Adams & Cupids Keepsake Daycare & Learning Place

Regulation: 3280.111(a)

Description: Written plan

Noncompliance Area: It was observed that there wasn't a daily schedule posted at the facility.

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.

Regulation: 3280.123(a)

Description: Signed

Noncompliance Area: The file for Child #1 was lacking a signed fee agreement.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #3 and Child #4, enrolled for more than 6 months, did not contain any child service reports (SEE LIS CODE SHEET).

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #2 lacked the name and telephone number of the child's physician or source of medical care.

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

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #2 lacked the enrolling parents work address and work phone number.

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

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form on file for Child #1 was lacking information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact forms for Child #2 lacked the child's health insurance/MA policy number for the child's health care benefits and for Child #5 lacked the health insurance policy number.

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

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #1 was lacking addresses for the individuals designated by the parent to whom the child may be released.

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

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: During the renewal inspection, children were observed in the multipurpose room without their emergency contact information being in the space where they were receiving care.

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

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The most recent parent review and signature for the emergency contact form on file for Child #5 is dated 1/23/25, more than 6 months prior.

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

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

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

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

Regulation: 3280.14/3280.21

Description: Pertinent Laws & Regulations/Communication with Parents

Noncompliance Area: The facility's emergency plan lacked documentation of a Continuity of Operations policy which would include procedures on backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

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. The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The two most recent health assessment for Staff Person #1 are dated 1/26/24 and 3/24/26 and for Staff Person #3 are dated 5/3/22 and 3/9/26, which are both more than 24 months apart.

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

Regulation: 3280.182(5)

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

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

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

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation that an emergency drill was conducted within the past 12 months.

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

Regulation: 3280.26(b)

Description: Emergency plan

Noncompliance Area: The last documented review of the emergency plan is dated 4/4/25, which is more than 12 months prior.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #1 and Staff Person #2 contained emergency plan training dated 3/21/25 which is more than 12 months ago. The file for Staff Person #4 did not include emergency plan training within 90 days of hire (see LIS code sheet).

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

Regulation: 3280.26(e)

Description: Letter to parents

Noncompliance Area: The facility's emergency plan lacked a letter to parents explaining the emergency procedures for the following topics: shelter and lockdown, evacuation, method to contact parents during an emergency, method to inform parents the emergency has ended and instructions on how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities and chronic medical conditions.

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

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: Staff Person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 2

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

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff Person #4 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet).

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #3 most recent State Police Clearance on file is dated 3/16/21 and the most recent Child Abuse Clearance on file is dated 3/16/21, both more than 60 months ago.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include 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 #3 may not work in a child care position at the facility.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: It was observed in the eating room that there was a tube of caulking underneath of the sink in an unlocked cabinet.

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

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: The first aid kit at the facility was lacking scissor and tape.

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

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: On the outdoor playground, exposed bolts were observed on the perimeter of the inside of the gate and fence, which is accessible to 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.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The last 30-day fire detection test on file at the facility is dated 3/18/26, which is more than 30 days prior.

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

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: In the multi-purpose room, it was observed that there was broken decor on the table with sharp edges. In the infant room an end table had exposed wood and sharp edges.

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

Regulation: 3280.103

Description: Small Toys and Objects

Noncompliance Area: It was observed that there were empty plastic shopping bags in a child cubby in the infant/toddler room.

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

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: Staff Person #1 was lacking a health assessment with a tuberculin skin test by the first day working with children. (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 child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.191

Description: Individual Records

Noncompliance Area: Staff person #1 was lacking an individual record.

Correction Required: An individual record is required for each facility person.

Regulation: 3280.192(1)

Description: Name, address, and phone

Noncompliance Area: Staff Person #1 was lacking a record that included the name, address and telephone number of the facility person.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Regulation: 3280.192(2)(i)

Description: Age

Noncompliance Area: Staff Person #1 lacked a record that included verification of age.

Correction Required: A facility person's record shall include verification of age.

Regulation: 3280.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff Person #1 was lacking a record that included verification of child care experience, education and training prior to service at the facility. (See LIS Code sheet)

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

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: Staff Person #1 was lacking two written, nonfamily references from individuals attesting to the person's 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: 3280.20

Description: General Health and Safety

Noncompliance Area: It was observed in the multi-purpose room that there were multiple containers that contained a family member belongs and the childcare space was being used as a storage area. In the preschool room an electric stapler and an electric pencil sharper were observed on a table accessible to the children in care.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff Person #1 (see LIS code sheet for DOH) was lacking a file that included a Disclosure Statement, a Child Abuse Clearance, a State Police Clearance, an FBI Clearance and a NSOR certificate.

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

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed that there were outlets in the Preschool Room, Infant Room and in the hallway by the water fountain that did not have protective receptable covers.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: It was observed in the preschool room that there was hand sanitizer that was accessible to the children. In the multi-purpose room, it was observed that there were Windex and bleach-gel cleaner on the table. In the kitchen/eating area it was observed that there was Microban disinfectant cleaner in the unlocked cabinet under the sink. In the hallway dresser it was observed that there was a tube of A & D ointment that was accessible to the children in care.

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

Regulation: 3280.71/3280.92(b)

Description: Heat Source/Space heater protective guards

Noncompliance Area: A portable space heater was observed in the preschool room without a protective guard, and the surface of the space heater was in excess of 200° F.

Correction Required: 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. Fixed and portable space heaters shall be insulated or equipped with protective guards.

Regulation: 3280.75(b)

Description: Inaccessible to children

Noncompliance Area: A first aid kit was observed to be in a unlocked drawer in the dresser in the hallway, that is accessible to the children in care.

Correction Required: A first-aid kit shall be inaccessible to children.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: It was observed that there were missing ceiling tiles with exposed installation in the back corner of the hallway. In the infant room the carpet was loose and frayed causing a tripping hazard.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log at the facility listed the facility's last fire drill on 10/6/25, which is more than 60 days ago.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The 30-Day fire detection log on file at the facility listed dates of testing of 6/12/25, 7/15/25, 8/18/25, 10/6/25, with the last testing being on 10/6/25, which is more than 30 days between tests. With the last testing being on 10/6/25.

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

Regulation: 3280.111(b)

Description: Posted in area used by parents

Noncompliance Area: The written plan of daily activities and routines was not posted at the facility.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: It was observed while the children were outside in the outdoor PlaySpace that there were no emergency contacts with the children in care.

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

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The file for Child #2 was lacking a health assessment with immunizations and has been enrolled for longer than 60 days (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. Child #2 must be dismissed from care by close of business (5/19/25) and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A child's record must contain initial and subsequent health reports.

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

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

Noncompliance Area: The health assessment on file for Child #1 is dated 4/30/24, which is older than 12 months.

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

Regulation: 3280.26(b)

Description: Emergency plan

Noncompliance Area: The emergency plan was last reviewed on 4/5/24, more than 12 months ago.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Regulation: 3280.26(d)

Description: Plan posted

Noncompliance Area: The emergency plan was not posted at the facility in a conspicuous location.

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

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: The file for Staff Person #1, and Staff Person #3 included 2 of 12 required training hours completed between 12/23 and 12/24. The file for Staff Person #2 included 8 of 12 required training hours completed between 3/24 and 3/25.

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

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

Description: Age and training

Noncompliance Area: The file for Staff Person #1 and Staff Person #2 includes verification of Pediatric CPR/First Aid training dated 3/21/25, after the expiration date of 2/28/25. The file for Staff Person #3 includes verification of Pediatric CPR/First Aid training dated 3/21/25, after the expiration date of 4/30/24.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The NSOR certificate on file for Staff Person #1 is dated 12/17/19 and for Staff Person #2 is dated 12/9/19, both certificates are more than 60 months old.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #2 may not work in a child care position at the facility.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed that an electrical outlet in the multi-purpose room was lacking a protective receptable cover.

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

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: The first aid kit was lacking scissors.

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

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: In the outdoor play space, observed exposed bolts on the inside of the gate and a piece of loose fencing at the back end of the play space.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file included dates of testing of, 8/16/24-10/16/24, 10/16/24-12/16/24, 12/16/24-2/18/25, all more than 60 days in between testing.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The 30-day fire detection log on file included dates of testing of; 9/20/24-10/21/24, 11/19/24-12/20/24, 12/20/24-1/21/25, 2/20/25-3/24/25, with the last testing done on 3/24/25, which are all over 30 days in between.

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

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: In the outdoor play space, observed exposed bolts on the inside of the gate and a cracked purple toy bin.

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

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: The fee agreement on file for child #2 lacks the persons designated by a parent to whom the child may be released.

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

Regulation: 3280.123(a)(6)/3280.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The fee agreement on file for child #2 lacks the child's date of admission.

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

Regulation: 3280.124(a)

Description: Each child emergency contact person

Noncompliance Area: The files for children #1 and 3 lack emergency contact information including who shall be contacted in an emergency.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The facility file lacked documentation that an emergency drill was completed within the past 12 months.

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

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

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

Noncompliance Area: The file for staff #1 lacked 5 hours of childcare training from 12/2022 - 12/2023. Two hours were borrowed from training completed on 5/15/24. Three more training hours are needed. The file for staff #2 lacks 2 hours of childcare training from 3/23 - 3/24.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The hypothetical location of the fire was the same for consecutive drills located on the fire drill log as the hypothetical location was listed as the outside evacuation location of the drill.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: There were more than 30 days between 30 day checks of the smoke detectors. Dates are as follows: 6/9/23, 7/13/23, and 8/21/23 and then 10/19/23 - 11/29/23, 12/20/23 - 1/26/24 - 2/28/24, and then 3/27/24 - 4/30/24.

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

Regulation: 3280.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The Agreement, in the file for Child #2, did not contain the date on which the fee is to be paid.

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

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact form, in the file for Child #1, did not contain the enrolling parent's work phone number. The Emergency Contact form, in the file for Child #2, did not contain the enrolling parent's work address or work phone number.

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

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form, in the file for Child #1, did not contain the release person's address. The Emergency Contact form, in the file for Child #2, did not contain the release person's address or phone number.

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

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The file for Child #1, did not contain documentation of updated/reviewed Emergency Contact and Agreement information, at least once in a 6-month period, which were reviewed on 6.10.22/6.9.22 and 1.19.23. The file for Child #2, did not contain documentation of updated/reviewed Emergency Contact and Agreement information, at least once in a 6-month period, which were last reviewed on 7.18.22.

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

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The file for Child #3 contained an admission date of 1.4.22, and an initial Health Assessment date of 9.6.22, which exceeded the 60-day requirement.

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

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

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

Noncompliance Area: The Health Assessments in the file for Child #2 were updated on 5.21.21 and 8.10.22, which exceeded the 12-month requirement.

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

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The Immunization Record, in the file for Child #2, did not contain documentation of the influenza vaccination in 2022.

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 #2 must be dismissed from care by close of business on June 1, 2023, and may only return to care when the immunization record is updated or when the parent provides a written, signed exemption letter.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff #1 did not contain documentation of the Health & Safety, 1-hour update, training. The file for Staff #3 did not contain documentation of the Health & Safety, 10-hour training or the 1-hour update.

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

Regulation: 3280.151(c)(2)/3280.192(3)

Description: Mantoux TB /Health assessment, TB test

Noncompliance Area: The file for Staff #3 did not contain documentation of any Mantoux test.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.192(4)

Description: CPSL information

Noncompliance Area: The operator was unable to produce the disclosure statements in the files for Staff #1 and Staff #2 at the time of inspection but they were later located and submitted.

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: 3280.31(e)

Description: Age and training

Noncompliance Area: The file for Staff #3 did not contain documentation of 12 hours of child care training, as only seven (7) were present.

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

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #2, contained documentation of Mandated Reporter training on 6.20.15 and 3.30.21, which exceeded the 60-month renewal requirement. The file for Staff #3, contained documentation of Mandated Reporter training on 5.15.22 (see IS Code Sheet), which was not completed within 90 days of hire.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #3 (see IS Code Sheet), contained an FBI Clearance dated 5.27.21, with no application available, which was beyond the first date 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.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Infant/Toddler Room, a protective outlet cover was missing from the bottom socket on the left wall near the play kitchen and from the top socket on the front wall along the light switch wall, which were accessible to children 5 years of age or younger.

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

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: In the Multipurpose Room, on the left wall, the plate was missing from the electrical outlet, to cover the wires inside the electrical outlet, which was accessible to children in care, and created a hazard.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3280.124(e)

Description: Written emergency plan posted

Noncompliance Area: An emergency transportation plan was not displayed conspicuously in the multipurpose 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: 3280.75(c)

Description: Has all items

Noncompliance Area: The first aid kit which was located in the multipurpose room did not contain gloves, tape, or scissors.

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

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: The radiator which was located in the Multipurpose Room had a visible gap between the back of the radiator and the window pane and could cause a pinch pint.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: The rest equipment in the preschool room was not labeled for the use of a specific child.

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

Regulation: 3280.124(a)/3280.182(8)

Description: Each child emergency contact person/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The file for child #5 whose admission date was 12-22-2021 did not contain an emergency contact form.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The file for child #1, child #2, child #3 and child #4 contained an emergency contact form and a fee agreement that has not been updated since 1-20-2021 and was due to be updated by the mandatory date of 1-6-2022.

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 informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

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

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

Noncompliance Area: The file for child #1 who is a preschooler contained a health assessment dated more than 12 months after the previous health assessment.. The file for child #4 who is a preschooler contained a health assessment date and a vaccine verification update dated more than 12 months after the previous health assessment/vaccine verification..

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility did not have a policy and procedure to share with staff and families that would recognize the potential signs of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and addressing the prevention and identification of child mistreatment.

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

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

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

Noncompliance Area: The file for staff #1, staff #2, and staff#3 contained a Pediatric First Aid/CPR training date of 1-9-2020 and 4-11-2022 which exceeded the mandatory date of 1-9-2022 to renew the training.

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

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

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

Noncompliance Area: The file for staff #1 who was hired prior to 12-19-2020 contained 3 of the 12 hours of training by the mandatory training date of 12-19-2021. The file for staff #2 who was hired prior to 12-19-2020 contained 8 of the 12 hours of training by the mandatory training date of 12-19-2021. The file for staff#3 (See IS Code Sheet) contained 3 of the 12 hours of training which was due by the annual date of 3-26-2022.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.31(f)(6)/3280.192(2)(iii)

Description: Health and Safety Training - Shaken baby syndrome/Exp, educ., training at facility

Noncompliance Area: The file for staff #3 (See IS Code Sheet) did not contain Health and Safety Training which was due 90 days after the date of hire.

Correction Required: Staff persons shall complete professional development in the prevention of shaken baby syndrome and abusive head trauma within 90 days of hire.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the infant/toddler room, a white extension cord had three outlets which were uncovered and were accessible to children under the age of five. In the preschool room, two outlets were uncovered and were accessible to children under the age of five.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the girls bathroom, a can of Odoban Disinfectant spray that stated: "Keep out of reach of children" was observed on a low shelf and was accessible to children in care. In the infant/toddler room, a can of Sprayway Glass Cleaner which stated: "Keep out of reach of children" was observed on a table and was accessible to children in care.

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

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the girls bathroom located to the left of the sink a hole was observed on the wall.

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

Regulation: 3280.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The fire drill log contained three consecutive fire drills on 1-4-2022, 2-7-2022, and 3-18-2022 which were completed in the same hypothetical location.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The operator lacked written documentation of manually testing the smoke detectors in the facility within the last 30 days.

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