Akira Academy Daycare And Preschool

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection on 12/17/25, Cert Rep observed the following: 1. Child # 4 did not have documentation of a child service report in file

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)/3270.181(b)

Description: Signed /Current

Noncompliance Area: During renewal inspection on 12/17/25, Cert Rep observed the following: Child # 1-4 's agreements were incomplete

Correction Required: An agreement shall be signed by the operator and the parent. Information in a child's record shall be kept current by the operator.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During renewal inspection on 12/17/25, Cert Rep observed the following: Child # 3's emergency contact and agreement are not being reviewed and updated every 6 months. Emergency contact and agreement were done 4/24/24 and again on 9/15/25

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(a)/3270.131(b)(1)

Description: Health information/Infant: updated health report every 6 months

Noncompliance Area: During renewal inspection on 12/17/25, Cert Rep observed the following: Child # 1 did not have the most recent health assessment in file

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: During renewal inspection on 12/17/25, Cert Rep observed the following: Child # 2's immunization record was missing 2 HIB, and Pneumococcal

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During unannounced monitoring on 9/4/25, Cert Rep observed the following: Child # 1 and # 2 's emergency contact was not present in the infant room while children were 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During unannounced monitoring on 9/4/25, Cert Rep observed the following: Cert Rep observed Staff # 2 alone in the classroom with a combination of 6 young and older toddler alone with children. Staff # 2 does not have all clearances - (no FBI and NSOR clearance) and does not have all preservice trainings in file - (no Pediatric CPR/First Aid, mandated reporter training, and helath and safety training)

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: During unannounced monitoring on 9/4/25, Cert Rep observed the following : Staff # 2 did not have documentation of health assessment and TB in file Staff # 4's health assessment was dated 4/11/23 Staff # 5's health assessment was dated 1/17/23 Staff # 6's health assessment was dated 4/22/23

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(1)/3270.192(2)(i)

Description: Name, address, and phone/Age

Noncompliance Area: During unannounced monitoring on 9/4/25, Cert Rep observed the following : Staff # 2 did not have documentation of age and address in file

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During unannounced monitoring on 9/4/25, Cert Rep observed the following : Staff # 2 did not have documentation of 2 non-family references in file

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: During unannounced monitoring on 9/4/25, Cert Rep observed the following: Cert Rep observed Staff # 1, and # 3 was observed with 9 preschool children outside the facility in the parking lot playing

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

Regulation: 3270.31(h)

Description: Health and Safety Training

Noncompliance Area: During unannounced monitoring on 9/4/25, Cert Rep observed the following : Staff # 6's health and safety training was the incorrect training. Staff # 6 had documentation of Family health and safety training and not the center/group health and safety training

Correction Required: All staff persons shall complete the professional development under § 3270.31(f).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced monitoring on 9/4/25, Cert Rep observed the following : Staff # 2 did not have documentation of a signed disclosure statement Staff # 5 's mandated reporter training was dated 2.6.20

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

Regulation: 3270.62(a)/3270.62(b)

Description: Large muscle space provided/Play space - 65 square feet/child

Noncompliance Area: During unannounced monitoring on 9/4/25, Cert Rep observed the following: Cert Rep observed Staff # 1, and # 3 was observed with 9 preschool children outside the facility in the parking lot playing. Facility does not have outdoor play space, but have measured indoor space

Correction Required: A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding. Outdoor or indoor play space shall be measured at 65 square feet per child.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During unannounced monitoring on 9/4/25, Cert Rep observed the following The sink in the infant room was not operable

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During unannounced monitoring on 9/4/25, Cert Rep observed the following: 1.The facility's documentation of fire drill log was not being conducted every 60 days- 1/28/25, 2/26/25 and 7/16/25 2. The facility's documentation of testing the fire system was not conducted every 30 days- 1/28/25, 2/26/25, and 7/16/25

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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During renewal inspection on 12/9/24, Cert Rep observed the following: An infant was observed in a crib that was not labelled for individual use.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During renewal inspection on 12/9/24, Cert Rep observed the following: Child # 4 and #5's emergency contact did not have physician's name, address and phone number listed.

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

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

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

Noncompliance Area: During renewal inspection on 12/9/24, Cert Rep observed the following: Child # 1 did not have an updated health assessment in file Child # 3 had a physical completed but did not have a health form in file Child # 4's health assessment was dated 3/9/23

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: During renewal inspection on 12/9/24, Cert Rep observed the following: The facility had medication logs that were not completed in its entirety with written instructions on how/when to administer

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection on 12/9/24, Cert Rep observed the following: The facility's shaken baby syndrome policy was missing 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During renewal inspection on 12/9/24, Cert Rep observed the following: Staff # 6's TB was dated 8/31/22

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: 3270.182(3)/3270.182(5)

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

Noncompliance Area: During renewal inspection on 12/9/24, Cert Rep observed the following: Child # 4 and # 5's emergency contact did not have parental signature for administration of minor first aid, and emergency medical care

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection on 12/9/24, Cert Rep observed the following: Staff # 8 had 2 references that were the same

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

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

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

Noncompliance Area: During renewal inspection on 12/9/24, Cert Rep observed the following: Staff #8's verification of experience in file was not acceptable

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: 3270.131(e)(2)(i)/3270.131(e)(2)(ii)

Description: Exemption documentation from parent/guardian/Exemption documentation from health professional

Noncompliance Area: During renewal inspection on 12/18/23, while reviewing children's files, Cert Rep observed the following: Child # 5's file did not have a written letter from the parent in regard to exemption from immunization.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. Exemption from immunization for reasons of medical need must be documented by a written, signed and dated statement from the child's physician, physician's assistant or CRNP. The statement shall be kept in the child's record.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During renewal inspection on 12/18/23, while doing a walkthrough of the facility, Cert Rep observed the following: The bottles /cups in the infant room was not labelled.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection on 12/18/23, while reviewing staff files, Cert Rep observed the following: Staff # 6 did not have documentation of receipts or completed out of state clearances in file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -6- may not work in a childcare position at the facility. 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 #--6- may not work in a childcare position at the facility.

Regulation: 3270.61

Description: Measurement and use of indoor child care space

Noncompliance Area: During renewal inspection on 12/18/23, while doing a walkthrough of the facility, Cert Rep observed the following: Room # 3 listed as school age was not set up and ready to receive children.

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

Regulation: 3270.102(g)

Description: Hazardous toys and equipment

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; THERE WAS A RECALLED INFANT SEAT STILL IN USE AT THE FACILITY. (CORRECTED ON SITE).

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR CHILD #5 DID NOT INCLUDE A CSR ASSESSMENT.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE FEE AGREEMENT FOR CHILD #1, #2 AND #3 DID NOT INCLUDE THE CHILD'S ADMISSION DATE.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR CHILD #3 DID NOT INCLUDE THE PHYSICIAN'S TELEPHONE NUMBER.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE EMERGENCY CONTACT FOR CHILD #1 DID NOT INCLUDE HEALTH INSURANCE COVERAGE OR THE 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE EMERGENCY CONTACT FOR CHILD #1 DID NOT INCLUDE THE ADDRESS OF THE PERSONS WHOM THE CHILD MAY BE RELEASED.

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

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR CHILD #1 AND #5 DID NOT HAVE AN UPDATED EMERGENCY CONTACT.

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.

Regulation: 3270.131(b)(1)/3270.131(b)(2)

Description: Infant: updated health report every 6 months/Toddler/preschool: updated health report every 12 months

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR CHILD #3 AND #4 DID NOT INCLUDE AN UPDATED HEALTH ASSESSMENT.

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. 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: 3270.182(3)/3270.182(4)

Description: Consent for emergency medical care required prior to admission/Consent for administration of medications or special dietary needs

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR CHILD #2 DID NOT INCLUDE CONSENT FOR EMERGENCY MEDICAL CARE OR FOR ADMINISTRATION OF MEDICATION.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3270.182(5)/3270.182(6)

Description: Consent for administration of minor first-aid required prior to admission/Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR CHILD #2 DID NOT INCLUDE CONSENT FOR ADMINISTRATION OF MINOR FIRST AID OR FOR ADMINISTRATION OF TRANSPORTATION, WALKING EXCURSIONS.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR STAFF PERSON #1, #2, #3 AND #4 DID NOT INCLUDE AN ANNUAL UPDATED EMERGENCY PLAN TRAINING.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE MANDATED REPORTER TRAINING FOR STAFF PERSON #1 WAS DATED 03/11/2015.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR STAFF PERSON #3 DID NOT HAVE AN UPDATED YEARLY EVALUATION.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. AT THE TIME OF INSPECTION STAFF PERSON #4 HAD A TOTAL OF 7 (MIXED GROUP) CHILDREN. THE YOUNGEST CHILD IN THE GROUP WAS 5 MONTHS OLD.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: ON NOVEMBER 16, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THERE WAS A HAND SANITIZER BOTTLE IN REACH OF CHILDREN LOCATED IN THE PREK CLASSROOM. (CORRECTED ON SITE).

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; THERE WERE ONLY 2 PLAYPINS AVAILIBLE IN THE INFANT ROOM WITH 8 CHILDREN PRESENT. DURING THE INSPECTION, CERT REP OBSERVED TWO CHILDREN TAKE A NAP ON THE SAME PLAY PIN. THE REST EQUIPTMENT IN THIS INFANT ROOM WAS NOT LABLED FOR SPECIFIC 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: 3270.107

Description: Refrigerator

Noncompliance Area: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; THE REFRIGERATER DID NOT HAVE A WORKING THERMOMETER.

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

Regulation: 3270.108(c)

Description: No styrofoam

Noncompliance Area: ON DECEMBER 2ND 2021, DURING THE RENEWAL INSPECTION, STYROFOAM PLATES WERE USED TO SERVE INFANT, TODDLER AND PRESCHOOL CHILDREN THEIR LUNCH.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.112

Description: Infant/Toddler Stimulation

Noncompliance Area: ON DECEMBER 2ND 2021, DURING THE RENEWAL INSPECTION, STAFF PERSON #4 LEFT 4 INFANT AND YOUNG TODDLERS SITTING AT HIGHCHAIR TABLE FOR A LONG PERIOD OF TIME. WHEN ASKED BY THE CERT REP "WHY ARE THE CHILDREN LOCKED IN THE CHAIRS FOR SO LONG" STAFF PERSON #4 STATED "THEY ARE IN SEATS BECAUSE THEY GET INTO EVERYTHING".

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; STAFF PERSON #4 AND STAFF PERSON #5 (LOCATED IN THE INFANT CLASSROOM) WERE NOT ASSIGNED THE RESPONSIBILITY FOR SUPERVISION OF SPECIFIC CHILDREN.

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: 3270.119

Description: Infant sleep position

Noncompliance Area: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; INFANT CHILD 3MONTHS OLD WAS LEFT SLEEPING IN A BOUNCY SEAT. THERE WERE NO CRIBS AVILIBLE FOR INFANT SAFE SLEEPING.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: ON DECEMBER 2ND 2021, DURING THE RENEWAL INSPECTION; STAFF PERSON #4 DID NOT WASH INFACT/TODDLER HANDS AFTER DIAPER CHANGING. IN ADDITION, (IN THE SAME INFANT CLASSROOM) DURING LUNCH TIME CHILDREN DID NOT GET THEIR HANDS WASHED BEFORE EATING LUNCH.

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: 3270.152

Description: Adult Hygiene

Noncompliance Area: ON DECEMBER 2ND 2021, DURING LUNCH TIME STAFF PERSON #4 DID NOT WASH HER HANDS PRIOR TO SERVING FOOD TO THE INFANT/TODDLER CHILDREN.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: ON DECEMBER 2ND 2021, DURING THE RENEWAL INSPECTION STAFF PERSON #4 DID NOT WASH THEIR HANDS AFTER DIAPERING A CHILD OR INBETWEEN DIAPERING OTHER CHILDREN. IN ADDITION, STAFF PERSON #4 CLEANED MULTIPLE CHILDRENS RUNNY NOSES AND DID NOT WASH HANDS INBETWEEN CLEANING CHILDREN OR AFTERWARDS.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.161(c)/3270.161(d)

Description: Food served discarded/Potentially hazardous food refrigerated

Noncompliance Area: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; THERE WAS A BAG OF CHICKEN NUGGETS LOCATED ON THE KITHCEN COUNTERTOP THAT SAT OUT (NOT REFRIGERATED) FOR MORE THAN 4 HOURS.

Correction Required: Food that has been previously served to a person or returned from a table shall be discarded. Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.163(a)(1)/3270.163(a)(4)

Description: Dairy/Grain

Noncompliance Area: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; THE LUNCH PROVIDER DID NOT INCLUDE A DAIRY PRODUCT OR A GRAIN.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product. A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one grain.

Regulation: 3270.165

Description: Menus

Noncompliance Area: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; A FOOD MENU WAS NOT AVAILIBLE OR POSTED FOR PARENTS OR STAFF.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; THERE WERE NO WRITTEN STATEMENTS FOR "INFANT FEEDING SCHEDULE" AVAILIBLE FOR EACH INFANT.

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

Regulation: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: ON DECEMBER 2ND 2021, DURING THE RENEWAL INSPECTION, STAFF PERSON #4 LEFT THE 3MONTH OLD INFANT SITTING IN THE BOUNCY SEAT WHILE BOTTLE FEELING.

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.192(2)(ii)/3270.192(2)(iii)

Description: Exp, educ., training prior to facility/Exp, educ., training at facility

Noncompliance Area: ON DECEMBNER 2ND 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2, STAFF PERSON #4, AND STAFF PERSON #5 DID NOT INCLUDE VERIFICATION OF CHILDCARE EXPERIENCE.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: ON DECEMBER 2ND 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #5 DID NOT HAVE PROOF OF EDUCATION.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: ON DECEMBER 2ND 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #5 DID NOT HAVE AN UPDATED HEALTH ASSESSMENT ON FILE. IN ADDITION, THE HEALTH ASSESSMENT FOR STAFF PERSON #1 WAS OUTDATED.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: ON JULY 8TH 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #1, #4, AND #5 DID NOT HAVE NSOR CERTIFICATE ON FILE.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: ON DECEMBER 2ND 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #4 DID NOT INCLUDE TWO NON FAMILY REFERENCE LETTERS. THE RECORD FOR STAFF PERSON #5 ONLY HAD ONE NON FAMILY REFERENCE LETTER ON FILE.

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

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: ON DECEMBER 2ND 2021, DURING THE RENEWAL INSPECTION CERTIFICATION REPRESENTATIVE REVIEWED ALL FACILITY DOCUMENTS; THE EMERGENCY PLAN DID NOT PROVIDE A LOCKDOWN PLAN.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; THE EMERGENCY PLAN POSTED DID NOT PROVIDE ACCOMMODATIONS FOR INFANTS, TODDLERS, CHILDREN WITH DISABILITIES OR 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(c)

Description: Training regarding plan

Noncompliance Area: ON DECEMBER 2ND 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #1 DID NOT INCLUDE AN ANNUAL UPDATED EMERGENCY PLAN TRAINING.

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

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

Description: Age and Training

Noncompliance Area: ON DECEMBER 2ND 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #4 AND STAFF PERSON #5 DID NOT INCLUDE AN UPDATED CRP/FIRST AID TRAINING. THE RECORD FOR STAFF PERSON #1 FIRST AID TRAINING WAS OUTDATED (4/9/19).

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: ON DECEMBER 2ND 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSONS #1, #3, #4 AND #5 DID NOT INCLUDE AN UPDATED FIRE SAFETY TRAINING.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: ON DECEMBER 2ND 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #3, #4, AND #5 DID NOT HAVE THE HEALTH & SAFETY TRAINING ON FILE. IN ADDITION, THE RECORD FOR STAFF PERSON #4 AND #5 DID NOT HAVE THE MANDATED REPORTER TRAINING ON FILE.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: Health & Safety Training, Mandated Reporter training.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: ON DECEMBER 2ND 2021, DURING THE RENEWAL INSPECTION, THERE WERE 8 CHILDREN IN THE INFANT CLASSROOM THE TOUNGEST CHILD 3MONTHS OLD AND THE OLDEST CHILD 2YEARS OLD. STAFF PERSON #4 LEFT IN THE CLASSROOM TO TAKE 1 CHILD TO THE RESTROOM LEAVING STAFF PERSON #5 OUT OF RATIO WITH 7 CHILDREN.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; THE WATER IN BOTH PRESCHOOL BATHROOMS #1 AND #2 WERE TEMPING AT 118° F.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CHECKED ALL FIRST AID KITS. THE FIRST AID KIT LOCATED IN THE INFANT CLASSROOM DID NOT CONTAIN BANDAGES.

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

Regulation: 3270.75(d)/3270.178

Description: On excursions/Transportation First Aid Kit

Noncompliance Area: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CHECKED THE FIRST AID KIT LOCATED IN THE SCHOOLS TRANSPORTATION VAN. THE FIRST AID KIT USED FOR EXCURSIONS DID NOT CONTAIN TWEEZERS, SCISSORS OR WATER.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; THERE WAS TORN BLUE CARPET LOCATED IN THE PREK CLASSROOM, INFANT CLASSROOM AND WALLWAY 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: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; THERE WAS PEELING CHIPPED PAINT LOCATED IN THE INFANT CLASSROOM.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: ON DECEMBER 2ND 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; BOTH TOILETS LOCATED IN THE CHILDRENS BATHROOM WERE DIRTY AND NEEDED CLEANING.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: ON FEBRUARY 12, 2020, DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 1 RECEIVED TRAINING REGARDING THE EMERGENCY PLAN AT THE TIME OF INITIAL EMPLOYMENT.

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

Noncompliance Area: ON FEBRUARY 12, 2020, DURING THE RENEWAL INSPECTION, THE FIRST-AID CERTIFICATE REVIEWED FOR STAFF PERSON # 2 WAS EXPIRED. ( 02/03/18-02/03/20). A STAFF PERSON CERTIFIED IN FIRST AID TECHNIQUES WAS NOT PRESENT AT THE FACILITY.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: ON FEBRUARY 12, 2020, DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 3 (HIRE DATE 01/21/2020) DID NOT INCLUDE A NATIONAL SEX OFFENDER REGISTRY CERTIFICATE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 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, national sex offender registry, fbi fingerprint clearance 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.

Noncompliance Area: ON SEPTEMBER 18, 2019 DURING THE INITIAL INSPECTION, THE PROVIDER DID NOT DEMONSTRATE THAT THE FIRE DETECTION SYSTEM WAS OPERABLE BECAUSE THE PROVIDER DID NOT KNOW HOW TO OPERATE THE SYSTEM. THE DOCUMENTATION THE PROVIDER PRODUCED TO SHOW THAT THE FIRE DETECTION SYSTEM HAS BEEN INSPECTED SEMI-ANNUALLY, WAS NOT AN ACCEPTABLE DOCUMENT. - THIS CONDITION AT THE FACILITY POSES A THREAT TO THE HEALTH AND SAFETY OF THE CHILDREN.

Correction Required: Conditions at the facility may not pose a threat to the health and safety of the children. The agent of the Department will file a complaint with the appropriate municipal office to request an additional fire safety inspection by the appropriate agency to verify compliance with 34 Pa. Code 403.23 and per Chapter 20.35 (c).

Noncompliance Area: ON SEPTEMBER 18, 2019 DURING THE INITIAL INSPECTION, THE EMERGENCY PLAN REVIEWED DID NOT PROVIDE FOR EVACUATION OF CHILDREN FROM THE FACILITY BUILDING AND EVACUATION OF CHILDREN TO A LOCATION AWAY FROM THE FACILITY PREMISES.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3270.94 (f) and (g) (relating to fire drills).

Noncompliance Area: ON SEPTEMBER 18, 2019 DURING THE INITIAL INSPECTION, THERE WERE OUTLETS MISSING PROTECTIVE RECEPTACLE COVERS IN THE CHILDREN'S BATHROOMS NEAR CLASSROOM # 2.

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

Noncompliance Area: ON SEPTEMBER 18, 2019 DURING THE INITIAL INSPECTION, THE PORTABLE SINK IN THE INFANT CLASSROOM # 5 NEAR THE DIAPER CHANGING TABLE DID NOT HAVE FLOWING WATER. (THE WATER JUG IN THE SINK WAS EMPTY)

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.