Correction date in the state record: Dec 15, 2023

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

“The file of staff #3 had documentation of receipt and the complete clearance for PA State Police after their date of hire (see LIS code sheet).”

Correction date in the state record: Jan 10, 2024

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

“The file of child #1 lacked an emergency contact form with the work address and telephone number of the enrolling parent.”

Correction date in the state record: Dec 8, 2023

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

“The file of child #1 lacked an emergency contact form with the full address of the individual designated by the parent to whom the child may be released.”

Correction date in the state record: Dec 8, 2023

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

“The files of staff #1 and #2 lacked health assessments. The file of staff #4 had a late health assessment due to the fact the ones on file were dated 1-15-20 an 10-11-22.”

Correction date in the state record: Jan 31, 2024

3270.27(a)(5) Emergency plan

“At the time of reviewing documentation, the emergency plan lacked addressing accommodations to children with chronic medical conditions.”

Correction date in the state record: Dec 15, 2023

3270.94(a)(1) Every 60 days

“At the time of reviewing documentation of fire drills, they were not conducted every 60 days on the following dates: 1-4-23 to 3-22-23 = 77 days, 3-22-23 to 6-7-23 = 77 days, and 6-7-23 to 9-1-23 = 86 days.”

Correction date in the state record: Jan 31, 2024

3270.27(a)(6) Emergency plan

“At the time of reviewing documentation, the emergency plan lacked documentation of conducting a drill.”

Correction date in the state record: Jan 10, 2024

3270.192(5) Two written references

“The file of staff #14, a facility person lacked two written, nonfamily references.”

Correction date in the state record: Jan 27, 2023

3270.94(a)(1) Every 60 days

“Based on documentation on the fire drill log, fire drills were not conducted every 60 days due to the fact 9-1-22 to 11-1-22 is 61 days and 11-1-22 to 1-4-23 is 64 days.”

Correction date in the state record: Jan 27, 2023

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

“The certificate of compliance and information on how to access the regulations in this chapter electronically, with instructions for contacting the appropriate regional child care office were not posted in a conspicuous location used by parents.”

Correction date in the state record: Feb 6, 2023

3270.31(e) Age and Training

“The files of staff #10 and #12 lacked documentation of completing an annual minimum of 12 clock hours of child care training.”

Correction date in the state record: Mar 1, 2023

3270.27(c) Training regarding plan

“The file of staff #14, a facility person lacked documentation of completing emergency plan training at the time of hire.”

Correction date in the state record: Jan 30, 2023

3270.27(d) Plan posted

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

Correction date in the state record: Feb 6, 2023

3270.31(f) Health and Safety Training

“Staff person #3 has not completed the following required pre-service training within 90 days of their start date (see LIS code sheet): Pediatric First Aid and CPR.”

Correction date in the state record: Feb 11, 2023

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

“The file of staff #13 lacked documentation of a valid PA State Police clearance due to the fact the document on file was for a volunteer.”

Correction date in the state record: Jan 26, 2023

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

“Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #14 have not completed the following required pre-service training within 90 days of their start dates (see LIS code sheet): Pennsylvania Health and Safety Update 2022.”

Correction date in the state record: Feb 11, 2023

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

“The files of staff #9 and #11, both an AGS lacked documentation to support the positions due to the fact there was not proof of education.”

Correction date in the state record: Feb 4, 2023

3270.131(e)(1) Exemption documentation from parent/guardian

“The files of children #1 and #2 lacked the flu immunization.”

Correction date in the state record: Feb 3, 2023

3270.31(e) Age and Training

“The file of staff #1 lacked documentation of completing the annual requirement for 12 clock hours of child care training in 2021.”

Correction date in the state record: Oct 17, 2022

3270.133(7)(i) Name of medication

“Observed an Epi Pen not labeled for the use of a specific child in the first aid kit in the preschool room.”

Correction date in the state record: Oct 17, 2022

3270.124(e) Written emergency plan posted

“At the time of the inspection, emergency transportation plans were not posted in each child care space.”

Correction date in the state record: Oct 17, 2022

3270.123(a)(6) Admission date

“The file for child #1 lacked an agreement with an enrollment date.”

Correction date in the state record: Oct 20, 2022

3270.105 High Chairs

“Observed in the infant room a Graco brand and Fisher Price brand high chair lacking shoulder straps in the plastic mold cutouts. Therefore, the chairs were not used according to the manufacturer's guidelines.”

Correction date in the state record: Oct 17, 2022

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

“Observed a trash can in the preschool room with dirty tissues. The trash can lacked a lid.”

Correction date in the state record: Oct 19, 2022

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

“At the time of the inspection, there was not a policy for shaken baby syndrome, abusive head trauma, and child maltreatment.”

Correction date in the state record: Oct 17, 2022