10 HOUR CARE DAYCARE CENTER DOWNTOWN LLC

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A container of Windex was observed on a shelf within reach of children receiving care in the space.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: According to the log on file at the time of inspection, the fire detection system was more recently tested 1/13/26 (31 days prior). (CORRECTED ON SITE)

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A board game shelf in the school age space was broken.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreements on file for children #2, #3, and #5 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: Originals of agreements were on file for children #1, #4, and #5.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information on file for child #1 did not include the enrolling parent's work address.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information on file for child #5 did not include the child's health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information on file for child #2 did not include an address and telephone number for a listed release person.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: Child #2 (infant) has been enrolled for more than 60 days. The child's record did not include an initial health report. The record for child #2 also did not include written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) showing that the child was administered immunizations in accordance with the recommendations of the ACIP.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The health assessments on file for (preschool aged) children #1 and #4 were past due to be updated. The most recent health report on file for child #1 was dated in July of 2024. The most recent health report on file for child #4 was dated in September of 2024.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The most recent immunization record on file for child #1 was not in accordance with the schedule recommended by the ACIP. The record did not include documentation that the child has received the 4th age appropriate Dtap dose. The facility did not implement dismissal policies.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The most recent health assessment on file for staff person #1 was more than 24 months old (dated 10/2023).

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.21/3270.102(a)

Description: General Health and Safety/Clean and good repair

Noncompliance Area: The facility transports children to school in a 10-passenger van. The vehicle sustained front driver's side damage as a result of an accident. Visible damage was observed to the headlight and the fender. The damage prevents the driver's side door from opening fully. Additionally, the vehicle is past due for inspection (due 9/25).

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The pediatric first aid and CPR training on file for staff person #7 expired in April of 2025, but was not updated until May of 2025.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The fire safety trainings on file for staff person #7 were dated in April of 2024, and subsequently more than 12 months later in July of 2025.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Written evaluations for the following staff were due in December, but were not completed until 1/13/26: Staff person #1, #2, #3, #4, #5, #6, and #7

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for facility person #1 included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.193(a)

Description: Confidential; stored in locked cabinet

Noncompliance Area: The filing cabinet that stored facility person records was unlocked. (CORRECTED ON SITE)

Correction Required: Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: According to documentation on file at the time of inspection, when facility person #1 began working with children at the facility the staff record did not contain a completed NSOR certificate, and the PA state police clearance as required under the CPSL. The record did not contain a copy of the request for the criminal history clearance as required for provisional hiring under the CPSL. The individual was observed working with children at the time of inspection. The criminal history clearance has since been provided.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(iii)

Description: Each staff person meets quals/Exp, educ., training at facility

Noncompliance Area: The record for staff person #1 included documentation of education from another country. From the documentation on file, certification staff are unable to determine the level of education the staff person has attained and therefore the staff person's qualification level.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. An educational equivalency will need to be completed.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A ceiling tile in the kitchen had signs of water damage (water stained and sagging).

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: An area of peeling paint was observed on the wall on the gross motor room.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Two pack-and-plays were stacked and in front of the rear door of the building, obstructing access to the exit. (CORRECTED ON SITE)

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: According to the log on file at the time of inspection, the most recent fire drill took place more than 60 days ago. The last drill logged was dated 6/2/25.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: According to the on file at the time of inspection, more than 30 days have lapsed since the last manual test of the fire detection system. The last time a system test was logged was on 6/27/25. A smoke detector located in the child care space was chirping.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: An infant bassinet was not labeled for the use of a specific child. (CORRECTED ON SITE)

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: Original agreements were on file for children 1-5. (CORRECTED ON SITE)

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health report on file for child 3 was dated 161 days after the first day of attendance at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The most recent health assessments on file for staff person #1 were dated 2/25/22 and subsequently more than 24 months later on 1/9/25. Staff person returned to work without a valid health assessment on file. The updated health assessment on file was dated 44 days after the return date.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The fire safety trainings on file for staff person #7 were dated in November of 2023, and subsequently more than 12 months later in January of 2025.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1's previous child abuse clearance expired on 4/4/24 and an updated clearance was not on file at the time of inspection. (CORRECTED ON SITE) Staff person #3's previous mandated reporter training expired on 1/15/25 and an updated training was not on file at the time of inspection. (CORRECTED ON SITE) Upon beginning work in the facility, staff person #4's record did not contain applicable out of state clearances as required under the CPSL, and did not contain a copy of request for the out of state clearances as required for provisional hiring under the CPSL. Staff person #5's previous mandated reporter training expired on 1/31/24 and an updated training was not on file at the time of inspection. (CORRECTED ON SITE) Clearances for staff person #6 expired during the previous year and were not updated timely. The PA state police expired 6/19/24, but was not updated until 6/29/24. The Child Abuse clearance expired 6/19/24, but was not updated until 7/8/24. The NSOR on file for staff person #8 expired 1/16/25, and an updated clearance was not on file. (CORRECTED ON SITE)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person #4 may not work in a child care position at the facility until complete clearances are on file.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff evaluations on file for staff person #5 were dated 2/6/23 and subsequently more than 12 months later in December of 2024.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit located in the backpack did not contain scissors. (CORRECTED ON SITE)

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were conducted on 12/13/23, and subsequently more than 60 days later on 2/22/24.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: Manual tests of the fire detection system were conducted on 12/20/24, and more than 30 days later on 1/23/25.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs. Operability shall also be demonstrated during the department's annual inspection.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Toddlers were observed on multiple occasions running away from the staff (away from their designated child care space and/or during transitions). The toddlers were running to a space where they were unable to be supervised by staff. Staff responsible for the supervision of the group were not quick to retrieve the children that left the group, nor were they making adjustments to ensure supervision was maintained.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information on file for child 1 did not include a complete address for a listed release person.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: The toddler group was then observed playing, and then went to the table to eat lunch. Hands were not washed before the mealtime.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The health assessment update on file for staff person 1 was not obtained timely. The health assessments were dated in May of 2021, and subsequently more than 24 months later in January of 2024. The most recent health assessment on file for staff person 5 was dated in July of 2021, and is past due to be updated. The health assessment update on file for staff person 6 was not obtained timely. The health assessments were dated in October of 2021, and subsequently more than 24 months later in January of 2024.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The most recent health assessment on file for staff person 6 did not include an examination for communicable diseases and the results of that examination. The health assessment also did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact form and financial agreement on file for child 1 were not updated timely. Parent signatures were dated 8/2022 and subsequently 8/2023.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The pediatric first aid and CPR trainings on file for staff persons 1, 2, and 3 expired at the end of July 2023, and were not updated until January of 2024.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: More than a year lapsed between fire safety trainings for the following staff persons: Staff person 2: The trainings on file were dated 7/2022 and subsequently 1/2024 Staff person 3: The trainings on file were dated 8/2022 and subsequently 1/2024 Staff person 4: The trainings on file were dated 7/2022 and subsequently 1/2024 Staff person 8: The trainings on file were dated 8/2022 and subsequently 1/2024.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Updated clearances were not obtained timely for staff person 3. The staff person's state police clearance expired on 9/24/23, but was not updated until 12/28/23. The staff person's child abuse clearance expired on 9/30/23, but was not updated until 12/29/23. The staff person's FBI clearance expired on 10/5/18, but was not updated until 12/29/23. Staff person 4 began working in a child care position with incomplete provisional hire paperwork on file. The staff person's NSOR request was sent 22 days after start date. The clearance has since been obtained.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: More than 30 days lapsed between manual tests for the fire detection system on 12/5/23 and subsequently 1/22/24.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: When preschool/toddler staff were asked to identify which specific children they were responsible for upon returning from a walk, only 10 of the 11 children were accounted for in the care groups.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Upon arrival to the facility, certification staff observed a toddler sitting in a stroller in the childcare space. The child was strapped into the seat, which restricted the child's movement. The child was removed from the stroller about 10 minutes later.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.124(d)

Description: Excursions

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.124d on SIN-00217208 had not been fully implemented. On 4/4/23, the emergency contact information that was brought on a walking excursion did not include emergency contact forms for two of the children that were brought on the walk.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The diaper changing pad located in the bathroom was torn and the inner foam was exposed.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the refrigerator was reading at 50° F.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement on file for child 4 did not specify the amount of the fee to be charged per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Children 1, 2, 3, and 5 have been enrolled in the program for more than 6 months. Their files do not include completed Child Service Reports (or approved alternatives).

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for child 4 did not specify the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information on file for child 1 did not include the telephone number of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information on file for child 4 did not include the enrolling parent's home address.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information on file for child 4 did not include an address for a listed release person.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(d)

Description: Excursions

Noncompliance Area: Emergency contact information did not accompany the group on their walk away from the facility. A condensed report (that did not meet the requirements of being "emergency contact information") was in the backpack that is brought with staff when they go on walks away from the facility.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health report on file for child 2 was not obtained timely (dated 97 days after first day of attendance).

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The most recent health assessment on file for child 1(young toddler) was more than 6 months old.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.131(e)(1)/3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian/Exemption documentation from parent/guardian

Noncompliance Area: The immunization records on file for children 1, and 2 were not in accordance with the schedule recommended by the ACIP. The records also did not include parental exemption notes. Child 1 - Did not include documentation of 12-18 month immunizations (Pneumococcal, Influenza, MMR, Varicella) Child 2- Did not include documentation of an annual influenza vaccine.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The diapering trashcan located in the bathroom was not "hands free".

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The records for staff persons 1, 2, 5, and 8 did not include the Pennsylvania Health and Safety update training which was to be completed by 12/30/2022. The health and safety update training on file for staff persons 6 and 9 were completed after the deadline of 12/30/22.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: The following food items stored in the refrigerator were either spoiled (moldy), or were past the expirartion / "use by" date. -Bread, use by 8/27/22 -Opened jar of Prego was moldy -Garlic jar, expired 11/21/22 -Eggs, use by 12/24/22 -Hog dogs, use by 12/23/22 -Carrots, use by 12/5/22, 12/13/22, 10/2/22 and 10/30/22 -Cheese, use by 12/11/22 -Cream cheese, moldy -Rotting and/or moldy onion and potatoes

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.183(a)/3270.193(a)

Description: Locked cabinet/Confidential; stored in locked cabinet

Noncompliance Area: The staff and child files were observed laying on a table in the childcare facility.

Correction Required: Child records are confidential and shall be stored in a locked cabinet. Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for staff person 4 included just 1 written, nonfamily reference attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.21/3270.32(a)

Description: General Health and Safety/Comply with CPSL

Noncompliance Area: Staff person#2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/13/17. Staff person 9 did not complete the updated mandated reporter training within 60 months. The mandated reporter training expired on 7/9/22 and an update was not completed until 1/11/23.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of inspection, there was no documentation on file that the following staff persons have been trained on the emergency plan (either within 90 days of initial hire or annually). Staff 4, 5, 7, and 8

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: At the time of inspection, the operator had not yet submitted the emergency plan to the local municipality.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The records for staff persons 2, 6, 8, and 9 did not contain documentation of annual fire safety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.31(e)/3270.192(2)(ii)

Description: Age and Training/Exp, educ., training prior to facility

Noncompliance Area: The records for staff persons 1, 2, 5, 6, and 8 did not contain documentation of 12 clock hours of childcare training. The staff persons listed have all been employed for more than a year. 8 hours were on file for staff 5 and 2 for staff 6

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The record for staff person 3 did not include documentation of completing the 10 hour health and safety training. The 6 hour training was on file (1/28/19), but it was dated after the switch to the 10 hour training (7/1/2018). Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric first aid and CPR (has been employed for more than a year).

Correction Required: Staff persons 3 and 8 shall complete professional development in the topics of 3270.31(f)(1 -- 10). Staff person #3 and 8 will have until February 3rd, 2023 to complete the required training. Until such time as the required training has been completed, staff persons #3 and #8 must be supervised, when interacting with children, by a AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #3 and 8, staff person 3 and 8 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The following clearances on file for staff person 2 were more than 5 years old, and updated clearances were not on file. State police clearance 4/26/17, Child Abuse clearance 5/1/17, and FBI clearance 5/8/17. The record for staff person 5 did not include a signed disclosure statement. Staff person 7 began employment at the facility without a completed NSOR on file, nor documentation that the NSOR had been requested. The NSOR on file for staff person 7 was obtained 110 days after start date. The FBI clearance on file for staff person 9 expired on 6/27/22 and was not updated until 1/13/23.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person # 2 may not work in a child care position at the facility until complete clearances are on file.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The records for staff persons 2, 3, 5, 6, and 8 did not include staff evaluations that were less than 12 months old. All staff listed have been employed for more than 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.37(b)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: Staff person 7 is serving as an aide at the facility and has documentation of at least an 8th grade education on file. The record does not include documentation of 2,500 hours of child care experience.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.62(b)(2)

Description: Toddler - 50 sq ft/child

Noncompliance Area: 7 toddlers were observed in the indoor play space which measures for 5 toddlers.

Correction Required: The minimum outdoor or indoor play space required per young or older toddler is 50 square feet.

Regulation: 3270.66(a)/3270.76

Description: Locked or inaccessible/Building Surfaces

Noncompliance Area: The gate to the kitchen area was not installed properly and would not close, allowing access to the kitchen area which contained cleaning materials. A hand sanitizer dispenser was observed on the wall in an area accessible to children. The dispenser contained hand-sanitizer.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The handle of the sink (near front door) popped off when lifted.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The trash cans in the toilet areas were not lidded.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The facility did not have an operable smoke detector in the basement of the facility. According to the log on file at the time of inspection, more than 30 days lapsed between the following manual tests of the fire detection system: 5/2/22-7/3/22, 8/2/22-9/8/22, and 12/2/22-1/5/23.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The following non-compliance from the 2/14/22 renewal inspection had not been corrected per the providers plan of corrections: Child 1 - The child record did not include 15-24m immunizations.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.37(b)/3270.192(2)(ii)

Description: Aide qualifications/Exp, educ., training prior to facility

Noncompliance Area: Staff person 1 was serving as an aide at the facility at the time of inspection. The staff person's record did not include sufficient documentation to show the staff person was qualified to serve in the role at the facility.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A stool used by children had a large crack in the plastic. (CORRECTED ON SITE)

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Infant children were observed sleeping in pack & plays that had less than three feet of space around three sides of the rest equipment.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: An infant child was placed down to nap on their stomach.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: The agreement on file for child 3 did not specify the amount of the fee to be charged, and the date on which the fee is the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for child 3 did not specify the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information on file for child 4 did not include a complete address for the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information on file for child 1 did not include the enrolling parent's work address and work telephone number. The emergency contact information on file for child 4 did not include the enrolling parent's complete home address.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information on file for child 4 did not include addresses for 2 of the listed release persons.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present in the child care spaces.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The vaccine records on file for children 1, 2, and 5 were not updated in accordance with the schedule recommended by the ACIP. Child 1 - The record did not include the child's 4 and 6 month immunizations. Child 2 - The record did not include 15-24m immunizations. Child 5 - The record did not include the child's 6 month immunizations.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The diaper trash can being used in the infant space was not "hands free".

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: The most recent health assessment on file for staff person 1 was more than 24 months old (dated September 2019). An updated health assessment was not on file Staff person 4 began employment on 10/27/2021. Her TB test results were more than 12 months old at hire (dated 6/2018) The most recent health assessment on file for staff person 4 was more than 24 months old (dated October of 2018). An updated health assessment was not on file

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The most recent health assessment on file for staff person 6 did not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: Expired food and food in damaged cans were observed in the cabinet and in the refrigerator (CORRECTED ON SITE).

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.166(3)

Description: Disposable nursers or parents

Noncompliance Area: Reusable bottles were being used to feed infants. Bottles were not being provided daily by the parent, nor being washed in a commercial dishwasher OR sterilized in a bottle sterilizer.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Regulation: 3270.183(a)/3270.193(a)

Description: Locked cabinet/Confidential; stored in locked cabinet

Noncompliance Area: Upon arrival for inspection, both child files and staff files were observed laying out on a table in the main area of the facility and in an unlocked filing cabinet.

Correction Required: Child records are confidential and shall be stored in a locked cabinet. Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for staff person 3 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of inspection, the operator was unable to provide documentation that an annual emergency drill had taken place.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.