Beautiful Beginnings Childcare

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The Child Service Report(s) for child(ren) #1 and #2 did not include a six-month update from the last report. (SEE LIS CODE SHEET)

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The Fee Agreement Form(s) for Child(ren) file(s) #1 and #3 lacked the Release Person's Name(s). (SEE LIS CODE SHEET)

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form(s) for Child(ren) #1 lacked the "Health Insurance/MA Coverage" and "Health Insurance/MA Policy Number." (SEE LIS CODE SHEET)

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(a)(4)/3270.181(c)

Description: Initial health report for school age; accordance with school attendance/Emergency info/agreement updated 6 mos

Noncompliance Area: The file(s) for Child(ren) #3 (SA), enrolled for more than 60 days, lacked a health assessment from the child file. (SEE LIS CODE SHEET)

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.131(b)(1)/3270.181(c)

Description: Infant: updated health report every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child(ren) #1 (INF) and #2 (YT) reflects that the most recent Updated Health Assessment was completed more than 6 months after the Initial Health Assessment. Specifically, the initial health assessment for Child(ren) #1 (INF) was dated: 12.29.2025 and the updated health assessment was dated: 07.07.2026 and Child #2 (YT) initial health assessment was dated 05.09.2025 and the updated health assessment was dated: 06.06.2026.(SEE LIS CODE SHEET)

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A 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(d)(5)/3270.131(e)

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: The file(s) for Child(ren) #3, all enrolled for at least 60 days, lacked written verification of immunizations. (SEE LIS CODE SHEET)

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file(s) for Staff #5 and #7 lacked documentation of Emergency Plan Training within 12 months of the last documented Emergency Plan Training dated: 03.2025. (SEE LIS CODE SHEET)

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. 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(e)(4)(i)

Description: Age and Training

Noncompliance Area: The two most recent Pediatric First Aid and Pediatric CPR Trainings for staff #3 (02.27.2024 and 05.22.2026) and #5 (02.07.2024 and 05.22.2026) were dated more than 24 months apart. (SEE LIS CODE SHEET)

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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file(s) for Staff #4, #5 and #7 lacked documentation of Fire Safety Training within 12 months of the last documented Emergency Plan Training dated: 03.2025. (SEE LIS CODE SHEET) The last two fire safety trainings in the file for Staff #3 (03.2024 and 07.2025) are dated more than one year apart. (SEE LIS CODE SHEET)

Correction Required: Staff persons shall participate, at least annually, in fire safety 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 last two Mandated Reporter Trainings for staff person(s) #3 (10.28.2020 and 05.27.2026) were dated more than 60 months apart. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file(s) for staff person(s) #1, #2, #5, #6 and #7 contained an incomplete state police clearance. The request(s) date(d): 07.07.2025, 03.24.2026, 06.26.2023, 10.17.2025 and 09.06.2024, respectively, but it lacked the dissemination date. (SEE LIS CODE SHEET) The FBI Clearance for Staff #1 was dated (07.08.2025) after their hire date, resulting in an incorrect provisional hire. (SEE LIS CODE SHEET) The file(s) for Staff Person(s) #3 contained Child Abuse (04.13.202 and 07.09.2025) and FBI Clearances (05.27.2020 and 07.02.2025) and NSOR Certificates (01.30.2020 and 07.03.2025) that were dated more than 60 months apart. (SEE LIS CODE SHEET) The file(s) for Staff Person(s) #5 contained an NSOR Certificate (03.16.202 and 07.07.2025) that were dated more than 60 months apart. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file(s) for Staff Person(s) #5 lacked documentation of a Staff Evaluation within 12 months of the last documented Staff Evaluation dated: 03.2025. (SEE LIS CODE SHEET)

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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A trash receptacle in Hallway near the front entrance containing human secretions (dirty tissues) was not contained in a closed, plastic-lined receptacle.

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

Regulation: 3270.75(d)

Description: On excursions

Noncompliance Area: The First Aid Kits in Rooms #1 and #6 lacked tape.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The written emergency transportation plan was missing from Rooms #1, #2, #3, #4., #5, #6 and #7.

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: 3270.151(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 #2 lacked a Health Assessment. (SEE LIS CODE SHEET)

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff Person #2 did not complete Mandated Reporter training within 90 days of their hire date. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2--- will have until 08.05.2025 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2-- must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, --staff person #2-- may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 lacked the FBI Clearance. (SEE LIS CODE SHEET) The file for Staff #2 contained a PA State Police Clearance labeled "Volunteer" and therefore was incorrectly provisionally hired. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #2 -- may not work in a childcare position at the facility.

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

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

Noncompliance Area: The file for Staff #1 lacked documentation of education making it unable to be determined if the individual qualified as a staff person. (SEE LIS CODE SHEET)

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The diaper changing table, in the main room, with loose screws was causing the table to be unstable posing a toppling or fall hazard.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form for Child #1 lacked the Health Insurance/MA Coverage and Health Insurance/MA Policy Number. (SEE LIS CODE SHEET)

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact forms for child file #1 lacked the address of the listed release person. (SEE LIS CODE SHEET)

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: 3270.133(6)

Description: Written consent

Noncompliance Area: There was medication, Epi-Pen, in Room 2 labeled for use by a specific child did not have written parental permission to administer. (SEE LIS CODE SHEET)

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

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 #2 lacked a Health Assessment and TB Test. (See IS CODE SHEET)

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #3 was lacking two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff #1 (See LIS for DOH) contained Emergency Plan Training dated 01.2025 which was not completed at time of initial employment or before. (SEE LIS CODE SHEET)

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. 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: Staff File #3 lacked a Disclosure Statement. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

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

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

Noncompliance Area: The file for Staff #2 did not include hours/years of experience in childcare.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff # 1 and #2 lacked a written evaluation within a minimum of 12 months of employment. (SEE LIS CODE SHEET)

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water temperature in the bathroom sinks next to the diapering area, the water temperature was measured at 111.6 degrees which was accessible to children.

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

Regulation: 3270.81

Description: Glass

Noncompliance Area: The glass, front door located in a traffic area lacked a visual strip.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.