A Childcare

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The Child Abuse clearance on file for Staff #1 is listed as a volunteer clearance, making it invalid. The file for Staff #1 lacked a PA State Police clearance or an application for the PA State Police clearance prior to the date of hire as required under the CPSL. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff #1 -- 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. Staff #1 may not work in a childcare position at the facility.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the back-room area, hand sanitizer labeled keep out of the reach of children was observed on a shelf and accessible to children.

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

Regulation: 3280.103

Description: Small Toys and Objects

Noncompliance Area: At the gate near the entrance, the metal gate loop (less than 1 inch in diameter) was observed to be loose, could be pulled out of the wall, and was accessible to children who are still placing objects in their mouths.

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

Regulation: 3280.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Upon arrival at the facility on 5/26/26 at approximately 12:30 PM, Staff #1 was observed in the Room 3 (office) alone without any children. Once inside the facility, 1 older toddler was observed napping in Room 1 (next to the office). Staff #1 stated that they were responsible for the child in Room 1. Staff #1 stated that they believed they were compliant with supervision because Staff #1 was able to see the child in Room 1 from the office. At approximately 12:43 PM, Staff #1 walked into Room 2, leaving the child in Room 1 alone without a staff person present.

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: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the hallway near the back door a broken drywall hole was observed to contain broken tape.

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

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: In the middle room space, a ladybug bean bag was observed to contain ripped fabric, and not in good repair.

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

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The most recent emergency drill on file at the facility is dated 8/23/24, more than 12 months prior to the date of inspection.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Windex Glass Cleaner, rubbing alcohol, Awesome Cleaner, cleaner with bleach, and other toxics were observed in an unlocked closet and accessible to children in the hallway to the 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the front entry area, broken plaster was observed on the top and bottom of the half wall where the gate attaches. The half wall in between the front room and middle room contained broken plaster where the gate attaches. The half wall in between the middle room and the back area contained broken plaster where the gate attaches.

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

Regulation: 3280.24(b)

Description: Post the inspection summary

Noncompliance Area: A copy of the most recent inspection summary from 1/23/26 was not posted in a conspicuous location used by parents.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In Room 3/Changing Room, a power strip was observed to be missing two outlet covers and 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: 3280.95(a)

Description: FIRE DETECTION

Noncompliance Area: The facility's fire detection log documented dates 1/2/26-2/3/26, more than 30 days apart.

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: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: The file for staff person #1 had current pediatric first aid/CPR training with a completion date of 10/8/25 that was after the September 2025 expiration of the prior training.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the middle room area, an electrical outlet under the shelves lacked an outlet cover. In the back-room area, an electrical outlet near the hanging headphones lacked an outlet cover.

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

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: A sharp, exposed screw was observed on a gate in between the middle and back room, and could cause injury.

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: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Broken plaster was observed on the bottom of half wall in between the middle room and back room.

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

Regulation: 3280.95(a)

Description: FIRE DETECTION

Noncompliance Area: The facility's fire detection log documented dates 10/1/25-11/1/25 and 11/1/25-12/5/25, more than 30 days apart.

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: 20.71(a)(7)

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

Noncompliance Area: SECOND CITATION: PREVIOUSLY CITED ON 9/17/25. On 12/11/25 Staff #1 was observed caring for a group of children alone in the building after providing a plan of correction that stated they would not work in childcare. Staff person #1 does not have valid documentation on file to qualify as a primary staff person which is required in order to work alone with a group of children.

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: 3280.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: SECOND CITATION: PREVIOUSLY CITED ON 9/17/25. On 12/11/25 Staff #1 was observed caring for a group of children alone in the building after providing a plan of correction that stated they would not work in childcare. Staff person #1 does not have valid documentation on file to qualify as a primary staff person which is required in order to work alone with a group of children.

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

Regulation: 3280.34(b)

Description: Primary staff person's qualifications

Noncompliance Area: SECOND CITATION: PREVIOUSLY CITED ON 9/17/25. On 12/11/25 Staff #1 was observed caring for a group of children alone in the building after providing a plan of correction that stated they would not work in childcare. Staff person #1 does not have valid documentation on file to qualify as a primary staff person which is required in order to work alone with a group of children.

Correction Required: A primary shall have attained one of the following qualification levels specified at §3280.34(b)(1) - (5).

Regulation: 20.71(a)(7)

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

Noncompliance Area: The file of facility person #1 contained a high school diploma which did not resemble the high school diplomas provided to graduates of [the] School District. After communications with a representative of the school district, it was determined the diploma which was on file for staff #1 was fraudulent. Transcripts were provided by staff #1 the day following the investigation visit. After a review of the transcripts and communications with the same representative from [the school district], it has been determined the transcripts provided by staff #1 were not distributed by the district of the school listed on the transcript and are 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: 3280.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff #1, currently serving as a Group Supervisor, did not contain valid proof of high school graduation needed to qualify for the position.

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

Regulation: 3280.33(a)

Description: Each staff person meets quals

Noncompliance Area: The file for staff #1, currently serving as a Primary Staff, did not contain valid proof of high school graduation needed to qualify for the position.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Regulation: 3280.34(b)

Description: Primary staff person's qualifications

Noncompliance Area: The file of facility person #1 contained a high school diploma which did not resemble the high school diplomas provided to graduates of the Pittsburgh Public School District. After communications with a representative of the school district, it was determined the diploma which was on file for staff #1 was fraudulent. Transcripts were provided by staff #1 the day following the investigation visit. After a review of the transcripts and communications with the same representative from Pittsburgh Public Schools, it has been determined the transcripts provided by staff #1 were not distributed by the district of the school listed on the transcript and are fraudulent.

Correction Required: A primary shall have attained one of the following qualification levels specified at §3280.34(b)(1) - (5).

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The last documented test of the fire detection system was dated 8/2/2025 which was more than 30 days prior to the date of the unannounced inspection.

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

Regulation: 3280.113(a)

Description: Supervised at all times

Noncompliance Area: On 8-14-25 at approximately 9:27 a.m., staff person #1 was observed answering the door to the facility in the front room with 7 children observed alone in the middle room. A staff person was not present in the middle room to supervise the children.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3280.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 8-14-25 at approximately 9:27 a.m., staff person #1 was observed answering the door to the facility in the front room with 7 children observed alone in the middle room. A staff person was not physically present in the middle room to supervise the children.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: The file for staff person #1 had current pediatric first-aid/CPR training with a completion date of 6-29-25 that was after the December 2024 expiration of the prior training.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: On 8-14-25 at approximately 9:27 a.m., staff person #1 was observed answering the door to the facility in the front room with 7 children observed alone in the middle room without a staff person present, resulting in a 0 to 7 staff to child ratio. After answering the door, staff person #1 entered the middle room and named 7 children in their group, including 2 young toddlers and 5 preschoolers, resulting in staff person #1 being out of ratio.

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 at §3280.52(b).

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

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 on multiple occasions within the last year.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The Child Service Report on file for Child #5 and Child #6 were dated 10/18/23, exceeding the 6-month update.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #3, Child #5, Child #6, and Child #7 lacked the enrolling parent's work address and work phone number.

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

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #3 lacked the release person's address.

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

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: Room 1 lacked emergency contact forms for Child #1 and Child #2. (SEE LIS CODE SHEET)

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The file for Child #4 contained an emergency contact form that was not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

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

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

Noncompliance Area: The file for Child #4 contained a health report dated 10/5/23 and lacked a 6-month update prior to turning 2 years 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. A child's record must contain initial and subsequent health reports.

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

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

Noncompliance Area: The file for Child #5 (11/9/22), Child #6 (8/17/22), and Child #7 (4/14/21) contained health reports dated more than 12 months prior.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

Regulation: 3280.131(d)(5)/3280.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #4 contained records of immunization history which lacked vaccinations of Hepatitis B, DTAP, HIB, and Hepatitis A, recommended by the ACIP. The file for Child #7 contained records of immunization history which lacked vaccination of Hepatitis A, recommended by the ACIP. Child #4 and Child #7 must be dismissed from care and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. (SEE LIS CODE SHEET)

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The file for Staff Person #1 contained a health assessment dated 7/26/22, more than 24 months prior.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The current health assessment on file for Staff Person #3 does not indicate that the staff person was examined for communicable diseases.

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

Regulation: 3280.151(c)(4)

Description: Information re: medical problems

Noncompliance Area: The current health assessment on file for Staff Person #3 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.

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.

Regulation: 3280.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The current health assessment on file for Staff Person #3 did not include a physician or CRNP's assessment of the person's suitability to provide childcare.

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

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #4 contained a financial agreement form that was not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

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: 3280.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #3 lacked two written, non-family 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: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #3 did not contain 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.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: The file for Staff Person #1, Staff Person #2, and Staff Person #4 lacked 12 annual clock hours of childcare training.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training.

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: The most recent Pediatric First Aid/CPR training on file for Staff Person #4 is dated 6/7/22, more than 24 months prior.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #3 did not contain a Pennsylvania State Police clearance or the National Sex Offender Registry clearance. The file for Staff Person #3 contained a disclosure statement that was not dated, therefore making it invalid.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #3 -- 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. Staff Person #3--- may not work in a childcare position at the facility.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In Room 2, the outlet to the below, left of the television lacked an outlet cover. In Room 3, the outlet to the left of the filing cabinet and the surge protector lacked outlet covers.

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

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: In the outdoor play space, a decaying animal carcass was observed to the right of the steps.

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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility's fire detection log documented testing dates 8/2/24 and 9/3/24, more than 30 days apart.

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

Regulation: 3280.103

Description: Small Toys and Objects

Noncompliance Area: Uncooked macaroni pasta was observed in the sensory bin in Room 2 where toddlers were present.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #2 and #4 did not contain documentation of sharing completed child service reports with the parents.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for child #2 did not include the name, address and telephone number of the child's physician. The emergency contact form for child #3 did not include the address and telephone number of the child's physician.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact forms for children #1, #2, #3, #4, and #5 did not include the health 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: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for child #1 did not include the addresses and telephone numbers of all individuals designated by the parent to whom the child may be released.

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

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The file for child #2 contained documentation that the individual who signed for the 6 month updates was not the child's parent, "Aunt" was written after the signature. Statements made by staff confirmed the parent did not sign the update. The files for children #4 and #5 contained emergency contact forms and agreements which were updated by the parent more than 6 months apart. The documents for child #4 and child #5 are now current.

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: 3280.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Soiled diapers were observed in a plastic grocery bag in the diapering area.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3280.135(a)(4)

Description: No tied bag, no unlined container

Noncompliance Area: Soiled diapers were observed in an unlined trash contained in the diapering area.

Correction Required: A soiled diaper that is not in a tied bag may not be placed in an unlined outdoor trash container.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #2 and #4 did not complete the 1 hour training titled Pennsylvania Health and Safety Update 2022 by 12/30/22 as required by Announcement C-22-06. Current training dated 3/23/23 is now on file for both staff.

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: 3280.151(c)(3)/3280.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The file for staff #3 contained a health assessment which did not include the results from an examination for communicable diseases or the physician's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3280.182(3)/3280.182(5)

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

Noncompliance Area: The emergency contact form for child #2 did not include parental signatures of consent for emergency medical care and administration of first aid.

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

Regulation: 3280.192(3)

Description: Health assessment, TB test

Noncompliance Area: The file for staff #4 did not contain the initial health assessment and TB screening results. A subsequent and current health report with TB results is now on file.

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

Regulation: 3280.20

Description: General Health and Safety

Noncompliance Area: Several inches of water was observed in a plastic storage tub in the outdoor play space.

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

Regulation: 3280.26(a)

Description: Emergency plan

Noncompliance Area: The operator did not present an emergency plan for review at the time of the inspection.

Correction Required: The facility shall have an emergency plan.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of conducting an emergency drill within 12 months of initial operation.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3280.26(c)/3280.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The files for staff #1 and #2 did not contain documentation of 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.26(d)

Description: Plan posted

Noncompliance Area: The emergency plan was not posted at the facility.

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

Regulation: 3280.31(e)(4)(i)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: The file for staff #2 contained CPR and First Aid certification that was not renewed on or before the expiration of the previous certification. The previous certification expired 7/21/21 and was renewed on 9/17/23.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #3 contained clearances which were applied for after their first day in a child care position. (SEE LIS CODE SHEET) The application for the state police clearance was dated 9/18/23. The completed state police clearance was dated 9/21/23.The FBI application and results were dated 9/11/23. Additionally, the FBI clearance for staff #3 included charges which lacked dispositions. The file for staff #4 contained a expired FBI clearance dated 3/24/18.

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

Regulation: 3280.33(a)/3280.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #3, observed caring for children alone in the role of a primary staff person, did not contain documentation of the qualifications required for the position. The file did not contain documentation of education or experience.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3280.34(c)

Description: Supervise secondary staff

Noncompliance Area: Staff #3 was observed caring for children alone in Room 2. The file for staff #3 did not contain documentation of the qualifications required for a primary staff person.

Correction Required: A primary staff person shall supervise the performance of a secondary staff person.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Eleven electrical outlets, accessible to children 5 years of age or younger, lacked protective covers. The outlets were located as follows; 3 in the front room near the TV, 5 on the walls of the second room, and 2 on a power strip near the computers.

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

Regulation: 3280.67(c)

Description: No insects or rodents

Noncompliance Area: A significant amount of rodent feces was observed under the sink in the restroom. Additionally, a hole was observed in the rear left of the cabinet with insulation that had been pulled in from behind the wall.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: A broken blank plastic wall plate with sharp edges was observed near the TV in Room 2. A small sharp protrusion was observed on the baseboard of Room 1 under the mounted TV. The handrail on the steps on the playground was not fully secured and was unstable.

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: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Damaged plaster was observed on the corner of the 1/2 wall in Room 2.

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

Regulation: 3280.32(c)

Description: Convicted or awaiting trial

Noncompliance Area: Based on court dockets reviewed by the Department, facility person #1 is awaiting trial for crimes of moral corruptness.

Correction Required: The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness.

Regulation: 3280.113(a)

Description: Supervised at all times

Noncompliance Area: At 11:40 am, Facility Person #2 was observed alone with a child assisting the child in the restroom. Facility Person #2 is not a staff person.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3280.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Facility Person #2 was observed alone with a child assisting the child in the restroom. Facility Person #2 is not a staff person.

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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility Person #1 was observed to be caring for children unsupervised. Facility Person #1 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training, health and safety training topics 1-9, and pediatric CPR/First Aid.

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, facility person #1 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise facility person #1, then facility person #1 may not work in a child-care position at the facility.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The file for facility person #1 did not include 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: The file for facility person #1 did not include any written 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: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #1 did not contain documentation of applying for or receiving a state police or FBI clearance. The file also lacked a completed disclosure statement. Facility person #1 was observed caring for a child unsupervised.

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

Regulation: 3280.33(a)/3280.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for facility person #1 did not include documentation of the qualifications required for a staff person. Facility person #1 was designated as a volunteer by the operator, however facility person #1 was observed performing the duties of a primary staff person.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: At 11:40 am, staff #1 was observed supervising 5 children; 2 older toddlers, 2 young toddlers, and 1 infant. Facility Person #2 was observed alone with a child assisting the child in the restroom. Facility Person #2 is not a staff person.

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 at §3280.52(b).

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: A crib in use by a child in room 2 was not labeled for use by a specific child.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #1, #3, #4, and #5 contained agreements which did not specify the services to be provided to the family and the child.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The file for child #1 contained an agreement which did not specify the child's arrival and departure times.

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

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: The files for children #1 #3, #4, and #5 contained agreements which did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3280.123(b)/3280.182(8)

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

Noncompliance Area: The files for children #1, #3, #4, and #5 contained original agreements.

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

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #4 contained emergency contact information which did not include the home and 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: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #2 and child #3 contained emergency contact information which did not include health insurance coverage and policy number for the child.

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: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #5 contained emergency contact information which 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: 3280.131(a)

Description: Health Information

Noncompliance Area: The files for children #2 and #5, both enrolled for over 60 days, did not include health reports.

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: 3280.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1 contained an immunization record which did not include documentation of receiving the influenza vaccine at any time. A written exemption was not on file.

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.

Regulation: 3280.133(6)

Description: Written consent

Noncompliance Area: An inhaler for child #1, which lacked written parental consent for administration, was observed in the office of the facility.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3280.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A soiled diaper was observed sitting on the 1/2 wall in room 2.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric CPR and First Aid and health and safety topics 1-9.

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 #-2 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not address continuity of business operations.

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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility did not have a written policy for the 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.