A Childs World Developmental Centers

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of inspection on 12/2/25, file of staff person #1 did not include current health report. Non-compliaance since 10/27/25.

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: At the time of inspection on 12/2/25, file of staff person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 20.71(a)(7)

Description: Fraud or deceit in obtaining or attempting to obtain a certificate of compliance

Noncompliance Area: At the time of renewal inspection on 10/30/25, health assessments of staff persons #2, #3, #4, #5 and #6 were submitted for review. Upon follow-up with the respective physician offices, it was confirmed that the health assessments for these staff members had not been completed by those offices. Based on this verification, all five submitted health assessments have been determined to be fraudulent.

Correction Required: The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of renewal inspection on 10/30/25, chairs in Orange Owls/Green Parrots rooms were dirty. Dolls and stuffed animals in the Dramatic Play area, as well as in the Orange Owls and Green Parrots rooms, were dirty.

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(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: At the time of renewal inspection on 10/30/25, it was observed that the depth of wood chips surrounding the outdoor equipment on the preschool playground were insufficiently covering the surface.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: At the time of renewal inspection on 10/30/25 observed that the rest equipment in Teetertots and Sunflowers room was not labeled for the use of a specific child. Mat assignment in Dynomites room was missing.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of renewal inspection on 10/30/25, some refrigerators located in the rooms across the facility were dirty.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of renewal inspection on 10/30/25, emergency contact form of children #1, #2, #3, and #4 did not include the work addresses and telephone numbers of the enrolling parent.

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

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

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

Noncompliance Area: At the time of renewal inspection on 10/30/25, file of child #5 did not include an updated health report. Health report on file was from 5/22/24.

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: 3270.131(d)(5)/3270.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: At the time of renewal inspection on 10/30/25, immunization record of child #4 did not include following immunization recommended by ACIP. Immunization record of child #4 did not include Rotavirus, HIB, PCV, Hepatitis A immunization, and 2nd/3rd dose of DTAP. A letter of exemption was not observed in the file of child #4.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of renewal inspection on 10/30/25, files of staff persons #2, #3, #4, #5, and #6 did not have 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: 3270.24(f)

Description: Director ID

Noncompliance Area: At the time of renewal inspection on 10/30/25, staff person #1, who holds the position of the director, was not present during the renewal inspection with a valid photo identification.

Correction Required: A valid photo identification of the director or designated staff person who is responsible to compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: At the time of renewal inspection on 10/30/25 observed that emergency plan is not posted at a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: At the time of renewal inspection on 10/30/25 observed an electrical outlet near the door in Teal Toucans/Sunbeams and Orange Owls/Green Parrots rooms without protective receptacle cover.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: At the time of renewal inspection on 10/30/25 first aid kit in Dynomites room was observed on the floor by the door and was accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of renewal inspection on 10/30/25, the rug in the Reading center of Teetertots and Sunflowers room was stained and in need of cleaning. The rugs in the Reading and Math Manipulative centers in Dynomites room were stained and in need of cleaning. Rug in the Reading corner of Teal Toucans/Sunbeam room was stained and in need of cleaning. Rug in the Reading corner of Purple Penguins/Sunbeams, Orange Owls/Green Parrots, and Dramatic Play rooms were dirty and in need of cleaning. The floor in Dynomites and Orange Owls/Green Parrots rooms were dirty. Some metal nails were protruding from border, which surrounded wood chips on the preschool playground.

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: 20.71(a)(7)

Description: Fraud or deceit in obtaining or attempting to obtain a certificate of compliance

Noncompliance Area: At the time of allocated unannounced inspection, health assessments of staff persons #1, #2, and #3 were submitted for review. Upon follow-up with the respective physician offices, it was confirmed that the health assessments for these staff members had not been completed by those offices. Based on this verification, all three submitted health assessments have been determined to be fraudulent.

Correction Required: The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of allocated unannounced inspection, files of staff persons #1, #2, and #3 did not have 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: 3270.131(b)(2)

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

Noncompliance Area: At the time of inspection on 6/4/25, file of child #1 did not include an updated health report required at least every 12 months. Child health report on file was dated 2/10/24.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of inspection on 6/4/25, staff member 1 was observed entering the Sunflowers room alongside the certification representative and the director. Prior to her entering, there were nine children (ranging in age from older toddlers to preschoolers) in the room with only one staff member present, which is not in compliance with ratio standards.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Two staff must be present with a group of children ranging in age from older toddler to preschool.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of renewal inspection observed dirty toys in Drama area.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of renewal inspection, emergency contact form of child #1 did not include parent work address and 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)(5)

Description: Information re: special needs

Noncompliance Area: At the time of renewal inspection, emergency contact from of child #2 and #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.

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: 3270.133(5)

Description: Original label

Noncompliance Area: At the time of renewal inspection, first aid kit in Green Parrots room included Hydrocortisone cream that expired on 2/2023, first aid kit in Teal Toucans room included Hydrocortisone cream that expired on 8/2023.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of renewal inspection, file of staff person #3 did not include a complete health assessment.

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: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: At the time of renewal inspection, emergency contact forms were not updated in each child care space.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of renewal inspection, file of staff person #4 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, file of staff person #1 included PA state police clearance that had status "Request Under Review" and was not complete. File of staff person #2 did not include the results of NJ child abuse clearance. Staff person #2 was not a provisional hire.

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. Staff Person #2 may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

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

Noncompliance Area: At the time of renewal inspection, file of staff person #4 did not include verification of education required for the position of an assistant group supervisor.

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 prior to service at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: At the time of renewal inspection, first aid kit in Green Parrots and Purple Penguin rooms did not include medical 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: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of renewal inspection observed that part of the vinyl tile in Green Parrot's bathroom was missing. The edges of the rugs in Green Peas and Dinomites rooms were frayed posing a tripping hazard. Rugs in Teal Toucans and Multipurpose room were stained and in need of cleaning.

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: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: At the time of renewal inspection observed a fire extinguisher located on the floor in the corner of Drama area and hallway. Fire extinguisher was accessible to children.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of unannounced inspection on 8/15/24, file of staff person #1 included child abuse clearance for volunteers.

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

Regulation: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: At the time of renewal inspection woodchips/mulch with a diameter of less than one inch were observed on the outdoor play space accessible to young and older toddlers, who were receiving care and were present on the outdoor play space.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: At the time of the inspection, first aid kit in Dynamites room included hydrocortisone that was expired on 8/2023 and had to be discarded.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of inspection, observed chipped vinyl floor tiles near the sink in Pre-K, Dynamites, and Teal rooms. Rubber molding in the bathroom near Drama area came off the wall and laid near the toilet, toilet paper dispenser in the bathroom located in Pre-K room came off the wall leaving small holes in the fall. Toilet paper dispenser was on the floor. Caulk around the bathroom sink was peeling off making a visible hazard for 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.

Noncompliance Area: CHILD 2'S HEALTH REPORT DID NOT STATE THAT THE CHILD IS ABLE TO PARTICIPATE IN CHILD CARE AND APPEARS TO BE FREE FROM COMMUNICABLE DISEASE.

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.

Noncompliance Area: CHILD 1 DID NOT HAVE PROOF OF A CURRENT FLU IMMUNIZATION AND DID NOT HAVE A LETTER OF EXEMPTION.

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

Noncompliance Area: ON OCTOBER 26, 2017 DURING THE RENEWAL INSPECTION, THE HEALTH ASSESSMENT REVIEWED FOR STAFF PERSON # 1 AND # 3

Correction Required: An adult health assessment must include the physician`s or CRNP`s assessment of the person`s suitability to provide child care.

Noncompliance Area: ON OCTOBER 26, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 2 HIRE DATE 9/6/17, DID NOT CONTAIN A FBI FINGER PRINT CLEARANCE. A RAP SHEET WAS INCLUDED IN THE RECORD. (AS REQUIRED UNDER CPSL).

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.