Anne Mclaughlin Day Care Center

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

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

Noncompliance Area: On 4/30/26 approximately 3:30pm, in the infant toddler room, child #1 received second degree burns from hot water when they pulled a bottle warmer down on themself. The bottle warmer, which was plugged in and in use, was located on the top of a water cooler with the cord hanging down, accessible to children. Staff #1 was supervising child #1 at this time and stated that they did not observe child #1 pulling the cord to the bottle warmer as they were signing documents provided by a physical therapist who was leaving the infant/toddler room.

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. TIERED LIS: 1. Children must be supervised at all times. The correction date for this must be immediate. 2. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding supervision of children. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive approval from the DHS Northeast Regional Office regarding the training content prior to scheduling the training. The correction date for this portion of the plan should allow for all staff, including the director, to obtain the required training hours. 3. The facility will be subject to three unannounced monitoring visits by DHS following the completion of the three hours of PQAS approved, in person training related to supervision. These unannounced monitoring visits will be conducted to ensure that both supervision and care of children are being adhered to and that no further instances of noncompliance are observed. The correction date should reflect a date that allows for at least 6 weeks from the completion of the required trainings for DHS to complete.

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

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

Noncompliance Area: While at the facility unannounced on 5/8/26 the inspector observed the files for staff #1 and #2 and found that both staff did not have a health assessment conducted within 12 months prior to providing initial service in a childcare setting and a tuberculosis screening by the Mantoux method at initial employment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

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

Description: Exp, educ., training prior to facility/Two written references

Noncompliance Area: While at the facility unannounced on 5/8/26 the inspector observed the files for staff #1 and #2 and found that both staff did not have verification of childcare experience, education and training prior to service at the facility and two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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: 3270.20(a)(1)/3270.20(b)

Description: Inpatient hospitalization or ER treatment of child/Mail or deliver written report to regional office within 72 hours

Noncompliance Area: On 4/30/26 approximately 3:30pm, in the infant toddler room, child #1 received second degree burns from hot water when they pulled a bottle warmer down on themself. The bottle warmer, which was plugged in and in use, was located on the top of a water cooler with the cord hanging down, accessible to children. Child #1 received emergency medical treatment on 4/30/26. On 5/8/26 while at the facility unannounced staff #1 admitted that they did not report this to the DHS Regional Office.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

Regulation: 3270.21/3270.71

Description: General Health and Safety/Heat Source

Noncompliance Area: On 4/30/26 approximately 3:30pm, in the infant toddler room, child #1 received second degree burns from hot water when they pulled a bottle warmer down on themself. The bottle warmer, which was plugged in and in use, was located on the top of a water cooler with the cord hanging down, accessible to children.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced on 5/8/26 the inspector observed the file for staff #1 who was hired provisionally, observed working in direct care on this date and did not find proof of a PA State Police clearance, a NSOR clearance, or current signed disclosure statement on file since hire (see LIS Code Sheet for DOH). Staff #2 was hired provisionally, did not have a current signed disclosure statement on file or an FBI clearance since hire (see LIS Code Sheet for DOH).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The CPSL was revised to include a requirement that all clearances be updated and on file at least every 60 months. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. Staff #1, and #2 may not work in a childcare position with direct contact and routine interaction with children. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 and # 2 cannot work in a childcare position at the facility. The correction date for this portion of the plan must be immediate. 2. The facility director and any other persons involved in the hiring of staff must register for and attend an Existing Provider Orientation at a Regional Office. The provider must provide a correction date for when this portion of the plan will be completed. 3. In order to demonstrate compliance in this area, the director or legal entity representative will send completed staff files for all new hires for the next three months to the Northeast Regional Office for review. The staff files must include all clearance requests, completed clearances, (including out of state clearances and requests if necessary) signed and dated disclosure statement, health assessment and TB screening, two nonfamily references, proof of education and experience (officially translated if needed). The Northeast Regional Office will review the newly hired and completed staff files prior to hire within one week of receipt. New hires may not begin to work in child care until their file has been approved by the Northeast Regional Office. The correction date for this portion of the plan must be three months from the acceptance of the plan by The Northeast Regional Office.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: While at the facility unannounced on 5/8/26 the inspector observed a bottle of Scrub Free Plus Formula, Home Store Glass Cleaner, and a small brown bottle of unknown cleaner in a white basket in the hallway just outside the door of the large classroom and within reach of 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. TIERED LIS: 1. Cleaning materials and other toxic materials must be kept in an area or container that is locked or made inaccessible to children at all times. The correction date for this must be immediate. 2. The director must develop and implement a detailed policy that will ensure that toxic materials are made inaccessible to children at all times. The policy should outline how and where toxics will be handled and stored as well as actions the facility will take against staff who violate this policy. This policy must be submitted to the DHS Northeast Regional Office prior to implementation for approval. Once it is accepted by the DHS Northeast Regional Office the director will ensure all staff and facility persons review the policy and sign off on the policy as well as all new hires moving forward. The correction date for this should reflect a date that allows for the development and review of the policy as well as time to train staff.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 4/30/26 approximately 3:30pm, in the infant toddler room, child #1 received second degree burns from hot water when they pulled a bottle warmer down on themself. The bottle warmer, which was plugged in and in use, was located on the top of a water cooler with the cord hanging down, accessible to children.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The director did not conduct a fire drill every 60 calendar days. The inspector observed a fire drill dated for 9/01/25 and the next having been dated for 11/3/25 and there has not been another fire drill recorded.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Two of the picnic tables in the outdoor play area were observed to have broken wood creating rough spots. The Circle Cycle Merry-Go-Round Multi-bike was observed to have rust on the top of the playset as well in the rims of the wheels.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the toddler room refrigerator was observed to be broken.

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

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

Noncompliance Area: When the inspector asked staff #3 and #4 in the preschool room to name and point to the children in their respective assigned groups, both staff named the same 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan must have an immediate correction date. 2.The facility director will update the current supervision policy to ensure staff fully understand their responsibility regarding the supervision of children at all times. The director will ensure all staff and facility persons sign off on this policy update as well as all new hires moving forward. The correction date for this should reflect a date that allows for the updating of the supervision policy, review, as well as time to train staff on the policy update.

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: The parent handbook did not contain supervision policies as are required.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The fee agreements for children #1 and #3 were not signed by the provider.

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

Regulation: 3270.123(a)(4)/3270.123(a)(6)

Description: Arrival/departure times/Admission date

Noncompliance Area: The fee agreement form for child #2 did not the child's arrival and departure times. The admission agreement form for child #4 was missing the date of the child's admission.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms for children #1 and #3 did not have the work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact for child #1 was missing the health insurance coverage name and policy number. The emergency contact for child #4 was missing the health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact for child #1 was missing the address 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.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The inspector asked to see the emergency contact forms for the toddlers in the toddler room and was informed that the toddler emergency contact forms were kept in the infant room.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The written plan for transporting a child to emergency care was missing from the infant room.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact information and the financial agreement forms were not updated at least once in a six-month period for child #5 as evidenced by the last updates to both forms occurring on 2/17/25 (See LIS Sheet for DOA).

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

Regulation: 3270.182(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: The emergency contact forms for child #1 and child #3 were both missing signed parental consent for emergency medical care and administration of minor first-aid procedures by facility staff prior to admission.

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(4)

Description: CPSL information

Noncompliance Area: Staff #1 and #2 did not have current signed disclosure statements 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: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: The emergency plan and parent letter does not have a method for facility persons to contact parents when an emergency arises or a method to contact parents after an emergency has ended to provide instructions on being safely reunited.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan did not have written information on how the facility would make accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The parent letter did not have information outlining the lockdown procedures for the facility.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: While at the facility unannounced on 9/17/25 the inspector observed Lysol, Equate Sunblock out and within reach of children in the preschool room. The inspector also observed Johnsons and Johnsons baby powder out and within reach of children in the preschool bathroom. The inspector observed all-purpose joint compound, Valspar paint, and bulk antibacterial soap, out in the main hallway of the facility and within reach of children. All of these products have labels indicating that they need to be kept out of reach of children. During the renewal on 11/4/25 the inspector observed hand sanitizer out in the preschool room within reach of children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A hole in the rear wall of the preschool room was observed.

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: Chipped and peeling paint was observed in the infant room at the sink area.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: While at the facility unannounced the inspector observed two preschool aged children in the preschool room asleep behind furniture and unable to be seen by the staff present.

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. TIERED LIS: 1. Children must be supervised at all times. The plan of correction for this must be immediate. 2. The facility director will be required to submit a map of the placement of each nap mat and where each staff will be placed to ensure that children are in view of the staff at all times. The facility director must receive DHS approval of the nap map prior to utilizing it. The operator shall provide a date for when this requirement is completed.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: While at the facility unannounced the inspector observed an infant asleep in an electric swing in the infant/toddler room. The facility did not have documentation from a physician noting a medical reason for sleeping in a position other than the recommended position on file.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: While at the facility unannounced the inspector observed a Diaper Genie being used for soiled diapers changing table in the infant/toddler room. The Diaper Genie cannot be used without the use of a person's hands.

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

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: While at the facility unannounced the inspector observed the changing mat in the infant/toddler room to be cracked, exposing the foam below it, rendering it unable to be cleaned.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: While at the facility unannounced the inspector observed two unlabeled infant bottles in the infant/toddler room.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: While at the facility unannounced the inspector observed one staff with three infants and eight young toddlers alone in the infant/toddler room.

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). TIERED LIS: 1. The required staff: child ratios must be maintained at all times. The correction date for this portion of the plan must be immediate. 2. The director must arrange for all staff to receive a minimum of 2 hours of training regarding the supervision of children. The director must obtain DHS approval of the training content prior to obtaining the training. The correction date for this portion of the plan should allow for all staff, including the director, to obtain the required training hours.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: While at the facility unannounced the inspector observed Lysol, Equate Sunblock out and within reach of children in the preschool room. The inspector also observed Johnsons and Johnsons baby powder out and within reach of children in the preschool bathroom. The inspector observed all-purpose joint compound, Valspar paint, and bulk antibacterial soap, out in the main hallway of the facility and within reach of children. All of these products have labels indicating that they need to be kept out of reach of children.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: While at the facility unannounced the inspector observed a spray bottle in the infant/toddler room missing a label specifying the contents.

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

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: While at the facility unannounced for the complaint investigation the inspector observed dead insects (yellow jackets) in the light fixtures as well as on the windowsills in the infant/toddler room. The inspector also observed a live insect (yellow jacket) on the window and sill while present. Staff #1 stated that they were aware of a nest located on the rear of the facility.

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

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: While at the facility unannounced the inspector observed the door to the kitchen to be left open rendering the stove accessible to children.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: During the course of the investigation staff #1 admitted to openly discussing someone needing to have "the psych ward "called on them. This comment was made to another staff in front of children receiving care.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children. TIERED LIS 1. A facility person may not use harsh, demeaning or abusive language in the presence of children. The correction date for this portion of the plan must be immediate. 2. The director or legal entity must arrange for staff #1 to receive a minimum of 2 hours of training regarding appropriate communication with children. The legal entity or director must obtain DHS approval of the training content prior to obtaining the training. The correction date for this portion of the plan should allow sufficient time for staff #1 to obtain the required training hours.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #1 and did not observe the required one-hour 2022 update to the health and safety training by 12/30/2022.

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)/3270.151(c)(2)

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

Noncompliance Area: While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #1 and found that this staff does not have a health assessment or a TB is working in direct care with children since hire (see LIS Code sheet for DOH).

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

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

Description: Age and Training

Noncompliance Area: While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #1 and found that they did not update their Pediatric first aid and CPR training. This is evidenced by the previous documented Pediatric first aid and CPR expiration date of 10/2024.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #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: While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #2 and found that this staff did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet) Pediatric First Aid and CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training is completed, staff person #2 must be supervised when interacting with children by an Assistant Group Supervisor who has completed the required training related to the citation. If there are no staff available to supervise staff Person #2, staff persons #2 may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #1 and found that this staff has been working in direct care with children and does not have the required FBI clearance on file since DOH (See LIS Code Sheet for DOH). Staff #3 was also observed in direct care with children and did not the required NSOR clearance on file as is required (See LIS Code Sheet for DOH). As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL.

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 Persons #1 and #3 may not work in a childcare position at the facility. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The correction date for this portion of the plan must be immediate. 2. The facility director and any other person(s) involved in the hiring of staff must arrange for and attend an Existing Provider Training held in the Northeast Regional Office of DHS, Scranton Office. To register for this required training, you must call the Northeast Regional Office at 1 800 222 2108.The correction date for this portion of the plan must coincide with the next Existing Provider Training which is being held on 8/6/25.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. In the Toddler room, several nap mats were observed torn with the inside foam exposed. These mats were not in good repair and could not be appropriate cleaned. These mats were identified and addressed with the director at the time of the inspection.

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: 3270.121(a)

Description: Review policies and procedures

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's handbook was conducted. The facility did not have listed in the handbook, as required by regulation, supervision policies, dismissal policies and transportation and pick up arrangements.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires an agreement form to be signed by the parent. Child #2 did not have a signed agreement form by the parent in the file.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the child's enrollment date. Regulation requires a child service report to be completed on children every 6 months. Child # 4 has not had a child service report completed since the date of enrollment. Child #4 has been enrolled for over 6 months requiring the need for a child service report.

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)(4)

Description: Arrival/departure times

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires a child's file to contain their arrival and departure times. The following children's files were missing their arrival and departure times: Child #2 and #4.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the address of the listed release person to be included in a child's file. The following children's files were missing the address of the listed release person: Child #2 and #5.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. At the time of the inspection, the facilities emergency medical transportation plan was not posted in any child care space as required by regulation.

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(5)

Description: Original label

Noncompliance Area: A renewal inspection was conducted at the facility. A physical site review was conducted. In the DOE-PreK room, five medications were found with a manufacturers label that listed an expired date.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection occurred at the facility. At the time of the inspection, the facility provided a copy of their continuity of operations plan. The plan did not include the following: operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to obtain a health assessment prior to working in child care. Staff #1 did not obtain a health assessment until 10/23/24. This health assessment was obtained after Staff #1 began working in child care. Regulation requires staff to update their health assessment at least every 24 months. The following staff did not update their health assessment at least every 24 months: Staff #6 (previous 6/30/22, current 8/23/24) and Staff #7 (previous 11/7/22, no update).

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to obtain a tuberculosis screening prior to working in child care. Staff #1 did not obtain a tuberculosis screening until 10/23/24. This tuberculosis screening was obtained after Staff #1 began working in child care.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to complete pediatric first aid/CPR prior to their current certification expiring. Staff #6's pediatric first aid/CPR training expired on 7/26/24 and Staff #6 did not complete updated pediatric first aid/CPR training until 11/11/24.

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: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not participate in annual fire safety training: Staff #2 (previous 9/22/23, current 10/24/24), Staff #3 (previous 7/12/23, current 10/24/24), Staff #4 (previous 7/12/23, current 10/24/24), Staff #5 (previous 7/12/23, current 10/24/24), Staff #6 (previous 7/12/23, current 10/24/24), Staff #7 (previous 7/12/23, current 10/24/24) and Staff #9 (previous 9/22/23, current 10/24/24).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff #4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/13/15. Staff #4 completed mandated reporter training on 2/6/20. The CPSL requires staff to update their mandated reporter training at least every 60 months.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #1 was not hired correctly as a provisional hire. Staff #1 did not receive the child abuse clearance until 10/16/24 and did not apply for an FBI clearance until 10/16/24. The CPSL requires the child abuse clearance to be obtained prior to working in child care and also requires staff to apply for the FBI clearance prior to working in child care. Staff #3 was not hired correctly as a provisional hire. Staff #3 did not apply for their FBI clearance until 1/31/23 and the NSOR until 2/6/23. The CPSL also requires staff to apply for the NSOR clearance prior to working in child care. Staff #8 was not hired correctly as a provisional hire. Staff #8 did not apply for their state police clearance until 10/8/24 and their NSOR clearance until 9/27/24. Staff #8 also did not complete a disclosure statement as required by the CPSL prior to working in child care. The CPSL also requires staff to apply for their state police clearance prior to working in child care. The CPSL requires staff to update their clearances every 60 months. Staff #4 did not update the following clearance at least every 60 months: Staff #4 state police clearance (previous 9/22/15, current 9/24/20).

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

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires proof of education on a staff to be able to appropriately qualify a staff for a role in child care. The file of Staff #1 did not contain education documentation and Staff #1 was unable to be appropriately qualified as a staff person.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. The orange fencing in the outdoor play area, was not attached to the poles and contained holes that did not restrict the children from leaving the play area. On the other side of this fencing was a stream. There was a gap in the natural barrier behind the camper that led to a road and children were not restricted from leaving the area. The retractable fencing behind the camper covering the driveway did not cover the entire opening. This left a small area unrestricted from the children leaving the play area. On the other side of the camper and rear of the camper, the children were not restricted from leaving the play area and had access to the road. Between the building was a shed. In the shed was a lawn mower that was not restricted from the children. Also, in this area, two rusty chairs and broken toys were found. These items were no made inaccessible to children. Children were observed in the outdoor play area during this inspection.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Several outlets were missing protective receptacle covers throughout the facility. These areas were identified and addressed with the director at the time of the inspection.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review as conducted. Toxic cleaning and other toxic materials were found accessible to children throughout the facility. These items did indicate the need to keep out of the reach of children. Children were observed receiving care in the areas these toxic materials were accessible. These items were identified and addressed with the director at the time of the inspection. The items and areas addressed were as follows: DOE-PreK - hand sanitizer, abra cadabra, several items in the teacher's desk Hallway - Paint, 2 sodium chloride bags, hornet spray, sanitizer Kitchen with an open door - cleaning materials

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

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. On the Toddler room's windowsill, several dead flies were observed. These areas were identified and addressed with the director at the time of the inspection.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. The DOE-PreK room and the Infant room contained a garbage can that did not have a lid. Tissues, napkins and food wrapper waste were found in these garbage cans. These items were required to be contained in closed, plastic-lined receptables as required by regulation. These garbage cans were identified and addressed with the director at the time of the inspection.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. At the time of the inspection, the first aid kits were accessible in the DOE-PreK and Older Toddler classrooms. Children were observed receiving care in those classrooms.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. In the hallway, outside of the office, a light fixture was found to have come loose at one end and was hanging. This light fixture was identified and addressed with the director at the time of the inspection. The orange fencing in the outdoor play area, was not attached to the poles and contained holes that did not restrict the children from leaving the play area. On the other side of this fencing was a stream. There was a gap in the natural barrier behind the camper that led to a road and children were not restricted from leaving the area. The retractable fencing behind the camper covering the driveway did not cover the entire opening. This left a small area unrestricted from the children leaving the play area. On the other side of the camper and rear of the camper, the children were not restricted from leaving the play area and had access to the road. Between the building was a shed. In the shed was a lawn mower that was not restricted from the children. Also, in this area, two rusty chairs and broken toys were found. These items were no made inaccessible to children. Children were observed in the outdoor play area during this inspection.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. The sink in the DOE-PreK room and sink in the bathroom located in the office were missing a handwashing signs. These areas were identified and addressed with the director at the time of the inspection.

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

Regulation: 3270.69(a)

Description: Running water/ safe drinking water

Noncompliance Area: As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be incompliance for some time as construction approval needs to be granted first. The provider submitted an acceptable plan of correction with a correction date of 10/5/23. As of the renewal date of 10/19/23 this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2). A contractor completed the well tank, although DEP did not approve the tank used, contractor replaced the tank and is not awaiting DEP's approval of the completed well tank. As of 11/6/23, DEP is still waiting on additional information from the system as they made changes to what had been approved. The facility is still required to be under a Boil Water Advisory until they verify that all components meet Department standards, special bacteria sampling is conducted, results provided to the Department, the Department approves the lifting of the BWA, and the system is provided an operations approval letter for the modifications made to the system.

Correction Required: A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Boil Water Advisory shall remain in effect until it is lifted by DEP. The operator shall take all necessary appropriate measures to prevent consumption of water from Anne McLaughlins Child Care water system until the Water Boil Advisory is lifted.

Regulation: 3270.69(a)

Description: Running water/ safe drinking water

Noncompliance Area: As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be incompliance for some time as construction approval needs to be granted first. The provider submitted an acceptable plan of correction with a correction date of 10/5/23. As of the renewal date of 10/19/23 this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2). A contractor completed the well tank, although DEP did not approve the tank used, contractor replaced the tank and is not awaiting DEP's approval of the completed well tank. As of 11/6/23, DEP is still waiting on additional information from the system as they made changes to what had been approved. The facility is still required to be under a Boil Water Advisory until they verify that all components meet Department standards, special bacteria sampling is conducted, results provided to the Department, the Department approves the lifting of the BWA, and the system is provided an operations approval letter for the modifications made to the system.

Correction Required: A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: Child #4 is missing signed parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Child #1, 2 & 3 are missing updated emergency contact information and financial agreements.

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)/3270.182(1)

Description: Health information/Initial and subsequent health reports

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

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility person #1 did not complete the required health and safety training update by 12/30/22. Facility person #2 completed the training on 9/15/23. Facility person #3 completed the training on 8/10/23.

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. Facility person #1 has until 11/3/23 to complete the required 1 hour health and safety update.

Regulation: 3270.151(a)

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

Noncompliance Area: Facility person #1 has an expired health assessment dated 9/28/20.

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: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Facility person #3 has an initial health assessment and TB test dated 5/26/22, which exceeds the requirement of obtaining an initial health assessment prior to working with children. Facility person #4 has an initial health assessment and TB test dated 11/7/22, which exceeds the requirement of obtaining and initial health assessment prior to working with children. Facility person #5 & 6 do not have an initial health assessment and TB test on file. Facility person #7 has an initial health assessment and TB test dated 10/16/23, which exceeds the requirement of obtaining an initial health assessment prior to working with children.

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

Regulation: 3270.182(5)

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

Noncompliance Area: Child #4 is missing signed parental consent for administration of minor first-aid.

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.

Regulation: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: Facility person #5 is missing proof of education.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Operator has not conducted an annual emergency drill.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: Operator has not sent an annual copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency, 9/1/22 was the most previous updated plan sent.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Facility person #3 completed the required health and safety training on 7/1/22 and facility person #4 completed the required health and safety training on 4/30/23 which exceeds the requirement of completing the health and safety training within 90 days of hire.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility person #4 has a child abuse clearance dated 11/9/22, and FBI clearance dated 11/10/22 and an NSOR clearance dated 11/8/22 which exceeds the requirements of requesting and/or obtaining clearances prior to working with children. Facility person #6 has a state police clearance dated 9/26/23, a child abuse clearance dated 10/16/23 and an FBI clearance dated 10/13/23, which exceeds the requirements of requesting and/or obtaining clearances prior to working with children. Facility person #7 has a state police clearance dated 9/21/23, a child abuse clearance dated 9/25/23, an NSOR clearance dated 9/18/23 and missing proof of FBI fingerprinting and clearance, which exceeds the requirements of requesting and/or obtaining clearances prior to working with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #7 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.

Regulation: 3270.69(a)

Description: Running water/ safe drinking water

Noncompliance Area: Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be incompliance for some time as construction approval needs to be granted first. The provider submitted an acceptable plan of correction with a correction date of 10/5/23. As of the renewal date of 10/19/23 this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2). A contractor completed the well tank, although DEP did not approve the tank used, contractor replaced the tank and is not awaiting DEP's approval of the completed well tank.

Correction Required: A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Regulation: 3270.69(a)

Description: Running water/ safe drinking water

Noncompliance Area: Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be incompliance for some time as construction approval needs to be granted first. The provider submitted an acceptable plan of correction with a correction date of 10/5/23. As of the renewal date of 10/19/23 this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2). A contractor completed the well tank, although DEP did not approve the tank used, contractor replaced the tank and is not awaiting DEP's approval of the completed well tank.

Correction Required: A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Boil Water Advisory shall remain in effect until it is lifted by DEP. The operator shall take all necessary appropriate measures to prevent consumption of water from Anne McLaughlins Child Care water system until the Water Boil Advisory is lifted.

Regulation: 3270.21/3270.69(a)

Description: General Health and Safety/Running water/ safe drinking water

Noncompliance Area: Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be incompliance for some time as construction approval needs to be granted first.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Regulation: 3270.21/3270.69(a)

Description: General Health and Safety/Running water/ safe drinking water

Noncompliance Area: Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be incompliance for some time as construction approval needs to be granted first.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Boil Water Advisory shall remain in effect until it is lifted by DEP. The operator shall take all necessary appropriate measures to prevent consumption of water from Anne McLaughlins Child Care water system until the Water Boil Advisory is lifted.

Regulation: 3270.21/3270.69(a)

Description: General Health and Safety/Running water/ safe drinking water

Noncompliance Area: Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Regulation: 3270.21/3270.69(a)

Description: General Health and Safety/Running water/ safe drinking water

Noncompliance Area: Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Facility shall provide safe and adequate drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Boil Water Advisory shall remain in effect until it is lifted by DEP. The operator shall take all necessary appropriate measures to prevent consumption of water from Anne McLaughlins Child Care water system until the Water Boil Advisory is lifted.

Regulation: 3270.21/3270.69(a)

Description: General Health and Safety/Running water/ safe drinking water

Noncompliance Area: Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: Child #1, 3 & 4 are missing the operator's signature.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Child #1, 3 & 4 are missing the child's date of admission.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Child #2 is missing the address and telephone number of the child's physician.

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)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #1, 2 & 3 are missing work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #2 is missing the name, address and telephone number 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.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: Child #1 & 3 are missing an initial health assessment.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility does not have a policy in place 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. Child Care Providers must ensure that federal requirements at 45 CFR 98.41 (a)(1)(vi). All DHS Certified Child Care Providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff #4 & 6 are missing their initial health assessment.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility has not notified the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.