Eric Young Child Care Center

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 3/25/26 at approximately 1:35PM Staff Person #1 answered the door at the facility leaving their group of children which consisted of 4 young toddlers, 6 older toddlers and 1 preschooler alone in the toddler classroom.

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: On 3/25/26 at approximately 1:35PM Staff Person #1 answered the door at the facility leaving their group of children which consisted of 4 young toddlers, 6 older toddlers and 1 preschooler alone in the toddler classroom.

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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: It was observed that Staff Person #2 who was classified as an aide at the time of inspection, was caring for 1 infant unsupervised.

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

Regulation: 3270.55(a)

Description: Toddler and preschool children

Noncompliance Area: On 3/25/26 at approximately 1:40PM during naptime, it was observed that Staff Person #1 was caring for 4 young toddlers, 6 Older Toddlers who were napping and 1 awake Preschooler who was sitting at the table in the Toddler classroom.

Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. TIERED LIS: 1. Ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding maintaining ratios of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed.

Regulation: 3270.55(b)

Description: Other staff on premises

Noncompliance Area: On 3/25/26 at naptime from approximately 1:30-2:30 PM it was observed that there were 3 staff members at the facility caring for 1 infant, 4 young toddlers, 6 older toddlers, and 9 preschoolers, which are not enough staff at the facility to maintain ratios if naptime ended or an emergency occurred.

Correction Required: Staff persons who are on duty but are not providing child care during naptime shall remain in the child care portion of the facility premises.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the indoor play space contained a blue rocking boat which had a broken piece of white plastic exposing sharp edges. The fabric seat of the low swing in the infant classroom was visibly soiled with areas of brown discoloration. The ball pit covers in the infant and toddler classrooms were also visibly soiled with discolored markings on the surfacing of the cover. The toddler classroom contained a plastic drawer organizer with a crack in the second drawer, a blue cot with a crack by the leg, and a play refrigerator which was caving in on the side. By the restrooms in the toddler classroom, the top of a black trash can was breaking away from the can exposing rough edges. The preschool classroom contained a plastic drawer organizer with the right side of the frame detaching from the top, a loose knob on the bottom door of the cabinet in dramatic play, a broken lid covering flexible track, a cracked red bin and the lattice of the plastic laundry basket containing play clothes was broken from the top frame. A wooden chair in the preschool classroom was splintering on the seat.

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: The protective foam cushioning on the shelf in the toddler classroom was deteriorating. The deteriorating pieces were less than an inch in diameter and accessible to children still placing objects in their mouths. The trash can by the bathrooms in the toddler classroom was covered with a thin piece of cardboard that could be torn into pieces less than an inch in diameter and accessible to children still placing objects in their mouths. Foam building blocks had teeth marks and missing corner section were accessible to children still placing objects in their mouths in the toddler classroom. Also in the toddler classroom, a broken transformer, less than an inch in diameter, was accessible to children in the sand table.

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: A written daily schedule was not posted in the play space.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Consecutive health assessments for staff #1 (3/3/2023 and 10/24/2025) and #3 (9/7/2023 and 10/24/2025) were dated 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: 3270.21

Description: General Health and Safety

Noncompliance Area: In the toddler classroom, a pipe was coming down from the ceiling into a black plastic trash can with a cardboard cover. In the trash can was standing water. Based on a conversation with the operator, this was temporary until the roof could be repaired and the water was from the weekend.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The emergency plan's parent letter provided to parents of enrolled children did not include how parents would be notified during an emergency or the process for safely reuniting with their children once the emergency has ended.

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(2)(iii)

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

Noncompliance Area: Documentation of consecutive mandated reporter trainings for Staff #1 (6/15/2020 and 10/11/2025) and Staff #2 (9/28/2020 and 11/4/2025) exceeded 60 months.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #1 contained consecutive child abuse clearances (5/19/2020 and 10/21/2025), consecutive FBI clearances (5/28/2020 and 10/22/2025), and consecutive NSOR verification certificates (4/28/2020 and 10/20/2025) dated more than 60 months apart. The file of Staff #2 contained consecutive PA criminal history clearances (9/29/2020 and 10/31/2025), consecutive child abuse clearances (10/1/2020 and 10/28/2025), consecutive FBI clearances (10/3/2025 and 10/30/2025), and consecutive NSOR verification certificates (10/19/2020 and 12/8/2025) dated more than 60 months apart. The file of Staff #5 contained a PA criminal clearance (11/7/2025), FBI clearance (11/4/2025) with documentation of fingerprinting (11/4/2025) and NSOR verification certificate (11/10/2025) which were dated after their start date at the facility (see LIS code sheet).

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

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

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

Noncompliance Area: The file of Staff #4, identified as an assistant group supervisor, contained unsigned documentation of experience that was verified by a family member and not acceptable.

Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 10:10 am, Staff #2 was observed in the older toddler side of the toddler classroom with 7 children who were sitting at a table. Staff #2 was asked to name the children in their group and Staff #2 proceeded to identify the 7 children sitting at the table, all of whom were 2 years old, exceeding the 1:6 staff to child ratio by 1 child.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An electrical outlet by the sink in the infant classroom did not have a protective receptacle cover. The uncovered outlet was accessible to children less than 5 years of age.

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: The kitchen door off of the toddler classroom was unlocked, allowing children in care access to the Clorox bleach and PineSol, both labeled "keep out of the reach of children" in the unlocked cabinet below the sink.

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: Spray bottles with cleaning solution were not labeled with their contents in the infant classroom and mop area of the kitchen.

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: 3270.71

Description: Heat Source

Noncompliance Area: The kitchen door off of the toddler classroom was unlocked, allowing children in care access to the stove in the kitchen.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: A hopscotch carpet in the play space and a Mickeyland Clubhouse rug in the toddler classroom were no longer lying flat on the floor due to curling edges creating a trip and fall risk to active children. The infant classroom vanity toe kick showed rust-colored discoloration, indicating water damage or deterioration. Duct tape on the wall was peeling off the wall by the shelf in the infant classroom. In the preschool classroom, the trim on the frame of the door to the storage room was pulling away from the door frame. In the preschool classroom, 2 unused command hooks were attached to the wall at the level of children creating a snagging or laceration risk to active children and 7 ceiling tiles contained brown staining indicating possible water damage. In the corner of the preschool classroom by the television, multiple cords were not secured creating a tripping hazard.

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: In the indoor play space, peeling pink paint approximately the size of a quarter was observed toward the bottom of the wall to the steps. Across the room, chipped paint was observed on the floor. Peeling paint was observed on the wall by the hot air balloon sticker in the infant classroom. In the toddler classroom, an approximate 3 x 6-inch area of green paint was peeling at the bottom of the wall by the play kitchen area and paint chips were observed on the floor. To the left of this area on the middle of the wall, a half-dollar size area of peeling paint was observed. On the light blue wall if the toddler classroom, about a 2.5-inch section of chipped and peeling paint was found. Additionally, a quarter-sized area of peeling paint was observed on the wall near the far door. In the preschool classroom, a quarter-size area of light blue peeling paint by the cork board was observed. By the door in the back of the classroom and by the telephone jack in the same area, peeling and chipped paint was present. Also in the preschool classroom, white paint was peeling from the wall in the corner by the art supplies and in dramatic play, about a 6-inch-long area of the dark blue paint was peeling from the wall. In the corner of the room by the light table, areas of red and blue paint were peeling from the wall. Red paint by the preschool storage room door was peeling from the wall.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The last documented test of the interconnected fire detection system was dated 6/7/2025, more than 30 days prior to the inspection.

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: The cloth seat of the exersaucer in the infant room was torn.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The cover of the cushion in a highchair located in the infant room was torn exposing the inside filling.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file of child #2 and #3 contained child service reports which, based on their dates, were completed more than 6 months apart.

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 of child #1 did not contain their arrival time.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information of child #2 contained the policy number but not include the name of the health insurance carrier.

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(c)

Description: Each child care space

Noncompliance Area: The infant room did not have an emergency contact form for child #5 who was receiving care in the 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: 3270.131(b)(2)/3270.182(1)

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

Noncompliance Area: The file of child #4, identified as a preschool age child (see LIS code sheet) contained health assessments which were dated more than 12 months (9/27/2024 and 10/8/2024).

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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Tylenol in the infant room and an Albuterol inhaler in the preschool classroom were not labeled with the names of the children for whom they were intended.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file of facility person #3 contained a health assessment dated 6/27/2024, after their start date at the facility (see LIS code sheet). The file of staff #5 (9/8/2022 and 3/16/2025) and staff #6 (3/9/2022 and 4/25/2024) contained documentation of a health assessment being updated more than 24 months from the prior 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: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file of facility person #3 contained documentation of a tuberculosis screening dated 6/27/2024, after their start date at the facility (see LIS 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: 3270.191

Description: Individual Records

Noncompliance Area: Based on conversation with the operator, the file of staff #7 was misplaced and unable to be provided at the inspection. A health assessment, tuberculosis screening, documentation of education and/or experience, 2 written non-family references, documentation of age/address/telephone number and initial emergency plan training were not available at the time of the inspection.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of facility person #3 and staff #4 did not include 2 written nonfamily references attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files of staff #1, #2 and #3, all employed for more than 90 days (see LIS code sheet), did not contain documentation of initial emergency plan training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 contained an incomplete DHS BFI clearance. The file of facility person #3 contained an incomplete DHS FBI clearance, an incomplete state criminal history clearance, an incomplete disclosure statement and did not contain an NSOR verification certificate. The file of staff #4 did not contain a completed child abuse clearance or DHS FBI clearance. The file of staff #7 did not contain a completed disclosure statement, an NSOR verification certificate, DHS FBI, state criminal history or child abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #3, #4 and #7 may not work in a child care position at the facility.

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

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

Noncompliance Area: The file of staff #2 and #4 all identified as assistant group supervisors, did not contain documentation of education and/or experience to verify they qualify for the position.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the preschool classroom, 2 corners of a carpet in the dramatic play area and 1 corner of a carpet in the table toy area were curling creating a tripping hazard.

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 pillar in the preschool classroom was repaired, however, dust and chips from the plaster were on the floor below the repair.

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: A handwashing sign was not posted at the changing table by the child restrooms in the toddler room.

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: Documentation of testing the fire detection system exceeded 30 days on the following occasion: 1/6/2025 to 2/7/2025.

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

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

Description: Age and Training

Noncompliance Area: Staff person #1 and #2 have not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 10/2024. Documentation of updated Pediatric first aid and CPR training is not on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #1 and #2 must be supervised, when interacting with children at a minimum by, an AGS, who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

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

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: Documentation of current pediatric first aid and pediatric CPR of staff #5 was dated 11/3/2024, which was after the 10/2024 expiration of the prior training.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and pediatric CPR

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on documentation on the testing log, the manual testing of the fire detection system occurred 8/2/2024 and the next on 9/6/2024, which exceeded 30 days between tests.

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 Preschool Classroom, a pink bin which contained Lego-type blocks was broken.

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 refrigerator in the infant classroom did not contain a thermometer.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form of child #1 did not include the name of the child's physician and child #3 did not include the address 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: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health assessment of child #2 did not contain a statement the child is able to participate in child care and appears to be free form communicable disease.

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

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: The Infant Classroom contained a prescription medication for child #4 but did not have written instructions from the individual who prescribed the medication or the prescription label with the written instructions listed.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety training topics

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file of staff person #4 contained documentation of 5 hours of professional development during their annual training year of 12/2022 to 12/2023, but lacked documentation of an additional 7 hours to meet the minimum 12-hour annual requirement.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The child abuse clearance of staff person #1 was dated 9/29/2023 which was after their start date at the facility (see coded LIS sheet). The disclosure statements of staff person #2 and #3 were not dated. Documentation of submission of the FBI clearance of staff person #3 was dated 9/25/2023, which was after their start date with children. Documentation of the updated PA state police clearance of staff person #4 exceeded 60 months (8/7/2018 and 11/16/2023).

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit in the Preschool Classroom was accessible hanging on a hook in the cubbies.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted at the changing table in the Infant Classroom.

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: Documentation of testing of the fire detection system exceeded 30 days (12/13/2023 to 1/17/2024).

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on conversation with staff at the facility, a child was sleeping in their crib and when they woke up, had a welt on their neck extending from their ear to the chin area. The staff did not know how the injury was obtained. On 11/20/2023, a child asleep in their crib in the infant classroom. The facility person was feeding a child in the rocking chair on the other side of the classroom unable to see the child as the teacher's back was to the child. The facility person in the preschool room was sitting at a table across the room from the 7 children sleeping on their cots. The facility person's back was turned away from the children making them unable to supervise the sleeping children, including three children which were sleeping behind shelves.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form of child #1 did not include the enrolling parents work address and work telephone number and child #2 did not include the enrolling parents work address.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The updated health assessment of child #3, identified as a young toddler (see coded LIS sheet), exceeded 6 months from the previous health assessment (9/2/2021 and 2/27/2023) and the health assessment child #5, also identified as a young toddler (see coded LIS sheet), was dated 3/7/2022 but did not contain an updated health assessment within 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.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record of child #1, 3 and 4 did not contain documentation of an annual influenza vaccination and the record of child #5 was missing 1 DTAP, 2 Pneumococcal, 1 MMR, 1 Varicella and did not contain documentation of a current influenza vaccination as recommended by the ACIP. The files of child #1, 3, 4 and 5 did not contain an acceptable exemption.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The additional 1 hour of training, "Pennsylvania Health and Safety Update 2022," required for facility persons who have taken the "Health and Safety Basics" training between 9/30/3026 and 6/30/2018 or the "Get Started with Center- Based Care: Building Blocks for Quality" between 7/1/2018 and 10/4/2022, was completed after 12/30/2022 by facility person #1 (3/6/2023) and #4 (1/6/2023).

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: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Pediatric first aid and pediatric CPR of facility person #3 was dated 10/28/2022, which is more than 90 days from their start date at the facility (see coded LIS sheet).

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The PA state police clearance of facility person #2 did not contain a disposition for charges on the rap sheet.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation of testing the fire detection system exceeded 30 days: from 5/2/2022 to 6/3/2022 and from 7/1/2022 to 1/6/2023.

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: 3270.111(c)

Description: Promote development

Noncompliance Area: There were no daily activity schedules posted in the young toddler area and the preschool room.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The agreement and emergency contact forms on file for child #3 were reviewed and updated by parents in writing more than 6 months after the previous update.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The most recent health assessment on file for child #1, a preschooler, was more than 12 months old.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: There was no documentation of a current annual flu vaccine on file for child #1.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The current health assessment on file for Facility Person #1 was completed more than 24 months after the prior health assessment on file.

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(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The health assessment on file for Facility Person #2 was not signed by a physician.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: There were no written statements giving the feeding schedules for four infants at the facility (children #4-#7).

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: There was no documentation of an emergency drill conducted at the facility.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: There was documentation of only 10 hours of child care training on fie for Facility Person #1, employed at the facility prior to 12/19/20, completed between 12/19/20 and 12/19/21.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The child abuse clearance on file for Facility Person #2 was completed after their start date. (See IS CODE SHEET). The child abuse clearance on file for Facility Person #2 was completed on 3/21/22.

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: There was an uncovered outlet on a power strip on the floor in the preschool room.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The documentation of testing of the fire alarm system indicated at times testing was conducted more than 30 days apart on the following days: 12/6/21, 1/10/22, and 2/11/22.

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.

Noncompliance Area: The current child service report on file for child #2 was completed more than 6 months after the prior 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).

Noncompliance Area: The initial health assessment on file for child #3 was completed more than 60 days after the child's first day of attendance at the facility.

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.

Noncompliance Area: The current health assessment on file for child #1 was completed more than 12 months after the child's prior health assessment.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: The health assessment on file for child #1 did not include a statement from the physician indicating that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Noncompliance Area: The immunization record on file for child # 2 did not indicate she had sufficient doses of the DTAP vaccine as recommended by the ACIP immunization schedule.

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

Noncompliance Area: The current emergency plan training documented and on file for Facility Person #2 was completed more than 12 months after the previous documented emergency plan training.

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

Noncompliance Area: There was no documentation of any child care training completed during the most recent review year on file for Facility Person #1. There was documentation of 3 hours of child care training completed during the most recent review year on file for Facility Person #2.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: The most recent firesafety training completed by Facility Persons #1 and #2 were completed more than 12 months after the prior firesafety trainings.

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.

Noncompliance Area: The current mandated reporter training completed by Facility Persons #1 and #2 were completed more than 60 months after their prior, respective, mandated reporter trainings. Facility Person #3 began employment in a child care position on 2/3/20. There was no NSOR clearance on file for Facility Person #3. Facility Person #5 began employment in a child care position on 11/12/19. There was no NSOR clearance on file for Facility Person #5. Facility Person #4 began employment on 5/28/20. The NSOR clearance on file for Facility Person #4 was dated 6/3/20. There was no copy of the application for an NSOR clearance on file for Facility Person #4.

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 #3 and #5 may not work in a child care position at the facility without all completed clearances on file.

Noncompliance Area: The most current staff evaluation on file for Facility Person #2 was completed more than 12 months after the prior staff evaluation.

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

Noncompliance Area: ***2ND CITATION: At approximately 3:15, in the toddler room, Facility Person #1 was supervising 4 young toddlers in the young toddler area and Facility Person #2 was supervising 7 older toddlers and one preschooler in the older toddler area. Staff state the preschooler had come into the toddler room just to use the restroom was about to return to the preschool room. In the preschool room, there were 4 young schoolagers and 16 preschoolers supervised by Facility Person #3, while Facility Person #4, according to his statement, left the classroom to perform a task in the office. PREVIOUSLY CITED ON 10/29/19.

Correction Required: The legal entity shall arrange for all facility staff to receive training regarding staff:child ratio and proper supervision of children through the ELRC.

Noncompliance Area: There was a crack in a plastic toy bin in the preschool room, creating a sharp edge.

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

Noncompliance Area: There was a cot in the preschool room on which a child was resting, with less than 2 feet of space on 3 sides.

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

Noncompliance Area: At approximately 2:30 PM, Facility Person #5 was in the older toddler area of the toddler room supervising 2 young toddlers and 3 older toddlers while Facility Persons # 3 and #6 were supervising a total of 13 preschoolers in the preschool room. One of the preschoolers left the preschool room, at the direction of a staff person supervising him, and went into the restroom in the older toddler area of the toddler room. There was no communication from Facility Person #3 or #6 to alert Facility Person #5 that she was now responsible for supervising the preschooler.

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.

Noncompliance Area: The agreements on file for children #1, #2, and #3 were not signed by the operator.

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

Noncompliance Area: The services provided were not specified on the agreements on file for children #1 and #2.

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

Noncompliance Area: The agreement on file for children # 1 and #3 did not specify the arrival and departure times.

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

Noncompliance Area: The agreements on file for children #1 and #2 did not specify the release persons.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The agreements on file for children #1, #2 and #3 did not include the admission dates.

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

Noncompliance Area: The agreements on file for children #1 #2 and #3 were the originals.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The emergency contact form on file for child #1 did not include 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.

Noncompliance Area: The emergency contact form on file for child #1 did not include the release persons address.

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

Noncompliance Area: The emergency contact form and agreement on file for child #4 were not reviewed and updated by a parent in writing within the last 6 months.

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

Noncompliance Area: The health assessment on file for child #4 a young toddler, was more than 6 months old.

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