HERITAGE 4 KIDS EARLY LEARNING CENTER

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on staff interviews, Staff #1 pulled Child #1's hair on the Toddler Playground on 6/16/26.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: Peeling vinyl less than one inch in diameter was observed on a couch in the Starfish Room and on a seating area in the Jellyfish Room and were accessible to older and younger toddlers, who are still placing objects in their mouths.

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. 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.

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The file for Staff #1 contained a health assessment dated 4/13/26, which lacked the individual's professional title who conducted the health assessment and completed the written report.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

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, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 3-12-26 to 4-13-26 and 4-13-26 to 5-19-26.

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.

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: Torn vinyl was observed on the blue couch in the Turtles Room and on the front and back sides of the couch in the Seahorses Room. Peeling laminate covering with exposed wood on the top of a toy shelf was observed in the Jellyfish Room and could cause injury to children.

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. 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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #4, enrolled for more than 6 months, did not contain any child service reports (SEE IS CODE SHEET).

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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #1 lacked the child's health insurance/MA policy number for the child's health care benefits.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #1, enrolled more than 60 days, lacked an initial health report (See LIS Code Sheet).

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

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The two most recent health assessments on file for Child #2 (Young Toddler) are dated 5/23/25 & 1/20/26, more than 6 months apart.

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

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record for Child #3 (PSA) lacked the following immunizations: 2 doses of Rotavirus without an acceptable Letter of Exemption in the file. Child #3 must be dismissed from care by close of business on 2/11/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health assessment on file for Child #3, dated 9/6/25, does not indicate if the child is free from contagious disease and may 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: 3270.131(e)/3270.131(e)(3)

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: The file for Child #1, enrolled more than 60 days, lacked an immunization record. Child #1 must be dismissed from care by close of business on 2/11/26 and may only return to care when the immunization record is provided or when a parent provides a written, signed exemption letter.

Correction Required: 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. 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan lacked policies regarding volunteer emergency preparedness training, and continuity of operations addressing payroll and accessing files, required as of 7/1/22, as per Announcement C-22-04.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two most recent health assessments on file for Staff #1 are dated 1/4/23 and 3/3/25, more than 24 months apart.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #9 did not contain two written non-family references. The file for Staff #9 only contained one written non-family reference.

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(c)

Description: Training regarding plan

Noncompliance Area: The most recent emergency plan training on file for Staff #4 (12/13/23) and Staff #5 (12/13/24) are dated more than 12 months prior. The initial emergency plan training on file for Staff #8 was dated 12/12/25, more than 90 days beyond date of hire (SEE IS CODE SHEET). The file for Facility Person #12 has served at the facility for more than 90 days and has not completed emergency plan training. (See LIS CODE Sheet)

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(e)

Description: Letter to parents

Noncompliance Area: The facility's emergency plan parent letter lacked accommodations for infants and toddlers.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The two most recent mandated reporter trainings for Staff #1 (4/27/20 & 6/4/25), Staff #2 (4/17/20 & 6/13/25), Staff #4 (4/30/20 & 6/5/25) Staff #5 (4/28/20 & 6/4/25), Staff #6 (5/1/20& 6/30/25), and Staff #7 (4/28/20 & 6/4/25) are dated more than 60 months apart. The most recent mandated reporter training on file for Staff #3 is dated 12/29/20, more than 60 months prior. The file for Facility Person #12 has served at the facility for more than 90 days and has not completed Mandated Reporter training (See LIS CODE Sheet). At the time of inspection, the file for Staff #8 contained an unacceptable format of the disclosure statement after 2/1/25, per Announcement C-25-01.

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: 3270.36(b)(5)/3270.192(2)(iii)

Description: HS/GED + 2 yrs/Exp, educ., training at facility

Noncompliance Area: The file for Staff #8, classified as an Assistant Group Supervisor, contained documentation of a high school diploma but lacked 2 years of experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of inspection, Staff #8 was observed supervising Staff #10 and Staff #11, who are both Aides. The file for Staff #8 contained a high school diploma but lacked a minimum of two years of child care experience to be classified as an Assistant Group Supervisor.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Bubbling and peeling paint was observed under the window in the Starfish Room. A hole with damaged drywall was observed on the wall behind the door in the Sensory Room.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 9:54am, Staff Person #1 and #2 were observed to be providing care to 2 younger and 4 older toddlers. When asked to identify their respective supervision groups, Staff Person #1 reported that they had 5 face-to-name tags and then handed 3 of them to Staff Person #2, who reported that they were substituting for a staff who was taking a break. Staff Person #1 identified being responsible for 2 children and identified them with their name/picture tags. Staff Person #2 identified 3 children using the tags given to them by Staff Person #1, leaving one child unaccounted for. Then, Staff Person #1 informed Staff #2 that they were also responsible for the child who had not been named. It was determined that a face- to- name tag was not present for this child. Based on the approved Transfer of Care Policy, the staff who was on break should have given their lanyard/cards to Staff Person #2 when Staff Person #2 arrived. In addition, a tag should have been present for all children. Therefore, staff did not correctly implement their own Transfer of Care Policy. As a result, one child was omitted when staff were asked to name the children for whom they were responsible.

Correction Required: 1. 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. This portion of the plan shall have an immediate correction date. 2. The operator will work with ELRC on supporting staff with the Transition of Care Policy. 3. For a period of 4 weeks, the Director or designated person in charge, will complete compliance assessments in all classrooms at least twice a week. One of these weekly assessments will be completed during a transfer of care time, such as a staff break or nap time. Documentation of compliance assessments using an approved form will be completed and maintained on file for review by Certification as requested.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: The facility self-reported that Staff Person #1 had stepped into the Guppie Classroom to allow Staff Person #2 a restroom break. The staff did not communicate prior to Staff Person #2 leaving that there were two children present in the classroom. Staff Person #1 reported they only saw one of the two children. Staff Person #1 was unaware of an infant who was in a bouncy seat next to the rocking chair. Staff Person #1 stepped outside the classroom into the hallway with the one child, leaving the infant in the bouncy seat alone in the classroom.

Correction Required: 1. 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. This portion of the plan will have an immediate correction date. 2. An ELRC referral will be completed. All facility staff will participate in trainings related to Supervision and Supervision during Transitions. The Operator will provide a date when this training will be completed.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: The facility self-reported that Staff Person #1 had stepped into the Guppie Classroom to allow Staff Person #2 a restroom break. The staff did not communicate prior to Staff Person #2 leaving that there were two children present in the classroom. Staff Person #1 reported they only saw one of the two children. Staff Person #1 was unaware of an infant who was in a bouncy seat next to the rocking chair. Staff Person #1 stepped outside the classroom into the hallway with the one child, leaving the infant in the bouncy seat alone in the classroom.

Correction Required: 1. 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. This portion of the plan shall have an immediate correction date. 2. A written transfer of care policy will be developed by the facility. The plan will include ensuring that the face to name tags, already in place at the facility, are passed along to the assigned staff person during all transfers of care. This will include restroom and staff breaks and combining groups at the beginning and end of the day. The policy will be submitted to Certification for review and then reviewed with all Staff at the facility. Documentation of training will be on file at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 had completed first aid and CPR training on 6.9.23, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum and the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: 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 5.1.20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child- care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: The facility self-reported that Staff Person #1 had stepped into the Guppie Classroom to allow Staff Person #2 a restroom break. The staff did not communicate prior to Staff Person #2 leaving that there were two children present in the classroom. Staff Person #1 reported they only saw one of the two children. Staff Person #1 was unaware of an infant who was in a bouncy seat next to the rocking chair. Staff Person #1 stepped outside the classroom into the hallway with the one child, leaving the infant in the bouncy seat alone in the classroom. This resulted in a Staff Person not being present to meet the required Staff:Child ratio requirements.

Correction Required: 1. When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 2. A visual posting will be placed in each classroom listing each staff and the names of the children for whom they are responsible, as well as the total number of children present, and this posting will be updated as transitions/ arrivals/ departures/transfer of care occurs.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility exceeded 30 days between fire alarm testing on 5.16.25 and 6.18.25.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Guppies classroom, a U-shaped foam climber was observed with peeling vinyl pieces less than one inch in diameter which was accessible to children who are still placing objects in their mouths.

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: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: Broken magnatiles with cracked plastic was observed in the Polar Bears classroom. In the Dolphins classroom, ripped vinyl was observed on a couch and was not in good repair.

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. 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.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The financial agreement form on file for Child #1 lacked the parent's signature.

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

Regulation: 3270.123(b)/3270.181(c)

Description: Parent receives original/Emergency info/agreement updated 6 mos

Noncompliance Area: The financial agreement form on file for Child #1 and Child #2 was the original agreement form. The parent is to receive the original agreement, and the facility retains a copy.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact form on file for Child #6 lacked the address of the child's physician or source of medical care.

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 form on file for Child #2 lacked the enrolling parent's work phone number.

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 form on file for Child #5 lacked the child's health insurance/MA 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 form for Child #4 and Child #6 lacked complete addresses from all 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: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The most recent health assessments on file for Child #3 (Young Toddler, dated 4/22/24) and Child #4 (Young Toddler, dated 3/20/24) are dated more than 6 months prior.

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

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

Description: Child's health history/Current medication and reason

Noncompliance Area: The health assessment dated 3/20/24 on file for Child #4 did not include a review of the child's health history and current medications.

Correction Required: A health report shall include a review of the child's health history. A health report shall include a list of the child's current medication and the reason for the medication.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for Child #3 (Young Toddler) lacked updated written verification of ongoing administered vaccines: 1 dose of MMR, 1 dose of Varicella, and 1 dose of Hepatitis A without a letter of exemption in the file. The file for Child #4 (Older Toddler) lacked updated written verification of ongoing administered vaccines: 1 dose of Hepatitis A without a letter of exemption in the file. The file for Child #6 (Preschool Age) lacked updated written verification of ongoing administered vaccines: 2 doses of Rotavirus, 1 dose of HiB, and 3 doses of Pneumococcal without a letter of exemption in the file. Child #3, Child #4, and Child #6 must be dismissed from care by close of business on 1/7/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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: 3270.131(e)(2)(i)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The file for Child #2 contained an unacceptable exemption form stating that the child does not receive immunizations. Child #2 must be removed from care by end of business on 1/7/25 and may only return to care when the immunization record is updated or the parent provides an acceptable written, signed exemption letter.

Correction Required: 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. 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: 3270.133(5)

Description: Original label

Noncompliance Area: In the Turtles classroom, an Epi Pen for Child #8 was observed expired with an expiration date of 11/2024.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A diaper genie in the Penguins classroom did not open hands-free when the pedal was pushed. In the Turtles classroom, a diaper genie was observed in the bathroom without a plastic lining or bag.

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)/3270.192(3)

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

Noncompliance Area: The two most recent health assessments on file for Staff #1 (5/2/22-8/29/24), Staff #2 (3/28/22-7/15/24), Staff #3 (10/26/22-11/7/24), Staff #7 (1/15/21-3/11/24), Staff #8 (11/28/22-12/4/24), Staff #13 (10/10/22-12/3/24) Staff #14 (7/16/21-1/28/24), and Staff #16 (9/20/21-2/20/24) are dated more than 24 months apart. The most recent health assessment on file for Staff #6 (dated 3/9/22), Staff #10 (dated 12/16/22), Staff #11 (dated 9/8/22), Staff #15 (dated 10/10/22), and Staff #17 (dated 6/9/22) are dated more than 24 months prior.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: An infant feeding schedule was missing in the Tadpoles classroom Child #7.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The two written, nonfamily reference letters on file for Staff #9 are dated 5/21/24 and 5/23/24, which is after Staff #9's date of hire (SEE IS CODE SHEET). The file for Staff #12 lacked two written, nonfamily reference letters.

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

Description: General Health and Safety

Noncompliance Area: One infant and two younger toddlers were observed unbuckled in a mini high chairs when safety straps were attached to the chairs.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #12 contained initial emergency plan training dated 12/13/24, more than 90 days beyond date of hire (SEE IS CODE SHEET).

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(e)

Description: Letter to parents

Noncompliance Area: The facility's Emergency Plan Parent Letter lacked accommodations for infants, toddlers, children with special needs, and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The two most recent fire safety trainings on file for Staff #5 are dated 3/22/23 and 6/5/24, more than 12 months apart.

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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #4 contained an NSOR certificate dated 10/3/24, after date of hire, without a NSOR request on file at time of hire required for provisional hiring under the CPSL (SEE IS 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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: Staff #12, classified as an Aide, was observed working unsupervised on two separate occasions during the renewal inspection.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the Penguins room lacked gloves. In the Tadpoles classroom, the first-aid kit lacked tape and gloves.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Jellyfish room, a gate near the diaper changing area was observed with a protruding metal bar that could be harmful to children.

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: In the Jellyfish room, peeling paint was observed on the right side of the window on the left wall.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The bathroom in the Polar Bears room contained 1 of 2 required handwashing signs

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on staff interviews, Child #1 was alone in the Turtles classroom for at least 15 minutes while Staff #1 and Staff #2 were outside on the playground with 9 other children.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Based on staff interviews, Child #1 was alone in the Turtles classroom for at least 15 minutes while Staff #1 and Staff #2 were outside on the playground with 9 other children.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files for Staff #1, Staff #3, and Staff #4 contained Pediatric First Aid/CPR Training dated 10/14/24 and did not complete the training within 90 days of their date of hire (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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #2 contained a disclosure statement lacking a witness signature and a date, making it invalid.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: Based on staff interviews, Child #1 was alone in the Turtles classroom for at least 15 minutes while Staff #1 and Staff #2 were outside on the playground with 9 other children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.61(c)

Description: 40 square feet wall-to-wall

Noncompliance Area: At approximately 10:35 AM, 30 preschoolers were observed in the Dolphins classroom with Staff #5, Staff #6, Staff #7, and Staff #8 during a Zoo Mobile presentation. The designated maximum capacity for the Dolphins classroom is 26.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility's 30-day fire alarm test log included the most recent test date of 10/11/24, more than 30 days prior.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the guppies room lacked a thermometer.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff #2 (due 10/2022 and obtained 1/2023) and #12 (due 7/2023 and obtained 1/2024) contained health assessments that were updated late.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff #6 (due 1/2023) and #13 (due 9/2023) lack current health assessments.

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: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The files for staff #1, #3, #7, #8, #9 and #10 contain fire safety training that was obtained/renewed late. The training was due 6/2023 and was obtained 7/2023.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff #1 contains a health and safety update that was completed late. It was due 12/2022 and completed 1/2023. The files for staff #4 (due 1/2023 and obtained 10/2023) and #5 (due 3/2023 and obtained 10/2023) contain first aid and cpr training that was obtained late.

Correction Required: Staff persons shall complete professional development within the designated DHS dates listed in subsections (f)1-10. First aid and CPR training shall be obtained within 90 days of hire.

Regulation: 3270.35(b)(1)/3270.192(2)(ii)

Description: Bachelor's/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #11 lacks a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: Observed an unrestricted window in the turtles room. The window was above the ground floor and opened directly to the outdoors and was accessible to children.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The file for child #1 lacks an updated health assessment. Child #1 is a young toddler and the most current assessment on file is 5/2022. An assessment was due by 11/2022.

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

Regulation: 3270.131(b)(2)/3270.182(1)

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

Noncompliance Area: The file for child #2 lacks an updated health assessment. Child #2 is an older toddler and the most current assessment on file is 8/2021. An assessment was due by 8/2022.

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 shall contain initial and subsequent health reports.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff #3 and #4 contain health assessments that were updated late. The health assessment for staff #3 was due 5/2022 and was obtained 10/2022. The health assessment for staff #4 was due 12/2022 and was obtained 1/2023.

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. 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: 3270.151(b)/3270.192(3)

Description: Conducted by physician, PA or CRNP/Health assessment, TB test

Noncompliance Area: The file for staff #2 contains a health assessment that was signed by an RN.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for staff #2 and #5 lack 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): general health and safety training.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff person #5 will have until 3/9/23 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.35(b)(3)/3270.192(2)(ii)

Description: Associate's + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #1 lacks verification of an associate's degree to qualify the staff as a group supervisor.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field 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: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement in the file for child #2 did not specify 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.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement in the file for child #3 did not specify 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.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement in the file for child #1 did not specify the child's date of admission.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The agreement in the file for child #4 included two different colors of ink. Based on conversation with the provider, it was the child's original agreement.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information in the file for child #5 and #6 did not include the name 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 in the file for child #3 did not include a work address or phone number for the child's mother. The emergency contact information in the file for child #6 did not include the work phone number for the child's mother.

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 in the file for child #1 did not include a policy number for the child's health insurance.

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: 3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The most recent list of immunizations in the file for child #2, a 16 month old, was missing 1 of 1 MMR, Varicella and Hep A. The last flu shot in the file for child #4, a 2 year old, was dated in 2020. Neither file included a written statement of exemption by a parent.

Correction Required: 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: 3270.151(a)

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

Noncompliance Area: The last two health assessments in the file for facility person #2 and staff person #5 and #16 were dated more than 24 months apart. The last health assessment in the file for staff person #12 was dated more than 24 months ago.

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(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The most recent health assessment in the file for staff person #19 was signed by an individual whose title was listed as "RN."

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #4 did not include 2 letters of reference.

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(c)

Description: Training regarding plan

Noncompliance Area: The initial emergency plan training in the file for facility person #8, staff person #10 and staff person #17 was dated beyond their initial employment. The last two emergency plan trainings in the file for staff person #18 was dated more than 12 months apart.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The last two fire safety trainings in the following staff files were dated more than 12 months apart: staff persons #5 through #9, staff persons #11 through #16, staff person #18 and #19.

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(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: The file for staff person #1 and #3 included pediatric first aid and CPR training that was dated beyond their first 90 days working with children.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.31(h)

Description: Health and Safety Training

Noncompliance Area: The file for staff person #3 included training in health and safety topics #1 through #9, as required by regulation 31f, that was dated beyond their first 90 days working with children.

Correction Required: All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was an uncovered outlet on a wall in the Penguins room, behind a shelving unit.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: There were spray bottles of bleach water not labeled with the contents in the Jellyfish, Penguins and Polar Bear rooms.

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 stored away from food, food preparation areas and child care spaces.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water temperature was measured to be 128 degrees in the Polar Bear room at both the classroom and bathroom area sinks.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the sensory room did not include scissors

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was a small area of peeling paint on the wall behind the trash can in the diapering area in the Starfish room. There was a small area of damaged plaster on the wall to the left of the glass pane in the Penguins room.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 11:00 am, 4 preschool children were observed in the Penguin room with 4 adults, none of whom were staff. The children were in the room to receive dental care. The 4 adults in the room included the dentist, the dental hygienist and two staff from the AIU. The facility did not have written consent from the children's parent to release the children to any of the four adults in the room.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 11:00 am, 4 preschool children were observed in the Penguin room with 4 adults, none of whom were staff. The children were in the room to receive dental care. The 4 adults in the room included the dentist, the dental hygienist and two staff from the AIU. The facility did not have written consent from the children's parent to release the children to any of the four adults in the room.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 11:00 am, 4 preschool children were observed in the Penguin room with 4 adults, none of whom were staff. The children were in the room to receive dental care. The 4 adults in the room included the dentist, the dental hygienist and two staff from the AIU. The facility did not have written consent from the children's parent to release the children to any of the four adults in the room.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Noncompliance Area: The agreement form in the file for child #2 did not specify 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.