Adahi Kids

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: During a renewal inspection on 4/17/26-4/30/26 Child 1's fee agreement did not list the child's arrival and departure times.

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

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During a renewal inspection on 4/17/26-4/30/26 Child 5's emergency contact form did not list telephone number of the child's physician or source of medical care. Child 3's emergency contact form did not list the health insurance coverage name the child and Children 1 and 3's emergency contact forms did not list the health insurance policy number for the child.

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 health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During a renewal inspection on 4/17/26-4/30/26 Children 4 and 5's emergency contact forms did not parents' work address or phone numbers. Child 4 's emergency contact forms did not parents' home phone number or the addresses for all release persons.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During a renewal inspection on 4/17/26-4/30/26 the most recent written notification to the local traffic safety authorities was 3/15/25, which is more than 12 months ago.

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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During a renewal inspection 4/17/26-4/30/26 the facility's emergency drills took place on 9/18/24 and 10/15/25 which is more than 12 months between emergency drills.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During renewal inspection on 4/17/26-4/30/26 Staff 1, 2 and 3 each received emergency plan training 9/2024 and 10/18/25, which is more than 12 months between annual emergency plan training.

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

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: During renewal inspection on 4/17/26-4/30/26 Staff person # 1 and Staff Person #2 did not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 1/31/26 for both Staff person # 1 and Staff Person #2. Staff person # 1 and Staff Person #2 had updated Pediatric first aid and CPR training dated 3/31/26. Staff person # 1 and Staff Person #2 worked as staff between 2/1/2026 and 3/31/26.

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: During a renewal inspection on 4/17/26-4/30/26 Staff person #1 has not completed mandated reporter training within 60 months of the previous training date. This is evidenced by the previously documented mandated reporter training on file being dated 11/16/20. Staff person #1's current mandated reporter training was dated 4/19/26. Staff Person # 1 was observed providing care while supervised on 4/17/26.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection on 4/17/26-4/30/26 Staff Persons # 1 and 2 had more than 60 months between clearances. Staff person # 1 had PSP clearances dated 8/10/20 and 9/5/25, Child Abuse clearances dated 8/12/20 and 9/11/25, and DHS FBI clearances dated 11/23/20 and 4/17/26. Staff person # 2 had PSP clearances dated 8/10/20 and 9/5/25, Child Abuse clearances dated 8/12/20 and 9/11/25, and DHS FBI clearances dated 11/23/20 and 4/17/26. Staff Persons #1 and 2 were reported to have worked as staff between 8/11/25-9/11/25, and 11/24/25-4/17/26. Valid DHS FBI clearances were observed to be present during 4/17/26 date of inspection.

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. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (related to protective Services. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a checklist for staff and facility persons files that addresses all necessary staff and facility persons file paperwork and time frames for renewals of paperwork as appropriate. The staff and facility persons file paperwork that must be addressed in this checklist includes but is not limited to PA clearances, Out of State clearances and trainings as required by the CPSL and all documents required for staff and facility persons to be hired. The checklist must be submitted to the Regional Office for approval. Once approved this checklist shall be used by the person responsible for hiring and maintaining facility persons records. The provider shall provide a date for when this portion of the plan shall be completed.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During renewal inspection on 4/17/26-4/30/26 it was noted there was more than 30 days between fire detection system testing on for occasions: 10/1/25-11/1/25, 12/1/25-1/1/26, 1/1/26-2/1/26, and 3/1/26-4/1/26

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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Continued Non-Compliance: During a swimming inspection on 7/17/25 Cert rep observed the following: 8 children enrolled in child care were swimming in the pool with children who attend summer camp and were not enrolled at the child care .Staff #1 named and identified 4 children as being in their assigned supervision group. Staff #2 named and identified 6 children as being in their assigned supervision group. When Cert rep questioned this, it was determined that 4 of the children named and identified by Staff 2 are not enrolled in child care and attend summer camp only. 2 children present and enrolled in child care were not named by either staff and were supposed to be assigned to staff 2. The facility's acceptable plan of correction indicated the correction regrading supervision of children and children being assigned to specific staff would be implemented by 7/17/25. On 7/25/25 an unannounced inspection was conducted. Cert rep observed the following incidents regarding supervision: Staff 5 was observed alone with 4 children. Staff 5 named and identified 2 of the children present. When Cert rep questioned this is was determined the other children were in Staff 6's assigned group, however Staff 6 was in the kitchen and not physically present with her assigned group. When Staff 6 returned both Staff 5 and 6 were asked to name and identify their groups. Both Staff 5 and 6 named and identified the same 2 children as being in their assigned group. When cert rep questioned this It was determined the groups had changed and Staff 5 had not made note of the change for themself. Cert rep also noted that Staff 3 reported they were not able to name their group and did not know who they were assigned when Cert rep asked. Staff 3 reported not having a list of their assigned children. All staff present during inspection had reviewed and signed off acknowledgement of the facility's acceptable supervision policy on 7/23/25.

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. 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. TIERED LIS: 1. Children must be supervised at all times. 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 their assigned group. The facility may not take the children swimming or wading until such time as the accepted plan of correction has been verified as implemented by the Department. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for the legal entity, the director and all staff to receive a minimum of three hours of training regarding Supervision and Ratios. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for when this training will be completed.

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

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

Noncompliance Area: Continued Non-Compliance: During a swimming inspection on 7/17/25 it was noted that Facility person 4 did not have an initial health assessment or TB test results on file. The facility's acceptable plan of correction indicated the correction would be implemented by 7/25/25. On 7/25/25-7/28/25 an unannounced inspection was conducted. It was reported that Facility person 4 had not completed their health assessment and TB test. It was reported the appointment Facility Person had scheduled was 7/28/25, which is after the correction date. It was also noted that Staff 5 had a health assessment dated 10/10/22 which is more than 24 months ago. Staff 5 was documented as being on leave and not working in a Child care position or having direct contact with children from 1/31/25-7/24/25. Cert rep observed Staff 5 providing care during the inspection on 7/25/25.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During an unannounced inspection on 7/25/25 there was no documentation available to review to support that Staff 5 had completed emergency plan training in 2024 or 2025. Staff 5 was documented as being on leave and not working in a Child care position or having direct contact with children from 1/31/25-7/24/25.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Continued Non-Compliance: During a swimming inspection on 7/17/25 Staff 2 did not have their NSOR certificate on file. Staff 2 was observed providing care for children. There was a NSOR request form on file dated 6/3/25, however it was reported the request was not submitted. See LIS code sheet for Staff 2's 1st day working with children. The facility's acceptable plan of correction indicated the correction would be implemented by 7/21/25. On 7/25/25 an unannounced inspection was conducted. Cert rep observed Staff 5 providing care during the inspection. It was noted that Staff 5's DHS FBI clearance, Child Abuse Clearance and NSOR clearance were older than 60 months. This is evidenced by previously documented clearances in the Staff file dated as follows: DHS FBI (2/26/20), Child Abuse(4/3/20), and NSOR clearance(3/13/20). Staff 5 was documented as being on leave and not working in a Child care position or having direct contact with children from 1/31/25-7/24/25. Staff 2 resigned and is no longer working at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff 5 may not work in a child care position or have direct contact with any children at the facility until such time as all required clearances related to this citation are received and in the Staff file at the facility. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff 5 may not work in a child care position or have direct contact with any children at the facility until such time as all required clearances related to this citation are received and in the Staff file at the facility. This portion of the plan shall have an immediate correction date. 2. The Legal Entity Representative, and Director will be required to attend Existing Provider Orientation conducted by the Northeast Regional Office. This training is next offered on August 6, 2025 or November 12, 2025 at the Scranton Office Building. The legal entity representative must contact the Regional Office at 1-800-222-2108 in order to schedule this training. The provider shall provide a date when this portion of the plan shall be completed by. 3.The legal entity will submit complete files for any newly hired staff, volunteers or other facility persons, and any staff volunteers or other facility persons who are returning from an extended leave until Existing Provider Orientation has been completed to the NE Regional Office. During that time, staff, volunteers or other facility persons, may not begin to work or volunteer in child care until their file has been approved by the NE Regional Office. Submitted files will be reviewed by the NE regional office within 1 week of submission. The provider shall provide a date when this portion of the plan shall be completed by.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During an unannounced inspection on 7/25/25 Cert rep observed Staff 5 alone in a room with 4 children, while the supervising staff was in the kitchen. Staff 5 was reported to be working as an aide.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During a swimming inspection on 7/17/25 Cert rep observed the following: 8 children enrolled in child care were swimming in the pool with children who attend summer camp and were not enrolled at the child care .Staff #1 named and identified 4 children as being in their assigned supervision group. Staff #2 named and identified 6 children as being in their assigned supervision group. When Cert rep questioned this, it was determined that 4 of the children named and identified by Staff 2 are not enrolled in child care and attend summer camp only. 2 children present and enrolled in child care were not named by either staff and were supposed to be assigned to staff 2.

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. 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. TIERED LIS: 1. Children must be supervised at all times. 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 their assigned group. The facility may not take the children swimming or wading until such time as the accepted plan of correction has been verified as implemented by the Department. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a supervision policy which includes requirements for supervision during water activities such as swimming and wading. This policy will ensure that all children are properly assigned to a specific staff person and supervised at all times. This policy must address how groups will be assigned to specific staff and how staff will be made aware of their assigned group. This policy should address how supervision, including supervision during water activity, will be maintained during transitions such as staff breaks, and changes in staff's group assignments. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that they understand and will follow the supervision policy. The operator shall provide a correction date for when this portion of the plan will be completed.

Regulation: 3270.124(c)/3270.124(d)

Description: Each child care space/Excursions

Noncompliance Area: During a swimming inspection on 7/17/25 Children were observed receiving care at the pool which is not located within the facility but is elsewhere on the property. There were no emergency contact forms present for the children observed at the pool.

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. When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

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

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

Noncompliance Area: During a swimming inspection on 7/17/25 it was noted that Facility person 4 did not have an initial health assessment or TB test results on file.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: During a swimming inspection on 7/17/25 it was noted that Facility person 4 did not have 2 references attesting to their suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.31(e)(4)(iv)/3270.115(a)(8)

Description: Water safety/Included in ratio/annual training

Noncompliance Area: On 7/17/25 when Cert rep arrived Staff 2 and 3 were in staff:child ratios during swimming activities. Shortly after arrival Staff 1 replaced Staff 3 in staff:child ratios. It was reported staff completed water safety training around 6/9/25 but their was no documentation to review that this training was presented by a certified life guard, or which staff completed this training. Documentation was not available to review that Staff 1-3 completed water safety training from a certified lifeguard in 2024 or 2025.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a swimming inspection on 7/17/25 Staff 2 did not have their NSOR certificate on file. Staff 2 was observed providing care for children. There was a NSOR request form on file dated 6/3/25, however it was reported the request was not submitted. See LIS code sheet for Staff 2's 1st day working 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. Staff 2 may not work in a child care position or have direct contact with any children at the facility.

Regulation: 3270.37(b)(1)/3270.192(2)(ii)

Description: HS/GED/Exp, educ., training prior to facility

Noncompliance Area: During a swimming inspection on 7/17/25 Staff 2 had over 12 years of child care experience documented in the file. There was no proof of education on file for Staff 2. Staff 2 reported having graduated from high school. Staff 2 has been working as an aide.

Correction Required: An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During a renewal inspection on 4/3/25 Cert rep observed the refrigerator in the kitchen used for childcare food and meals did not have a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: During a renewal inspection on 4/3/25-4/11/25 Cert rep noted that parents were not being provided information regarding the facility's supervision policies.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

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

Description: Signed /Designated release persons

Noncompliance Area: During a renewal inspection on 4/3/25-4/11/25 Cert rep noted Child 1's fee agreement was not signed by the operator. Child 2's fee agreement did not list persons to whom the child may be released.

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

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

Description: Each child emergency contact person/Parent home/work address, phone

Noncompliance Area: During a renewal inspection on 4/3/25-4/11/25 Child 1's emergency contact form did not have the emergency contact name and phone number, or the parent's work address and work phone number. Child 2's emergency contact form did not have the parent's work phone number.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During a renewal inspection on 4/3/25-4/11/25 Child 3's emergency contact form did not have the phone number for the child's 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)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection on 4/3/25-4/7/25 Child 1 and Child 3's emergency contact forms did not have the release persons' addresses.

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: During a renewal inspection on 4/3/25 Cert rep observed the facility's emergency medical transportation plan was not posted in the Main room and the small room.

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: During a renewal inspection on 4/3/25-4/11/25 Cert rep noted Child 4's initial health assessment was dated 2/18/25, this is more than 60 days after their date of enrollment (See code sheet for date of enrollment).

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: 3270.133(4)

Description: Locked

Noncompliance Area: During a renewal inspection on 4/3/25 Cert rep observed various diaper creams and a bottle of Tums which were labeled "Keep out of reach of children" in an accessible drawer in the right bathroom. On 4/11/25 Cert rep observed Aveeno lotion labeled "Keep out of reach of children" on a TV in the small room. This would be accessible to school aged children who use this room.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection on 4/3/25-4/11/25 Cert rep noted Child 1's Fee agreement was most recently reviewed by the parent on 4/11/24, which is more than 6 months ago.

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: 3270.192(4)

Description: CPSL information

Noncompliance Area: During a renewal inspection on 4/3/25 Cert rep noted Staff 1 did not have a signed disclosure statement available to review in their file. A disclosure statement was signed dated and witnessed for Staff 1 on 4/3/25, however this is after the Staff's date of hire. Staff 1 was not provisionally hired.

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: During a renewal inspection on 4/3/25-4/11/25 Cert rep observed the operator did not have a means for the parents to access the 3270 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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During a renewal inspection 4/3/25-4/11/25 Cert rep noted more than 12 months between fire safety training for Staff 2 (5/19/23 & 6/1/24), Staff 3 (5/24/23 & 6/1/24), and Staff 4 (5/24/23 & 6/1/24).

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection on 4/11/25 Cert rep noted Staff 2 and 3 had more than 60 months between their NSOR certificates. This is evidenced by Staff 2 and Staff 3's NSOR certificates dated 3/13/20, and 4/3/25.

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: 3270.34(b)(3)

Description: Associate's + 3 yrs

Noncompliance Area: During a renewal inspection on 4/3/25 Staff 1 has a diploma for an associate's degree which does not indicate the course of study and does not have any experience with children documented in the file. Staff 1 reports the degree is in ECE. Staff 1 has been working as director.

Correction Required: A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

Regulation: 3270.35(b)(4)

Description: Associate's, 30 + 3 yrs

Noncompliance Area: During a renewal inspection 4/11/25 Cert rep noted Staff 4 had a high school diploma and 0 years of childcare experience on file. The director reports that Staff 4 has been working as a GS.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: On 4/24/2024, The emergency contact information for Child #3 and Child #4 had not been updated in writing by the parent within previous 6 months. The financial agreement for Child #4 also had not been updated by the parent within the previous 6 months. See LIS code sheet.

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

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: On 4/24/2024, Child #1 and Child #2 did not have an initial health report or immunization record as recommended by the ACIP on file. 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. 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. Child #1 and Child #2 must be dismissed from care by close of business on 4/24/2024 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)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During the Renewal Inspection on 4/24/2024, Child #1 and Child #2 did not have did not have any immunization documentation on file as recommended by the ACIP. The files for Child #1 and Child #2 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent. See LIS code sheet.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in childcare group settings). Child #1 and Child #2 must be dismissed from care by close of business on 4/24/2024 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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: On 4/24/2024, the emergency contact information for Child #3 and Child #4 did not include signed written parental consent for emergency medical for the child. The record also did not contain signed written parental consent for administration of minor first-aid procedures by facility staff for Child #4.

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

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

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

Noncompliance Area: On 8/16/2023, Facility Person #1, the person that the director verified as the lifeguard throughout this summer did not have a health assessment or a tuberculosis screening on file. See LIS 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 childcare 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: 3270.192(5)

Description: Two written references

Noncompliance Area: On 8/16/2023, Facility Person #1 did not have any written, nonfamily references on file. See LIS code sheet.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.31(e)(4)(iv)/3270.115(a)(8)

Description: Water safety/Included in ratio/annual training

Noncompliance Area: On 8/16/2023, none of the staff at the at the facility had documentation of completion of basic instruction in water safety from a certified lifeguard on file. The director verified that children at the facility have been swimming at the pool that is on site throughout this summer.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Staff person #1 will have until 9//2023 to complete the required 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 available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 8/16/2023, Staff #1 did not have the completed National Sex Offender Registry (NSOR) clearance or the request for this clearance on file. See LIS code sheet.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 may not work in a childcare position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #1 may not work in a childcare position at the facility until the completed NSOR clearance is on file.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 8/16/2023, Facility Person #1, the person that the director verified as the lifeguard throughout this summer did not have the completed National Sex Offender Registry (NSOR) clearance or the request for this clearance on file. See LIS code sheet.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 8/16/2023, Facility Person #1, the person that the director verified as the lifeguard throughout this summer when they took children swimming did not have the completed National Sex Offender Registry (NSOR) clearance or the request for this clearance on file. See LIS code sheet.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a childcare position at the facility. The legal entity and the person responsible for maintaining staff paperwork will schedule and attend Existing Provider Orientation through the Northeast Regional Office to be held in November 2023.

Regulation: 3270.69(a)/3270.82(h)

Description: Running water/ safe drinking water/Handwashing signs

Noncompliance Area: The director verified that the facility did not have any running water from 6:30 AM until 1:00 PM on 8/15/2023 due to needing to get a new well pump installed. During this period, hand sanitizer supervised by staff was used for handwashing.

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). 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)

Description: Signed

Noncompliance Area: On 4/11/2023, Child #4 did not have a financial agreement on file signed by the operator and the parent. See LIS code sheet.

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

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: On 4/11/2023, the files for Child #3 and Child #4 did not have an initial health report on file. Child #3 did not have any immunizations on file as recommended by the ACIP. 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. 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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: On 4/11/2023, the most recent health reports on file were dated 2/15/2022 for Child #1 and 1/20/2022 for Child #2. Both Child #1 and Child #2 are young toddlers. Child #3 and Child #4, also young toddlers did not have any health reports on file.

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.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: On 4/11/2023, the files for Child #1 and Child #2 did not have did not have documentation of the following up-to-date immunizations on file: MMR, Varicella, Hepatitis A and annual influenza immunization as recommended by the ACIP. Child #3 did not documentation of any of the recommended immunizations as recommended by the ACIP. Child #5 did not have documentation of the annual influenza immunization as recommended by the ACIP. The files for Child #1, Child #2, Child #3 and Child #5 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent.

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 childcare group settings). Child #1, Child #2, Child #3 and Child # 5 must be dismissed from care by close of business 4/11/2023 and may only return to care when the immunization record is updated or when the parent provides a written, signed exemption letter.

Regulation: 3270.27(a)(5)/3270.27(a)(6)

Description: Emergency plan/Emergency plan

Noncompliance Area: During the Renewal Inspection on 4/11/2023, the emergency plan did not show that it provides accommodations for infants and toddlers. Toddlers were present on 4/11/2023. The facility also did not have documented that an annual emergency drill had been conducted within the previous 12 months.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the Renewal Inspection on 4/11/2023, the files showed that Staff #1, Staff #2 and Staff #3 had not completed annual fire safety training within the previous 12 months.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1, #2 and #3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Staff persons #1, #2 and #3 shall complete the required one-hour 2022 update to the health and safety training by 5/9/2023.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #2 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 4/10/2018.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #2 will have until 5/9/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 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#2, staff person #2 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: The operator tested the interconnected fire alarm system during the Renewal Inspection on 4/11/2023. However, the fire alarm did not sound. The fire detection log also showed that the system has not been manually tested at least once every 30 days during the previous 12 months.

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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the Renewal Inspection on 4/13/2022, the emergency contact information for Child #1 and Child #3 did not include the health insurance coverage and policy number for the child.

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

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: During the Renewal Inspection on 4/13/2022, the most recent health assessment on file for Staff #2 was dated 9/30/2019. See code sheet for date of hire.

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.

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: During the Renewal Inspection on 4/13/2022, the emergency contact information for Child #1 and Child #2 did not contain signed parental consent for emergency medical care for the child and also did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the Renewal Inspection on 4/13/2022, the staff files showed that Staff #1, Staff #2, Staff #3 and Staff #4 have not completed the annual minimum of 12 clock hours of child care training. See code sheet for dates of hire.

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

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: During the Renewal Inspection on 4/13/2022, cracked wood with sharp edges, holes in the wood where fingers could get stuck in, and a broken spindle was observed on the playset in the outdoor play area.

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. 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.

Noncompliance Area: A renewal inspection was conducted on 11/18/2020. At that time, a large pony spring rider that had been embedded on the playground was observed to be broken off, laying on the ground.

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.

Noncompliance Area: During the renewal inspection, the file for Facility Person #3 was reviewed. At that time, Facility Person #3 did not have a health assessment with TB test results on file at the facility prior to onset of employment. The date of hire for Facility Person #3 is 3/16/20. The first date working with children for Facility Person #3 is 6/8/2020. The health assessment with TB Test results for Facility Person #3 is 7/3/2020. The files for Facility Person #4 and Facility Person #5 were reviewed during the renewal inspection. Neither Facility Person #4 or Facility Person #5 had a health assessment with TB test results on file. The date of hire for Facility Person #4 is 11/9/2020. The date of hire for Facility Person #5 is 11/16/2020.

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.

Noncompliance Area: A renewal inspection was conducted on 11/18/2020. At that time, the facility did not have a written statement giving the feeding schedule for Child #2, an infant in care during the inspection.

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

Noncompliance Area: During the renewal inspection, the file for Child #1 was reviewed. At that time, the emergency contact form did not contain signed parental consent for emergency medical care or 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.

Noncompliance Area: During the renewal inspection, the file for Facility Person #4 was reviewed. At that time, Facility Person #4 did not have two written, nonfamily references on file at the facility.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: During the renewal inspection, the file for Facility Person #4 was reviewed. At that time, Facility Person #4 did not have documented training of the emergency plan on file at the facility. The date of hire for Facility Person #4 is 11/9/2020.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment (within one week of date of hire), 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.

Noncompliance Area: During the renewal inspection, the file for Facility Person #1 was reviewed. At that time, Facility Person #1 had not updated the state police clearance, child abuse clearance, or mandated reporter training within 60 months as required by the CPSL. Facility Person #1: PA State police clearance 6/4/15, 8/10/20 PA Child Abuse Clearance 6/25/15, 8/12/20 Mandated Reporter Training: 10/5/15, 11/16/20. The file for Facility Person #6 was reviewed. Facility Person #6 had not updated the state police clearance or child abuse clearance within 60 months as required by the CPSL. Facility Person #6: PA State police clearance 6/4/15, 8/10/20 PA Child Abuse Clearance 6/17/15, 8/12/20. The file for Facility Person #2 was reviewed. Facility Person #2 had not completed mandated reporter training within 90 days of hire as required by the CPSL. Facility Person #2: date of hire 10/1/19, mandated reporter training 11/15/20. The file for Facility Person #3 was reviewed. Facility Person #3 had not completed mandated reporter training within 90 days of hire as required by the CPSL. Facility Person #3: date of hire 3/16/20, mandated reporter training 11/7/20.

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.

Noncompliance Area: During the renewal inspection, the file for Facility Person #4 was reviewed. At that time, Facility Person #4 did not have verification of at least two years' experience on file at the facility. Facility Person #4 was hired as an assistant group supervisor. Facility Person #4 does have a high school diploma on file at the facility.

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

Noncompliance Area: An unannounced inspection was conducted on 11/26/19. At that time, five school age children were unsupervised in the small room that connects the large room to the bathrooms and kitchen in the back of the building. The five school age children were in the primary care group of Facility Person #1. Facility Person #1 was observed feeding an infant in the large room. The large room is a separate child care space from where the school-age children were located. Facility person #1 was not physically present with the school-age children and could not see or assess those children.

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

Noncompliance Area: An unannounced inspection was conducted on 11/26/19. At that time, the front door to the kitchen was left open and there was nothing preventing the sixteen children in care access to the kitchen. The oven in the kitchen was being used to cook a turkey and the outside temperature of the oven reached 207 F. Five school age children were unsupervised in the small room that leads from the large room to the back of the facility. The back door of the small room was open, giving the unsupervised children access to the kitchen through the open back door of the kitchen.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: An unannounced inspection was conducted on 11/26/19. At that time, the door to the kitchen was left open and there was nothing preventing the sixteen children in care access to the kitchen. There were two bottles of Clorox Bleach on the floor of the kitchen that were labeled, "Keep out of reach of children." Five school age children were unsupervised in the small room that leads from the large room to the back of the facility. The back door of the small room was open, giving the unsupervised children access to the kitchen through the open back door of the kitchen.

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

Noncompliance Area: An unannounced inspection was conducted on 6/21/19. At that time, the carpet in the back room was lifting from the floor and bunching creating tripping hazards. An unannounced inspection was conducted on 10/7/19. At that time, the carpet in the back room was lifting from the floor near the television and creating 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.

Noncompliance Area: A complaint investigation was conducted on 6/21/19. At that time, staff interviews confirmed that Staff Person #1 and Staff Person #2 are frequently yelling at the children and using harsh language.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: A complaint investigation was conducted on 6/21/19. At that time, Staff Person #3 stated that a baby wipe is used to clean the changing table after changing a diaper.

Correction Required: 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.

Noncompliance Area: An unannounced inspection was conducted on 6/21/19. At that time, the file for Staff Person #3 contained a PDE FBI Clearance. Staff Person #3 began working at the child care facility 6/17/19. Staff Persons are required to have FBI Clearances through DHS. Staff Person #4, a volunteer, did not have any clearances on file at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #3 may not work in a child care position at the facility until the DHS FBI Clearance is on file. Staff Person #4 may not volunteer at the facility until volunteer clearances are on file. The director and legal entity representative are required to attend Existing Provider Orientation conducted at the Northeast Regional Office. The legal entity representative must contact the Regional Office in order to schedule this training.

Noncompliance Area: A complaint investigation was conducted on 6/21/19. At that time, rodent feces were observed in the doorway of the back room leading to the bathrooms.

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

Noncompliance Area: An unannounced inspection was conducted on 6/21/19. At that time, the trash can in the bathroom was not plastic-lined.

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

Noncompliance Area: An unannounced inspection was conducted on 6/21/19. At that time, the carpet in the back room was lifting from the floor and bunching creating tripping hazards.

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.

Noncompliance Area: An unannounced inspection was conducted on 5/20/19. At that time, an three-month old infant, was observed sleeping in a pack-n-play with a boppy pillow propped under her head.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, the file for Staff Person #1 did not contain a health report that had been updated every 24 months. Last Health report: 4/3/17. The files for the following Staff Persons did not contain health reports or TB test results: Staff Persons #2, #3, #4, and #5. An unannounced inspection was conducted on 5/20/19. At that time, the file for Staff Person #2, a volunteer, did not contain a health report or TB test results.

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.

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, the following new staff had not received training in the emergency plan: Staff Persons #2, #3, #4, and #5. An unannounced inspection was conducted on 5/20/19. At that time, Staff Person #2, a volunteer, had not received training in the emergency plan.

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.

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, the file for Staff Person #2, a volunteer, did not contain a State Police Clearance. An unannounced inspection was conducted on 5/20/19. At that time, the file for Staff Person #2, a volunteer, did not contain a State Police Clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2 may not return to the child care facility until a State Police Clearance or Volunteer State Police Clearance is on file at the facility.

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, Lysol advanced deep bowl cleaner was observed on a low changing table in the Multipurpose room. Lysol spray, hydrogen peroxide, and Glade woodside library spray were observed on the counter connecting the Camp room to the kitchen. All were labeled "keep out of reach of children" and were accessible to the children in care. An unannounced inspection was conducted on 5/20/19. At that time, Lysol disinfectant wipes were observed on the counter connecting the Camp room to the kitchen. The wipes were labeled "keep out of reach of children" and were accessible to the children in care.

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

Noncompliance Area: An unannounced inspection was conducted on 5/20/19. At that time, carpenter bees were swarming on camp playground making it unsafe for the children to use the playground.

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

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, many overgrown bushes were growing over the fence into the camp playground. The ground of the playground was observed to be covered with an inch thick of dead leaves. Deer and goose feces were observed on the playground next to the multipurpose room. A large grandfather clock was observed in the multipurpose room that could potentially tip over and pose a crushing hazard. An unannounced inspection was conducted on 5/20/19. At that time, the grass on the playground next to the multipurpose room was observed to be knee high. The playhouses on the playground were disassembled and laying on the playground, unable to be used by the children.

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.

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, moss was observed growing on the train toy on the playground. Mold or a slimy build-up of dirt was observed on the playhouse and chairs on the playground.

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.

Noncompliance Area: Many plastic bags were observed on the floor of the camp room. A plastic bag was observed in a drawer approximately 2 feet from the ground. The plastic bags were accessible to the children in care. A two-year old child was observed putting her blanket in her mouth during the inspection.

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.

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, there was no daily schedule posted in the multipurpose room.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, the following child files did not contain a child service report conducted within the past six months: Child #1, #2, #3, and #4. (Date of last Child Service Report: Child #1: none, Child #2 5/1/18, Child #3 5/1/18, Child #4 4/30/18)

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).

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, none of the child files that were observed contained a fee agreement or emergency contact form updated within the past 6 months. Last update for all files observed was 8/2018.

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.

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, the following health reports in the children's files did not contain a flu vaccine conducted within the past year or a letter of exemption. Child #1: none, Child #3: 12/1/17, Child #4: 9/23/15 Child #5: 10/1/13. The Department of Health recommends annual flu vaccines.

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.The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code 27.77.

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, two bottles of children's acetaminophen and one bottle of children's ibuprofen were observed to be expired. (Expiration dates respectively: 11/18, 9/18, 10/18)

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

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, the file for Staff Person #1 did not contain a health report that had been updated every 24 months. Last Health report: 4/3/17. The files for the following Staff Persons did not contain health reports or TB test results: Staff Persons #2, #3, #4, and #5.

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.

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, the facility did not have a written feeding schedule for the infants in care.

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

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, the file for Staff Person #5, an aide, did not include any proof of education.

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

Noncompliance Area: A renewal inspection was conducted on 4/15/19. At that time, the following files did not contain two written, nonfamily references: Staff Person #2, #3, #4, and #5.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person