Barrels Of Fun Exploration Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 11/18/25 observed wooden blocks with rough edges in the Roses section of Room 4. On 11/18/25 observed a cracked blue waffle block with rough edges and pinch points in the Town Square Play Space. On 11/18/25 observed a cracked blue waffle block with rough edges and pinch points in the Sky Play Space.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: On 11/18/25 observed a changing table which was not anchored creating a potential tipping hazard in Room 2.

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

Regulation: 3270.35(b)(4)

Description: Associate's, 30 + 3 yrs

Noncompliance Area: The file of Staff #1, who was designated as a group supervisor, lacked documentation of 3 years of experience with children.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On 11/18/25 observed approximately a 5-inch piece of missing drywall on the bump out to the right of the cubbies in the Bloom section of Room #4.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The classroom sink in the Roses section of Room 4 lacked a handwashing sign.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 11/19/24 observed cracked eyes on the Little Tykes turtle sandbox creating rough edges in the outdoor play space off Room 2. On 11/19/24 observed a pink Radio flyer tricycle with rust on the handles and tire cover on the concrete slab outside Room 4. On 11/19/24 observed a picnic table with splintering wood outside the large fenced in area behind Room 4. On 11/19/24 observed cracked Magna tiles in Room 4.

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: On 11/19/24 observed foam shapes and letters with bite marks in Room 2.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: On 11/19/24 observed a Little Tykes picnic table that moved from side to side in the Toddler side of Room 4.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: On 11/19/24 the refrigerator in Room 2 lacked an operating 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)(3)

Description: Services proceeded

Noncompliance Area: The agreements for Children #1, #2, #3, #4, and #5 lacked the services to be provided to the family and child.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Child #1, a 3-year-old, lacked Hepatitis B immunizations, Pneumococcal immunizations, and Hepatitis A immunizations according to the recommendations of the ACIP. Child #1 had documentation of 2 Hepatitis B immunizations, 3 Pneumococcal immunizations, and 1 Hepatitis A immunization.

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)

Description: Child's hands washed

Noncompliance Area: On 11/19/24 Staff #10 did not ensure that a child's hands were washed before eating breakfast after arriving at approximately 10 AM.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: On 11/19/24 observed staff placing diapers soiled with urine in a lidded waste receptacle instead of a plastic-lined, hands-free covered can in Room 2.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file of Staff #8 lacked documentation of completing the Pennsylvania Health and Safety Update within 90 days of hire (SEE LIS Code Sheet). The file of Staff #8 contained documentation of completing the 10-hour health and safety training on 11/8/24.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator lacked documentation of notifying local traffic authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. The operator provided documentation of notifying the local traffic authorities on 11/28/23.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and agreement for Child #1 was not reviewed and updated at least once in a 6-month period. Child #'1 emergency contact was signed on 8/1/23 and reviewed on 1/10/24 and 8/6/24. Child #1's agreement was signed on 8/1/23 and reviewed on 1/10/24 and 8/21/24. The emergency contact and agreement for Child #5 was not reviewed and updated at least once in a 6-month period. Child #5's emergency contact was reviewed on 8/1/23, 1/10/24 and 8/1/24. Child #5's agreement was reviewed on 8/8/23, 1/10/24, and 9/3/24.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On 11/19/24 observed 1 pack 'n play with a loose sheet in Room 1 creating a potential suffocation hazard. On 11/19/24 observed 2 pack 'n plays and 1 crib with loose sheets in Room 3 creating a potential suffocation hazard.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On 11/19/24 observed adult scissors in a pink bin on the table by the bathroom on the Preschool side of Room 4.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: On 11/19/24 the operator did not post the emergency plan in the facility at a conspicuous location.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.31(c)(3)(i)/3270.31(c)(3)(ii)

Description: Min. 400 hrs classroom training/Age and Training

Noncompliance Area: The files of Staff #3 and #9, who were designated as aides, lacked documentation the curriculum included, at minimum, a total of 600 clock hours including a minimum of 400 clock hours of classroom training and a minimum of 200 clock hours of supervised training in a child care facility.

Correction Required: An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person if the curriculum includes, at minimum, a total of 600 clock hours including a minimum of 400 clock hours of classroom training. A minimum of 200 clock hours of supervised training in a child care facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff #3 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training required from 10/23 to 10/24. Staff #3 had documentation of 10 hours of training completed on 12/1/23.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files of Staff #6 and #7 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional (SEE LIS Code Sheet). The file of Staff #6 contained documentation of fire safety training completed on 8/29/24 with a previous training completed on 5/5/23. The file of Staff #7 contained documentation of fire safety training completed on 8/29/24 with previous training completed on 5/6/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files of Staff #1, #2, #3, #4, #5, #6, #7, and #9 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #1, #2, #3, #4, #5, #6, #7, and #9 was not the one updated in 2020.

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)

Description: HS/GED + 2 yrs

Noncompliance Area: Staff #4 and #5, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: On 11/19/24 observed a swing set, toy box, and slide/climber used by children in child care near the storm drain grates in the grassy area to the right of the building.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 11/19/24 observed a bottle labeled "bleach water" above the changing mat in Room 1 which was accessible to children. On 11/19/24 observed Art Naturals hand sanitizer which indicated "keep out of the reach of children" at the handwashing sink in Room 2.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: On 11/19/24 the hot water temperature was 110.5 degrees at the sink located in the Preschool bathroom of Room 4. On 11/19/24 the hot water temperature was 111 degrees at the sink located in the Toddler bathroom of Room 4.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit for the Toddlers in Room 4 lacked disposable, nonporous gloves.

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

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: On 11/19/24 the sink in Room 1 lacked platforms or steps to be easily approached by children using it.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in Room 3 lacked an operating 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: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed a cord to a baby swing which was not secured creating a potential tripping and/or strangulation hazard in Room 3.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water temperature at the sink in Room 3 was 111 degrees F.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #1 does not have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer is PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development in the topic of 3270.31(f) (10) within 90 days of hire. Staff person #1 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 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: The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 11/10/23, 12/8/23, 1/5/24, 1/26/24, 2/23/24, 3/16/24, 4/16/24, 5/14/24, 6/11/24, and 7/9/24.

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: 3270.71

Description: Heat Source

Noncompliance Area: Observed a coffee pot in the office located adjacent to Room #2 which was accessible to children in care.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed in the preschool room, foam blocks with bite marks. Observed plastic bags present in bins in the child care space and in the restroom used by children accessible to children in care. In the older toddler and younger toddler rooms, observed plastic diaper packages stored on shelves accessible to children present in the rooms. In infant room #2, observed plastic bags stored in a bin on the floor accessible to children present in the room.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Observed in the young toddler room, 3 rest mats not labeled for the use of a specific child and used only by the specified child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of the inspection, the thermometers in the refrigerators located in the young toddler room and infant room #2 were broken; and the thermometer in the refrigerator located older toddler room measured 53 degrees.

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

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: At the time of the inspection, a written plan of daily activities and routines was not posted in infant room #1.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file of child #2 lacked an emergency contact form with 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: The file of child #1 lacked an emergency contact form with the full address of the enrolling parent.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection, there were not copies of emergency contact forms present in infant #2 room.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, there was not 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.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed in the older toddler room, Equate brand pain and fever medication and Top Care brand nasal spray not labeled for the use of a specific child.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first id/CPR training by a trainer who is PQAS-certified in that training topic. Staff person #4 has not completed the following pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first id/CPR training in an approved curriculum, by a trainer who is PQAS-certified in that training topic.

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. Staff person #4 must receive pediatric first id/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the pre-service training is complete, staff person #4 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there is no staff available to supervise staff person #4, staff person #4 may not work in a child care position at the facility.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The file of staff #7 had a health assessment that lacked an examination for communicable diseases

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Observed in the young toddler room, a yogurt pouch for child #3 not refrigerated.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of the inspection, the director reporter to the cert rep they had not notified local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed in infant room #2 a brown and green pack and play with loose fitted sheets. Observed in the preschool room adult scissors stored in a container on the counter accessible to children present in the room and an opened box of Christmas lights accessible causing a strangulation hazard.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: Observed an emergency plan that lacked accommodations for 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(c)

Description: Training regarding plan

Noncompliance Area: There was not documentation that staff #1, #2, #3, #4, #5, #7, #8, #9, and #10 completed emergency plan training annually, due to the fact the director used the emergency drill as training for the emergency plan.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files of staff #1 and #5 lacked documentation of completing the required annual 12 clock hours of child care training.

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 file of staff #6 had late clearances due to the fact they were all obtained in May or June of 2023 (see LIS code sheet).

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

Regulation: 3270.32(a)/3270.192(2)(iii)

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

Noncompliance Area: The file of staff #4 completed Mandated Reporter training after 90 days of initial hire, due to the fact it was dated 11-1-23. (See LIS code sheet) Staff #6 completed Mandated Reporter training after 90 days of initial hire, due to the fact it was dated 5-5-23. (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 verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed in the young toddler room 2 tubes of toothpaste labeled, "keep out of the reach of children" stored in a bucket on the sink accessible to children in care.

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: 3270.75(a)

Description: In child care spaces

Noncompliance Area: At the time of the inspection, there was not a first aid kit in infant room #2.

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

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: At approximately 1:00 p.m. observed child #1 sleeping in a crib with the mattress elevated by a triangular shaped wedge pillow placed between the mattress and the crib frame. Therefore, the infant was not placed in the sleeping position recommended by the American Academy of Pediatrics and there was not documentation on file for child #1 explaining a medical reason child #1 should not sleep in the sleep position recommended by the American Academy of Pediatrics. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Second citation, previously cited on 1-10-23 observed in the toddler 2 room, older toddler children sleeping on cots that were placed less than 2 feet apart from each other; in the toddler 1 room observed 3 young toddlers sleeping on 2 cots and in 1 pack and play that were placed less than 2 feet apart from each other.

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

Regulation: 3270.64

Description: Outside Walkways

Noncompliance Area: Observed the walkways, 3 steps, and deck space leading to the door for toddler 1 room and the door for toddler 2 room were snow packed. The snow packed on the steps did not allow for a flat surface to walk. The snow packed on the walkways had become slick due to thawing and refreezing over a course of time.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Second citation, previously cited on 11-30-22 observed in the large playground, an exposed bolt on the Step 2 climber.

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: Second citation, previously cited on 11-30-22 observed in the downstairs childcare space for older toddlers and preschool age children, 4 kitchen play cabinets not anchored.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed in the toddler space, child #4 and #5 sleeping on cots that were placed less than 2 feet apart from each other.

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

Regulation: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: Observed child #6, an infant sleeping in a pack and play while a toy was present in the rest equipment.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Second citation, previously cited on 11-30-22 the files of children #1 and #2 lacked agreements with the person designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Second citation, previously cited on 11-30-22 the file of child #3 lacked an emergency contact form with parent's full work address.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Second citation, previously cited on 11-30-22 the file of child #1 lacked an emergency contact form with the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Second citation, previously cited on 11-30-22 the file of child #2, lacked documentation of an exemption letter. The file of child #3 lacked documentation of an exemption letter for the absence of the flu shot.

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

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

Noncompliance Area: Second citation, previously cited on 11-30-22 the file of staff #1, as AGS lacked documentation of a high school diploma to support the position.

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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: Second citation, previously cited on 11-30-22 there was not a lidded waste receptacle present in the restroom adjacent to infant room #1 upstairs.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the large playground, an exposed bolt on the Step 2 climber.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed in the downstairs childcare space older toddlers still placing items in their mouth, plastic bags accessible in black storage drawers near the piano, in a light blue plastic container on the floor near the teachers' cubbies, and in the bottom drawer of the file cabinet near the refrigerator. Also observed foam building blocks: 1 large red rectangle with corner chunk bitten out and others with bite marks. Observed in toddler room #2 an Infantino brand caterpillar boppie pillow torn along the stitching with exposed foam.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed in the downstairs childcare space for older toddlers and preschool age children, 4 wooden, kitchen play cabinets not anchored. Furthermore, during the inspection, cert rep observed a preschool age male child climb on multiple pieces of equipment not due to a lack of supervision. Therefore, the presence of a fall or crush hazard exists.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The files of children #1, #2, #3, #4, and #5 lacked agreements with the person designated by a parent to whom the child may be released.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The files of children #1, #2, #3, #4, and #5 lacked agreements with the dates of the children's admissions.

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)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files of children #2 and #3 lacked emergency contact forms with parents' full work addresses. The file of child #2 lacked an emergency contact form with the 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)(5)

Description: Information re: special needs

Noncompliance Area: The files of children #1, #4, and #5 lacked emergency contact forms with 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; or NA if 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file of child #1 lacked an emergency contact form with the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files of children #3 and #5 lacked emergency contact forms with full and complete addresses of the individual designated by the parent to whom the child may be released.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The files of children #2, #4, and #5 lacked documentation of the flu shot or an exemption letter. The file of child #3 lacked documentation of an exemption letter for the absence of the flu shot.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Observed a sippy cup labeled for child #6 in the downstairs childcare space with milk in it. Also observed in the downstairs childcare space, a lunchbox in the cubby labeled for child #8 with food that could spoil if not refrigerated.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: There were not feeding schedules for the 2 infants observed in care; children #1 and #7.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed Avent brand bottles in the infant/toddler space upstairs not labeled for a specific child.

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

Regulation: 3270.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: The files of children #1, #3, #4, and #5 lacked emergency contact forms with signed parental consent for administration of medications or special dietary needs.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed in the large playground 2 containers with standing water measuring 4 inches deep in each and in the patio space a 12" by 12" container filled with water. Observed in the playground adjacent to toddler #2 room, standing water measuring 3 inches deep in a table.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #3 had a Child Abuse clearance for the purpose of volunteer rather than employment (See LIS for DOH).

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

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

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

Noncompliance Area: The file of staff #2, as AGS lacked documentation of a high school diploma to support the position.

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: Observed electrical outlets without protective receptacle covers in infant room #1.

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: Observed in the downstairs childcare space, a bag in front of the cubby labeled for child #8 had Blue Lizard brand sunscreen and Coppertone sunscreen both labeled "keep out of the reach of children." Also in the downstairs childcare space, observed the door to the furnace room was accessible due to the fact the type of handle was not childproof because it could be turned up or down and the child proof mechanism only prevented turning the handle down. Observed 2 aerosol cans of hornet spray labeled "keep out of the reach of children" immediately upon opening the door.

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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Observed in the downstairs childcare space, the first-aid kit hanging on a hook low enough to be accessible for the older toddlers and preschool age children.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: There was not a lidded waste receptacle present in the restroom and at the sink outside the restroom in the downstairs at the time of the inspection. There was not a lidded waste receptacle present in the restroom adjacent to infant room #1 upstairs.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

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 staff #1 lacked a health assessment with the tuberculin skin test.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #2 lacked the National Sex Offender Registry report.

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

Regulation: 3270.37(b)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file of staff #3, an aide lacked documentation of an 8th grade education.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of 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: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: Observed 2 windows in room #2 and 2 windows in the infant room adjacent to room #2 that opened more than 6 inches. Both rooms were located above the ground floor.

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