Amazing Kidz Child Care Center

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: A renewal inspection was conducted on 10/22/2025-10/27/2025. At that time, a sample of children's files were reviewed. The following information was missing from children's fee agreements: Child #5: Day on which the fee is to be paid. Child #7: Day on which the fee is to be paid. Child #9: Day on which the fee is to be paid. Child #10: Day on which the fee is to be paid.

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

Regulation: 3270.124(b)(3)/3270.182(5)

Description: Parent home/work address, phone/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: A renewal inspection was conducted on 10/22/2025-10/27/2025. At that time, a sample of children's files were reviewed. The following information was missing from children's emergency contact forms: Child #1: Mother's work telephone number. Child #2: Mother's work telephone number. Signed parental consent for minor first-aid. Child #3: Father's work address and work telephone number. Child #4: Father's home address. Child #6: Mother's work telephone number. Child #8: Mother's work telephone number. Mother and father's work addresses.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: A renewal inspection was conducted on 10/22/2025-10/27/2025. At that time, a sample of children's files were reviewed. Last health assessment for child #6 is dated 2/18/2025, which is over 6 months ago. Child #6 is a young toddler (see LIS code sheet for DOB).

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: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: A renewal inspection was conducted on 10/22/2025-10/27/2025. At that time, the diapering pads in the women's bathroom off of the Lower Level Toddler Play Area and in the Older Toddler rooms were ripped, exposing the foam inside. This renders them unable to be cleaned after each use.

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

Regulation: 3270.151(a)

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

Noncompliance Area: A renewal inspection was conducted 10/22/2025-10/27/2025. At that time, staff files were reviewed. The following staff health assessments were not updated within 24 months: Staff person #2: Health assessments on file are dated 3/5/2022 and 4/19/2024. Staff person #7: Health assessments on file are dared 3/8/2023 and 4/22/2025.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: A renewal inspection was conducted on 10/22/2025-10/27/2025. At that time, an unlabeled bottle was observed in the Older Toddler room.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection was conducted 10/22/2025-10/27/2025. At that time, staff files were reviewed. Staff person #1 had fire safety training certificates on file dated 4/25/2024 and 5/7/2025, which is not within 12 months.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 10/22/2025-10/27/2025. At that time, staff files were reviewed. The following staff members did not update their clearances/mandated reporter training certificates within 60 months: Staff person #1: NSOR verifications on file are dated 8/17/2020 and 9/22/2025. Staff person #3: NSOR verifications on file are dated 8/17/2020 and 8/25/2025. Staff person #4: Last DHS-acceptable mandated reporter training certificate on file is dated 10/20/2020. Staff person #5: Child abuse clearances on file are dated 12/9/2019 and 12/13/2024. Mandated reporter training certificates on file are dated 12/15/2017 and 3/13/2023. Staff person #6: NSOR verifications on file are dated 11/7/2019 and 12/13/2024.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: A renewal inspection was conducted on 10/22/2025-10/27/2025. At that time, the carpet in the Lower Level Toddler Play Area was observed to be frayed. Additionally, paint near the window in the Young School-Age room was observed to be peeling.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection was conducted on 10/22/2025-10/27/2025. At that time, the fire detection testing log was reviewed. Smoke alarms were tested past 30 days on the following occasions: 10/12/2024-11/12/2024, 1/11/2025-2/11/2025, 3/11/2025-4/11/2025, 5/10/2025-6/10/2025, 8/9/2025-9/9/2025.

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

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

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

Noncompliance Area: Facility operator reported non-compliance of supervision with child # 1 that happened on 1/15/25 while child was at facility still receiving childcare services. Child hid behind a piece of furniture in the facility classroom and fell asleep. The facility classroom lead teacher thought child #1 had already left for the day when a second facility staff person entered the room to cover another staff person that was done working for the day.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must develop a transition policy for all staff to review and sign off on after certification representatives' approval of the developed policy. The policy must cover child check in and check out assignments in all facility classrooms for every facility staff. The policy must include transition times for all staff exiting and leaving a classroom to cover another staff and also for all children transitioning to another classroom if needed. The policy must be something new and not currently in place. The legal entity must receive DHS approval of the policy and its content prior to having all staff review and sign off on the policy. All facility staff and administration and all new hires need to review and sign off on the policy.

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

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

Noncompliance Area: Facility operator reported non-compliance of supervision with child # 1 that happened on 1/15/25 while child was at facility still receiving childcare services. Child hid behind a piece of furniture in the facility classroom and fell asleep. The facility classroom lead teacher thought child #1 had already left for the day when a second facility staff person entered the room to cover another staff person that was done working for the day.

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

Regulation: 3270.111(b)/3270.124(e)

Description: Posted in group space/Written emergency plan posted

Noncompliance Area: During renewal inspection, the daily activities were not posted in the Infant/Toddler area, and emergency transportation plan was not posted in the Play area (room adjoining Infant/Toddler area).

Correction Required: The written plan of daily activities shall be posted in the group space. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: During renewal inspection, last health assessment on file for child #3 is dated 3/26/2024, which is past 6 months old. Child #3 is an older toddler (see LIS code sheet for date of birth).

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection, the following children were not immunized according to the recommendations of the ACIP: Child #1: Received 2 of 4 doses each of DTAP, HIB, Pneumococcal, and Polio (IPV) vaccines. Received 1 of 2 Hep A vaccines. Child #1 is an older toddler (see LIS code sheet for date of birth). There is no exemption on file. Child #3: Received 1 of 2 doses of Hep A vaccine. Child #3 is an older toddler (see LIS code sheet for date of birth). There is no exemption on file. Child #4: Received 1 of 2 doses each of Hepatitis B, HIB, and Polio (IPV) vaccines. Received 1 of 3 doses each of Rotavirus, DTAP, and Pneumococcal vaccines. Child #4 is an infant (see LIS code sheet for date of birth). There is no exemption on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1, child #3 and child #4 must be dismissed from care by close of business 10/29/2024 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: During renewal inspection, health assessment on file for child #2 dated 8/19/2024 does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Health assessment on file for child #4 dated 7/9/2024 does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: During renewal inspection, there was a cloth cover on the diaper changing pad in the Infant/Toddler room, rendering it unable to be cleaned after each use.

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

Regulation: 3270.151(a)

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

Noncompliance Area: During renewal inspection, the file for staff person #1 contained two health assessments, one dated 3/28/2022 and one dated 4/10/2024. The file for staff person #2 contained two health assessments, one dated 3/23/2022 and one dated 4/6/2024. The file for staff person #3 contained two health assessments, one dated 11/11/2020 and one dated 3/5/2023. The file for staff person #11 contained two health assessments, one dated 3/5/2022 and one dated 4/6/2024. The file for staff person #12 contained two health assessments, one dated 12/16/2021 and one dated 1/27/2024. The file for staff person #13 contained two health assessments, one dated 7/6/2021 and one dated 10/13/2023. These dates show that the updated health assessment on file was completed more than 24 months from the previous health assessment. Health assessments on file for staff person #6 were dated 7/8/2022 and 7/8/2024. Health assessments looked very similar. Physician's office was contacted using the phone number on the health assessment. Physician's office states that staff person #6 was not seen at the office on 7/8/2024. Health assessment dated 7/8/2022 is past 24 months. Health assessments on file for staff person #7 were dated 7/17/2022 and 7/17/2024. Health assessments looked very similar. Physician's office was contacted by searching for the physician listed on the health assessment. Physician's office states that staff person #7 was not seen at the office on 7/17/2024. Health assessment dated 7/17/2022 is past 24 months.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: During renewal inspection, staff person #1 obtained 3 hours of annual child care training for training year 3/30/2023-3/30/2024. Staff person #5 obtained 5 hours of annual child care training for training year 12/19/2022-12/19/2023.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #1 must take 9 hours of professional development to fulfill requirement for training year 3/30/2023-3/30/2024. Staff person #5 must take 7 hours of professional development to fulfill requirement for training year 12/19/2022-12/19/2023.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During renewal inspection, file for staff person #3 contained two certificates for fire safety training, one dated 8/12/2023 and one dated 9/18/2024, which is past 12 months. File for staff person #4 contained two certificates for fire safety training, one dated 8/12/2023 and one dated 9/11/2024, which is past 12 months. File for staff person #10 contained two certificates for fire safety training, one dated 5/20/2023 and one dated 6/24/2024, which is past 12 months.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection, the following clearances were not obtained within 60 months: Staff person #5: PSP clearances on file are dated 1/16/2019 and 1/29/2024. Child abuse clearances on file are dated 1/22/2019 and 2/1/2024. FBI clearances on file are dated 1/17/2019 and 2/1/2024. Staff person #9: PSP clearance dated 5/6/2021 did not contain RAP sheet.

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: 3270.35(b)(2)

Description: Bachelor's, 30 credits + 1 yrs

Noncompliance Area: During renewal inspection, staff person #8 was identified as being a Group Supervisor. Degree/transcript on file for staff person #8 was not translated for US equivalency. Additionally, there was no documentation on file proving any experience with children.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During renewal inspection, a first-aid kit was not present in the Play area (area adjoining the Infant/Toddler area) or the Cafe area,

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.114

Description: Outdoor Activity

Noncompliance Area: During the renewal inspection, no children went outside. Temperature was in the mid 60s, it was sunny, and there was no precipitation or air quality alert.

Correction Required: Weather permitting, children shall be taken out doors daily.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: As of the renewal inspection on 10/23/23, there were no child service reports completed in the previous 6 months for child #1 and #2.

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: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: As of the renewal inspection on 10/23/23, the health assessment for child #2 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: As of the renewal inspection on 10/23/23, child #1 and #5 did not have documentation of influenza vaccine. The most recent influenza vaccine for child #3 was 2/26/21. The most recent influenza vaccine for child #4 was 1/18/21. There were no exemption letters on file. Child #1, #3, #4, #5 must be removed from care until proper documentation is on file.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the renewal inspection on 10/23/23, there was no continuity of operations plan as required by 45 CFR 98.41(a)(1)(vii).

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)(2)

Description: Mantoux TB

Noncompliance Area: During the renewal inspection on 10/23/23, there was no documentation of TB screening for staff #2.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: As of the renewal inspection on 10/23/23, the letter to parents regarding the emergency plan did not include information on lockdown, or accommodations for infants/toddlers, and children with special needs.

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)

Description: Age and Training

Noncompliance Area: As of the renewal inspection on 10/23/23, staff #1 did not have the required 12 hours of training.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: As of the renewal inspection, the fire alarm log showed testing done on 9/15/23 and then not again until 10/23/23 during the renewal.

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

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

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

Noncompliance Area: During a complaint investigation on 7/6/23, a child was in the bathroom across the hall from the classroom. The staff was not physically present with the child and was not able to see, hear, direct or assess the child. The legal entity was required to arrange for all facility staff employed as of the date of the training to receive a minimum of three (3) hours of PQAS-approved in-person or live training regarding supervision of children. The training had to include supervision when children are using the bathroom. An acceptable plan of corrections was submitted that stated "All Staff will attend Happy Kidz on Friday August 11, 2023.To take the three-hour training. We will make sure that all staff attend this training and have a clear understanding of what is given in it." The provider's date of correction was 8/11/23. On 9/13/23 the provider indicated in an email that Staff #1 did not attend the training.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must arrange for all facility staff employed as of the date of the training to receive a minimum of three (3) hours of PQAS-approved in-person or live training regarding supervision of children. The training must include supervision when children are using the bathroom. The operator shall ensure that the training is communicated to the staff so that they can clearly understand and comprehend the material with consideration of the staff person's native language. The operator shall provide a translator to ensure that this occurs.

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

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

Noncompliance Area: During a complaint investigation on 7/6/23, child #1 was in the bathroom across the hall from the classroom. The staff was not physically present with the child and was not able to see, hear, direct or assess the child.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

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

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

Noncompliance Area: During a complaint investigation on 7/6/23, child #1 was in the bathroom across the hall from the classroom. The staff was not physically present with the child and was not able to see, hear, direct or assess the child.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must develop a written supervision policy and procedure to be implemented in the facility. The written policy must address supervising children at the bathroom. The legal entity will submit policy/procedure to the Northeast Regional Office for approval. All existing staff and new hires must be trained on the approved policy and procedure and it must be documented in their files.

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

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

Noncompliance Area: During a complaint investigation on 7/6/23, child #1 was in the bathroom across the hall from the classroom. The staff was not physically present with the child and was not able to see, hear, direct or assess the child.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for all facility staff employed as of the date of the training to receive a minimum of three (3) hours of PQAS-approved in-person or live training regarding supervision of children. The training must include supervision when children are using the bathroom. The operator shall ensure that the training is communicated to the staff so that they can clearly understand and comprehend the material with consideration of the staff person's native language. The operator shall provide a translator to ensure that this occurs. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection on 10/4/22, the rest equipment/cots in the infant/young toddler room and in the Superhero room were not labeled for individual children.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the renewal inspection on 10/4/22, there was not 2 feet of space on three sides of the crib that child #4 was sleeping in.

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: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection on 10/4/22, the thermometer in the infant/toddler room kitchen read over 50 degrees. The thermometer in the middle area of the 2nd floor read 20 degrees, however, the food was not frozen and the refrigerator did not feel freezing.

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: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: During the renewal inspection on 10/4/22, the agreement of child #4 did not include the fee to be charged.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 10/4/22, the emergency contact information for child #3 did not include health insurance coverage and 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(f)/3270.181(c)

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

Noncompliance Area: During the renewal inspection on 10/4/22, the emergency contact and fee agreement for child #1 were dated 3/2/22, for child #5 they were dated 3/1/22, and for child #6 they were dated 2/28/22.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: During the renewal inspection on 10/4/22, the most recent health assessment for child #1 was dated 7/19/21, for child #5 it was dated 6/11/21, and for child #6 it was dated 8/27/21.

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: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: During the renewal inspection on 10/4/22, the health assessment for child #2, #3, and #4 did not include a statement that the child is able to participate in child care and appears to be free from contagious disease.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: During the renewal inspection on 10/4/22, there was no documentation of influenza vaccine for child #1. The most recent influenza vaccine for child #5 was 6/2/20 and for child #6 it was 11/18/19. There were no exemption letters on file.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection on 10/4/22, while there was an updated health assessment for child #2, there was not an updated immunization record.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: During the renewal inspection on 10/4/22, the children's hands in the infant/young toddler room were not washed prior to eating lunch. Staff #4 did not wash her hands prior to serving snack to the school age children.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the renewal inspection on 10/4/22, the facility did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: As of the renewal inspection on 10/4/22, the facility had not conducted and documented an emergency drill.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 does not have the following required pre-service training within 90 days of their date of hire (see LIS code sheet): valid Pediatric First Aid and Pediatric CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until 10/21/22 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the renewal inspection on 10/4/22, Staff #2, identified as an Aide, was working alone with 9 preschool children.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the renewal inspection on 10/4/22, staff #3 was working alone with 12 preschool 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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 8/1/22 during an unannounced inspection, Staff #1 was working alone in a classroom with 5 children identified as young school agers. Staff #1 (see staff code sheet for hire date) has not completed the following pre-service training required prior to caring for children unsupervised: required health and safety training topics.

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 #1 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On 8/1/22 during an unannounced inspection, Staff person #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): required Health and Safety training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 and #2 will have until 8/17/22 to complete the required training. Until such time as the required training has been completed, staff person #1 and d#2 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 8/1/22 during an unannounced inspection, Staff #3 was alone with 14 children. Staff #3 identified several of the children as 7 year olds requiring a 12:1 ratio. Staff #4 was alone with 12 children. Staff #4 identified the youngest child as 3 years old requiring a 10:1 ratio.

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: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On 10/20/21 during the renewal inspection, there was a slide bolted to the black top with no protective surface covering.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On 10/20/21 during the renewal inspection, there were plastic bags in an unlocked drawer in the first floor room used by infants at times.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: On 10/20/21 during the renewal inspection, the refrigerator used to store food for children in the middle room of the 2nd floor had a thermometer that read 18 degrees, The refrigerator was not cold.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: On 10/20/21 during the renewal inspection, there was no written plan of daily activities posted in the infant room in the side building.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: On 10/20/21 during the renewal inspection, there were three infants sleeping in bouncy seats in the infant room in the side building.

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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 10/20/21 during the renewal inspection, there was no health insurance policy number on the emergency contact form for child #1.

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(e)

Description: Written emergency plan posted

Noncompliance Area: On 10/20/21 during the renewal inspection, a written plan identifying the means of transporting a child to emergency care was not posted in the Infant room in the side building or in the School Age room (2nd room on left on 2nd floor).

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: 3270.133(6)

Description: Written consent

Noncompliance Area: On 10/20/21 during the renewal inspection, there was no written parental consent for the epi-pen that was onsite for child #2.

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

Regulation: 3270.151(a)

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

Noncompliance Area: On 10/20/21 during the renewal inspection, the most recent health assessment on file for staff #3 was dated 5/12/19.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: On 10/20/21 during the renewal inspection, staff #2 had two identical references, including the same typo, that were not signed.

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(f)

Description: Emergency plan

Noncompliance Area: On 10/20/21 during the renewal inspection, the emergency plan had not been sent to the county or the city.

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: 3270.35(b)/3270.192(2)(ii)

Description: Group sup qualifications/Exp, educ., training prior to facility

Noncompliance Area: On 10/20/21 during the renewal inspection, staff #2, #3, and #4 were all identified as Group Supervisors but did not have sufficient documentation to qualify for the position.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Staff person # 1 started at the facility on 11/15/18 and did not obtain a National Sex Offender Registry clearance by 7/1/20; she didn't obtain it until 8/19/20. Staff person #2 started at the facility on 1/13/20, and did not obtain a National Sex Offender Registry clearance until 2/18/20; there is no proof that she applied for the clearance prior to starting at the facility. Staff person #3 started at the facility on 1/21/20, and did not obtain a NSOR clearance until 1/27/20; there is no proof that she applied for the clearance prior to starting at the facility. Staff person #4 started at the facility on 1/30/20 and did not obtain a NSOR clearance until 2/7/20; there is no proof that she applied for the clearance prior to starting at the facility. Staff person #5 started at the facility on 2/15/20 , and did not obtain a NSOR clearance until 8/19/20; there is no proof that she applied for the clearance prior to starting at the facility. Staff person #6 started at the facility on 1/24/20, and did not obtain a NSOR clearance until 2/24/20; there is no proof that she applied for the clearance prior to starting at the facility.

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

Noncompliance Area: There are two water stained ceilings in the 4 year old room

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

Noncompliance Area: There are several exposed bolts accessible to the children in the outdoor play space.

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

Noncompliance Area: Child #2, 3, & 5 are missing the amount of fee to be charged.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: Child #4 & 10 are missing the services to be provided to the family and child.

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

Noncompliance Area: Child #8 is missing the child's date of admission.

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

Noncompliance Area: Child #8 is missing the physician's telephone number and address.

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

Noncompliance Area: Child #1, 2, 3, 6, 7, 8, 9 & 10 are missing the parents work addresses and telephone numbers.

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

Noncompliance Area: Child #1, 3, 7 & 10 are missing the addresses of the individual designated by the parent to whom the child may be released.

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

Noncompliance Area: Child #3 is missing an updated health assessment.

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.

Noncompliance Area: Facility person #1 does not have proof of mandated reporter training, date of hire 9/5/19. Facility person #2 does not have proof of request for the National Sex Offender Registry Clearance, date of hire 12/6/19. Facility person #3 does not have proof of mandated reporter training, date of hire 8/15/19. Facility person #4 does not have proof of mandated reporter training, date of hire 6/2/19. Facility person #5 does not have proof of mandated reporter training, date of hire 8/20/19.

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

Noncompliance Area: On 12.20.19 a complaint investigation was conducted. Inspector observed staff 1 and 2 transporting children 1, 2 and 3 on the facility van. Inspector did not observe staff using booster seats. When van returned to the facility, inspector questioned staff 1 and 2 if booster seats were used. Staff 2 admitted booster seats were not used. Staff were unaware that children 1, 2 and 3 needed booster seats. Children 1, 2 and 3 are all under the age of 7 years old.

Correction Required: A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. 4581 (relating to restraint systems). Safety restraints installed in the vehicle at the time of manufacturing shall be used by all occupants.

Noncompliance Area: On 12.20.19 a complaint investigation was conducted. Inspector observed staff 1 and 2 transporting children 1, 2 and 3 on the facility van. Inspector did not observe staff using booster seats. When van returned to the facility, inspector questioned staff 1 and 2 if booster seats were used. Staff 2 admitted booster seats were not used. Staff were unaware that children 1, 2 and 3 needed booster seats. Children 1, 2 and 3 are all under the age of 7 years old.

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

Noncompliance Area: On 12.20.19 a complaint investigation was conducted. Inspector observed staff 4 in the office when inspector entered the building. Staff 4 took inspector into the classroom and inspector observed staff 1 and staff 2 on one half of the room with 16 young toddlers and older toddlers (7 young toddlers and 9 older toddlers) inspector observed 6 infants with staff 3.

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. 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). The required staff:child ratios must be maintained at all times.

Noncompliance Area: During an unannounced visit on 8/8/19, Staff #1 was observed to arrive at the facility at 10:18 a.m. driving a van occupied by 1 infant, 1 young toddler and 1 preschool-aged child, and no other adults were present in the vehicle.

Correction Required: The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported.

Noncompliance Area: There is mulch that is less than 1 inch in diameter on the infant/toddler outdoor play space.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: There is a table with infant bucket seats in the infant room that has no safety straps.

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

Noncompliance Area: Applicable regulations and instructions to contact the appropriate regional daycare office are not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: There is toxic hand sanitizer on a table in the main entrance of the facility accessible to the children. The preschool room has toxic glade air freshened plug in on the counter accessible to the children. There is toxic snow spray in an unlocked cabinet in the young school age room accessible to the 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.

Noncompliance Area: The hot water in the older toddler bathroom sink is over 110 degrees.

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

Noncompliance Area: There is no hand washing sign or paper towels in the infant room bathroom. The older toddler bathroom has no paper towels.

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. Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

Noncompliance Area: There is a lock on the inside half door dividing the infant classroom that obstructs the back door exit.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.