Acorns To Oaks Learning Center

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: At the time of the inspection, the highchair next to the table in the infant room was missing one safety strap.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: At the time of the inspection, the agreement for child #1 was not signed by the parent.

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

Regulation: 3270.123(a)(4)/3270.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: At the time of the inspection, the agreement for child #1 did not include the arrival and departure times and did not include the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

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

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

Noncompliance Area: At the time of the inspection, the emergency contact form for child #1 was missing the address the child's physician or source of medical care and the enrolling parent's work address and phone number. The emergency contact form for child #2 was missing the parent's work address and phone number.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: At the time of the inspection, the immunization record for child #3 was not in accordance with the recommendations of the ACIP. Child #3 was missing the following vaccine: Hep A #2.

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 #3 must be dismissed from care by close of business on 12/8/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: At the time of the inspection, the health report for child #3 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: At the time of the inspection, the emergency contact form for child #1 did not include signed parental consent for emergency medical care for the child and signed consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, the emergency drill was not conducted annually, as required. This is evidenced by the current emergency drill on file dated 8/25/25 and the previous drill on file dated 7/17/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff person #4 did not update their child abuse and FBI clearance every 60 months, as required. This is evidenced by the current child abuse clearance dated 5/16/25 and FBI clearance dated 5/19/25. The previous child abuse clearance was dated 2/21/20 and the FBI clearance was dated 2/24/20. Staff #4 has had routine interaction and direct contact with children.

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. Clearances will be updated every 60 months prior to the current clearance's expiration.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: At the time of the inspection, a bottle warmer, with water that measured 143.9 ° F, was observed on a table that was accessible to children. A chair was next to the table, allowing mobile children to climb and have direct access to the hot water in the warmer.

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

Regulation: 3270.102(a)/3270.135(b)

Description: Clean and good repair/Surfaces cleaned

Noncompliance Area: The changing table mats in both the infant and toddler rooms were torn exposing the inside foam, therefore, they were not able to be properly sanitized after each use.

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. Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for child #1 and child #3 did not include the work address and phone number of the enrolling parent.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for child #3 and child #5 did not include the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the cafeteria space.

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)

Description: Health information

Noncompliance Area: The initial health report on file for child #2 was not provided within 60 days of first day of attendance in the facility. This is evidenced by the initial health report on file dated 9/18/23 (see LIS code sheet for date of admission).

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: At the time of the inspection, child #1 was not immunized status according to recommendations of the ACIP. Child #1 was missing the following immunizations: DTAP #3 and Pneumococcal #3.

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 #1 must be dismissed from care by close of business on 12/16/24 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(1)/3270.133(3)

Description: Original container/Name on bottle

Noncompliance Area: At the time of the inspection, the EPI-pens for child #6 and child #7 were not stored in the original box they came in and there was no label identifying the name of the medication and the name of the child for whom the medication is intended.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: At the time of the inspection on 12/16/24, the manufacturer instructions on the Epi-Pen for child #9 stated to discard after July 2024.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.133(6)/3270.133(7)(i)

Description: Written consent/Name of medication

Noncompliance Area: At the time of the inspection, there was no parental written consent for the Tylenol and Benadryl for child #3. There was no parental written consent for the EPI-pen and Cetirizine for child #8. The medication log for child #10 did not include the name of the medication to be administered.

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

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

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

Noncompliance Area: At the time of the inspection, staff person #1 and staff person #3 did not receive a health assessment prior to providing initial service in a childcare setting. This is evidenced by the health assessments on file dated 7/12/23 and 9/18/24, respectively. Staff person #1 did not receive a TB screening until 7/12/23 which was not at initial service in a childcare setting. Staff person #2 had a health assessment and TB screening that the health assessment form was screenshot, and the dates were cut off making this form not valid.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: At the time of the inspection, there was no written statement regarding the formula and feeding schedule for an infant obtained from the parent.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of the inspection, the emergency plan training on file for all staff was conducted in August 2024 and not in October 2024 when the plan was reviewed/updated.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At the time of the inspection on 12/16/24, the Pediatric First Aid/CPR training on file for staff person #1, #2 and #3 was not completed within 90 days of hire as required. This is evidenced by the Pediatric First Aid/CPR training on file dated 1/18/24, 12/7/24 and 12/7/24, respectively (see LIS code sheet for date 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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection on 12/16/24, staff person #1 had a NSOR certificate dated 8/28/23, which was past the 45-day provisional hiring period. Staff person #3 was not hired in accordance with CPSL and Chapter 3490. She did not receive a PA State Police clearance until 9/6/24, a Child Abuse clearance until 9/16/24, and does not have a FBI clearance on file. Staff person #3 was present at the facility and is past the 45-day provisional hiring period. Staff person #9 did not receive a PA State Police clearance until 8/11/23 and not at time of hire (see LIS code sheet for dates of hire). Staff person #12 did not update the NSOR certificate every 60 months as required. This is evidenced by the current certificate date of 12/9/24 and the previous certificate date of 11/21/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The CPSL was revised to include a 45 day provisional hiring period. The CPSL was updated to include that clearances are to be updated every 60 months. Staff Person #3 may not work in a child care position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: Staff person #8 had education on file from Jordan which was not evaluated and therefore, could not qualify for the position she was performing.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Through staff interviews and written documentation, it was confirmed that on 5/29/24 staff person #1 scolded a child to take a nap and then proceeded to hit the child with a ruler.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Through staff interviews and written documentation, it was confirmed that on 5/29/24 staff person #1 scolded a child to take a nap and then proceeded to hit the child with a ruler.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. Staff person #1 will take the two-hour training titled "Preschool Foundations: Nurture Interactions and Guide Behavior" that is available on Better Kid Care.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Through staff interviews and written documentation, it was confirmed that on 5/29/24 staff person #1 scolded a child to take a nap and then proceeded to hit the child with a ruler.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The legal entity must update their written supervision policy and procedure to be implemented in the facility. The written policy must address 3270.113(b), 3270.113(c) and 3270.113(d). The updated policies must define the regulation and must address the prohibition singling out a child, using a harsh tone towards children and physical punishment. The legal entity will submit policy/procedure to the Northeast Regional Office for approval. All existing staff and new hires must be trained on the approved policy and procedure and it must be documented in their files.

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: Through staff interviews and written documentation, it was confirmed that staff person #1 has a "drill sergeant" tone towards children, which often includes inappropriate scolding and making children stand for extended periods of time when the child is unable to complete tasks in the classroom.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an unannounced inspection on 6/7/24, Staff #2 was observed to be working at this location. The same legal entity has a second facility in which this particular staff was suspended from care on 05/16/24 because the staff was missing DHS FBI clearance, Child Abuse clearance from the state of Arizona and the Child Abuse clearance from the state of New Jersey. Staff #2 began working with the operator's full knowledge that this individual was working without the proper paperwork on file. Also, staff did not obtain an NSOR certificate until 5/15/24, which was after the 45-day provisional hiring period (see LIS code sheet for date of hire).

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. The CPSL was revised to include a 45-day provisional hiring period. Facility Person #2 may not work in a child care position at the facility until all clearances are obtained.

Regulation: 3270.69(a)

Description: Running water/ safe drinking water

Noncompliance Area: The facility has a PWS status compliance form from DEP dated 12/6/23 indicating a current violation for their well. The violation states they failed to meet "Design and Construction Standards." There is no additional documentation on file to indicate that they have corrected this violation.

Correction Required: A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the inspection on 6/7/24, the manual monthly monitoring log of the fire detection system was documented as last being tested on 4/23/24 and not every 30 days as required.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: STAFF # 1 & 2 (see code sheet) have not completed the following pre-service trainings within 90 days of their date of hire: STAFF #1 - Health & Safety (CCDBG) training. STAFF #2 - pediatric first aid & CPR by a PQAS-certified instructor.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. STAFF # 1 & 2 will have until 12/21/23 to complete the required training. Until such time as the required training has been completed, STAFF #1 & 2 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise STAFF #1 & 2, STAFF #1 & 2 may not work in a childcare position at the facility.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: STAFF #1, listed as an assistant group supervisor, has a high school diploma. There is no verification of 2 years (2,500 hours) of previous childcare experience.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.14/3270.31(f)

Description: Pertinent Laws & Regulations/Health and Safety Training

Noncompliance Area: Per inspection on 2/27/23 Staff # 2-3 have not completed and documented the required updated health and safety Pre-Service training within 90 days of hire.

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. 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: Staff person #-3- has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated3/10/2017.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #-3-- will have until __3/15/23__ to complete the mandated reporter training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS, staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #-3- may not work in a child-care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During inspection on 2/27/22 it was revealed that the operator does not have a history of fire system monthly testing and logging of test results.

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.