Ahead Of The Curve

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 10:15 am, Staff #1 opened the door for the certification representative. Following about a 5-minute discussion, the representative requested to see the infant classroom. Upon entry, the representative observed an infant sleeping in a crib with no staff present. While Staff #1 was engaged in conversation with the representative, the remaining teacher and children were outside in the play area.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 10:15 am, Staff #1 opened the door for the certification representative. Following about a 5-minute discussion, the representative requested to see the infant classroom. Upon entry, the representative observed an infant sleeping in a crib with no staff present. While Staff #1 was engaged in conversation with the representative, the remaining teacher and children were outside in the play area.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: On 4/9/26 at approximately 10am, an infant was observed laying in a crib placed in a corner of the room that lacked 2 feet of space required on 2 sides.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement forms for Child #1 and Child #5 lacked the date of admission.

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

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files for Child #1, Child #2, Child #3, Child #4, and Child #5 contained the original agreement forms.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The Imagination Room lacked a copy of the Emergency Transportation Plan.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The emergency contact form and agreement form for Child #2 was updated on 4/7/26 which was more than 6 months from the previous review dated 7/30/25.

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

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

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

Noncompliance Area: The current health report on file for Child #2, a young toddler, was dated 2/24/26 which was obtained more than 6 months from the previous health report dated 7/29/25.

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

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: The medication at the facility for Child #6 lacked written instructions from the individual who prescribed the medicine.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.183(a)/3270.193(a)

Description: Locked cabinet/Confidential; stored in locked cabinet

Noncompliance Area: Child and staff records were stored in an unlocked drawer in the office.

Correction Required: Child records are confidential and shall be stored in a locked cabinet. Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A sharp knife was in a bowl in the sink at the kitchenette which was accessible to children.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The parent letter lacked information on how parents are to be notified when an emergency arises and how parents can safely reunite with their child following an emergency, as well as accommodations for infants and toddlers.

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

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

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The files for Staff #1 and Staff #2 lacked documentation of current fire safety training. The previous fire safety training documentation is dated 1/5/25. Per staff statements, a current fire safety training was completed on 2/28/26.

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

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

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

Noncompliance Area: The file for Staff #3 (See LIS Code Sheet) contained a current Mandated Reporter training dated 3/29/26 which was obtained more than 60 months from the previous Mandated Reporter training dated 3/9/21.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 (See LIS Code Sheet) contained an FBI clearance dated 3/6/26 which was obtained more than 60 months from the previous FBI clearance dated 10/13/20.

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.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The bag containing the first aid kit in the Preschool room was hanging on the side of a shelf and accessible to children.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The facility lacked handwashing signs above the toilet and urinal in the first restroom and above the toilet in the second restroom.

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

Regulation: 3270.94(a)/3270.94(a)(1)

Description: Director or designated staff person responsibility/Every 60 days

Noncompliance Area: Documentation of fire drills showed more than 60 days between drills: 11/5/25 and 1/5/26.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the critera specified in §3270.95Ia)(1)- (a)(9) are met The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation of the fire alarm system test showed more than 30 days between testing: (1/16/26 and 2/27/26)

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: 3270.151(c)(4)/3270.151(c)(5)

Description: Information re: medical problems/Physician/CRNP assessment

Noncompliance Area: The health assessment on file for Staff Person #3 lacked information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.193(a)

Description: Confidential; stored in locked cabinet

Noncompliance Area: SECOND CITATION: The staff files were located in an unlocked drawer in the child care office where the door was unlocked and opened. PREVIOUSLY CITED 12/12/25

Correction Required: Facility persons' records are confidential and shall be stored in a locked cabinet.

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

Description: Age and Training

Noncompliance Area: SECOND CITATION: Staff person #1 & #2 have not completed Pediatric first aid and CPR training on or before expiration of their most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring June 2025 for Staff #1 and October 2024 for Staff #2. Documentation of updated Pediatric first aid and CPR training is not on file. PREVIOUSLY CITED 12/12/25

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: 3270.105

Description: High Chairs

Noncompliance Area: In the Transition Room, there was a bucket seat lacking a safety strap.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2 was observed to be caring for children unsupervised. Staff person #2 does not have current pediatric first-aid/CPR training on file. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of October 2024.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff Person #3 lacked a current health assessment. The most recent health assessment on file for Staff Person #3 was dated 11/28/23.

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

Regulation: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: Staff Person #1 completed 12 hours of annual training. The file for Staff Person #1 lacked documentation of the 12 required annual training hours.

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

Regulation: 3270.193(a)

Description: Confidential; stored in locked cabinet

Noncompliance Area: The staff files were located in an unlocked drawer in the child care office where the door was unlocked and opened.

Correction Required: Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's Emergency Plan did not provide accommodations for children with disabilities and children with chronic medical conditions.

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.

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

Description: Age and Training

Noncompliance Area: Staff person #1 & #2 have not completed Pediatric first aid and CPR training on or before expiration of their most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring June 2025 for Staff #1 and October 2024 for Staff #2. Documentation of updated Pediatric first aid and CPR training is not on file.

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. Until such time as the required training has been completed, staff person #1 & #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1 & #2, staff person #1 & #2 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff Person #4 lacked documentation of professional development training within 90 days of hire as listed in subsections (f)1-10.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: Based on staff statements and observation, the director is not present at the facility for a minimum of 30 hours per week.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff Person #3, identified as an assistant group supervisor, lacked documentation of a high school diploma or a general educational development certificate.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Lysol disinfectant spray was observed in the unlocked cabinet under the diaper changing unit located in the far bathroom and was accessible to children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Transition Room, there was a hole in the wall opposite the kitchenette area. Also on that same wall, there was a broken safety cover plate with sharp edges 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: 2ND CITATION: The emergency contact form for Child #4 lacked the enrolling parent's work address and work phone number. Previously cited 5/29/25.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: 2ND CITATION: The emergency contact forms for Child #5 lacked the release person's address. Previously cited 5/29/25.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: 2nd CITATION: The Emergency Plan did not address Continuity of Operations as required by Announcement C-22-04 which states to maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for continuity of operations. Previously cited 5/29/25.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: 2ND CITATION: The facility's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked recognition of potential signs/symptoms of SBS/AHT and lacked prevention and identification of child maltreatment. Previously cited 5/29/25.

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

Regulation: 3270.151(c)(4)

Description: Information re: medical problems

Noncompliance Area: 2ND CITATION: The file for Staff Person #1 contained a health assessment indicating the person is not able to provide adequate care to children. Previously cited 5/29/25.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: 2ND CITATION: A current emergency drill dated 11/20/24 was on file at the facility. The facility lacked documentation of previous emergency drills conducted annually. Previously cited 5/29/25.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: 2ND CITATION: The emergency plan was reviewed on 2/10/25. There was no documentation on file of previous annual reviews. Previously cited 5/29/25.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: 2ND CITATION: The file for Staff Person #1 lacked 6 of the 12 annual required training hours for the most recent review window of December 2023-December 2024. The file for Staff Person #4 lacked 12 of the 12 annual required training hours for the most recent review window of June 2023-June 2024. The file for Staff Person #6 lacked 10 of the 12 annual required training hours for the most recent review window of August 2023-August 2024. Previously cited 5/29/25.

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

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

Description: Age and Training

Noncompliance Area: 2ND CITATION: Staff Person #1 completed pediatric first aid and CPR training on 2/9/24, more than 24 months from the previous training on 1/14/22. Staff Person #2 lacked current pediatric first aid and CPR. Staff Person #2 completed pediatric first aid and CPR on 1/14/22 more than 24 months ago. Staff Person #3 completed pediatric first aid and CPR on 2/9/24; previous pediatric first aid and CPR training was not provided for Staff Person #3. Staff Person #4 lacked current pediatric first aid and CPR. Staff Person #4 completed pediatric first aid and CPR on 2/7/23 more than 24 months ago. Staff Person #5 lacked documentation of current pediatric first aid and CPR training; Staff Person #5 completed pediatric first aid and CPR on 10/29/22 that was not PQAS certified. Staff Person #6 lacked documentation of current pediatric first aid and CPR training completed on 6/15/23. Staff Person #6 lacked documentation of previous pediatric first aid and CPR training. Previously cited 5/29/25. Staff Person #1 completed pediatric first aid and CPR training on 2/9/24, more than 24 months from the previous training on 1/14/22. Staff Person #2 lacked current pediatric first aid and CPR. Staff Person #2 completed pediatric first aid and CPR on 1/14/22 more than 24 months ago. Staff Person #3 completed pediatric first aid and CPR on 2/9/24; previous pediatric first aid and CPR training was not provided for Staff Person #3. Staff Person #4 lacked current pediatric first aid and CPR. Staff Person #4 completed pediatric first aid and CPR on 2/7/23 more than 24 months ago. Staff Person #5 lacked documentation of current pediatric first aid and CPR training; Staff Person #5 completed pediatric first aid and CPR on 10/29/22 that was not PQAS certified. Staff Person #6 lacked documentation of current pediatric first aid and CPR training completed on 6/15/23. Staff Person #6 lacked documentation of previous pediatric first aid and CPR training. Previously cited 5/29/25.

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. Until such time as the required training has been completed, staff person #2, 4, 5 & 6 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, 4, 5 & 6, staff person #2, 4, 5 & 6 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: 2ND CITATION: The file for Staff Person #1 contained a State Police clearance dated 4/26/24; the file lacked a previous State Police Clearance. The file for Staff Person #2 contained a State Police clearance dated 4/10/25, which was obtained more than 60 months from the previous State Police clearance dated 12/31/19; a PA Child Abuse clearance dated 4/10/25, which was obtained more than 60 months from the previous Child Abuse clearance dated 1/4/20; an NSOR certificate dated 4/11/25, which was obtained more than 60 months from the previous NSOR certificate dated 11/16/19.T The file for Staff Person #5 contained an NSOR certificate dated 1/30/20 which is more than 60 months old. Previously cited 5/29/25.

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. Facility Person #-5 may not work in a child care position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: 2ND CITATION: The file for Staff Person #1 lacked documentation of years of experience working with children. The file for Staff Person #2 lacked documentation of years of experience working with children. The file for Staff Person #4 lacked documentation of education and experience working with children. The file for Staff Person #5 lacked documentation of experience working with children. Previously cited 5/29/25.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the right outdoor play area there were broken plastic cones, a broken seesaw, and broken handle off of a push toy.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement form for Chile #1 lacked the arrival and departure times.

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

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The file for Child #1, #2, and #5 contained the original fee agreement form signed by the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #4 lacked the enrolling parent's work address and work phone number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms for Child #5 lacked the release person's address.

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

Regulation: 3270.131(b)(1)/3270.181(c)

Description: Infant: updated health report every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The health report on file for Child #3, a young toddler, (See LIS Code Sheet) was dated 1/3/25 more than 6 months after the previous health report dated 1/3/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked recognition of potential signs/symptoms of SBS/AHT and lacked prevention and identification of child maltreatment.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Emergency Plan did not address Continuity of Operations as required by Announcement C-22-04 which states to maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for continuity of operations.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff Person #6 contained a health assessment dated 8/9/24 which was more than 24 months from the previous health assessment dated 7/20/22.

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

Regulation: 3270.151(c)(4)

Description: Information re: medical problems

Noncompliance Area: The file for Staff Person #1 contained a health assessment indicating the person is not able to provide adequate care to children.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The facility lacked a copy of the current insurance policy. The policy on file at the facility was dated 4/6/23-4/6/24 which was expired.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: A current emergency drill dated 11/20/24 was on file at the facility. The facility lacked documentation of previous emergency drills conducted annually.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The emergency plan was reviewed on 2/10/25. There was no documentation on file of previous annual reviews.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #1 lacked 6 of the 12 annual required training hours for the most recent review window of December 2023-December 2024. The file for Staff Person #4 lacked 12 of the 12 annual required training hours for the most recent review window of June 2023-June 2024. The file for Staff Person #6 lacked 10 of the 12 annual required training hours for the most recent review window of August 2023-August 2024.

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

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

Description: Age and Training

Noncompliance Area: Staff Person #1 completed pediatric first aid and CPR training on 2/9/24, more than 24 months from the previous training on 1/14/22. Staff Person #2 lacked current pediatric first aid and CPR. Staff Person #2 completed pediatric first aid and CPR on 1/14/22 more than 24 months ago. Staff Person #3 completed pediatric first aid and CPR on 2/9/24; previous pediatric first aid and CPR training was not provided for Staff Person #3. Staff Person #4 lacked current pediatric first aid and CPR. Staff Person #4 completed pediatric first aid and CPR on 2/7/23 more than 24 months ago. Staff Person #5 lacked documentation of current pediatric first aid and CPR training; Staff Person #5 completed pediatric first aid and CPR on 10/29/22 that was not PQAS certified. Staff Person #6 lacked documentation of current pediatric first aid and CPR training completed on 6/15/23. Staff Person #6 lacked documentation of previous pediatric first aid and CPR training.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff Persons #1 and #2 contained fire safety training dated 2/2/23 which was more than 12 months ago. The file for Staff Person #3 contained fire safety training dated 1/14/24 which was more than 12 months ago. The file for Staff Person #3 lacked fire safety training. The files for Staff Person #4 contained fire safety training dated 1/19/24 which was more than 12 months ago.

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(2)(iii)

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

Noncompliance Area: The file for Staff Person #1 contained a mandated reported training dated 2/24/25; the file for Staff Person #1 lacked documentation of previous mandated reporter training. The file for Staff Person #2 contained a mandated reporter training dated 4/8/24 which was obtained more than 60 months from the previously documented training dated 8/28/15. The file for Staff Person #4 contained a mandated reporter training dated 10/27/22 which was obtained more than 90 days from initial date of hire (See LIS Code Sheet). The files for Staff Persons #5 and #6 lacked documentation of completion of mandated reporter training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 contained a State Police clearance dated 4/26/24; the file lacked a previous State Police Clearance. The file for Staff Person #2 contained a State Police clearance dated 4/10/25, which was obtained more than 60 months from the previous State Police clearance dated 12/31/19; a PA Child Abuse clearance dated 4/10/25, which was obtained more than 60 months from the previous Child Abuse clearance dated 1/4/20; an NSOR certificate dated 4/11/25, which was obtained more than 60 months from the previous NSOR certificate dated 11/16/19.T The file for Staff Person #5 contained an NSOR certificate dated 1/30/20 which is 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 #-5 may not work in a child care position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: The file for Staff Person #1 lacked documentation of years of experience working with children. The file for Staff Person #2 lacked documentation of years of experience working with children. The file for Staff Person #4 lacked documentation of education and experience working with children. The file for Staff Person #5 lacked documentation of experience working with children.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff Person #2 contained a written evaluation dated 10/13/24; however, the file lacked documentation of a previous written evaluation within the past 12 months. The file for Staff Person #3 contained a written evaluation dated 3/27/25 more than 12 months from the previous evaluation dated 2/2024. The file for Staff Person #4 contained a written evaluation dated 2/2024 which is more than 12 months ago. The file for Staff Person #5 contained a written evaluation dated 4/15/24 which is more than 12 months ago. The file for Staff Person #6 contained a written evaluation dated 2/2024 which is more than 12 months ago.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.61

Description: Measurement and use of indoor child care space

Noncompliance Area: At approximately 11:45am, Staff Person #1 was observed doing meal prep activities in the Kitchen with an infant. The infant was in a bouncy seat on the floor in the kitchen area. The Kitchen is not a measured child care space.

Correction Required: Measurement and use of inodoor child care space.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Cleaning items stating Keep Out Of Reach Of Children, including Windex, were in an unlocked cabinet under the sink next to the Transition Room and restrooms accessible to children.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There were uncovered trash receptacles in the Preschool, PreK, and Transition classrooms containing paper towels and tissues contaminated by human secretions/excrements. .

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a gap in the bottom of the fence in the left outdoor play area opposite the gate. There was trash and sticks in the right 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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling paint where the gate latches in the left outdoor play area.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: According to the fire drill log, there was more than 60 days between drills between 12/3/24 and 2/7/25.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation of the fire alarm system test shows more than 30 days between testing: 1/5/25 and 2/7/25; 9/6/24 and 10/8/24; 7/7/24 and 8/7/24.

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

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files for children # 1 and 2 contained an original agreement form.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #1 lacked the work telephone numbers of the enrolling parent on the emergency contact form.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff # 3 did not wash the child's hands after diapering .

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma lacked the Child Maltreatment statement.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff #1 contained a current health assessment dated 8/30/22. It was not obtained within 24 months of the previous assessment dated 5/11/20. The file for staff #2 contained a current health assessment dated 4/22/24. It was not obtained within 24 months of the previous assessment dated 3/7/21. The file for staff # 4 contained a current health assessment dated 11/28/23. It was not obtained within 24 months of the previous assessment dated 9/29/21.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not 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 childcare facility. The previous letter was sent on January 2023.

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)(5)

Description: Emergency plan

Noncompliance Area: The facility emergency plan lacked accommodations for children with disabilities, and children with chronic medical conditions.

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.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The operator did not provide the parents of each enrolled child a letter explaining the emergency procedures.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: A copy of the facility emergency plan was not sent to the local municipality and the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff # 1 lacked 5 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff # 4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #4 will have until 5/11/23 (actual date- 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #4 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 #4, staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files for Staff # 1 contained the 1-hr, Pennsylvania Health and Safety Update 2022 certificate dated 4/6/23. The file for Staff # 4, contained the 1-hr, Pennsylvania Health and Safety Update 2022 certificate dated 4/22/24. The update was required to be completed by 12/30/22, per Announcement C-22-06.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files for staff # 1 and 3 contained a current CPR and First- Aid certificate from an approved PQAS trainer that lacked the identification of an approved curriculum on the certificate .

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in the topics of 3270.31(f)(10), 3280.31(f) (10), or 3290.31(g)(10) within 90 days of hire. Staff person #1 and 3 must provide documentation that they received pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The File for staff #1 lacked a current Child Abuse Clearance, previous clearance dated 4/30/18, and a current FBI Clearance, previous clearance dated 8/28/18.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a wooden tray with a chipped corner in the preschool room. There was a fabric cube storage lid with a ripped corner exposing foam in the preschool room. There was a cracked plastic bucket hanging on the toddler's playground gate. There was a playhouse with different holes, chipped spots and a red and black attached square with a chipped sharp corner.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #1 lacked the work addresses of the enrolling parent on the emergency contact form.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child # 3, a young toddler, contained a current health report dated 10/21/22. The health report was provided more than 6 months after the previous health report, dated 2/16/22.

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(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The file for child # 2 a preschooler lacked an updated health report. The previous report was dated 2/14/22.

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.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility emergency plan lacked the updates regarding the Continuity of Operations requirements.

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

Regulation: 3270.27(a)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of the emergency plan.

Correction Required: The facility shall have an emergency plan.

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The operator did not have the Emergency Plan posted in the facility at a conspicuous location.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility emergency plan and subsequent plan updates were not sent to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff # 2 Health and Safety training was not updated by 12/30/22. The certificate is dated. 3/16/23. The file for staff # 2 Contained a current Pediatric First Aid and Pediatric CPR training dated 2/3/23. The previous certificate is dated 1/3/21.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was an Anti- Bacterial hand spray with natural essential oils labeled " Keep out of reach of children" accessible to children in the pre-k room.

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

Regulation: 3270.72(c)

Description: Good repair

Noncompliance Area: There was a damaged screen in the toddler two room window under the green curtain.

Correction Required: Screens shall be in good repair.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling plaster on the green wall in the pre-k room.

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