A Childs View

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: 2nd CITATION: The staff file for Staff person #5, was observed to lack one non-family reference. The staff file for Staff person #1 was observed to lack two non-family references. PREVIOUSLY CITED ON 4/9/26

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: 2nd CITIATION: On 4/9/26 a renewal inspection was conducted at the facility. Staff person #1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR training. The facility's acceptable plan of correction indicated the correction would be implemented by 4/25/26. On 4/29/26 an unannounced inspection was conducted. Staff person #1 still has not completed the following required pre-service training: Pediatric First Aid and CPR training; only the online portion was completed. PREVIOUSLY CITED ON 4/9/26.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 5/15/26 to complete the required training. Until such time as the required training has been completed, 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: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: 2nd CITATION: The staff file for Staff person #4 who is functioning as an Assistant Group Supervisor, lacked proof of education and years of experience working with children. PREVIOUSLY CITED ON 4/9/26

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In Room 306, a crib was observed to not be labeled for the use of a specific 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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: At approximately 11:45am, during naptime in Room 312 the following mats were observed to not have at least 2 feet of space on 3 sides while in use: three toddlers were observed sleeping on their individual mats which were each positioned with one side directly against the wall and another side had approximately half an inch to an inch of spacing between either a shelving unit and/or low bookshelf.

Correction Required: TIERED LIS: 1.) 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. This portion of the plan shall have an immediate correction date. 2.) The operator will develop a layout for naptime mat placement in all rooms, to include furniture placement, to allow for proper spacing of 2 feet on 3 sides of each rest equipment when in use. The operator shall provide a date for when this training will be completed.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 11:45am, during naptime in Room 312, where staff was positioned in the room, they could not adequately supervise one of the napping children due to a shelving unit obstructing the Staff's ability to see and assess that child who was napping.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: In Room 306, a written plan identifying the means of transporting a child in an emergency was observed not to be posted.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The staff file for Staff person #1, Staff person #4, and Staff person #5 were observed to lack two non-family references.

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

Regulation: 3270.193(a)

Description: Confidential; stored in locked cabinet

Noncompliance Area: The staff files, which are kept in the human resources office, were observed stored in cabinets that were not locked at the time of inspection and the key to lock the cabinets was unable to be located.

Correction Required: Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR; a training on file dated 5/4/24 was neither an approved curriculum nor a PQAS instructor.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 4/25/26 to complete the required training. Until such time as the required training has been completed, 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The staff file for Staff person #2 contained a current DHS FBI clearance dated 7/31/24 which was not renewed within 60 months of the previously dated 7/30/19 DHS FBI clearance expiring. The staff file for Staff person #3 was observed to lack a valid Child Abuse clearance; the Child Abuse clearance on file dated 6/28/21 was a volunteer clearance.

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. 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 child care position at the facility.

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

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

Noncompliance Area: The staff file for Staff person #4 who is functioning as an Assistant Group Supervisor, lacked proof of education and years of experience working with children.

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

Regulation: 3270.61(c)

Description: 40 square feet wall-to-wall

Noncompliance Area: An infant was observed being cared for in Room 306, which used to be the director's office, and is not measured for childcare space.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: In Room 306, the sink located in the eating area was observed to have a steady leak from the base of the faucet when turned on resulting in water pooling around the base and handles.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: At approximately 11:10am in Room 314 two infants were observed to be asleep in a crib that were place less than a foot from the wall and had rocking chairs in-between the cribs thus not allowing for at least 2 feet of space on three sides of the crib while it was in use.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The child file for Child #1 was observed to contain a current emergency contact information form that lacked the addresses for two of the designated release persons listed.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The child file for Child #2, who is a preschool age child, was observed to contain an updated health report dated 11/21/24 which was conducted more than 12 months from the previously dated 10/5/23 health report on file.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility emergency plan lacked information regarding continuity of operations included in their emergency plan per announcement C-22-04.

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 staff file for Staff person #3 lacked a valid 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.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The staff file for Staff person #6 contained a current tuberculosis screening and results dated 2/6/25 which was not conducted prior to providing initial service in a childcare setting. The staff file for Staff person #8 contained a current tuberculosis screening and results dated 5/1/24 which was not conducted prior to providing initial service in a childcare setting.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to the parents explaining the emergency procedures does not address annual emergency drills, lockdown, and 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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The staff file for Staff person #1 through Staff person #5 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 8/16/24 and 7/31/23.

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 staff file for Staff person #6 was observed to contain a current National Sex Offender Registry (NSOR) check dated 2/11/25 which was not obtained prior to first day working with children (See IS CODE SHEET) as required for under the Child Protective Service Law (CPSL.) The staff file for Staff person #7 was observed to contain a current National Sex Offender Registry (NSOR) check dated 2/7/25 which was not obtained prior to first day working with children (See IS CODE SHEET) as required under the CPSL.

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

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

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

Noncompliance Area: The staff file for Staff person #6 who is functioning as an Assistant Group Supervisor, lacked documentation of two years of 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the hallway just outside of the doorway to the Great Room, which is their gross motor space, were 3 Sani-Cloth wipes labeled, 'Keep Out of Reach of Children' and a bottle of disinfectant spray were observed stored on a mobile tray accessible to the children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In Room 310, one ceiling tile was observed to not be kept clean as evidence by having a water spot from condensation from the air conditioning unit that has since been repaired.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility has not been testing their fire detection system every 30 days and documenting those tests as required under section 1016(c) of Act 62.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In room 312 there were loose protruding screws from the dramatic play sink. In room 308 there was a splintered lid on puzzle box and splintered wooden block that could cause a child to get a splinter. In the outside garden play space there was a wooden boarder missing on a garden box near the covered swing exposing 9 nails.

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: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The outside garden play space had embedded equipment. The Director was unable to provide the ASTM letter to show compliance with the recommendations of the United States Consumer Product Safety Commission for the unitary playground protective surface covering.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In room 314 a box of Ziplock plastic bags were observed on the edge of the bathroom sink and accessible to children who are still placing objects in their mouths. In room 310 toys that were less than 1 inch were accessible to children still placing objects in their mouth: small insect toys in science area, small broken pieces of crayon, small chalk pieces, and small candy mints(in emergency bucket under bathroom sinks) Foam road ways with broken pieces in blocks and 2 half circle foam sponges in art, were accessible to children who are still placing objects in their mouths.

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: In room 314 the diapering table had cracks on both right side corners that caused a pinching hazard. One high chair had loose bolts on the right side causing it to be unstable when touched. In room 308 2 chairs in dramatic play area had loose bolts causing them to be wobbly and unstable

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: In room 308 they did not have 2ft on 3 sides of 4 children rest equipment while the equipment was in use.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: 3 children were receiving care in room 314 without emergency contact information present in the child care space.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for Child #2, young toddler, contained health reports in an interval greater than 6 months. Health Reports were dated 1/31/23 and 10/31/23 (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.

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 # 1, a preschool aged child, contained health reports in an interval greater than 12 months. (SEE LIS CODE SHEET) Health reports were dated 12/29/22 and 2/20/24

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: 3270.134(f)

Description: Toothbrush bristles up

Noncompliance Area: 5 children tooth brushes that had been used were placed back into the original packaging not being stored with the bristles up and exposed to circulating air.

Correction Required: Toothbrushes shall be stored with the bristles up and exposed to circulating air.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff #2 file contained a health assessment that was more than 24 months from previous health assessment. Dates 7/29/21 and 11/11/23

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: 3270.18(a)

Description: On file at facility

Noncompliance Area: The liability insurance policy at the facility did not have the address for childcare facility on the policy.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #1, 2, and 3 all had financial agreements that where reviewed and updated longer than 6 months between dates. Child #1 agreement dates 3/10/23 and 10/11/23. Child #2 agreement dates 3/12/23 and 10/19/23. Child #3 agreement dates 3/10/23 and 10/19/23.

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: Emergency buckets that were under all children's bathroom sinks in each room contained a hammer that poses a threat to the safety of the children and were accessible to the children.

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: The emergency plan did not contain accommodations for infants and toddlers.

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(a)(6)

Description: Emergency plan

Noncompliance Area: There was more than 12 months between emergency drills on 5/22/22 and 1/2/24.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #1 state police clearance and Child Abuse Clearance was more then 60 months apart. State police dated 10/1/2018 and 11/7/23. Child Abuse dated 10/1/2018 and 11/7/2023. Staff #1 file contained a DOE FBI Clearance dated 3/1/24 which is not accepted. Staff #2 has a disclosure statement that is dated 9/13/19 which is after their start date(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- may not work in a child care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the great room play space 4 outlet covers where missing. 2 under the phone and 2 by the outlet by the window.

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: Emergency buckets that were under all children's bathroom sinks in each room contained Hand Sanitizer labeled Keep out of reach of children were accessible to children. In room 308 the drawer on the left of the counter was not locked and accessible to children contained Bic White Out that was labeled Keep Out of Reach of Children.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: In room 308 three spray bottles of Contact Plus Disinfectant was stored in the middle cabinet not in a bin and above a food prep area.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the outside garden play space the wooden singing bench had splintering wood on the top in the middle of the seat causing a visible hazard to children. A cement boarder near the pergola was cracked with sharp edges and loose pieces on the ground. In room 312 and 308 the black cushion mat on the floor was uneven and had tape peeling up causing a tripping hazard. In the great room play space there were splintered holes in 10 of the closet doors along the bottom.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the great room play space near the floor on the corner by the window had chipping plaster.

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

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 person #1 lacked a health assessment that was conducted within 12 months prior to providing initial service in a childcare setting. The health assessment in the file was dated 3/4/24 and staff person #1 was hired on (See LIS Code Sheet). The file for staff person #2 lacked a health assessment that was conducted within 12 months prior to providing initial service in a childcare setting. The health assessment in the file was dated 3/14/24 and the TB test in the file was dated 3/18/24 and staff person #2 was hired on (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: 3270.192(4)

Description: CPSL information

Noncompliance Area: The files for staff persons #1 and #2 lacked valid disclosure statements. The disclosure statements were completed on the wrong form not the most recent disclosure statement. The file for staff person #1 whom was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a valid FBI Clearance and was not removed from the position within 45 days. The FBI Clearance is a Department of Education clearance instead of a Department of Human Services clearance. The file for staff person #2 whom was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a valid FBI Clearance. The FBI Clearance is a Department of Education clearance instead of a Department of Human Services clearance.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #1 lacked 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files for staff persons #1 and #2 lacked valid disclosure statements. The disclosure statements were completed on the wrong form not the most recent disclosure statement. The file for staff person #1 whom was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a valid FBI Clearance and was not removed from the position within 45 days. The FBI Clearance is a Department of Education clearance instead of a Department of Human Services clearance. The file for staff person #2 whom was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a valid FBI Clearance. The FBI Clearance is a Department of Education clearance instead of a Department of Human Services clearance.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The Fire Drill and Fire Detection Log was observed for the 30 day smoke detector checks. There were 34 days between 6/1/23 and 7/5/23, 39 days between 8/4/23 and 9/12/23, 41 days between 9/12/23 and 10/23/23, 42 days between 11/21/23 and 1/2/24, 31 days between 1/2/24 and 2/2/24, and 54 days between 2/2/24 and 3/27/24.

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: 3270.131(b)(2)

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

Noncompliance Area: The last two health reports in the file for child #2, a preschooler, were dated 8/5/21 and 11/17/22.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The last flu shot in the file for child #1, 4 year-old, was dated in 2021 and did not contain a written exemption letter by a parent.

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). Child #1must be dismissed from care by close of business and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not include information regarding continuity of operations. The facility did not have a shaken baby sydrome policy.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection, the operator could not locate the information provided to parents on how to access the regulations electronically.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The last two fire safety trainings in the file for staff #1 through #8 were dated 8/1/21 and 8/5/22.

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 last two clearances in the file for staff person #3 were dated 3/13/18 and 3/28/23 for state police, 3/19/18 and 3/30/23 for child abuse and 3/28/18 and 4/4/23 for FBI. The current FBI on file for staff person #3 was for the purpose of "retail services." The last two clearances in the file for staff person #7 were dated 11/14/17 and 3/27/23 for state police, 11/15/17 and 3/27/23 for child abuse and 11/15/17 and 3/28/23 for FBI.

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 #3.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The most recent health report in the file for child #1 did not include the title of the individual who signed the report.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessments dated in 2018 and 2020 in the file for staff person #1 were dated more than 24 months apart.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not include accommodations for infants and toddlers.

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(a)(6)

Description: Emergency plan

Noncompliance Area: Based on conversation with the operator, the last emergency drill was conducted in February 2021 and was not documented.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The last two reviews of the emergency plan documented in writing were slightly more than 12 months apart.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The garbage can in the bathroom in room 308 was not lidded.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility did not have proof of purchase of their fire detection system.

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.