Abcs For Children

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There was a sensory bottle in the Infant room containing items smaller than an inch inside with an unsecured lid, making the items accessible to children who are still placing objects in their mouths. There was a sensory bottle in the Walkers room with an unsecured lid that contained items smaller than an inch in size and were 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: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement on file for Child #1, #3, #4, #5, #7, and #9 does not include the child's date of admission.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #1 does not include the phone number for the child's pediatrician/source for 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(f)/3270.181(c)

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

Noncompliance Area: The file for Child #1, #2, #3, #4, #5, #6, #7, #8, and #9 included 6-month review signatures for the emergency contact form and agreement dated in August 2024 and March 2025, 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(b)(2)/3270.182(1)

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

Noncompliance Area: The two most recent health assessments on file for Child #9, who is a preschool age child, are dated 10.30.23 and 11.12.24, more than 12 months apart.

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)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: he immunization record on file for Child #6, who is 2 years old, included 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). ·Child #6 must be dismissed from care by close of business on 9.22.25, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There were 2 bottles of Tylenol in the infant room labeled for use by 2 children that did not have written parental permission to administer.

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

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 file for staff person #8 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET); the health assessment and TB test on file for staff person #8 was dated 3.20.25. The 2 most recent health assessments on file for Staff person #9 are dated 11.2.21 & 8.13.24, more than 24 months apart.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: The facility did not have feeding plans submitted in writing by the parent for the infants receiving care in the infant room.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the Infant room infants were observed sleeping in cribs that had loose sheets, which pose a suffocation risk.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 completed their current mandated reporter training on 5.16.25, more than 60 months after the previous training dated 1.30.20.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #2 includes criminal history clearances dated 6.1.20 & 6.12.25; child abuse clearances dated 6.1.20 & 6.18.25; FBI clearances dated 6.1.20 & 6.14.25, and NSOR certificates dated 3.17.20 & 5.19.25, all more than 60 months apart. The file for Staff person #4 includes criminal history clearances dated 1.21.19 & 3.28.24, more than 60 months apart. The file for Staff person #5 includes NSOR certificates dated 6.10.20 & 6.16.25, more than 60 months apart. The file for Staff person #6 includes child abuse clearances dated 7.24.20 & 7.25.25, more than 60 months apart. The file for Staff person #7, who was rehired (See LIS Code Sheet), does not include a new disclosure statement signed upon rehire. The file for Staff person #10 includes criminal history clearances dated 1.16.19 & 4.2.24; child abuse clearances dated 1.16.19 & 4.4.24; FBI clearances dated 1.31.19 & 4.8.24, and NSOR certificates dated 1.10.20 & 1.23.25, all more than 60 months apart. The file for Staff person #11 includes an incomplete criminal history clearance indicating that it was pending, under review, (See LIS Code Sheet), making it invalid.

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 #7, #11, may not work in a childcare position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

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

Noncompliance Area: The file for Staff person #1, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children. The file for Staff person #3, #12, who is classified as an aide, does not include a high school diploma or a general educational development certificate; or a minimum of an 8th grade education and 2 years of experience with children.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff person #1, with a hire date more than 12 months ago (see LIS Code Sheet), does not include a staff evaluation.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: There were stained ceiling tiles from a previous leak in the School-age room, Toddler 1, and Toddler 2. There was an exposed bolt on the gate between the Toddler and & Preschool playgrounds and on the fence by the preschool playground side exit. There was splintered wood on the sandbox in the Preschool playground that was a potential hazard. There were several holes in the poured surface in the Toddler playground, causing a tripping hazard.

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, which is accessible to children, was observed on the play structure in the Preschool playground.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file included fire drills conducted 1.9.25 & 3.19.25, more than 60 days apart.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Gobot OT room, Magnet tiles were observed to be cracked and broken which were not in good repair and can cause a hazard to the 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan on site does not include provisions regarding the facility's 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #1 were dated 2/11/22 and 3/18/24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #2 were dated 9/29/21 and 8/28/24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #3 were dated 5/12/22 and 6/25/24, more than 24 months apart.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: In the 2yo Smurf room, a drawer in the kitchen area which is accessible to children was observed to be unlocked with a steak knife in the drawer. In the OT room 305 in the kitchen area accessible to children, two pair of adult scissors were observed in the unlocked drawer.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: There was no documentation of an annual Emergency drill being conducted at the facility.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility does not have documentation verifying that the most recent emergency plan was submitted to the local municipality and 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 file for staff person #6 included documentation of only 7 of the 12 completed clock hours of childcare training

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 file for Staff person #3 includes criminal history clearances dated 1/17/19 and 4/4/24; child abuse clearances dated 1/23/19 and 4/11/24; and FBI clearances dated 1/23/19 and 4/11/24 and a mandated reporter training dated 4/15/15 and 8/17/21, all more than 60 months after the previous training. The file for staff person #5 was observed not to contain documentation of application of an FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.35(b)/3270.192(2)(ii)

Description: Group sup qualifications/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #4 was lacking proof of experience to qualify them as a Group Supervisor.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the gross motor space, 6 gallons of hand soap labeled "keep out of reach of children was observed in a low cabinet that was unlocked and 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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The second toilet in the restroom by the office was missing 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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 10:05am in the basement after school room, Staff Persons #2 and #3 were observed to be caring for a group of school age children that was reported to include 1 older school age child and 16 younger school age children. Staff Person #2 identified being responsible for 7 children. Staff Person #3 identified being responsible for 9 children. This left one child unaccounted for in their group assignments. At approximately 10:18am in classroom 305 Staff Persons #4, #5 and #6 were observed to be caring for 9 young toddlers. Staff Person #4 identified caring for 3 children, Staff Person #5 identified caring for 4 children, Staff Person #6 reported that they would "have the ones that were not named" but was unable to identify who those children would be.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: At approximately 10:17am Staff Person #4 was observed to change a young toddler in classroom 305 and did not ensure that the child's hands were washed following the diaper change.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #2 and #7 was observed to be caring for children unsupervised. Staff persons #2 and #7 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and CPR training. Staff person #1 was observed to be caring for children unsupervised. Staff person #1 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 4.1.19.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1, #2 and #7 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, #2 and #7, staff person #1, #2 and #7 may not work in a child-care position at the facility

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 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 4.1.19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until August 7, 2024 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 10:04am Staff Person #2 was a observed alone in the basement after school room with a mixed age group that included 1 older school age child and 15 younger school age children. Staff Person #3 was observed to come from the restroom across the hall and a young school age child was observed to follow shortly thereafter. Staff Person #3 not being present in the child care space resulted in Staff Person #2 being noncompliant with the Staff:Child ratio requirements.

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)(9)

Description: Written record

Noncompliance Area: The Operator was unable to locate a copy of the current fire drill log at the time of the unannounced inspection to verify that drills are being conducted at least once every 60 days.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The Operator was unable to locate a copy of the fire alarm testing log at the time of the unannounced inspection to verify that the alarms are being tested at least once every 30 days.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The Financial Agreement, in the file for Child #7, did not contain the signature of the operator.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form, in the file for Child #4, did not contain the release person's phone number.

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 and Financial Agreement, in the files for Child #1, Child #2, Child #3, Child #4, Child #5, and Child #6, were not reviewed/updated at least once in a 6-month period: Child #1 - 7.20.22 & 4.17.23, Child #2 - 9.1.22 and 4.18.23, Child #3 - 7.20.22 and 4.17.23, Child #4 - 7.15.22 and 4.18.23, Child #5 - 7.15.22 and 4.18.23, Child #6 - 9/22 and 4.18.23.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff #4 did not contain documentation of the Health & Safety 1-Hour Update training, which was due by 12.30.22.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two most recent Health Assessments, in the files for Staff #5 and Staff #9, exceeded the 60-month renewal requirement. The file for Staff #10 (see IS Code Sheet), contained a Health Assessment and Mantoux test after initial service.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for Staff #2 did not contain proof of qualifications.

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

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

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

Noncompliance Area: The files for Staff #1 and Staff #3 contained documentation of Pediatric First-Aid/CPR training on 6.27.18 and 11.5.20, which exceeded the expiration of the previous training. The files for Staff #4 and Staff #6 contained documentation of Pediatric First-Aid/CPR training on 8.20.21 and 8.24.23, which exceeded the expiration of the previous training.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #7 (see IS Code Sheet) contained documentation of Health & Safety - Revised training on 9.14.23, which exceeded 90 days of hire. The file for Staff #10 (see IS Code Sheet) contained documentation of Health & Safety - Revised training on 9.21.23, which exceeded 90 days of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The Child Abuse Clearances, in the file for Staff #1, were dated 10.4.16 and 9.4.22, which exceeded the 60-month renewal requirement. The clearances, in the file for Staff #6, exceeded the 60-month renewal requirement: State Police - 7.20.18 and 8.1.23, Child Abuse - 7.31.18 and 8.7.23, FBI - 3.12.18 and 8.22.23. The file for Staff #7 (see IS Code Sheet), contained a State Police Clearance dated 8.24.23, and no application was present, which exceeded initial hire. The file for Staff #8 contained FBI Clearances dated 8.15.17 and 8.30.23, which exceeded the 60-month renewal requirement. The file for Staff #9 contained documentation of Mandated Reporter trainings on 10.19.16 and 5.4.23, which exceeded the 60-month renewal requirement. The file for Staff #10 (see IS Code Sheet), contained an FBI Clearance dated 8.23.23, and no application was present, which exceeded initial hire.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Broken plastic was located on the door-step of two (2) Little Tykes' Playhouses (brown roof and green roof) which created a scraping/cutting hazard for children in care.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form, in the file for Child #1, did not contain the release person's phone number.

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

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

Description: Exemption documentation from parent/guardian/Initial and subsequent health reports

Noncompliance Area: The Immunization Record, in the file for Child #2, did not contain documentation of the Influenza Vaccine according to the ACIP recommendations.

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. A child's record shall contain initial and subsequent health reports.

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 two most recent Health Assessments, in the files for Staff #1, Staff #3, Staff #5, Staff #6, and Staff #7, exceeded the 24-month renewal requirement.

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: 3270.182(5)

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

Noncompliance Area: The Emergency Contact form, in the file for Child #5, did not contain signed parental consent for administration of 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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for Staff #4 contained Pediatric First-Aid/CPR training on 6.14.18 and 11.16.21, which exceeded the renewal requirement.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #2 contained Mandated Reporter training on 4.9.15 and 5.31.21, which exceeded the 60-month renewal requirement.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #2 contained NSOR Certificates dated 5.8.15 and 7.16.20, which exceeded the 60-month renewal requirement. The file for Staff #3 contained Child Abuse Clearances dated 12.5.16 and 9.6.22, which exceeded the 60-month renewal requirement. The file for Staff #4 contained State Police Clearances dated 1.6.17 and 8.16.22, which exceeded the 60-month renewal requirement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The door between the After-School room and the Dishwasher room, which had a bottle of Avistat-D Disinfectant on a counter, was not locked, which allowed children access to a toxic material which stated, "Keep out of reach of children."

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit, in room 203-204, did not contain gauze, scissors, tweezers, gloves, or tape.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted at the toilet in the basement, which is typically used by the after-school children.

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement on file for Child #3 does not include the child's date of admission.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #1 and #5 does not include the address and telephone number for the enrolling parent's employment.

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 form on file for Child #5 does not include the policy number for the child's health care insurance coverage.

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(e)

Description: Written emergency plan posted

Noncompliance Area: There is no medical emergency transportation plan posted in the school age room, Kindergarten Room, or Room 304.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

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, dated 12/1/20, is dated more than 90 days after enrollment, 8/26/20, as allowed per Announcement C-2--04, which extended the time frame for a child's initial health assessment.

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for Child #2, who is 4 years old, includes only 1 of 2 Hepatitis A vaccinations which are recommended for a child this age by the ACIP. The immunization record on file for Child #4, who is 18 months old, includes only 3 of 4 DTAP vaccinations which are recommended for a child this age by the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall 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 #1, is dated 7/30/21, more than 60 days after enrollment, dated 5/4/21.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #5 are dated 8/6/18 and 9/28/20, more than 24 months apart. The initial health assessment on file for Staff person #8 is dated 6/3/21, after the first date working with children, 6/1/21. The 2 most recent health assessments on file for Staff person #9 are dated 7/28/19 and 9/2/21, more than 24 months apart. The 2 most recent health assessments on file for Staff person #11 are dated 2/14/18 and 6/10/20, more than 24 months apart. The 2 most recent health assessments on file for Staff person #13 are dated 8/8/18 and 9/14/20, more than 24 months apart. The 2 most recent health assessments on file for Staff person #14 are dated 4/3/19 and 6/8/21, more than 24 months apart. The 2 most recent health assessments on file for Staff person #16 are dated 3/20/17 and 9/25/19, more than 24 months apart. The 2 most recent health assessments on file for Staff person #17 are dated 11/11/18 and 7/20/21, more than 24 months apart.

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)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The tuberculosis screening test on file for Staff person #12, with a hire date of 3/8/21, is dated 4/28/18, more than 12 months prior to hire.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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(4)

Description: CPSL information

Noncompliance Area: The file for Staff person #1, who has been employed since 8/18/88, includes a current criminal history clearance dated 6/4/20, and a clearance dated 9/14/88, more than 60 months previously. The previously viewed clearance dated 6/14/15 was not in the file.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility does not have verification of having notified familied how to access the Chapter 3270 Child Care Center regulations electronically.

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

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The current emergency plan on file for the facility does not include accommodations for infants/toddlers/children with disabilities/children with chronic medical conditions, as required effective 12/19/20.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.31(f)(10)/3270.192(2)(iii)

Description: Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #3, with a hire date of 2/8/21, does not include verification of completed pediatric first aid/CPR training, as required within 90 days of hire, 5/9/21. The file for Staff person #4, with a hire date of 10/1/18, does not include verification of completed pediatric first aid/CPR training, as required, by 6/17/21. The file for Staff person #6, with a hire date of 1/4/21, does not include verification of completed pediatric first aid/CPR training, as required within 90 days of hire, 4/4/21. The file for Staff person #7 with a hire date of 6/4/19, does not include verification of completed pediatric first aid/CPR training, as required, by 6/17/21. The file for Staff person #8, with a hire date of 6/1/21, does not include verification of completed pediatric first aid/CPR training, as required within 90 days of hire, 8/30/21. The file for Staff person #10, with a hire date of 6/7/21, does not include verification of completed pediatric first aid/CPR training, as required within 90 days of hire, 9/5/21. The file for Staff person #12, with a hire date of 3/8/21, does not include verification of completed pediatric first aid/CPR training, as required within 90 days of hire, 6/6/21. The file for Staff person #15, with a hire date of 6/1/20, does not include verification of completed pediatric first aid/CPR training, as required, by 6/17/21.

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

Regulation: 3270.31(f)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: The file for Staff person #4, with a hire date of 10/1/18, does not include verification of completed health and safety training, as required by 6/17/21. The file for Staff person #7, with a hire date of 6/24/19, does not include verification of completed health and safety training, as required by 6/17/21.The file for Staff person #8, with a hire date of 6/1/21, does not include verification of completed health and safety training, required to be completed within 90 days of hire, 8/30/21.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The most recent mandated reporter training on file for Staff person #1, dated 6/2/21, is dated more than 60 months after the previous mandated reporter training, dated 4/5/15. The most recent mandated reporter training on file for Staff person #2 is dated 11/5/15, more than 60 months ago. The most recent mandated reporter training on file for Staff person #5, dated 6/20/21, is dated more than 60 months after the previous mandated reporter training, dated 4/14/15. The most recent mandated reporter training on file for Staff person #11, dated 8/17/21, is dated more than 60 months after the previous mandated reporter training, dated 4/15/15. The most recent mandated reporter training on file for Staff person #14, dated 6/15/20, is dated more than 60 months after the previous mandated reporter training, dated 5/25/15. The most recent mandated reporter training on file for Staff person #16 is dated 4/12/15, more than 60 months ago.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The most recent criminal history clearance on file for Staff person #16, dated 8/20/21, is dated more than 60 months after the previous clearance, dated 11/17/15. The most recent criminal history clearance on file for Staff person #18, dated 6/8/20, is dated more than 60 months after the previous clearance, dated 5/6/15. The most recent child abuse clearance on file for Staff person #18, dated 7/16/20, is dated more than 60 months after the previous clearance, dated 5/6/15.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #10, whose 45 day provisional hire period ended 7/22/21, has an FBI clearance with no rap sheet attached, as indicated.

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

Regulation: 3270.33(a)/3270.192(2)(ii)

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

Noncompliance Area: The file for Staff person #2, classified as a group supervisor, does not include verification of a bachelor or associates degree in education or a related human services field. The file for Staff person #3, classified as an aide, does not include verification of a high school diploma or general educational development certificate. The file for Staff person #5, classified as a group supervisor, does not include verification of a bachelor or associates degree in education or a related human services field. The file for Staff person #10, classified as a group supervisor, does not include verification of a bachelor or associates degree in education or a related human services field, or a high school diploma or general educational development certificate and must be classified as an aide. The file for Staff person #16, classified as a group supervisor, does not include verification of a bachelor or associates degree in education or a related human services field.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In Room 305 there was an outlet in the power strip beside the refrigerator, which is accessible to children, that does not have an outlet cover.

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: Room 304 does not include posted emergency telephone numbers.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: There is no tape in the first aid kit in Room 203 (Smurf).

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There is no handwashing sign at the far sink in the girls bathroom (basement) used by the school age group.

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: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The facility had no written record of fire drills being held every 60 days between 9/25/20 (most recent renewal inspection) until 6/28/21.

Correction Required: A written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There is no record at the facility documenting tests of the smoke detectors, to be conducted every 30 days, effective 12/19/20 to present.

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.