A Childs World Day Care Center Inc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Rest mats with torn vinyl and exposed foam were observed in the Preschool 1 Room. In the Preschool 2 Room, an L-shaped shelf bracket on the TV table was exposed, which could cause injury to a child.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A box of opened plastic garbage bags was observed in an unlocked cabinet under the sink in the Kitchen and were accessible to children, which could cause suffocation.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In the Toddler Room, the cots lacked numbered identification for the specific use of a child to correspond with the numbered cot list on the wall.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The file for Child #4 lacked a financial agreement form. The financial agreement form on file for Child #1 and Child #2 lacked the operator's signature. The financial agreement form on file for Child #5 lacked the operator's and parent's signatures.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The financial agreement forms on file for Child #1 and Child #5 lacked the services to be provided by the facility. The files for Child #1, Child #4, and Child #5, enrolled for more than 6 months, did not contain any child service reports (SEE IS CODE SHEET).

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The financial agreement forms on file for Child #1, Child #2, and Child #3 lacked the child's date of admission at the facility.

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 Child #1, Child #2, Child #3, and Child #5 contained the original financial agreement when the parent is to receive the original agreement.

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 emergency contact forms for Child #1, Child #3, and Child #5 lacked a complete address and phone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms on file for Child #1, Child #2, Child #3, Child #4, and Child #5 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: 3270.124(b)(4)/3270.182(3)

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

Noncompliance Area: The emergency contact form on file for Child #1, Child #3, and Child #5 lacked the parent's signature giving the facility written consent to obtain emergency medical care.

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 emergency contact forms for Child #3, Child #4, and Child #5 lacked the child's health insurance/MA policy number for the child's health care benefits.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #3 and Child #5 lacked complete addresses and telephone numbers for all listed release persons.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the renewal inspection, children were observed in the Front Room and School Age Room without their emergency contact information being in the space where they were receiving care.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent parent review and signatures for the emergency contact forms on file for Child #1 (7/24/25), Child #2 (12/18/25), Child #3 (11/10/25), Child #4 (1/7/26), and Child #5 (1/6/25) are dated more than 6 months apart.

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)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #1, Child #2, and Child #5, enrolled more than 60 days, lacked an initial health report. (See LIS Code Sheet)

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

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

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: The file for Child #1 and Child #5, enrolled more than 60 days, lacked an immunization record (SEE IS CODE SHEET). Child #1 and Child #5 must be dismissed from care by close of business on 8/6/25 and may only return to care when the immunization record is provided or when a parent provides a written, signed exemption letter.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: A prescription Epi Pen for Child #6 and a prescription Albuterol inhaler for Child #7 lacked written consent for administration.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #4 was observed to be caring for children unsupervised. Staff #4 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter Training

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most recent health assessment on file for Staff #3 (3/10/24), Staff #4 (2/27/24), and Staff #5 (2/25/24) are dated more than 24 months prior.

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

Regulation: 3270.165

Description: Menus

Noncompliance Area: The facility did not post the menu in a conspicuous location.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of inspection, the facility's annual written notification to local traffic safety authorities was dated 2/17/24, more than 12 months prior.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent parent review and signatures for the financial agreement forms on file for Child #1 (7/24/25), Child #2 (8/5/24), Child #3 (11/10/25), and Child #5 (1/6/25) are dated more than 6 months apart.

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(5)

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

Noncompliance Area: The emergency contact form on file for Child #1, Child #3, and Child #5 lacked the parent's signature giving the facility written consent to administer minor 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: 3270.27(a)(3)

Description: Contact when arises

Noncompliance Area: The facility's emergency plan lacked a method for the 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(f)

Description: Emergency plan

Noncompliance Area: At the time of inspection, the facility did not have documentation that the current emergency plan was sent to the county emergency management agency.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for Staff #2 and Staff #5 contained 3 of 12 annual childcare training hours within the training timeframe of 12/2024-12/2025.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/18/21. The two most recent mandated reporter trainings on file for Staff #1 (2/2/21 & 8/5/26) and Staff #2 (2/18/21 & 8/5/26) are dated more than 60 months apart.

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 most recent staff evaluation on file for Staff #2, Staff #3, Staff #4, and Staff #5 is dated 12/30/24, more than 12 months prior.

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: 3270.75(a)

Description: In child care spaces

Noncompliance Area: The Preschool 1 and Preschool 2 rooms lacked a first-aid kit.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the School Age Room, a baseboard strip was observed to be detached from the wall behind the door and to the left of the doorframe on the bottom.

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: Peeling paint and damaged drywall was observed on the outside wall to the right of the bathroom doorframe next to the first bathroom and in the corner next to the toilet in the bathroom with the changing table.

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: An exterior exit door was observed obstructed by a small play table in the Preschool 2 room.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 5/15/26-6/15/26 and 6/15/26-7/20/26, 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)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: SECOND CITATION, PREVIOUSLY CITED ON 12/11/25: On 2/12/26, rest equipment in the Infant Room and Toddler Room lacked two feet on three sides while in use.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 12:47 PM on 2/12/26, Staff #1 left 5 preschool aged children alone in the Preschool 1 room to answer the front door of the facility. At approximately 12:52 on 2/12/26, Staff #2 was observed laying on the floor in the Toddler room with their sweatshirt hood over their head next to a child facing the wall. The remaining four children in Staff #2's supervision group were on rest equipment behind Staff #2, who was not able to directly supervise them.

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. TIERED LIS: 1. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE. 2. The legal entity, with assistance from the ELRC, shall conduct four monthly meetings with all staff for a period of four consecutive calendar months. One agenda item at each meeting shall be related to the proper supervision of children, allowing staff to ask questions, discuss challenges, and provide and receive feedback regarding the supervision of children. The agenda topics, meeting date, and attendees for each meeting shall be documented, retained on file, and submitted to the certification representative after each meeting. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED. 3. The legal entity shall ensure that all facility staff complete a technical assistance program regarding supervision of children coordinated through the ELRC, with an emphasis on supervision during transitions and appropriate supervision within the environment, including rest time. Documentation of completion of the TA shall be retained on file at the facility as well as submitted to certification representative upon completion. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED. 4. The legal entity will develop and implement supervision tags within 2 weeks of receiving the supervision technical assistance by the ELRC. The tools shall be available to all staff, including temporary staff, to assist in identifying children in their supervisory groups. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 12:47 PM on 2/12/26, Staff #1 left 5 preschool aged children alone in the Preschool 1 room to answer the front door of the facility.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Foam blocks with teeth marks were observed in the Older Toddler room and were 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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During nap time in the Infant Room, two cribs were observed with less than 2 feet of space on three sides while in use.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The financial agreement on file for Child #1 lacked the operator's and enrolling parent's signatures. The financial agreements on file for Child #3 and Child #5 lacked the operator's signature.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The financial agreement forms on file for Child #1 and Child #3 did not contain an amount of the fee to be charged.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The financial agreement forms on file for Child #1, Child #3, and Child #4 did not contain a date for the fee to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The financial agreement forms on file for Child #1 and Child #3 lacked the services provided to the family and child by the facility. The file for Child #2, Child #3, and Child #5 lacked a child report and is beyond 6 months from date of enrollment (SEE IS CODE SHEET). The most recent child service report on file for Child #4 is dated 8/12/24, more than 6 months prior.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The financial agreement forms on file for Child #1 and Child #3 lacked arrival and departure times.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The financial agreement forms on file for Child #1, Child #3, Child #4, and Child #5 lacked the child's date of admission at the facility.

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(a)(7)

Description: Services considered extra

Noncompliance Area: The financial agreement forms on file for Child #3, Child #4, and Child #5 lacked any services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

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 Child #2, Child #3, and Child #4 contained the original financial agreement when the parent is to receive the original agreement.

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 emergency contact forms for Child #4 lacked the name, address, and phone number of the child's physician or source of medical care. The emergency contact form for Child #1 lacked a complete address of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms on file for Child #1, Child #3, Child #4, and Child #5 lacked the enrolling parents 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact forms for Child #1, Child #3, Child #4, and Child #5 lacked the child's health insurance coverage and policy number for the child's health care benefits.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms for Child #1, Child #2, Child #3, and Child #4 lacked names, telephone numbers, and complete addresses for all listed release persons.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The emergency contact forms on file for Child #1, Child #2, and Child #3 did not contain any documentation that the forms were reviewed and updated by the parent at least once every six months. The most recent parent review and signature for the emergency contact forms on file for Child #4 (10/1/24) and Child #5 (3/11/25) are dated more than 6 months prior.

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)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment on file for Child #5 is dated 9/16/25, more than 60 days after the child's date of enrollment (SEE IS CODE SHEET).

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

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

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

Noncompliance Area: The two most recent health assessments on file for Child #4 (Younger Toddler at the time) are dated 6/16/23 & 6/14/24, more than 6 months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

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

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

Noncompliance Area: The most recent health assessment on file for Child #2 (Preschool Age) is dated 2/19/24, 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 shall contain initial and subsequent health reports.

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record for Child #2 (PSA) lacked the following immunizations: 1 dose of Hepatitis A without a Letter of Exemption in the file. Child #2 must be dismissed from care by close of business on 12/11/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall 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: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The initial immunization record on file for Child #5 is dated 9/16/25, more than 60 days after the child's date of enrollment (SEE IS CODE SHEET).

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

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

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

Regulation: 3270.165

Description: Menus

Noncompliance Area: At the time of inspection, the facility's menu was not posted in a conspicuous location.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: At the time of inspection, the facility lacked a written statement giving formula and feeding schedules from the parent for every enrolled infant.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The financial agreement forms on file for Child #1, Child #2, and Child #3 did not contain any documentation that the forms were reviewed and updated by the parent at least once every six months. The most recent parent review and signature for the financial agreement form on file for Child #4 (10/1/24) and Child #5 (3/11/25) are dated more than 6 months prior.

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(5)

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

Noncompliance Area: The emergency contact form on file for Child #3 lacked the parent's signature giving the facility written consent to administer minor 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: 3270.21

Description: General Health and Safety

Noncompliance Area: Loose crib sheets were observed in the two cribs in the Infant Room, causing the risk of suffocation.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The facility lacked documentation that the emergency plan is reviewed annually.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility's emergency plan parent letter lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for Staff #1 and Staff #3 contained 6.5 of 12 annual childcare training hours within the training timeframe of 12/2023-12/2024.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The two most recent Pennsylvania State Police clearances (8/5/20 & 11/25/25), Child Abuse clearances (8/12/20 & 11/26/25), and FBI clearances (8/11/20 & 9/19/25) on file for Staff #1 are dated more than 60 months apart. The most recent National Sex Offender Registry certificate on file for Staff #2 is dated 1/21/20, more than 60 months prior.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: In the bathroom and Preschool 1 room, garbage cans containing used tissues were observed without a garbage bag. In the Infant Room, used juice containers with human secretions were observed in a garbage can without a lid.

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The telephone number of the nearest hospital, police department, fire department, ambulance, and poison control center were not posted in the Toddler room.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A protruding screw was observed in the wall near the back corner on the left in the Toddler 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: Peeling paint was observed on the back wall in the Preschool Room 2. Damaged plaster was observed to the right of the toilet in the bathroom and in the Toddler room to the right of the closet door and to the right of the exterior door.

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

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: The sink in the Infant Room lacked a platform or steps providing the proper height for the children using the sink.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The diaper changing areas in the Toddler Room, Older Toddler Room, and bathroom lacked a handwashing sign.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 10/3/25-11/3/25, more than 30 days apart. The most recent documented fire alarm testing was dated 11/3/25, more than 30 days prior.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Rest equipment with torn vinyl and exposed foam was observed in the Preschool 1 and Preschool 2 rooms.

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

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: A climber with torn vinyl pieces less than 1 inch in diameter was observed in the Toddler Room and was accessible to children who are still placing objects in their mouths.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 12:10 PM, two school aged children were observed walking down the hallway and entering the Staff Lounge to receive rest mats without a staff member present. At approximately 12:15, one school aged child was observed walking down the hallway and entering the Staff Lounge to receive a rest mat without a staff member present.

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. TIERED LIS: 1. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity shall ensure that all facility staff complete an in-person supervision training, coordinated through the ELRC, that include a component relating to supervision during times of transition. Training documentation must be retained on file that includes the date of the training and the names of the attendees. The operator shall provide a date for when this training will be completed. 3. The legal entity shall develop and implement a supervision and ratio training, coordinated through the ELRC, that is to be completed by all newly hired staff. The training should focus on supervision of children during times of transition. Training documentation must be retained on file that includes the date of the training and the names of the attendees. The operator shall provide a date for when the trainings have been developed and implemented in coordination with the ELRC.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 12:10 PM, two school aged children were observed walking down the hallway and entering the Staff Lounge to retrieve rest mats without a staff member present. At approximately 12:15, one school aged child was observed walking down the hallway and entering the Staff Lounge to retrieve a rest mat without a staff member 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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The hands-free garbage can used for diapering in the Toddler Room was observed to be broken, and not hands-free.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A tool bag containing a hammer, a wrench, and screwdrivers were observed in an unlocked cabinet in the School Age room and was accessible to children.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 12:10 PM, two school aged children were observed walking down the hallway and entering the Staff Lounge to receive rest mats without a staff member present. At approximately 12:15, one school aged child was observed walking down the hallway and entering the Staff Lounge to receive a rest mat without a staff member present.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: A power strip in the Kitchen and an outlet in the Preschool 2 room were missing protective electrical covers.

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: A bottle of Tylenol was observed on the window ledge in the School Age room and was accessible to children. At the time of inspection, the door to the staff lounge was observed to be open and a container of tide pods labeled "Keep out of reach of children" was observed on the counter, which was 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.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: Unlabeled spray bottles containing cleaning products were observed in the Infant and Preschool 2 rooms.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Toddler room, an outlet cover plate was observed broken with sharp edges and could cause injury to children. High, overgrown grass was observed in two areas of the outdoor play space, which could be hazardous to children. The step stool located under the water fountain was observed to be darkened with a layer of dirt.

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: Damaged plaster was observed with peeling pieces on the back wall of the Preschool 2 room.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 7/2/25 at approximately 8:37 am in the greeting room, Staff #1 and #3 were supervising 3 young toddlers and 5 preschoolers. Staff #1 claimed to have the 3 young toddles is their supervision group. Staff #3 did not claim any children in their supervision group. Staff #3 stated that the other children were in Staff #2's supervision group. Staff #2 was not in the greeting room. Staff #3 left the room. Staff #1 was alone supervising the 8 children. A few minutes later. Staff #2 joined the room. Staff #2 claimed 2 preschool children in their supervision group. 3 preschoolers were not claimed in either staff's supervision group. At that time, Staff #1 left the room. Staff #2 was alone supervising the 8 children. At approximately 9:00 am, staff #1, left a young toddler alone and unsupervised in a crib located in the infant room.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 7/2/25 at approximately 8:37 am in the greeting room, Staff #1 and #3 were supervising 3 young toddlers and 5 preschoolers. Staff #1 claimed to have the 3 young toddles is their supervision group. Staff #3 did not claim any children in their supervision group. Staff #3 stated that the other children were in Staff #2's supervision group. Staff #2 was not in the greeting room. Staff #3 left the room. Staff #1 was alone supervising the 8 children. A few minutes later. Staff #2 joined the room. Staff #2 claimed 2 preschool children in their supervision group. 3 preschoolers were not claimed in either staff's supervision group. At that time, Staff #1 left the room. Staff #2 was alone supervising the 8 children. At approximately 9:00 am, staff #1, left a young toddler alone and unsupervised in a crib located in the infant room.

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Based on staff statements, Staff #3 restrained Child #1, a preschooler, to a chair with the sleeves of a sweatshirt for approximately 15 mins. Staff #1 reported that Child #1 was restrained to keep the child safe. Child #1 was jumping off of tables.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 7/2/25 at approximately 8:37 am in the greeting room, Staff #1 and #3 were supervising 3 young toddlers and 5 preschoolers. Staff #1 claimed to have the 3 young toddles is their supervision group. Staff #3 did not claim any children in their supervision group. Staff #3 stated that the other children were in Staff #2's supervision group. Staff #2 was not in the greeting room. Staff #3 left the room. Staff #1 was alone supervising the 8 children. A few minutes later. Staff #2 joined the room. Staff #2 claimed 2 preschool children in their supervision group. 3 preschoolers were not claimed in either staff's supervision group. At that time, Staff #1 left the room. Staff #2 was alone supervising the 8 children. At approximately 9:00 am, staff #1, left a young toddler alone and unsupervised in a crib located in the infant room.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: According to the fire drill log, the last fire drill was conducted on 1/17/25.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

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 last test was conducted on 12/17/24.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: SECOND CITATION PREVIOUSLY CITED ON 12/11/24: The file for Staff #1 contained a health assessment dated within 12 months prior to date of hire and also included a Tuberculosis test dated 10/9/23, more than 12 months prior to date of hire. (SEE IS CODE SHEET)

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

Regulation: 3270.151(c)(5)/3270.192(3)

Description: Physician/CRNP assessment/Health assessment, TB test

Noncompliance Area: The file for Staff #1 contained a health assessment lacking the physician's or CRNP's assessment of the person's suitability to provide child care.

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

Description: Exp, educ., training at facility

Noncompliance Area: The file for Staff #1 lacked the training certificate for Pediatric First Aid/CPR training dated 5/22/24 at the time of inspection.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Preschool 2 Room, splintered plywood was observed on a yellow table which could be harmful to children. Exposed fence bolts, a broken metal chair, and sharp plastic on the door frame of the short tan house along the fence were observed in the outdoor play space, which could be harmful to children.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 9:45 AM, Staff #4 was unable to name the 2 preschool children in their assigned group that they were responsible for.

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: 3270.123(a)

Description: Signed

Noncompliance Area: The Financial Agreement form on file for Child #4 lacked the signature of the operator.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The Financial Agreement form on file for Child #2 lacked the fee amount for services.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The Financial Agreement forms on file for Child #1 and Child #2 lacked the date the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The Financial Agreement form on file for Child #2 lacked the services provided by the facility. The most recent Child Service Report on file for Child #1 is dated 8/17/23, more than 6 months prior.

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).