Apples Of Gold Child Care

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: Broken magnatiles were observed in Room 2 and were accessible to children who are still placing objects in their mouths.

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. 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Loose plastic garbage bags were observed in an unlocked cabinet under the sink in Room 2 and were accessible to children who are still placing objects in their mouths.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #1 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 9/28/20. Staff #2 was observed to be caring for children unsupervised. Staff #2 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter Training. Staff #1 was observed to be caring for children unsupervised.

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 trainings are completed, Staff #1 and Staff #2 must be supervised, when interacting with children, by an Assistant Group Supervisor who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff #1 and Staff #2, Staff #1 and Staff #2 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The initial health assessment on file for Staff #2 was dated 8/12/24, more than 1 year prior to Staff #2's date of hire (SEE IS CODE SHEET).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #1 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 9/28/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, Staff #1 must be supervised, when interacting with children, by an Assistant Group Supervisor who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff #1, Staff #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #2 lacked a Child Abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #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. Staff #2 may not work in a child care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In Room 2, outlet covers were missing in the outlet near the computer.

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: In Room 1, an unlocked cabinet contained cleaning products labeled "Keep out of reach of children" were observed in the bathroom and were accessible to children.

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

Regulation: 3270.72(c)

Description: Good repair

Noncompliance Area: In Room 1, a window used for ventilation was observed with a hole in the screen and was not in good repair.

Correction Required: Screens shall be in good repair.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed on the wall to the right of the diaper changing area gate in Room 1 and under the air conditioner and television in Room 2.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The most recent documented fire drill on the facility's fire drill log was dated 10/14/25, more than 60 days prior.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The most recent documented fire alarm testing was dated 10/14/25, more than 30 days prior.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The financial agreement on file for Child #4 lacked the operator's signature

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The financial agreement form on file for Child #4 lacked a fee amount.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The files for Child #2 and Child #3 did not contain any child service reports and the child has been enrolled for more than 6 months (SEE IS CODE SHEET). The file for Child #5, who has been enrolled for more than 6 months (SEE IS CODE SHEET), contained a child service report dated 7/25/25 and none prior.

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

Description: Parent home/work address, phone/Consent for emergency medical care required prior to admission

Noncompliance Area: SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The emergency contact form on file for Child #1 and Child #4 lacked the enrolling parent's signature giving the facility written consent to obtain emergency medical care.

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 emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The emergency contact forms on file for Child #1, Child #3, and Child #5 lacked complete addresses and phone numbers for all listed release persons.

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: SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The file for Child #2 and Child #4, enrolled more than 60 days, lacked an initial health report (SEE IS CODE SHEET). The file for Child #5 contained an initial health assessment lacking a date, making it invalid.

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: 3270.182(5)

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

Noncompliance Area: SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The emergency contact form on file for Child #1 and Child #4 lacked the enrolling parent's signature giving the facility written consent to administer 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: SECOND CITATION During the unannounced correction inspection, Staff #1 stated that they did not complete an emergency drill. Previously cited on 8/19/25: The facility's most recent annual emergency drill is dated 6/26/24, more than 12 months prior.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the emergency plan required to verify correction. Previously cited on 8/19/25: The facility's most recent annual review of the emergency plan is dated 7/24/24, more than 12 months prior.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the emergency plan required to verify correction. Previously cited on 8/19/25: The facility's emergency plan was not posted in a conspicuous location in the facility.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: SECOND CITATION Staff #2 did not complete the required health and safety training (PA Required Health and Safety for Centers-Group Child Care Part 1 & Part 2) and the correction date listed was 9/15/25. Previously cited on 8/19/25: Staff #2 has not completed the following required pre-service training within 90 days of their date of hire: Get Started with Center Based Care or Get Started with Center Based Care -- Revised 2022.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Toilet cleaning products labeled 'Keep out of reach of children' were observed in an unlocked cabinet in the bathroom and were accessible to children. Two bottles of Clorox Cleaner + Bleach and Lysol Disinfectant Spray both labeled 'Keep out of reach of children' were observed in an unlocked cabinet under the sink in the Preschool Room and were accessible to children. Clorox Disinfectant Wipes, Lysol Disinfectant Spray, and a bucket of Plaster of Paris all labeled "Keep out of reach of children" were observed in an unlocked office, which was accessible to children.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 10:06 AM, a preschool child was observed exiting Room 2 (Right) and walked down the hallway to the bathroom, without a staff member present. Neither Staff #1 nor Staff #4, who were both in the room at the time, were aware that the child left the room until 10:07 AM.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 10:06 AM, a preschool child was observed exiting Room 2 (Right) and walked down the hallway to the bathroom, without a staff member present. Neither Staff #1 nor Staff #4, who were both in the room at the time, were aware that the child left the room until 10:07 AM.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The financial agreement on file for Child #4 lacked the operator's signature.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The financial agreement form on file for Child #4 lacked a fee amount.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Child #2 and Child #3 did not contain any child service reports and the child has been enrolled for more than 6 months (SEE IS CODE SHEET). The file for Child #5, who has been enrolled for more than 6 months (SEE IS CODE SHEET), contained a child service report dated 7/25/25 and none prior.

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(b)/3270.182(8)

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

Noncompliance Area: The file for Child #2, Child #3, and Child #5 contained the original financial agreement when the parent is to receive the original agreement.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #5 lacked the enrolling parent's work address.

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

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

Description: Parent home/work address, phone/Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency contact form on file for Child #1 and Child #4 lacked the enrolling parent's signature giving the facility written consent to obtain emergency medical care.

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 emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #5 lacked the child's health insurance or MA 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 forms on file for Child #1, Child #3, and Child #5 lacked complete addresses and phone numbers for all listed release persons.

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: The file for Child #2 and Child #4, enrolled more than 60 days, lacked an initial health report (SEE IS CODE SHEET). The file for Child #5 contained an initial health assessment lacking a date, making it invalid.

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

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

Noncompliance Area: The two most recent health assessments on file for Child #3 (Young Toddler) are dated 3/22/24 & 7/30/25, more than 6 months apart.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The immunization record on file for Child #4 is dated 8/4/25, more than 60 days after Child #4's date of enrollment (SEE IS CODE SHEET).

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)/3270.131(e)(3)

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: The file for Child #2, enrolled more than 60 days, lacked an immunization record. Child #2 must be dismissed from care by close of business on 8/19/25 and may only return to care when the immunization record is provided or when a parent provides a written, signed exemption letter.

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. 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).

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: A box of Equate Children's Cetirizine Hydrochloride Allergy Relief Oral Solution and Parent's Choice Gas Relief Drops were observed in the locked medication bin in Room 1 (Left) lacking the name of the child(ren) whom the medication is intended for.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: In Room 1 (Left), the diaper changing area contained a trash can that was not hands-free.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two most recent health assessments on file for Staff #3 are dated 1/25/23 and 6/13/25, more than 24 months apart.

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

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

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: The current health assessment on file for Staff #4 indicates that the staff person has a communicable/contagious disease, with no additional information given.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. 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: The emergency contact form on file for Child #1 and Child #4 lacked the enrolling parent's signature giving the facility written consent to administer 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility's most recent annual emergency drill is dated 6/26/24, more than 12 months prior.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The facility's most recent annual review of the emergency plan is dated 7/24/24, more than 12 months prior.

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

Regulation: 3270.27(d)

Description: Plan posted

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

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #2 has not completed the following required pre-service training within 90 days of their date of hire: Get Started with Center Based Care or Get Started with Center Based Care -- Revised 2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, Staff #2 must be supervised, when interacting with children at a minimum by an Assistant Group Supervisor who has completed all pre-service trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise Staff #2, Staff #2 may not work in a child care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The two most recent Nation Sex Offender Registry certificates on file for Staff #1 (4/9/20 & 7/29/25) and Staff #3 (11/8/19 & 8/13/25) are dated more than 60 months apart. The most recent National Sex Offender Registry certificate on file for Staff #2 is dated 4/9/20, more than 60 months prior.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #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. Staff #2 may not work in a child care position at the facility.

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

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

Noncompliance Area: The file for Staff #4, classified as an assistant group supervisor, lacked documentation of a high school diploma or general education development certificate and 2 years of experience with children.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 10:06 AM, a preschool child was observed exiting Room 2 (Right) and walked down the hallway to the bathroom, without a staff member present. Neither Staff #1 nor Staff #4, who were both in the room at the time, were aware that the child left the room until 10:07 AM.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 10:00 AM on 8/19/25, Staff #1, responsible for 6 children (2 preschoolers, 3 young school-age, and 1 older school-age), was observed in the hallway, leaving Staff #4 to care for 14 total children between the ages of 3-15 in Room #2. The staff:child ratio for a group of mixed-age children is determined by the youngest child in the group, which would be 1:10.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the bathroom of Room 1 (Left), a Clorox ToiletWand was observed on the floor to the left of the toilet and was accessible to children. Clorox Disinfectant Wipes, Clorox Disinfectant Spay, Sprayway Glass Cleaner, and a container of Destin Maximum Strength Diaper Cream all labeled "Keep out of reach of children" and were observed accessible to children in the unlocked cabinet in the bathroom near the office. Hand sanitizer was observed in an unlocked cabinet in the hallway and was accessible to children. A closet at the facility's entry area containing various paint cans and cleaning products was observed to be unlocked and accessible to children.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Unlidded trash cans containing used paper towels were observed in the Men's and Women's restrooms in the Gym.

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

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: The window in the bathroom of Room 1 (Left), used by children and located on the second floor of the building, lacked any form of window restrictions limiting the window opening to six inches or less.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: An exposed bolt was observed at the base of the toilet in Room 1 (Left) and was accessible to children. The fence in the toddler area of the outdoor play space was observed to be detached in the front and back of the space and could cause injury 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: A hole with damaged drywall was observed under the windows near the pack and plays in Room 1 (Left). Peeling paint and plaster were observed under the windows and to the right of the television in Room 2 (Right).

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The women's bathroom in the Gym lacked handwashing signs at every toilet and sink.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 1/3/2025-2/3/2025 and 5/16/25-6/16/25, more than 30 days apart. The most recent fire alarm test date on the facility's test log is dated 7/14/25, more than 30 days prior.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the cozy corner in Room 2, an unstable and wobbly decorative wood frame was observed and could be hazardous to children.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the Room 1 infant space, AA batteries were observed in an unlocked drawer and was accessible to children.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In Room 1, a crib and a pack and play were observed with less than 2 feet of space on three sides while in use.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The two most child service reports on file for Child #1 are dated 5/26/23 and 2/26/24, more than 6 months apart. The file for Child #2 lacked a child report and is beyond 6 months from date of enrollment (SEE IS CODE SHEET). The most recent child service report on file for Child #4 is dated 9/12/23, more than 6 months prior.

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: The financial agreement forms on file for Child #2 and Child #4 lacked arrival and departure times.

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

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The file for Child #2 contained the original financial agreement when the parent is to receive the original agreement.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact forms for Child #1 and Child #5 lacked the child's health insurance/MA policy number for the child's health care benefits.

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 form for Child #1 and Child #2 lacked complete addresses and telephone numbers for all listed release persons.

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: The Gym lacked a posted emergency transportation plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The files for Child #2 and Child #5 contained health assessments lacking a date, making them invalid. The file for Child #4 contained an initial health assessment dated 7/31/23, more than 60 days beyond enrollment (SEE IS CODE SHEET).

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

Regulation: 3270.131(b)(2)/3270.182(1)

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

Noncompliance Area: The most recent health assessment on file for Child #1 (PSA, dated 2/2/23), Child #3 (PSA, dated 7/25/23), and Child #4 (PSA, dated 7/31/23) are more than 12 months prior.

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

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record for Child #1 (PSA) lacked the following immunizations: 1 doses of Hepatitis B, 1 dose of Rotavirus, 2 doses of DTAP, 2 doses of Hib, 2 doses of Pneumococcal, 2 doses of Polio, 1 dose of MMR, 1 dose of Varicella, and 2 doses of Hepatitis A without a Letter of Exemption in the file. The immunization record for Child #2 (PSA) lacked the following immunizations: 2 doses of Rotavirus and 1 dose of Hepatitis A without a Letter of Exemption in the file. The immunization record for Child #5 (OT) lacked the following immunizations: 1 dose of Rotavirus and 1 dose of Hepatitis A without a Letter of Exemption in the file. Child #1, Child #2, and Child #5 must be dismissed from care by close of business on 8/6/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: In Room 1, the diaper changing area contained a diaper genie that was not hand-free.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility lacked Shaken Baby, Child Maltreatment, and Abusive Head Trauma policies.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff #4 lacked a health assessment at the time of hire (SEE IS CODE SHEET).

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for Staff #4 lacked a tuberculosis test at the time of hire (SEE IS CODE SHEET).

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility lacked written notification to local traffic safety authorities 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.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: The facility lacked written notification of safe routes posted in a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The provider did not have their current certificate of compliance posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The two most recent Emergency Plan trainings for Staff #1 are dated 7/20/23 and 8/2/24, more than 12 months apart. The file for Staff #4 lacked Emergency Plan training within 90 days of hire (SEE IS CODE SHEET).

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

Regulation: 3270.27(e)

Description: Letter to parents

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

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for Staff #1 and Staff #4 lacked disclosure statements. The file for Staff #3 lacked a disclosure statement at time of hire (SEE LIS CODE SHEET). The two most recent Mandated Reporter trainings for Staff #2 are dated 5/15/18 and 7/31/23, more than 60 months apart.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: The outlets in the Gym were missing receptacle covers.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: An accessible container of Clorox wipes was observed on the bottom shelf of an unlocked cabinet located in the Toddler bathroom.

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: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The telephone number of the nearest hospital, police department, fire department, ambulance, and poison control center were not posted in the Gym.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Preschool room lacked tweezers.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In Room 2, a white board on the floor with an exposed screw was observed to be accessible and could be harmful 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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The bathrooms in the Gym lacked handwashing signs at every toilet and sink.

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

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: An evacuation route was not posted in the Gym.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 8/9/23-9/20/23, 9/20/23-10/21/23, 5/3/24-6/3/24, and 6/3/24-7/3/24, more than 30 days apart. The most recent documented fire alarm testing was dated 7/3/24, more than 30 days prior.

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

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Based on interviews with staff, child #1 tripped and fell and hit their mouth in late November or early December of 2023. The child's file and the accident file lack an incident report for all of November and December 2023 for child #1.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the outdoor play areas: Basketball set was not secured, which creates a potential toppling hazard. Splintering wood on a sliding board, a torn, frayed tire and rust on the metal parts of a tricycle on the Preschool/SA side. A broken wand on the Infant/Toddler side.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed teeth marks in the foam blocks and small math cubes less than one inch in diameter in the Preschool Room, where Older Toddlers also receive care. This presents a potential choking hazard for children who may still be placing objects in their mouths.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The daily activity schedule was not posted in the Preschool Room.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #1, who has been enrolled for more than 6 months, did not include 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact forms in the files for Child #3 and #4 did not include the insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form in the file for Child #4 did not include the address for the release persons.

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: Emergency contact forms for Child #1, 2, 3 and 4 were not present in the rooms where the children were receiving care.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: Emergency Transportation Plans were not posted in the child care spaces.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #4, who has been enrolled for more than 60 days, did not include an initial health report.

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

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

Noncompliance Area: The file for Child #1, a Young Toddler, did not contain an updated health report conducted within the past 6 months.

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

Regulation: 3270.131(b)(2)/3270.182(1)

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

Noncompliance Area: The file for Child #2, an Older Toddler, did not contain an updated health report conducted within the past 12 months.

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