A SPOT 4 TOTS LEARNING ACADEMY

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 3/11/26, it was observed that the records of child #3 and child #5 did not include provided information to the family about the child's growth and development in the context of the services being provided. (Child Service Report)

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)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection on 3/11/26, it was observed that the records of child #1, child #2, and child #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: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: During the renewal inspection on 3/11/26, it was observed that the records of child #1 and child #5 did not include information on the child's special needs.

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)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection o n3/11/26, it was observed that the records of child #1 and child #2 did not include the health insurance coverage and policy number. The records of child #4 did not include the 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: During the renewal inspection on 3/11/26, it was observed that the records of child #2, child #4, and child #5 did not include the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: During the renewal inspection on 3/11/26, it was observed that the records of child #5 did not include an updated health report. Document presented dated 2/4/25.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 3/11/26, it was observed that the records of child #5 did not contain and updated financial agreement. Document presented dated 3/24/2025.

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

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During the renewal inspection on 3/11/26, it was observed that the records of child #5 did not contain signed parental consent for emergency medical care and signed parental consent for administration of minor first-aid procedures by facility staff.

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. 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection on 3/11/26, it was observed that the records of Staff person #1, staff person #2 and staff person #3 did not include an updated 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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: During the renewal inspection on 3/11/26, it was observed that the records of staff person #3 did not include pediatric first Aid & CPR training.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection on 3/11/26, it was observed that the records of staff person #1 did not include updated fire safety training. Document presented dated 2/28/25.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 3/11/26, it was observed that the records of staff person #1 and staff person #2 did not contain an updated National Sex offender Registry (NSOR) certificate

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 & #2 may not work in a childcare 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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 3/11/26, it was observed that the ceiling tile in front of the bathroom was not in good repair.

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

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

Noncompliance Area: During the allocated unannounced monitoring inspection on 11/6/25, it was observed that the records of staff person #1did not include an acceptable health assessment and a record of tuberculosis screening by the Mantoux method. Document presented dated 7/9/2023

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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.151(c)(4)/3270.151(c)(5)

Description: Information re: medical problems/Physician/CRNP assessment

Noncompliance Area: During the allocated unannounced monitoring inspection on 11/6/25, it was observed that the records of staff person #2 did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children and the physician's or CRNP's assessment of the person's suitability to provide childcare.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During the allocated unannounced monitoring inspection on 11/6/25, it was observed that the records of staff person #2 did not include verification of childcare experience.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the allocated unannounced monitoring inspection on 11/6/25, it was observed that the records of staff person #2 did not include two written, nonfamily references.

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: During the allocated unannounced monitoring on 11/6/25, it was observed that the records of staff person #1 did not contain a complete combination of Health and Safety training.

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: During the allocated unannounced monitoring inspection on 11/6/25, it was observed that the records of staff person #1 did not include the State Police Criminal Record clearance as required by the CPSL. The records of staff person #2 did not include the National Sex Offender Registry (NSOR) certificate as required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 & #2 may not work in a childcare 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.

Regulation: 3270.94(a)(1)/3270.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: During the allocated unannounced monitoring inspection on 11/6/25, it was observed that there was no current record of a fire drill on file. Document presented dated 3/4/2025.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter ensure a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection on 3/18/25, it was observed that the records of child #1, child #2 and child #3 did not contain the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: During the renewal inspection on 3/18/25, it was observed that the records of child #2 did not include an updated Health assessment. Document dated 3/15/2024.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection on 3/18/25, it was observed that the records of staff person #1 did not include verification of experience prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: During the renewal inspection on 3/18/25, it was observed that the records of staff person #1 did not include the correct Pediatric First Aid and CPR training.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection on 3/19/24, it was observed that the records of child #1, child #2, child #3, child #4, and child #5 did not include 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)

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

Noncompliance Area: During the renewal inspection on 3/19/24, it was observed that the records of child #4 did not include an updated health report. Report dated 3/6/23.

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: During the renewal inspection on 3/19/24, it was observed that the records of staff person #1 did not include tuberculosis screening by the Mantoux method at initial employment. Date test read was not verified on document.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During the renewal inspection on 3/19/24, it was observed that the records of child #1, child #2, child #3, child #4, and child #5 did not include signed parental consent for emergency medical care and signed parental consent for administration of minor first-aid.

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. 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: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: At the time of inspection facility person# 1 did not have a valid health assessment on file.

Correction Required: An adult health assessment must include a physical examination. 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(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: At the time of inspection facility person #2 did not have proof of qualification on file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: At the time of inspection facility person #2 did not have level of education and years of experience on file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.21/3270.95(a)

Description: General Health and Safety/Devices must be compliant

Noncompliance Area: At the time of inspection facility did not have an annual fire detection inspection nor could sound the system.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: During the renewal inspection, certification representative reviewed child's 3,4 and 5 file, the date of admission was missing from the children's fee agreement form.

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

Regulation: 3270.123(a)/3270.123(a)(5)

Description: Signed /Designated release persons

Noncompliance Area: During the renewal inspection, certification representative reviewed child's 1,2 and 5 files, parents signature is missing on the fee agreement form. During the renewal inspection, certification representative reviewed child's 3 and 5 file, the release persons name was missing from the fee agreement form.

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

Regulation: 3270.124(b)(2)/3270.124(b)(3)

Description: Physician name, address, phone/Parent home/work address, phone

Noncompliance Area: During the renewal inspection, certification representative reviewed child 4 file. Child 4 was missing address of physician and medical care on the emergency contact.During the renewal inspection, certification representative reviewed child 1,2,3 and 4 files. Child 1 and 2 was missing enrolling parent's home address the work address and parents work phone number.

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

Regulation: 3270.124(b)(4)

Description: Written consent

Noncompliance Area: During the renewal inspection, certification representative reviewed child file1,2,3,4. There were no signatures on emergency contact form for seeking emergency care medical care. and administering first aid.

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

Regulation: 3270.124(b)(5)/3270.124(b)(7)

Description: Information re: special needs/Name/address/phone release person

Noncompliance Area: During the renewal inspection, certification representative reviewed child 3 and 4 child files, the disability information is missing on the children's emergency contact.During the renewal inspection, certification representative reviewed child 1 file and the release person's name is missing on the emergency contact.

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.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)

Description: Updated every 6 months

Noncompliance Area: During the renewal inspection, certification representative reviewed child 5 file and the emergency contact was not up to date.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: During the renewal inspection, certification representative reviewed child 3 file, the child's health report is missing.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection, certification representative reviewed child 2,3 and 5 files, the parent signatures are missing from the periodic view section on the fee agreement form.

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

Regulation: 3270.182(3)/3270.182(3)

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

Noncompliance Area: During the renewal inspection, certification representative reviewed child file1,2,3,4. There were no signatures on emergency contact form for seeking emergency care medical care and administering first aid.During the renewal inspection, certification representative reviewed child file1,2,3,4. There were no signatures on emergency contact form for seeking emergency care medical care and administering first aid.

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.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(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: During the renewal inspection, certification representative reviewed child 1,3 and 4 files, children's special dietary information is missing and parent consent for administration of medication on the emergency contact form.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3270.182(5)

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

Noncompliance Area: During the renewal inspection, certification representative reviewed child file1,2,3,4. There were no signatures on emergency contact form for seeking emergency care medical care and administering first aid.

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: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During the renewal inspection, certification representative reviewed child file1,2 and 3 files, parent signature for transportation, walking, swimming, and wading are missing on the emergency contact form.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection, certification representative observed chipped paint in the left wall towards the back of the pre k room.

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