Steps to Success INC

The health reports on file for child #1 (young toddler) were dated in August of 2024 and subsequently more than 6 months later in August of 2025.

A container of Tylenol located in the Owls room was not labeled with the name of the child.(CORRECTED ON SITE)

Staff persons #1's updated health assessment was not obtained timely during the past year. The health assessments on file were dated in March of 2023 and subsequently more than 24 months later in April of 2025. Staff persons #5's updated health assessment was not obtained timely during the past year. The health assessments on file were dated in November of 2022 and subsequently more than 24 months later in July of 2025. The staff person transferred to this location in June of 2025.

Staff person #9 completed fire safety training in February of 2024 and subsequently more than 12 months later in March of 2025. Staff person #11 completed fire safety training in March of 2024 and subsequently more than 12 months later in September of 2025. Staff person #12 completed fire safety training in July of 2024 and subsequently more than 12 months later in September of 2025.

Staff person #3 completed the health and safety training (part 2) 107 days after the date of hire. Staff person #7 completed the health and safety training (part 2) 97 days after the date of hire.

The agreement on file for child #3 did not specify the amount of the fee to be charged per day or per week.

The emergency contact forms and agreements on file for children #2 and #3 were not updated timely during the previous year. The forms were signed/dated in September of 2024 and then updated more than 6 months later in April/May of 2025.

The NSOR on file for staff person #1 expired on 4/8/2025 (dated 4/8/2020) and an updated clearance was not obtained until 6/3/2025. The staff person worked with an expired clearance on file. Staff person #4 had an incomplete state police clearance on file. The form did not include the dissemination date. (CORRECTED ON SITE)

Mulch was observed in an area accessible to the toddlers that were doing water play.

Pandas - A medication (albuterol via nebulizer) was on site for child #1. Staff reported administering the medication, but did not record the administration of the medication on the medication log which was in the child's file in the office.

The health assessments on file for staff persons #2 and #3 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

The records for staff persons #5 and #6 each included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.32(a) on SIN-00255953 had not been fully implemented. On 12/20/24, facility person 2 has been employed for more than 45 days. The record still did not include a completed NSOR.

Koalas- The first aid kit was in an unlocked backpack that was hanging on a low hook within reach of the children. (CORRECTED ON SITE)

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.76 on SIN-00255953 had not been fully implemented. On 12/20/24, the fan was again observed in an area accessible to the children in the Koala room. The barrier of the fan was wide enough for children to put their fingers through to where the blades spin. (CORRECTED ON SITE)

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.77a on SIN-00255953 had not been fully implemented. On 12/20/24, areas of peeling paint were again observed on the walls in the Panda room and in the Ocean Friends room.

The filing cabinet containing child and staff files were unlocked at the time of inspection.

The disclosure statement on file for staff person 1 was undated. (CORRECTED ON SITE) Facility person 2 has been employed for more than 45 days. The record did not include a completed NSOR.

An uncovered outlet was observed in the Ocean Friends room. The outlet was within reach of the toddlers that use the space. (CORRECTED ON SITE)

A magic eraser was observed on the counter in the Ocean Friends room during two separate visits to the room. (CORRECTED ON SITE)

Pandas - The first aid kit was in an unlocked backpack that was sitting on the floor within reach of the children. (CORRECTED ON SITE)

A fan was observed in an area accessible to the children in the Koala room. The barrier of the fan was wide enough for children to put their fingers through to where the blades spin.

Areas of peeling paint were observed on the walls in the Panda room and in the Ocean Friends room.

Straw (hay) was observed in the sensory table in a toddler room. Pieces were less than an inch in diameter.

The updated health report was not obtained timely for child 8 (preschooler). The health reports were dated May of 2023 and more than 12 months later in July of 2024.

The immunization records on file for children 5, 6, and 8 were not in accordance with the schedule recommended by the ACIP. Child 5 - Documentation of 6 month immunizations past due Child 6 - Documentation of 2nd dose of Hepatitis A past due Child 8 - Documentation of 4th dose of DTAP past due

Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

The fire detection system was manually tested on 9/27/24, and subsequently more than 30 days later on 10/31/24.

The initial health report on file for child 5 was dated 72 days following the first day of attendance at the facility.

The agreements on file for children 6 and 7 did not shall specify the child's arrival and departure times.

Koalas - The emergency contact forms located in the go-bag did not include forms for 4 of the children present with the group (children 1-4)

The facility did not have files for staff persons 25 and 26 that contained completed child abuse, criminal history, DHS FBI clearance, and NSOR certificate information required under the CPSL and did not contain a copy of a request for the NSOR certificate, the criminal history clearance, nor documentation the facility person had been fingerprinted for the FBI clearance required for provisional hiring under the CPSL. (CORRECTED ON SITE) Records for staff persons 25 and 26 did not include a signed disclosure that was completed with facility staff prior to working at the facility. (CORRECTED) At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.32(a) on SIN-00243527 was not being implemented. The director had not submitted all new staff members files to certification for approval prior to the staff caring for children as specified in the directed plan of correction. Staff #25, 26, and 27 had cared for children at the facility without the files being reviewed and approved.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.27(c) on SIN-00243527 had not been fully implemented. On 7/25/24, the facility was unable to provide documentation that staff person 10 had been trained on the emergency plan. The staff person has been employed for more than 90 days.

At least two torn nap mats with foam exposed were observed in the Ocean Friends room.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.106(a) on SIN-00243527 had not been fully implemented. On 7/25/24, the rest equipment located in the Ocean Friends room was not labeled for the use of a specific child.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.166(4) on SIN-00243527 had not been fully implemented. On 7/25/24, at least 3 bottles in the infant room were not labeled with the child's name.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.31(e)(4)(ii) on SIN-00243527 had not been fully implemented. On 7/25/24, the record for staff person 4 did not include documentation of fire safety training during the previous year.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.123(a)(3) on SIN-00243527 had not been fully implemented. On 7/25/24, the facility did not have documentation that they were providing the families of children 1,5, 6, 8 information about the child's growth and development in the context of the services being provided (via Child Service Reports or any other approved form) at least once every six months.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.124(b)(7) on SIN-00243527 had not been fully implemented. On 7/25/24, the emergency contact information on file for child 5 did not include an address for a listed release person.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.124(c) on SIN-00243527 had not been fully implemented. On 7/25/24, the emergency contact binder did not include all of the emergency contact forms for the children that were present with the group.

The emergency contact forms present in the infant room (Owls) for children 9-12 were past due to be updated. The most recent parent signatures were more than 6 months old.

At the time of inspection, the facility did not have individual records for staff persons 25 and 26. The individuals were serving as staff substitutes from another company. (CORRECTED ON SITE)

Staff person 26 is serving as an AGS at the facility. The staff record did not include documentation of education (HS diploma). At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.192(2)(ii) on SIN-00243527 had not been fully implemented. On 7/25/24, the following staff records did not include the required documentation of experience: The record for staff person 1 did not include sufficient documentation to justify the role she is serving in (AGS). The record included documentation of education, but did not include documentation of 2,500 hours of child care experience. Staff persons 3 and 7 were previously aides at the facility. During the previous year, they were moved to assistant group supervisor positions. Their records did not include documentation of child care experience needed to justify the role they are serving in. The record for staff person 9 did not include sufficient documentation to justify the role she is serving in (AGS). The record included documentation of education (15 college credits in listed fields), but did not include documentation of 1,250 hours of childcare experience. 654…

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.192(5) on SIN-00243527 had not been fully implemented. On 7/25/24, the record for staff person 13 included only 1 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for staff person 16 did not include 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

According to documentation on file at the time of inspection, when staff person #5 began work in the facility, the staff record did not contain a completed DHS FBI Clearance as required under the CPSL, nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance the day after she started working with children. The clearance is now on file. According to documentation on file at the time of inspection, when staff person #8 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL, nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The child abuse clearance was dated 10 days after start date, and the staff person was fingerprinted for the DHS FBI clearance 6 days after start date. Staff person 9 worked beyond a 45 day provisional hire period with incomplete clearances on file. The NSOR was dated 148 days after start date. According to documentation on file at the time of inspection, when staff person #11 began work in the facility, the staff…

According to documentation on file at the time of inspection, when staff person #5 began work in the facility, the staff record did not contain a completed DHS FBI Clearance as required under the CPSL, nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance the day after she started working with children. The clearance is now on file. According to documentation on file at the time of inspection, when staff person #8 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL, nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The child abuse clearance was dated 10 days after start date, and the staff person was fingerprinted for the DHS FBI clearance 6 days after start date. Staff person 9 worked beyond a 45 day provisional hire period with incomplete clearances on file. The NSOR was dated 148 days after start date. According to documentation on file at the time of inspection, when staff person #11 began work in the facility, the staff…

An infant was observed sleeping in a swing from 10:06am until 10:15am when the staff person picked the child up to change their diaper.

A child was dropped off into the Foxes room (young toddlers), putting them out of ratio for approximately 1 minute. A single staff person was present with 6 children.

Staff person throughout the facility were observed repeatedly checking and paying attention to their mobile devices (watches and cell phones) while they were supposed to be watching the children.

According to documentation on file at the time of inspection, staff person 7 was trained on the emergency plan in September of 2022, and then more than 12 months later in February of 2024. The facility was unable to provide documentation that staff persons 9 and 13 had been trained on the emergency plan at initial employment (within 90 days). The facility was unable to provide documentation that staff person 10 and 24 have been trained on the emergency plan. The staff persons have been employed for more than 90 days. According to documentation on file at the time of inspection, staff person 22 was last trained on the emergency plan in April of 2023.

An accessible / unlocked drawer in the Penguin room (young toddlers) contained sunscreen, plastic gloves, plastic bags, mini hair ties, and batteries.

Penguin room - Sanitizer and disinfectant were observed on the counter in an area accessible to the children in care.

The first aid kit located in the Koalas room was missing tape.

Infant room - Sharp adult scissors were left out on a high chair tray in an area accessible to mobile infants. (CORRECTED ON SITE)

The Bunnies room was not lit by artificial or natural light at naptime. (CORRECTED ON SITE)

Toy bins in the Bunnies room were dirty. The stuffed animal toy bins in the Owl room were dirty Standing water was observed on the cover of the sand pit on the preschool playground.

The rest equipment located in the Ocean Friends room was not labeled for the use of a specific child.

The immunizations records on file for child 8 were not in accordance with the schedule recommended by the ACIP. The child has been enrolled for over a year, and the record did not include documentation of the child receiving the Hepatitis A vaccine, nor an appropriate exemption note. The information from the doctor's office stated that the parent refused the vaccine for the child. The child was still enrolled/attending the program at the time of inspection.

The initial health assessment on file for staff person 5 was not dated within the 12 months prior to initial service in the child care setting. The health assessment was dated 3 days after start date. The initial health assessment on file for staff person 11 was not dated within the 12 months prior to initial service in the child care setting. The health assessment was dated 131 days after start date. The initial health assessment on file for staff person 15 was not dated within the 12 months prior to initial service in the child care setting. The health assessment (with TB test results) was dated 14 months prior to initial service and was no longer valid at start date. Staff person 23's health assessment is past due to be updated. The previous health assessment was dated in 4/22 and is no longer valid.

The adult health assessment on file for staff person 9 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

A staff person in the infant room did not wash her hands before making a bottle, and then used her finger on top of the nipple to block the milk when shaking the bottle. A staff person in the infant room did not wash her hands after the conclusion of a diaper change. The staff person washed her hands in the middle of the diaper changing process, and then proceeded to touch items used during the diaper change (soiled/leaky diaper and paper barrier used during the change) to discard them. Hands were not washed after touching the soiled items.

Multiple bottles were not labeled in the infant room.

The facility's proof and date of purchase of the interconnected fire detection device or system was not located with the facility's fire drill logs.

On 5/17/24, milk labeled "sell by 4/27" was observed in a refrigerator in the Ocean Friends room.

The records for staff person 4, and 20 did not include documentation of fire safety training during the previous year. Staff person 7 completed fire safety trainings in March of 2023, and then more than 12 months later in April of 2024. Staff person 22 completed fire safety trainings in September of 2022, and then more than 12 months later in March of 2024. Staff person 24 completed fire safety trainings in December of 2022, and then more than 12 months later in February of 2024.

Staff person #13 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those…

The records for staff persons 2, 4, 6, 17, 18 20, 21, and 22 did not include a staff evaluation from the previous 12 months.

A written plan of daily activities was not posted in the Ocean Friends room.

The facility did not have documentation that they were providing the families of children 1, 3-8 information about the child's growth and development in the context of the services being provided (via Child Service Reports or any other approved form) at least once every six months.

The emergency contact information on file for child 2 did not include the birth date of the child. (CORRECTED ON SITE)

The emergency contact information on file for child 6 did not include the address for the child's physician or source of medical care. (CORRECTED ON SITE)

The emergency contact information on file for child 2 did not include the work telephone number of the enrolling parent. (CORRECTED ON SITE)

The emergency contact information on file for children 2 and 5 did not include addresses for listed release persons.

The emergency contact forms located in the Owls room were missing forms for 5 of the children that receive care in the space. Ocean Friends - The emergency contact binder taken to the playground did not include all of the emergency contact forms for the children that were present with the group.

Updates of emergency contact information and financial agreements were not completed timely during the previous year. Child 1 - Emergency contact information updated 4/2023 and subsequently more than 6 months later in 1/2024. Child 3 - Financial agreement completed in November of 2022 and subsequently more than 6 months later in 10/23. Child 4 - Emergency contact information updated 8/2023 and subsequently more than 6 months later in 4/2024. The financial agreement was last signed more than 6 months ago in October of 2023. Child 8 - The emergency contact information was updated in April of 2023, and then more than 6 months later in April of 2024. The financial agreement was last signed more than 6 months ago in October of 2023.

Originals of incident reports were on file at the facility.

The record for staff person 1 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of child care experience. Staff persons 3 and 7 were previously aides at the facility. During the previous year, they were moved to assistant group supervisor positions. Their records did not include documentation of child care experience needed to justify the role they are serving in. The record for staff person 9 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education (15 college credits in listed fields), but does not include documentation of 1,250 hours of childcare experience. (Includes 654 hours of child care experience) The record for staff person 10 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of childcare experience (2,197 hours on file). The record for staff person 11 does not include sufficient documentation to justify the role she is serving in…

The record for staff person 13 included just 1 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The records for staff persons 15 and 16 did not include 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The regulatory non-compliance cited on this inspection summary, on the renewal inspection from 4/17/24 (SIN-00243527), the complaint inspection summary from 4/18/24 (SIN-00242870), the incident investigation from 4/12/24 (SIN-00242443), unannounced monitoring from 4/12/24 (SIN-00242797), the unannounced monitoring from 4/5/24 (SIN-00242522), and the incident investigation from 4/5/24 (SIN-00242260) demonstrate that the facility director is not fulfilling responsibilities and minimum duties (re: personnel) as required per regulation.

Staff person 1 used her foot to push child 1 across the floor (approximately 2 feet).

On the morning of 4/12/24, 2 staff persons were responsible for caring for 13 mixed aged toddlers.

Staff present with the toddlers in the gym were unable to identify which staff person was responsible for which specific children.

On 4/8/24, staff person 1 dropped child 1 (an older toddler) from a standing position and the child hit their face/head off the table. The facility staff messaged the parent in their parent communication app, but failed to make contact with the parent. The facility staff did not make any other efforts to reach the parent (ex. via a phone call) to explain what had happened, nor to express that the child may need emergency medical care.

An original incident report was on file for child 1.

Child records were observed to be stored on the director's desk. (CORRECTED ON SITE)

A PVC pipe toy storage shelf fell over onto child 1 and child 2 when the toddlers climbed onto the shelf, injuring child 1.

Staff persons #1 and #2 were caring for children unsupervised. Staff persons #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at…

Facility self-reported: On the afternoon of 10/17/23, staff person 1 and staff person 2 left two preschoolers behind on the playground. The staff persons present on the toddler side of the playground discovered the children were left behind approximately 1 to 4 minutes after staff persons 1 and 2 left the playground.

The facility self-reported the following incident: Staff person 1 was observed inappropriately moving a preschooler by the arms.

An infant was observed in a pack and play that did not have at least 2 feet of space around 3 sides of the rest equipment. The pack and play was surrounded on all four sides.

Staff person 1 transitioned a group of 3 preschoolers back to their room. The staff person entered the room with 2 of the children she was responsible for, put the backpack down, and then walked back out to the hallway to call for the 3rd child who was still in the hallway. Staff person 4 was in the hallway at the time and observed the incident. At the time of the complaint investigation, 9 children were present in the Jungle Friends room with staff 2 and 3. Only 8 of the 9 children were accounted for in primary care groups.

A complete PA State police clearance was not on file within 45 days of hire for staff person 6. (CORRECTED ON SITE)

Annual emergency plan training was not documented for staff persons 2 and 3. (CORRECTED ON SITE)

A prescription nasal spray was on site for child 1. The spray was not in the original container (with prescription label), nor did the facility have written instructions from the individual who prescribed the medication.

The following staff health assessment updates were not obtained timely (within 24 months) during the previous year. Staff 1 - 7/20/20 and subsequently 4/27/23 Staff 3 - 3/10/21 and subsequently 4/26/23 Staff 4 - 8/20/20 and subsequently 4/28/23 Staff 5 - 7/15/20 and subsequently 4/27/23

A child's lunch that included perishable food (hot dogs/rice) was not being refrigerated. (CORRECTED ON SITE)

The most recent letter notifying local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was sent more than 12 months ago (4/2022).

The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of emergency was not displayed conspicuously in the infant room. (CORRECTED ON SITE)

Staff person 4 has been employed for more than 45 days and the staff record did not include the required NSOR certificate.

The file for staff person 3 did not include a staff health assessment.

More than 30 days lapsed between the following manual tests of the fire detection system. 5/18/22 and subsequently 6/28/22 8/9/22 and subsequently 9/20/22

The record for staff person 1 (aide) did not include documentation of education. The record for staff person 2 (aide) did not include documentation of education, nor documentation of childcare experience.

Staff person 1 had just one written nonfamily reference on file.

Staff persons 3, 4, 5, and 6 began working in child care positions with incomplete CPSL / clearance paperwork on file. Staff person 3 - State police clearance was dated 1 day after start date (no proof of submission on file). The NSOR was dated 241 days after start date. The staff person continued to work beyond 45 days without compete clearances on file. Staff person 4 - The disclosure on file was dated 8 days after start date. The State police clearance was dated 28 days after start date. The child abuse clearance was dated 29 days after start date. The staff person's record did not include documentation that the clearances were requested prior to start date. Staff 5- Volunteer child abuse and state police clearances were on file at the time of hire. The staff person was observed working alone with children. (Corrected on site) Staff 6 - The NSOR on file was dated 252 days after start date. The staff person continued to work beyond 45 days without compete clearances on file.

The carpets in the Looney Tunes, Jungle Friends, and Dinosaur rooms were visibly soiled / stained.

The updated health assessment for staff person 1 was not obtained timely. The health assessments on file were dated 8/26/2019 and subsequently 4/9/22. The initial health assessments on file for staff persons 2, 3, and 4 were not dated within the 12 months prior to initial service. The health assessments were obtained after they began working with children.

Staff person 5 was serving as an assistant group supervisor (AGS) at the facility at the time of inspection. The staff person's record did not include sufficient documentation of education and experience to qualify as an AGS.

The agreement on file for child 3 did not specify the services to be provided to the family and the child.

The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the Dinosaurs room.

More than 6 months lapsed between parent updates of financial agreements and emergency contact information on file for children 1-3.

The facility self reported the following incident: Child 1, an older toddler, was left alone on the playground after staff persons 1 and 2 transitioned back into the building. The child was unsupervised for a period of approximately 5 minutes before the child was found by staff person 3.

Fourteen children were present in a room measured for nine on recent Wednesday morning from approximately 8:45-9:15/9:30.

Staff person 1 recorded a preschool aged child while the child was kicking chairs and appeared to be frustrated. On the 27 second video, the staff person was heard saying, "I'm going to show your mommy and daddy how you're acting."

The facility self-reported the following incident: At approximately 10:00am on Monday, 9/27/2021, staff person 1 was present with a group of children on the playground. While outside, child 1 (2 year old) was able to get a container of Lysol out of the side pocket of the staff person's backpack. By the time the staff person noticed that that the child had the container, the child smelled of Lysol.