Beacon Day Care

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 5/15/26 at approximately 4:30pm it was determined through staff interviews and a reported incident report that Staff Person #1 was not properly supervising Child #1. Child #1 climbed on top of three stacked chairs then proceeded to jump off resulting in the child needing medical treatment at the emergency room.

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

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

Description: Age and Training

Noncompliance Area: The two most recent Pediatric First Aid/CPR Trainings on file for Staff Person #3 are dated 12/13/23 and 4/9/26, which are more than 24 months apart.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff Person #1, and Staff Person #2 did not complete the following required pre-service trainings within 90 days of their hire date (SEE IS CODE SHEET): Pediatric First Aid/CPR. The training was completed on 4/9/26.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection 30-day testing log on file at the facility included testing dates of 9/4/25 and 10/31/25, which is more than 30 days between testing.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact form for Child #6 was not present in the child care space that the child was receiving care.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The two most recent updates for Child #2's emergency contact form and fee agreement are dated 5/1/24 and 5/23/25, which are more than 6 months apart.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for Child #1 and Child #3 contained initial health assessments dated 8/14/25 which is more than 60 days after first day of enrollment (see LIS code sheet).

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for Child #4 who is a young toddler contained a health assessment dated 9/5/24 which is older than 6 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: It was observed that a bottle of Benadryl label for Child #5 had the expiration date of 6/25.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: It was observed during a diaper change that Staff Person #4 opened up the hands-free garbage can with her hand to throw away the used diaper.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: It was observed that there were a pair of adult scissors in the top unlocked desk drawer in the preschool room that were accessible to the children in care.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #1 included 10 of the 12 annual training hours from 12/31/23-12/31/24. The file for Staff Person #6 included 9.5 annual training hours from 5/13/24-5/13/25.

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 two most recent fire safety trainings on file for Staff Person #4 are dated 1/23/24 and 2/8/25, which are more than12 months apart.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent mandated reporter training on file for Staff Person #8 are dated 2/17/20 and 5/28/25, which are more than 60 months apart.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The two most recent NSOR certificates on file for Staff Person #1 are dated 1/23/20 and 2/19/25, Staff Person #3 are dated 1/23/20 and 3/10/25, Staff Person #5 are dated 2/7/20 and 8/1/25, and Staff Person #7 are dated 1/23/20 and 2/11/25, which are all more than 60 months apart. The file for Staff Person #9 did not contain a NSOR certificate by their date of hire (see LIS code sheet). The two most recent FBI clearances on file for Staff Person #2 are dated 6/24/20 and 7/11/25, which are more than 60 months apart.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #9 may not work in a child care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric CPR/First Aid and Part One of the Heatlh and Safety training.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The 30-day fire detection log on file contains dates of testing of 1/21/25 and 2/21/25, which are more than 30 days between testings.

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: 3270.133(5)

Description: Original label

Noncompliance Area: There was a child's medicine in the preschool room that expired on 8/2024, and was therefore not in accordance with the manufacturer's original label.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #1 was lacking one of the two required nonfamily references attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #1 contains an application for a NSOR certificate dated 11/14/24, but does not contain a NSOR certificate received 45 days after hire (see LIS code sheet). The signed disclosure statement on file for Staff Person #1 is lacking a date when it was signed making it invalid.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility.

Regulation: 3270.37(b)

Description: Aide qualifications

Noncompliance Area: The file for Staff Person #1 who qualified as an aide was lacking a high school diploma, or documentation of an 8th grade education with 2 years experience.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3).

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed in the blue preschool room that there were electrical outlets that were lacking protective coverings.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cracked blue bin on the shelf in the young toddler room with sharp edges that could cause injury.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #1, Child #2, Child #3, Child #4 and Child #6 were lacking the address and telephone number 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 emergency contact for on file for Child #2 was lacking the work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #4 was lacking the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The emergency contact form and fee agreement form on file for Child #3 lacked a 6-month update.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The health assessment on file for Child #5 is dated 8/21/24. which is more than 60 days after enrollment (see LIS code sheet).

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

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

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

Noncompliance Area: The most recent health assessment on file for Child #1 is dated 7/7/22, Child #3 is dated 7/11/23 and Child #4 is dated 8/29/23 all dated over 12 months ago.

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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment for Staff Person #4 does not include an examination for communicable diseases and the results of that examination.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: The two most recent health assessments on file for Staff Person #2 are dated 12/7/21 and 3/12/24 more than 24 months apart.

Correction Required: 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The two most recent emergency plan trainings for Staff Person #1 are dated 10/31/22 and 6/29/24 which are more than 12 months apart.

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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The two most current fire training certificates on file for Staff Person #6 are dated 1/26/23 and 2/5/24 which are more than 12 months apart.

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: 3270.31(f)(10)

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

Noncompliance Area: Staff Person #5 completed the following required pre-service training after 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid/CPR training. The certificate on file is dated 3/14/24

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent State Police Clearances for Staff Person #2 are dated 4/18/18 and 7/24/23 which are more than 60 months apart. The file for Staff Person #3 does not contain a NSOR certificate received within their provisional hire window. (See LIS code sheet for hire date.)

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 child care position at the facility.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: There was a bag of goldfish in the closet of the blue preschool room that was observed to be on the same shelf as sunscreens.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Based on statements made by staff, children intermittently used hand sanitizing wipes in lieu of running water to wash hands after toileting or being diapered between 11/27/23 and 12/08/23.

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: 3270.152

Description: Adult Hygiene

Noncompliance Area: Based on statements made by staff, staff intermittently used hand sanitizing wipes in lieu of running water to wash hands after assisting children with toileting and/or diapering children between 11/27/23 and 12/08/23.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: The toddler diapering areas intermittently lacked a fully functional source of running water for hand washing between 11/27/23 and 12/08/23. Based on statements made by staff, hand sanitizing wipes were occasionally used by both staff and children in lieu of running water during this time.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for child #2 does not contain the enrolling parents work address or 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 emergency contact form on file for child #2 does not include information on the child's special needs which is needed in an emergency situation.

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(f)/3270.181(c)

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

Noncompliance Area: The file for Child #3, Child #5, and Child #7 does not include a 6-month parental review signature for the emergency contact or the fee agreement.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The intial health assessement for Child #1 is dated 6/23/23, for Child #3 is dated 7/27/23, Child #4 is dated 3/16/23 and Child #6 is dated 6/23/23 all more than 60 dates after their enrolled date (see LIS code sheet).

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #3, Child #4, and Child #5 does not include an annual influenza vaccination. The immunization record on file for Child #4 include 2 of 3 Rotavirus vaccines recommended by the ACIP for a child of this age, 3 of 4 DTAP vaccines recommended by the ACIP for a child of this age, 3 of 4 HIB vaccines recommended by the ACIP for a child of this age, and 0 of 2 of the Hepatitis A vaccines recommended by the ACIP for a child of this age.

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: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The files for Child #1, Child #3, Child #4, and Child #6 all lacked written verification of immunizations within 60 days of enrollment.

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: 3270.133(5)

Description: Original label

Noncompliance Area: There was a child's inhaler in the yellow school age room that had an expiration date of 10/2022, which was not in accordance with the manufacturer's instructions.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was a prescription medication in the orange room for a specific child which did not have written parental permission to administer.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The PA Health and Safety professional development training update on file for Staff #1 is dated 8/1/23, Staff #2 is dated 7/18/23, Staff #6 is dated 8/3/23, Staff #7 is dated 8/2/23, Staff #8 is dated 3/31/23, Staff #9 is dated 8/1/23, Staff #13 is dated 7/17/23, Staff #14 is dated 7/30/23, and Staff #15 is dated 3/26/23 all after the deadline of 12/30/22. Staff #3 and Staff #10's file did not contain the PA Health and safety professional development training update.

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)

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

Noncompliance Area: The 2 most recent health assessments for Staff person #9 are dated 2/26/21 and 7/31/23 which are more than 24 months apart.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

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

Description: Age and Training

Noncompliance Area: The file for Staff person #14 included verification of First aid/CPR certificate dated 8/5/23 which was obtained after the expiration date of the previous training which was dated 7/5/22.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff person #4 contains a pediatric First Aid/CPR certificate dated 8/5/23 which is more than 90 days after hire date (see LIS code sheet). Staff person #5 has not completed the following required pre-service training within 90 days of hire (see LIS code sheet): Get started with Center-Based Care: Building Blocks for Quality Revised. Staff person #11 and #12 has not completed the following required pre-service training within 90 days of hire (see LIS code sheet): Pediatric First Aid/CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #5, #11 and #12 will have 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person #5, #11, and #12 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 #5, #11, and #12, staff person #5, #11, and #12 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent mandated reporter training certificates on file for staff person #2 are dated 7/10/18 and 7/19/23, for staff person #3 are dated 6/12/18 and 7/24/23, for staff person #6 are dated 4/27/18 and 8/1/23, and for staff person #7 are dated 11/22/17 and 7/25/23, all more than 60 months apart.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #5 did not contain documentation of application or a current NSOR certificate prior to date of hire (see LIS code sheet). The file for staff person #11 included a NSOR certificate dated 8/16/23, more than 45 days after hire (see LIS code sheet). The file for Staff person #3 includes State Police Clearances dated 4/3/18 and 7/24/23; Child Abuse Clearances dated 2/6/18 and 7/25/23; and FBI Clearances dated 4/5/18 and 8/1/23, all more than 60 months apart. The file for Staff person #6 includes State Police Clearances dated 4/6/18 and 7/24/23; Child Abuse Clearances dates 4/6/18 and 6/5/23 and FBI Clearances dated 4/9/18 and 6/9/23, all more than 60 months apart. The file for staff person #12 contains a FBI clearance dated 4/26/23 which was after hire date (see LIS code sheet).

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the corner of the green toddler room behind the bookshelf there were two electrical outlets without protective receptacle covers accessible to children 5 years of age or younger.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: There were toxic cleaning materials on top of the refrigerator in the kitchen, that were not being stored in a closed bin. If knocked over the cleaning material could have contaminated the food in the refrigerator.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the bathroom in the blue room there was not a handwashing sign above the toilet.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system 30-day test log includes test dates of 8-11-22 to 9-13-22 and 9-13-22 to 10-31-22 which are more than 30 days apart.

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: Observed two exposed bolts in the outdoor grassy gross motor space: on on the upper gate and one in the back left corner.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #5 contains emergency contact information which lacks the complete word 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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #6 contains emergency contact information which lacks the parent-designated release person(s) address.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The most recent health report on file for child #2 and child #3 is dated more than 6 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1 lacks verification of a current DTAP and HIB immunization in accordance with the schedule recommended by the ACIP. The file for child #2 lacks verification of a current Rotavirus, HIB, Pneumococcal, and influenza vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #3 lacks verification of a current HIB, Pneumococcal, MMR, Varicella, and Hepatitis A vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #4 lacks verification of a current influenza vaccine administered in accordance with the schedule recommended by the ACIP.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Observed saline drops which were labeled for a child's use and lacked written parental consent for administration.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A review of the emergency plan revealed that it lacks plans for volunteer training, practice drills, and for continuity of operations which were required by 07/01/22.

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)

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

Noncompliance Area: The two most recent health assessments on file for staff person #1 are dated in an interval greater than 24 months.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff persons #1, #2, #3, #5, and #6 lack verification of 12 hours of child care training completed within the most recent service year.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #7 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and pediatric CPR.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #4 (see IS code sheet) contains an NSOR dated more than 45 days after staff person #4 began in a child care taking position. The state police clearance on file for staff person #7 is missing a disposition, making it incomplete.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff persons #1 and #2 contain evaluations which are dated in an interval greater than 12 months.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the outdoor play space, a Little Tykes Red Rider had a gasoline cap that was broken off and sharp and could cause a laceration.

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: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The file for child #1 with an admission date of 6-21-2021 contained a review of the child's immunized status on 9-29-2021 which exceeded the allowable 60 days for the verification. The file for child #3 with an admission date of 7-2-2020 contained a review of the child's immunized status on 10-19-2021 which exceeded the allowable 60 days for the verification.

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #1 with an admission date of 6-21-2021 contained a health assessment date of 9-29-2021 which exceeded the 90 days to receive the initial health assessment. The file for child #3 who had an admission date of 7-20-2020 contained a health assessment date of 10-19-2021 which exceeded the 90 days to receive an initial health assessment.

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

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

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

Noncompliance Area: The file for child #1 who is an infant contained a health assessment date of 9-29-2021 and the file did not contain an updated health assessment which was due by 3-29-2022. The file for child #2 who is an infant contained a health assessment date of 7-7-2021 and the file did not contain an updated health assessment which was due by 1-7-2022.

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

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

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

Noncompliance Area: The file for child #4 who is a preschooler contained a health assessment date of 1-11-2021 and 3-16-2022 which exceeded the allowable 12 months for the health assessment.

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

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

Description: Exemption documentation from parent/guardian/Initial and subsequent health reports

Noncompliance Area: . The file for child #4 with an admission date of 1-11-2021 did not contain an Influenza Vaccine.

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

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

Description: Exemption documentation from parent/guardian/Initial and subsequent health reports

Noncompliance Area: The file for child #1 who is an infant contained verification of vaccines administered on 9-29-2021 and did not contain verification of updated vaccines which were due by 3-29-2022. The file for child #2 who is an infant contained verification of vaccines administered on 7-7-2021 and did not contain verification of updated vaccines which were due by 1-7-2022.

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

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

Description: Exemption documentation from parent/guardian/Initial and subsequent health reports

Noncompliance Area: The file for child #4 contained verification of vaccines dated 1-11-2021 and 3-16-2022 which exceeded the annual date of 1-11-2022 to verify the vaccinations.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff #1 contained a health assessment date of 11-4-2019 and 12-7-2021 which exceeded the mandatory 24 months to receive a health assessment. The file for staff #5 contained a health assessment date of 3-16-2020 and the file does not contain an updated health assessment. .

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

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

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

Noncompliance Area: The file for staff #2, staff# 3, staff #9, and staff #12 all hired prior to 12-19-2020 did not contain any training hours by the mandatory training date of 12-19-2021.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)(10)/3270.192(2)(iii)

Description: Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

Noncompliance Area: The file for staff #4 (See IS Code Sheet) did not contain any Pediatric First Aid/CPR Training and was to be completed within 90 days of the date of hire. The file for staff #8 (See IS Code Sheet) did not contain any Pediatric First Aid/CPR Training and was to be completed within 90 days of the date of hire. The file for staff #10 (See IS Code Sheet) did not contain any Pediatric First Aid/CPR Training and was to be completed within 90 days of the date of hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)/3270.192(2)(iii)

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

Noncompliance Area: Th file for staff #8 (See IS Code Sheet) contained a Health and Safety Training date of 3-14-2022 which exceeded the mandatory 90 days to receive the training. The file for staff #4 (See IS Code Sheet) contained a Health and Safety Training date of 2-22-2022 which exceeded the mandatory 90 days to receive the training.

Correction Required: Staff persons shall complete professional development in the Health and Safety topics within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

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

Noncompliance Area: The file for staff #2 contained a Mandated Reporter Training date of 12-6-2016 and 2-17-2022 which exceeded the mandatory 60 months to renew the training. The file for staff #3 contained a Mandated reporter Training date of 11-22-2016 and 2-26-2022 which exceeded the mandatory 60 months to renew the training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff#2 contained a State Police Clearance date of 7-5-2016 and 7-13-2021, a Child Abuse Clearance date of 7-5-2016 and 7-13-2021, an FBI Clearance date of 7-8-2016 and 7-23-2021, all of which exceeded the mandatory 60 months to renew the clearances. The file for staff#8 who was provisionally hired (See IS Code Sheet) contained an NSOR Clearance application date of 8-27-2021, but did not receive the NSOR Clearance until 3-8-2022 which exceeded the mandatory date of 10-28-2021 to receive the clearance.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff #3 contained a staff evaluation date of 1-10-2021 and 1-15-2022 which exceeded the mandatory date of 1-10-2022 to receive the evaluation. The file for staff #9 contained a staff evaluation date of 1-1-2021 and 1-15-2022 which exceeded the mandatory date of 1-1-2022 to receive the evaluation..

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: In the Orange Room, School-Age Room , and Green Room a Swiffer Wet Jet with Swiffer Wet Jet Cleaner attached stated: "Keep out of reach of children" and was observed in a corner and was accessible to children in care.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the infant room, there was no handwashing sign at the sink which was located in the diapering area.

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.

Noncompliance Area: The refrigerators in the toddler and infant rooms lacked thermometers due to the thermometers being placed in the freezer sections of both units.

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.

Noncompliance Area: The child service reports for Child #1 & 3 lacked dates; therefore, timeliness is unable to be determined. (In the case of Child #3, the staff name who completed the report is also missing.)

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

Noncompliance Area: Agreements for Child #1, 2, 3, 4, 5 & 6 lack arrival & departure times or a place where this information is to be indicated, as the facility uses their own form that lacked a place for this information.

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

Noncompliance Area: Emergency contact information for Child #2 lacked a complete address of the individual designated by the parent to whom the child may be released.

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

Noncompliance Area: The initial health report for Child #2 & 6 were dated more than 60 days from enrollment date. The file for Child #5, a preschooler who remains enrolled since 10/14/19, lacks an initial health report. (NOTE: The health report was due prior to COVID exceptions.)

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

Noncompliance Area: The last two health reports for Child #1, a young toddler, are dated more than six months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The most current health report for Child #3, an older toddler, is dated more than one year ago and was due prior to COVID exceptions.

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

Noncompliance Area: The health report for Child #3, completed on a form other than the DHS form, lacks 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.

Noncompliance Area: The file for Child #5, a preschooler who remains enrolled since 10/14/19, lacks an immunization record.

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.

Noncompliance Area: The immunization records for the following children lack current ACIP-recommended vaccines: Child #2- Rotavirus (2 doses), DTAP/DTP/TD (2 doses), HIB (2 doses), Pneumococcal (2 doses), & IPV (1 dose); Child #3- Hep B (1 dose), current Influenza, & HepA; Child #4- HepB (1 dose) & influenza; Child #5- No vaccine record at all; None of the children's files currently contain an exemption letter.

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

Noncompliance Area: The last two health reports for Staff #1 were dated more than 24 months apart. The most current health report in the files for Staff #2 & 6 are dated more than 24 months ago.

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.

Noncompliance Area: Previous reviews of the Agreement/ Emergency Contact information during the inspection year for Child #1, 3 & 6 were dated more than six months apart. Previous review for Child #6 is dated seven months ago but was due prior to the COVID exception period.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: The file for Staff #11, who started Orientation today but has not yet been assigned a position, lacks documentation of education and the documentation of work experience is deemed invalid due to the lack of signature of the previous employer.

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

Noncompliance Area: The written verification provided by Staff #11 lacked the signature of a representative of the previous employer and lacked enough information for the facility to independently verify.

Correction Required: 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.