Avas Garden

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Continued noncompliance from renewal inspection - Trash can in the preschool bathroom was observed to contain trash, but no liner was present in the trash can. Corrected on site by placing a liner in the can.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Continued noncompliance from renewal inspection: During the verification visit, a smoke detector (independent from the interconnected system) was heard to beep intermittently, indicating the need for a new battery.

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: A child sized couch in the toddler room was observed to have a ripped cover, which made the cushion inside accessible to children. The couch was removed from the classroom during the inspection. A two-inch puddle of an unidentified yellow substance was observed to be on the base of the toilet in the preschool classroom. Cleaned during the inspection.

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: Three pieces of foam filler, under 1 inch in diameter, were observed in the block area of the toddler classroom. It was determined that a vinyl block had a ripped seam that was allowing children access to the foam material inside. The pieces of foam and the ripped block were removed from the classroom during the inspection. Plastic bags were observed to be accessible to children on the bottom shelf of the unlocked changing table. The changing table storage area was locked during the inspection.

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

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

Noncompliance Area: Written parent consent for emergency medical care was not available on the emergency contact form for child #1.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: An emergency transportation plan was not available in the gross motor space. Corrected on site by hanging the document in the room.

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

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

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

Noncompliance Area: Documentation showed that child #2, a young toddler, (see LIS for date of birth) had an initial health assessment dated 5/20/25 and an updated health assessment dated 3/11/26. exceeding the requirement that health assessment for young toddlers be obtained every 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: 3270.133(6)

Description: Written consent

Noncompliance Area: Documentation on file included a medication log and authorization for Advair. Advair was not available. Symbicort was the medication available. Written consent to administer Symbicort was not available.

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

Regulation: 3270.182(5)

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

Noncompliance Area: Written parent consent for administration of first aid procedures was not available on the emergency contact form for child #1.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Documentation showed that staff #2 had 2 references that were obtained from family members. Written, non-family references were not available.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Documentation showed that staff #1 had a mandated reporter training dated 10/4/19 and a new mandated reporter training dated 1/30/25, exceeding the requirement that mandated reporter training be completed within 60 months of the previous completion date.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Diaper wiped labeled "Keep out of reach of children" were observed to be accessible to children in the following areas: 1. In the infant room , under the unlocked changing table. 2. In the toddler room, under the unlocked changing table. 3. In the two's classroom and in the bathroom. 4. In the preschool classroom on the table and a shelf. Wipes were made inaccessible by locking the changing tables and placing the wipes out of reach of children.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: An unlined trash can in the preschool bathroom was observed to contain trash, including a soiled diaper.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation showed that fire system testing was conducted on 8/8/25 and again on 9/9/25, which exceeds the requirement that fire system testing be conducted every 30 days. During the inspection, a smoke alarm in the preschool room was observed to be beeping continuously, indicating the need for a new battery.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: On 4/2/25, It was observed that the toddler bathroom does not have handwashing signs posted at each training chair. CONTINUED NON-COMPLIANCE. On 5/27/25, It was observed that the toddler bathroom does not have handwashing signs posted at each training chair.

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: 3270.101(a)

Description: Age appropriate

Noncompliance Area: It was observed, in preschool 3's space, that more materials should be added to the dramatic play area to preclude long waits for use. It was observed, in preschool 1's space, that more materials should be added to the kitchen area to preclude long waits for use.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed in the older toddler space, that there were pom-poms less than 1 inch in diameter, accessible to children. It was observed in the younger toddler space, there was a box of materials in plastic packaging under the teachers desk, 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: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: Child #1, 4, and 5 Fee Agreements do not include the fee amount.

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

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: Child #1, 2, 3, 4, and 5 files contain the original Fee Agreements.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: Child #2's Emergency Contact Forms does not include the physician/medical care name and address. Child #4's Emergency Contact Forms does not include the physician/medical care phone number.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #1, 2, 3, 4, and 5 Emergency Contact Forms do not include the enrolling parent's home phone number.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Child #1, 3, and 5 Emergency Contact Forms do not include information on special needs or indicated as not applicable.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.131(d)(1)

Description: Child's health history

Noncompliance Area: Child #2's file does not contain a complete initial health report. The health report does not include a review of the child's health history.

Correction Required: A health report shall include a review of the child's health history.

Regulation: 3270.131(d)(4)

Description: Acute or chronic health problem

Noncompliance Area: Child #2's file does not contain a complete initial health report. The health report does not include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Child #2's file does not contain a complete initial health report. The health report does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: Child #2's file does not contain a complete initial health report. The health report does not include a 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.

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: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: Staff person #1 and 2's files do not contain acceptable verification of child care experience prior to service at the facility.

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

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

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

Noncompliance Area: Staff person #1 and 2's files do not contain acceptable verification of child care experience prior to service at the facility. Staff person #1 cannot be used as an Assistant Group Supervisor until verification of child care experience is determined.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed in the young toddler space, the grey cabinet was not locked, giving children access to cleaning materials.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed that all vents with small squares in the ceiling are covered with dust. It was observed that many wheel fixtures on the patrician walls are exposed in the infant, young toddler and older toddler spaces. It was observed in the young toddler space, the grey cabinet was not locked, giving children access to an extension cord.

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: It was observed, in the infant space, that there is peeling/chipping paint above the second pack n play from the right. It was observed, in preschool 3's space, that there is exposed plaster on the corner beside the bookshelf. This was covered by tape, but the tape is peeling off.

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: It was observed that the toddler bathroom does not have handwashing signs posted at each training chair.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During a correction verification visit, it was observed that the preschool classroom had 16 total children but staff only named 12 in their primary care groups.

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)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Previously cited from the renewal inspection (SIN: 00242904) Documentation of the agreement on file for child 3 did not specify the date of the child's admission.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Previously cited from the renewal inspection (SIN: 00242904) Documentation of the emergency contact information on file for child 2 did not include the address of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Previously cited from the renewal inspection (SIN: 00242904) Documentation of the emergency contact information on file for child 2 did not include the enrolling parent's home address. The emergency contact information on file for child 3 did not include the enrolling parent's work phone number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Previously cited from the renewal inspection (SIN: 00242904) Documentation of the emergency contact information on file for child 1,child 2, and child 3 did not include complete addresses for the designated individuals by the parents to whom the child may be released.

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

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

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

Noncompliance Area: Previously cited from the renewal inspection (SIN: 00242904) An updated health report was not on file for child 1. The health report on file is dated 2/22/21.

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Previously cited from the renewal inspection (SIN: 00242904) Written notification of safe routes were not posted in a conspicuous location at the facility. This was corrected during the inspection. This was corrected during the correction verification visit on 6/28/24

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Previously cited from the renewal inspection (SIN: 00242904) Documentation on file for staff member 1 and staff member 2 did not include two written references.

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: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: During the time of the correction verification visit, it was observed that the inspection summary from the renewal inspection(SIN-00242904) was not posted in a conspicuous location used by the parents. This was posted during the correction verification visit.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: Previously cited from the renewal inspection (SIN: 00242904) Documentation of the emergency plan letter that the parents receive, did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. This was corrected during the correction verification visit.

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

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

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

Noncompliance Area: Previously cited from the renewal inspection (SIN: 00242904) Documentation on file for staff member 3, did not include documentation of two years' experience working 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: 3270.76

Description: Building Surfaces

Noncompliance Area: Previously cited from the renewal inspection (SIN: 00242904) Four ceiling tiles with water marks on them were observed in the preschool classroom.

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: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Previously cited from the renewal inspection (SIN: 00242904) Documentation of the fire detection system testing wasn't completed every 30 days. Testing was completed on 8/8/23 and again on 9/15/23 which is 38 days and on 10/12/23 and again on 11/29/23 which is 48 days and on 5/3/24 and again on 6/4/24 which is 32 days

Correction Required: 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: During the time of inspection, it was observed that the climber in the young toddler classroom had significant dust/dirt on the equipment. The toys on the train track in the older toddler classroom were visibly dirty and the couches in the older toddler classroom were ripped. The couches were corrected during the inspection.

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: During the time of inspection, a staple was observed on the climbing equipment in the young toddler classroom. The staple was removed during the inspection.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the time of inspection, it was observed that the refrigerator in the infant classroom did not contain an operable 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: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Documentation of the agreement on file for child 6 did not specify the date of the child's admission.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Documentation of the emergency contact information on file for child 3 did not include the address of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Documentation of the emergency contact information on file for child child 2 and child 3 did not include the enrolling parent's home address. The emergency contact information on file for child 5 did not include the enrolling parents work address or work phone number. The emergency contact information on file for child 6 did not include the enrolling parent's work phone number.

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

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

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

Noncompliance Area: Documentation of the emergency contact information on file for child 5 did not include written parental consent for emergency medical care.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Documentation of the emergency contact information on file for child 1, child 2, child 3, child 5 and child 6 did not include complete addresses for the designated individuals by the parents to whom the child may be released.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Documentation of the 6 month update for the agreement and emergency contact information on file for child 2 and child 6 were updated more than 6 months of the original date.

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

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

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

Noncompliance Area: An updated health report was not on file for child 1. The health report on file is dated 2/22/21.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Documentation of the immunization record on file for child 4 did not include the recommended doses of the Hepatitis B vaccine at birth, 2 months and 6-18 months . The 2 month, 4 month and 6 month dose of the DTAP, HIB, PCV13, and IPV vaccines. The 12-15 month dose of the MMR and Varicella vaccines.

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: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: During the time of inspection, it was observed that the staff member did not wash their hands prior to serving a snack to the children and the children didn't wash their hands prior to snack.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Documentation of the emergency plan on file does not include a continuity of care plan.

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: Documentation of the health assessment on file for staff member 2 was updated more than 24 months of the original health assessment date. The initial health assessment was on 3/15/22 and updated on 4/2/24.

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)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: Documentation of the health assessment on file for staff member 6 did not include an examination for communicable diseases and the results of that examination or a physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Written notification of safe routes were not posted in a conspicuous location at the facility. This was corrected during the inspection.

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

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: Documentation of liability insurance was not on file at the facility. This was corrected during the inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Documentation on file for staff member 3, staff member 5, staff member 6 and staff member 7 did not include two written references.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the time of inspection, it was observed that the facility did not have the current certificate of compliance posted in a conspicuous location. The current certificate of compliance was posted during the inspection.

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(a)(5)

Description: Emergency plan

Noncompliance Area: Documentation of the emergency plan letter that the parents receive, did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: During the time of inspection, it was observed that the facility did not have the emergency plan posted in a conspicuous location.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Documentation of the child abuse clearance on file for staff member 1 was updated more than 60 months of the original clearance date. The original child abuse clearance was obtained on 3/28/19 and updated on 4/2/24. Documentation of the child abuse clearance on file for staff member 5 was obtained after the staff member began working with children. Documentation of the disclosure statement on file for staff member 3, staff member 4, staff member 6 and staff member 7 were not signed by a witness.

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)(5)/3270.192(2)(iii)

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

Noncompliance Area: Documentation on file for staff member 3, staff member 5, staff member 6, and staff member 7 did not include documentation of two years' experience working with children. Documentation on file for staff member 5 did not include documentation of education. This was corrected during the inspection.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the time of inspection, it was observed that outlet covers were missing in two surge protectors in the preschool classroom. Both surge protectors were removed during the inspection.

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

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: During the time of inspection, it was observed that a light in the indoor gross motor space, a light in the hallway leading the preschool classroom from the gross motor space and a light in the preschool classroom all had a significant number of dead bugs in them.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the time of inspection, it was observed that there were two ceiling tiles with water marks on them in the older toddler bathroom, four ceiling tiles with water marks on them in the indoor gross motor space and three broken tiles and four ceiling tiles with water marks on them in the preschool classroom. The walls and baseboards in the older toddler bathroom had visible dirt on them. Baseboards in the older toddler bathroom were broken and or missing behind the toilet with visible mold on them. The wall behind the base of the toilet had broken drywall and had an exposed pipe coming out of the wall. The pipe had toilet paper stuffed into the part that was exposed. There was a square cut out in the wall where new piping had to be replaced for the toilet with exposed insulation. DIRECTED PLAN OF CORRECTION: The the older toddler bathroom cannot be used until the mold is removed from the baseboard behind the toilet and the walls behind the toilet area are fixed.

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: During the time of inspection, it was observed that there was paint peeling by the bathroom in the indoor gross motor space. Paint was peeling behind the sink in the older toddler bathroom. Plaster was broken on the corner of a wall in the preschool classroom. The plaster in the preschool classroom was corrected during the inspection.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During the time of inspection, it was observed that the sink in the older toddler bathroom had rust spots on the legs of the sink and the sink itself had visible dirt on it.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Documentation of fire drills on file showed that fire drills were conducted on 8/8/23 and again on 10/12/23 which is more than 60 days.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Documentation of the fire detection system testing wasn't completed every 30 days. Testing was completed on 8/8/23 and again on 9/15/23 which is 38 days and on 10/12/23 and again on 11/29/23 which is 48 days.

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

Regulation: 20.71(b)(1)

Description: Convicted of a felony

Noncompliance Area: Facility Person #3 and #4 were observed working unsupervised with children and have been convicted of Felony charges. Director did not submit Facility Person #3 and #4 clearance and RAP sheets to the department for review.

Correction Required: A staff person who has been convicted of a felony/felonies may not work in the facility.

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: It was observed in the infant classroom that there were 4 high chairs, used by infants that did not have T-shaped safety straps.

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

Regulation: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: It was observed in the infant classroom that there were soft toys, a bib and blankets draped over the sides of pack n' plays used by sleeping infants.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed in the infant classroom that the refrigerator 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: 3270.131(a)

Description: Health information

Noncompliance Area: The file for Child #1 did not have a health assessment on file.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: It was observed in the two-year old classroom that there was a bottle of Tylenol unlabeled.

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: 3270.133(6)

Description: Written consent

Noncompliance Area: It was observed in the two-year old classroom that there was Tylenol that did not have written parental consent for administration of the medication.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: It was observed in the Preschool room bathroom used by children still potty training, that there was not a hands-free covered trashcan to dispose of soiled pull-ups.

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: Facility person #1 and #4 completed have not the required one hour Pennsylvania health and safety update 2022 by December 30, 2022.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Facility Person #1, #2, #3, #4, #5 ,#6, #7 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: It was observed that the facility did not conduct an emergency drill within the previous 12 months. No prior emergency drills were conducted or documented at the facility.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Facility Person #2 did not include DHS FBI fingerprint results. The file for Facility Person # 3 and #4 included RAP sheets with Felony offenses. The RAP sheets and clearances were not sent to the department for review for Facility Person #3 and #4. (see code sheet for hire dates).

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. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.62(c)

Description: Space safe for large muscle activity

Noncompliance Area: It was observed that the measured indoor gross motor space to be used by infants and toddlers was being used for storage. Unsafe items observed in the child care space included computers with hanging cords, 40 stacked folding chairs and stacked decorative items that were a tipping hazard. The space did not contain gross motor equipment and was not safe for large muscle activity.

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed in the preschool classroom that the door to the classroom was missing the door handle. It was observed on the playground that there were several pieces of trash piled up along the fence and in 2 corners. It was also observed that there was a sharp screw exposed from the fence wall accessible to children.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: It was observed in the preschool classroom that there were large areas of missing paint and exposed plaster accessible to children.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: It was observed in the bathroom used by older toddler children that the sink and toilet in the bathroom did not work.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The facility director did not ensure that the facility smoke alarms were tested every 30 days and that the testing was documented.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The classroom refrigerator in the infant space was observed to have no thermometer inside.

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.