A Peace Of Mind Inc

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of April 2026.

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. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, at a minimum by an AGS who has completed all pre-service 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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff person #1 has not completed pediatric first-aid/CPR training on or before expiration of the most current certification. This is evidenced by the previously documented pediatric first-aid/CPR training on file expiring April 2026. Documentation of updated pediatric first-aid/CPR training is not on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, at a minimum by an AGS who has completed all pre-service 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: 3270.95(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 3-6-26 to 4-8-26.

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)

Description: Clean and good repair

Noncompliance Area: There was a cracked clear bin in the Picasso room. There was a cracked blue basket, cracked wooden music instrument toy, cracked blue plastic lid and 3 ripped square mats with expose foam in the Lady bug room. There were two exposed screws on the toy kitchen in the Teamwork room.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The files for children #1 and #4 lacked the amount of the fee to be charged per day or per week. on the agreement form.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The files for children #1,2 and 4 lacked the date of the child's date of admission on the agreement form.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The files for children #1,2 and 4 contained an original agreement form.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child # 2 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.

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 files for children # 1and #2 lacked the work telephone numbers of the enrolling parent on the emergency contact form.

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

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The files for children#1 # 3 and 4 have an emergency contact and agreement form that were not updated in a 6-month period.

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. 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: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child # 2 a school-age contained a current health report dated 3/2/26 that was provided after 60 days. The child was in care longer that 60 days without initial health report. Child #2 start date was 9/1/25. The file for child # 3 a school-age contained a current health report dated 6/3/25 that was provided after 60 days. The child was in care longer that 60 days without initial health report. Child #3 start date was 12/4/23.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child #1 now an OT contained a current health report dated 9/18/25, that was not obtained withing 6 months from the previous health report dated 2/5/25 when the child was a year and 8 months old.

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

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: There was an Albuterol Sulfate medication without the original container in the Picasso room.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: The operator was not maintaining a medication log for a prescription medication, Albuterol Sulfate for child #5 .

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff # 2 contained a current health report dated 7/11/25 that was obtained after providing initial service in a childcare setting.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The file for staff #3 lacked an examination for communicable diseases and the results of that examination.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff # 2 lacked emergency plan at the time of initial employment.

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 file for staff # 3 lacked prior and current fire safety training conducted by a fire protection professional.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid and Pediatric CPR trainings and Health and Safety trainings). Staff person # 2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid and Pediatric CPR trainings).

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 #1 contained a current NSOR clearance dated 12/19/25. Staff # 1 started working with children on 5/1/25. The file for staff #3 contained a current Child Abuse clearance dated2/12/26 that was not renewed within 60 months of the prior Child Abuse clearance dated 7/24/20. The file for staff #3 contained a current NSOR clearance dated 2/5/26 that was not renewed within 60 months of the prior NSOR clearance dated7/28/20.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There were 2 unprotected electrical outlets in the gross motor room accessible to children 5 years of age or younger.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There were Member's Mark Floor cleaner, Scrubbing Bubbles Foam Bleach bottle, Lysol Disinfecting can and a Banana Boat sunscreen can label " keep out of reach of children". accessible to children in the unlocked Teamwork room bathroom sink cabinet. There was a bag of Kibbles' Bits dog food on the window frame in the Genius room . There were a Bathroom Cleaner bottle and a Drano Max Gel bottle labeled " keep out of reach of children". accessible to children in the staff opened bathroom .

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was a garbage can that has been contaminated by human secretions in a trash can without plastic-line in the Teamwork room bathroom.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was peeling film on the Teamwork room bathroom sink cabinet door. There was a broken toilet paper holder on the Teamwork room bathroom wall. There was a hole on the bottom of the right-side wall in the gross motor room.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: There was an unlidded garbage can in the Lady bug room bathroom.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 8/8/25 to 9/8/25.

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: There was a green vinyl circle pillow with two peeling spots in the PS room. There were two damaged mats exposing foam in the gross motor room.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The file for child #1 lacked the operator's signature on the agreement form.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The files for children #1, and 2 lacked the date of the child's date of admission on the agreement form.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child # 3 lacked the home and work addresses and the home and work telephone number of the enrolling parent on the emergency contact form.

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 files for children # 1, and 3 lacked the health insurance policy number on the emergency contact form. The file for child #3 lacked health insurance coverage for a child under a family policy or Medical Assistance benefits, if applicable.

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 files for children #1 and 2 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file for child #2 lacked the telephone number of the individual 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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child # 2 lacked an initial health report.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child # 4, a young toddler, contained a current health report dated 2/5/25. The health report was provided more than 6 months after the previous health report, dated 4/16/24.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: There was a triple antibiotic with an expiration date of 4/24 and an A&D ointment that were not label with the names of the children whom the medication was intended for in the giraffe room first aid kit. There was a triple antibiotic with an expiration date of 4/24 and an A&D ointment that were not label with the names of the children whom the medication was intended for in the Genius room first aid kit.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff #1 contained a current health assessment dated 3/4/25. It was not obtained within 24 months of the previous assessment dated 2/24/23.

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: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The file for child #3 lacked signed parental consent for emergency medical care for the child on the emergency contact form. Written consent is required prior to admission.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The file for child # 3 lacked signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form. Written consent is required prior to admission.

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

Regulation: 3270.24(f)

Description: Director ID

Noncompliance Area: The Director ID the driver's license was expired. the expiration date was 11/8/24.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The facility emergency plan was not reviewed annually. The previous review was dated 1/30/24, and the current review was date 2/20/25.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff # 1 contained a current NSOR clearance dated 1/16/24, that was not renewed within 60 months of the prior NSOR clearance dated 1/6/19.

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 #--- may not work in a child care position at the facility.

Regulation: 3270.66(a)/3270.66(d)

Description: Locked or inaccessible/Toxic plants not permitted

Noncompliance Area: There was an Epipremnum Aureus toxic plant in the Genius room accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a long deep cracked on the top of the left wall above the window in the giraffe room.

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: There was damaged plaster on the window frame in the Genius room.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a clear cracked bin in the teamwork room.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for staff # 3 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons # 1,3, and 4 were observed to be caring for children unsupervised. Staff persons #1,3 and 4 do not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 6/2/22 to 6/2/24. Staff person # 2 was observed to be caring for children unsupervised. Staff person #2 do not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 6/14/22 to 6/14/24.

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. Until such time as the required trainings are completed, staff persons # 3 must be supervised, when interacting with children, by a AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person # 3 staff persons # 3 may not work in a child care position at the facility.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: The file for staff # 5 lacked a copy of the disclosure statement.

Correction Required: 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 #--- may not work in a child care position at the facility.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: There was a nail on top of the window frame and a bolt on the floor in the gross motor room.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: * On 8/29/24 at 9:10 am, staff #4 was observed caring for 1 Young Toddler, 3 Older Toddlers and 3 Preschoolers in the Picasso room. Staff #1, had left the room to go get the children's breakfasts from the upstairs kitchen.

Correction Required: * The legal entity shall require all staff persons at the facility to attend, a minimum 2 hour training regarding supervision and ratio offered by the ELRC within 1 month of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Documentation of the completed training will be provided to the OCDEL-DHS representative by email upon completion. The training may count towards the mandatory 12 training hours required by the Department.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 8/29/24 at 9:10 am, staff #4 was observed caring for 1 Young Toddler, 3 Older Toddlers and 3 Preschoolers in the Picasso room. Staff #1, had left the room to go get the children's breakfasts from the upstairs kitchen.

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).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a Lysol bottle, a hand sanitizer, a Banana Boat sunscreen and disinfectant wipes on the changing table in the Picasso room labeled " keep out of reach of children" accessible to children. There was a Cocoa Butter Swivel stick in a backpack hanging in a cubby in the Lady Bug room labeled " keep out of reach of children" accessible to children. There was a bottle of Drano Max Gel in the staff bathroom labeled " keep out of reach of children" accessible to children. The bathroom is in the Gross Motor room and the door was open.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: There was a clear unlabeled bottle on top of the sink in the Teamwork bathroom .

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling paint on the wall by the cozy corner in the Picasso room. There was damaged plaster on the bottom of the wall by the door in the gross motor room.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: There was a large plastic bin on wheels obstructing the stairway.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was an orange cracked lid in the Lady Bug room. There were 2 cracked clear bins and 1 lid in the Picasso room. There was a blue plastic bin with a cracked corner,2 cracked clear bins and 1 cracked lid in the Teamwork room.

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: The files for children # 3 and 4 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

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: The files for child # 1 and 3 lacked the 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, on the Emergency contact form.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child # 4 lacked the address of the individual 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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child # 2 contained a current health report that was provider after 60 days. The child was in care longer than 60 days without initial health report. The file for child # 4 contained a current health report that was provider after 60days. The child was in care longer than 60 days without initial health report.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: The operator was not maintaining a medication log for a prescription medication, Nystatin Crean USP for child # 5.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility emergency plan lacks information regarding the strategize on how they will pay for repairs, pay staff and pay bills during the aftermath of the disaster on their Continuity of Operations Plan.

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)

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

Noncompliance Area: The file for staff # 1 contained a current health assessment dated 2/24/23. It was not obtained within 24 months of the previous assessment dated. 10/7/20.

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: 3270.161(e)

Description: Fresh fruit/vegetables refrigerated

Noncompliance Area: There were 2 crates with bananas and apples in the kitchen that were not refrigerated.

Correction Required: Fresh fruits and vegetables that are not used on the day of purchase shall be refrigerated.

Regulation: 3270.21/3270.133(3)

Description: General Health and Safety/Name on bottle

Noncompliance Area: A 1 fl oz bottle of Onnit Instant Melatonin 3mg, Lavender Flavor, Dietary Supplement spray was observed in the medication box located in the Toddler Room. The spray lacked a label identifying the intended child. Based on staff statements, staff would spray the toddler's nap mats with 2 sprays before the children lied down to help them sleep. Staff no longer use the spray because the children are not having trouble sleeping at nap time.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility emergency plan lacked accommodations for infants and children with disabilities.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff # 1 contained a current emergency plan training dated 6/26/23 that was not obtained within a year of the previous emergency plan training dated 3/11/22. The file for staff #2 lacked an emergency plan training.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff # 1 contained a current FBI clearance dated 7/5/23, that was not renewed within 60 months of the prior FBI clearance dated 5/6/18. The file for staff # 2 contained a current FBI clearance dated 2/16/24, that was not renewed within 60 months of the prior FBI clearance dated 2/15/19.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for staff # 1 and 2 contained a current staff evaluation dated 1/14/24 that was conducted more that 12 months from the previous staff evaluation dated 12/19/22.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was a multiplug with 3 uncovered electrical outlets in the toddler room accessible to children 5 years of age or younger.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a Roden Repellent under the teamwork room bathroom sink labeled" Keep out of reach of children".

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: There was an unlabeled bottle with a blue liquid under the sink in the Teamwork room bathroom.

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 water temperature in the toddler room sink was 129.6° F.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 9/12/23 to 10/18/23.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Second citation previously cited on 03/09/2023. The fire detection system testing log was observed to indicate that testing had not occurred at least once in a 30-day period as evidenced by a test on 4/4/23 and again on 5/8/23, which is a span of 34 days. The schedule which the operator submitted indicates the next text will be on 6/8/23 which is a span of 31 days. On 3/9/23 the log indicated tests on 6/13/22 and not again until 07/14/2022 a span of 31 days, and a test on 07/14/22 and not again until 08/23/22 a span of 40 days.

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: A bin in the Giraffe room that contained shape puzzles was observed to have cracks, and broken edges. A bin in the Ladybug room that contained cookie cutters was observed to have cracks and broken edges. Two bins in classroom #4, one that contained toy binoculars, and one that contained Magna Tiles were observed to have cracks and broken 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.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The facility was observed to have a wooden shelf in the Ladybug room outside the bathroom that was unstable and loose, and a wooden chair that was broken was observed in the gross motor space.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: The facility was observed to lack a written plan of daily activities in the Gross Motor Space.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff person #4 and #5 were observed to be caring for a group of 13 mixed age level children. Staff person #4, and #5 named 10 of the 13 children, leaving 3 children unassigned to a responsible adult.

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: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The file for child #2 lacked consent signed by the parent for the emergency medical care on the emergency contact form.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Files for child #1 and #4 were observed to have an emergency contact form that lacked the insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #2 was observed to contain an emergency contact form that lacked the address of the individual 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.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The files for children # 1, #4, and #5 were observed to have emergency contact forms and financial agreement forms that were not updated at least once in a 6-month period as evidenced by the forms for child #1 being dated 8/15/22, the forms for child #4 are dated 3/7/23, and the forms for child #5 are dated 10/31/21.

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. 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: 3270.131(a)

Description: Health information

Noncompliance Area: The files for children #1, 4 and 5 were observed to lack an initial health report. The file for child #3 was observed to contain a current initial health report that was obtained after 60 days following the first day of attendance at the facility, as evidenced by the child's start date of 9/20/21 and the health report is dated 3/21/22.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #3 was observed to contain an immunization record that does not demonstrate the child's immunized status is in accordance with the recommendations of the ACIP.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Facility was observed to have an emergency plan that lacked a statement regarding continuity of operations. The facility denied having a Policy regarding Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment.

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)

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

Noncompliance Area: The files for staff persons #2 and #3 were observed to lack a health assessment conducted within 12 months prior to providing initial service in a child care setting as evidenced by the health assessment for staff person #2 being dated 9/16/22, and the file for staff person #3 does not contain a 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.

Regulation: 3270.182(5)

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

Noncompliance Area: The file for child #2 was observed to contain an emergency contact form that lacked consent signed by the parent for the administration of minor first aid procedures by the facility.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility was observed to lack documentation that the parent of each child enrolled was provided with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

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

Regulation: 3270.27(a)(3)

Description: Contact when arises

Noncompliance Area: The facility was observed to have an emergency plan that lacked a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: The facility was observed to have an emergency plan that lacked a method for facility persons to contact parents to inform them that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility was observed to have an emergency plan that lacked accommodations for toddlers.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility was observed to lack documentation that the parent of each enrolled child was provided a letter explaining the emergency procedures.

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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility was observed to lack documentation that the operator sent a copy of the emergency plan to the local municipality.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At 8:55 the giraffe room was observed to have 2 staff and two volunteers. Staff # 4 identified 7 children: 6 PS and 1 OT. Staff #5 identified a 3 YT. Per conversation with staff #4 CR asked who was supervising 2 YT and 1 OT sitting at the table, that neither staff identified. Staff# 4 asked staff #5 why she didn't claim the other children, staff #5 appeared confused. CR told staff #4 that staff #5 was out of ratio since she will then have 5 YT and 1 OT. Staff #4 recognized that she was aware. At 9:15 staff #1 came in and the group was split. Staff #1 took 6 PS to the Picasso room and staff #4 and #5 stayed in the giraffe room with 5YT and 2 OT.

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).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A tube of Colgate mild bubble fruit toothpaste labeled keep out of reach of children under 6 years of age was observed to be stored in a red duffle bag within reach of children under the age of 6.

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

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: A re-usable HDX spray bottle without the contents labeled was observed to be stored on the counter in the kitchen adjacent to packages of Hamburger Buns, and potato chips. A plastic container of disposable disinfecting wipes was observed to be stored on the counter in the kitchen next to packages of Hamburger Buns and potato chips.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: The facility was observed to lack a first aid kit in classroom #3.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The facility was observed to possess a tripping hazard on the landing return of the stairs leading to the upstairs classrooms. This is evidenced by the flooring lacking a cap or covering and permits the flooring to catch toe ends. There are 9 boxes being stored on the stairway's landing return leading to the upstairs classrooms and kitchen.

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: The facility was observed to have damaged or peeling paint on the purple wall in classroom #4, in the doorway from the top of the stairs in classroom #3, on the white wall under the mural in the Ladybug room, and on the white wall near the corner by the play cube in the Giraffe room, the stairway banister handrail, and by the main entry door.

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