356 Day Care

Regulation: 3280.123(b)

Description: Parent receives original

Noncompliance Area: The original financial agreement was on file for Child #1.

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

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for Child #4 did not include the addresses of the persons designated by the parent to whom the child may be released.

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: 3280.124(f)

Description: Updated every 6 months

Noncompliance Area: Documentation of review and/or update to the emergency contact forms for Child #1, #2 and #5 were dated more than 6 months apart. The emergency contact form for Child #3 was dated 3/29/2025, with no documentation of a review and/or updated within the last 6 months.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Regulation: 3280.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The most recent health assessment on file for Child #1, identified as a young toddler (see LIS code sheet), is dated 11/22/2024, more than 6 months ago. The file for Child #2 contained documentation of a health assessment dated 6/23/2025 but did not contain documentation of an updated health assessment within 6 months as a young toddler (see LIS code sheet).

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: 3280.131(b)(2)/3280.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments

Noncompliance Area: The file of Child #5, identified as a preschool age child (see LIS code sheet), contained documentation of a health assessment dated 12/30/2024 but did not contain documentation of a current health assessment within the last 12 months.

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. A child's record must contain initial and subsequent health reports.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record of Child #1 did not contain documentation of the fourth DTaP and pneumococcal vaccinations and the first MMR and varicella vaccinations as recommended by the ACIP. The immunization record of Child #4 did not contain the third DTaP and pneumococcal vaccinations as recommended by the ACIP. The file of Child #1 and #4 did not contain documentation of an acceptable exemption.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of 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: 3280.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health assessment on file for Child #1, dated 11/22/2024, did not contain documentation the child appears to be free from communicable disease and able to participate in child care,

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3280.151(a)/3280.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The initial health assessment on file for Staff #1 was dated 9/15/2025, after their start date at the facility (see LIS code sheet).

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.151(c)(2)/3280.192(3)

Description: Mantoux TB /Health assessment, TB test

Noncompliance Area: The tuberculosis screening on file for Staff #1 was read on 9/15/2025, after their start date at the facility.

Correction Required: 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: The file of Staff #1 contained documentation of completed health and safety professional development topics listed in subsections (f)1-9 dated 1/13/2026 (Part 1) and 1/18/2026 (Part 2), more than 90 days from their start date at the facility (see LIS code sheet).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3280.32(a)/3280.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file of Staff #1 contained mandated reporter training dated 1/21/2026, more than 90 days after their start date at the facility (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #1 contained a completed FBI clearance dated 9/3/2025 with no documentation of submission and an NSOR verification certificate dated 9/10/2025, both completed after their start date with children (see LIS code sheet).

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.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: The first aid kit did not contain tweezers.

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: 3280.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: Documentation on the fire drill log indicated the closet as the hypothetical location of the fire for 2 consecutive drills (10/10/2025 and 12/9/2025).

Correction Required: The hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: In the outdoor play space, the shape sorter area of the Fisher-Price Learning Home was cracked between the circle and triangle creating a sharp area as well as a pinch point.

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: 3280.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact forms were not present for the 7 children receiving care in the outdoor play space.

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: 3280.20

Description: General Health and Safety

Noncompliance Area: In the outdoor play space, a Little Tykes toybox contained approximately 3 inches of standing water.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the outdoor play space, were children were receiving care, did not contain scissors, tweezers, soap or tape.

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: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: A pack and play in the infant area was not labeled with the name of the child for whom it was intended.

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: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The financial agreement of child #3 did not include the arrival and departure times of the child.

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

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: The financial agreement of child #3 did not contain 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: 3280.123(a)(6)

Description: Admission date

Noncompliance Area: The financial agreement of child #1 did not contain the child's admission date into the program.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3280.123(b)

Description: Parent receives original

Noncompliance Area: The original financial agreements were on file for child #1, #2, #3, #4 and #5.

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

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form of 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: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form of child #3 did not include the work and home telephone number of the enrolling parents.

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

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form of child #3 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 or documentation this is not applicable to the child.

Correction Required: Emergency contact information must 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.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form of child #2 did not include the addresses of the persons designated by the parent to whom the child may be released.

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: 3280.134(a)

Description: Child's hands washed

Noncompliance Area: After having their diapers changed, 2 able children did not wash their hands with soap and water at the sink prior to returning to play.

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: 3280.151(a)/3280.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file of staff #1 contained a health assessment dated 4/18/2022, more than 12 months prior to serving at the facility (see LIS code sheet).

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.152

Description: Adult Hygiene

Noncompliance Area: A staff person was observed to not wash their hands between the diaper changes of 2 children.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3280.166(1)

Description: Written statement

Noncompliance Area: An infant in care did not have a written statement from the parent regarding the child's feeding schedule.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3280.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The file of child #3 did not contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3280.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The file of child #3 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The latest testing of the fire detection system was documented as being completed on 3/20/2025, which was more than 30 days prior to the date of the inspection.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.151(a)/3280.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file of staff #1 and #2 contained health assessments which were completed more than 12 months prior to the date of the initial inspection.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.151(c)(2)/3280.192(3)

Description: Mantoux TB /Health assessment, TB test

Noncompliance Area: The file of staff #1 and #2 contained tuberculosis screenings which were completed more than 12 months prior to the date of the initial inspection.

Correction Required: 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 did not contain documentation of a current NSOR verification certificate completed within the last 60 months.

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.

Noncompliance Area: The file of facility person #2 contained mandated reporter training dated 9/23/2015 and did not contain documentation of updated training within 60 months. The file of facility person #1 did not contain documentation of current mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The file of facility person #1, with a start date of 11/7/2009, and facility person #2, with a start date of 9/19/2014, contained NSOR verification certificates dated 9/24/2020, which was after the requirement of having the certificate by 7/1/2020. Facility person #1 and 2 now have current NSOR verification certificates.

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.

Noncompliance Area: Three poles in the child care space are covered with foam which is accessible to children still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The facility did not have a written plan of daily activities and routines posted in a traffic area used by parents.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: The facility retained the original financial agreement for child #1, 2, 3, 4 and 5.

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

Noncompliance Area: The emergency contact form for child #5 does not contain written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: The file of child #1, identified as a young toddler, contained a health report dated 1/16/2019. but does not contain an updated health repot within 6 months.

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

Noncompliance Area: The health assessment of child #1 did not contain documentation of a DTAP, and child #2 did not contain documentation of a current influenza screening as recommended by the American Academy of Pediatrics.

Correction Required: A health report shall 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.

Noncompliance Area: A door to the pool storage was unlocked leaving "shock" which is labeled keep out of the reach of children, accessible to the children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The wooden shelf which contained dolls was splintering on the edges.

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.

Noncompliance Area: A bottle on the counter was not labeled with the name of the child for which it was intended.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: The certificate of compliance the facility had posted expired on 12/12/2018.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: In each of the restrooms, the toilets had exposed bolts on the base.

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.

Noncompliance Area: A child sustained a head injury in the outdoor play space and staff stated they did not see what happened are unable to explain how the injury occurred.

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.

Noncompliance Area: A piece of play bread was cracked, leaving a gap where children can pinch their fingers and a Little Tykes tool station had broken pieces exposing sharp and rough edges.

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.

Noncompliance Area: The file of child #2 contained a financial agreement not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The file of child #2 contained a financial agreement which did not contain the amount of the fee to be charged.

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

Noncompliance Area: The file of child #2 contained a financial agreement which did not contain the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The file of child #2 contained a financial agreement which did not specify the child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The file of child #1, with a start date of 10/30/2017, contained a health report dated 7/7/2018, which is over 60 days from the 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.

Noncompliance Area: The file of facility person #2 contained a health report dated 8/15/2016 with an update on 9/18/2018, exceeding the requirement of having a health report at least every 24 months. The file of facility person #3 contained a health report dated 8/30/2016 and facility person #4 contained a health report dated 9/8/2016, both lacking an update within 24 months.

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.

Noncompliance Area: The file of facility person #1 contained documentation of emergency plan training on 9/23/2017, but lacked an annual update.

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.

Noncompliance Area: An empty plastic bag was hanging in a child's cubby which was accessible to children still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The file of child #2 lacked the addresses of the individuals designated by the parent to whom the child may be released on the emergency contact form.

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.

Noncompliance Area: The file of child #2, a preschool-aged child, contained a health report dated 12/7/2015, but does not contain an updated health report.

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.

Noncompliance Area: The file of child #1 contained emergency contact forms updated 7/16/16 and 6/5/17, which exceeds the required 6 month review.

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.

Noncompliance Area: The file of staff #1 contained emergency plan training dated 8/31/16, which exceeds the required annual training for staff.

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.

Noncompliance Area: The file of staff #1 did not contain documentation of an annual minimum of 6 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: Free and Clear laundry detergent labeled "keep out of reach of children" was behind an unlocked door on the floor accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: In the outdoor play space near the house, there was a blue bike leaning against a shed that had torn fabric on the seat. In the outdoor play space, there was a yellow bucket with a cracked side in the sandbox.

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.

Noncompliance Area: In the main child care space, staff person #1 changed a young toddler's diaper and placed the diaper in a plastic bag on the changing table and discarded the diaper in an outside trash can after sanitizing the changing table and washing hands.

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.

Noncompliance Area: In the outdoor play space near the house, there was a shed that had splintering wood in multiple areas at the bottom of the shed.

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.

Noncompliance Area: In the outdoor back play space by the basketball court, the large play structure had peeling paint in multiple areas throughout the structure.

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