Brightside Academy Early Care Education

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The following equipment was observed to be broken in the outdoor play space: the sensory table lid, the face of the caterpillar on the crawl through tunnel, a plastic bowl in the sensory table, the plastic coating on a metal bench seat. In the gym, a hard plastic mirror on the side of a foam block was broken into multiple pieces.

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

Regulation: 3270.103/3270.104(a)

Description: Small Toys and Objects/Clean, good repair, proper size

Noncompliance Area: Exposed foam padding was observed on the seats of two folding chairs in the outdoor play space.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A written plan of activities was not posted in or near the outdoor play space.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement for child #1 was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for child #4 did not specify the amount of the fee to be charged.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #3 did not include documentation of sharing a child service report with the parents in the last 6 months.

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)(4)

Description: Arrival/departure times

Noncompliance Area: The agreements for children #1 and #4 did not specify the child's arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement for child #1 did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement for child #1 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms for children #2 and #3 lack complete addresses for the individuals 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 agreement and emergency contact information for child #4 were not reviewed and signed by the parent at least once every 6 months. The forms were dated 8/2025 and 7/2026 and are now current.

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 file for child #1 contained an initial health report dated more than 60 days after their first day of attendance. The health report is now current.

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 file for child #4, a preschooler, does not contain a current health report. The health report on file is dated over 12 months ago. The files for children #2 and #3, preschool age, contain health reports dated more than 12 months apart. The most recent health reports on file for children #2 and #3 are now current.

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(d)

Description: Liquid or powdered soap

Noncompliance Area: Soap was not present in the lefthand restroom on the bottom floor.

Correction Required: Liquid or powdered soap shall be used for handwashing.

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 facility person #3 contained consecutive health assessments dated more than 24 months apart, but is now current.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 did not include a completed state police clearance or completed NSOR certificate. The file for staff #2 contained state police clearances dated more than 60 months apart; 11/18/20 and 7/02/26. The file for staff #4 contained a disclosure statement which lacked a dated witness signature.

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: Protective covers were not in place on electrical outlets in the hall and in room 8 under the TV. The outlets were 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(a)

Description: Locked or inaccessible

Noncompliance Area: On the lower level, the staff restroom door was unlocked and open leaving multiple cleaning products accessible. A canvas bag containing Fabuolsa and bathroom cleaner was observed in an unlocked cubby, accessible to children in room 8. Multiple insect glue traps were accessible in 2 restrooms on the lower level and near the door to the outdoor play space. Some are labeled keep out of reach of children due to the adhesive.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Two first aid kits were observed to be accessible to preschool age children in room 7. The kits were placed on top of the cubbies. An additional first aid kit was accessible on a low windowsill next to the door to the outdoor play space.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Stained ceiling tiles were observed in rooms 6 and 7. A missing wall plate was observed on the electrical outlet under the TV in room 7. Buildup of debris and soiling was observed on the floor around the sink and trash can in room 7. A detached vent cover was observed at floor level near the door to the outdoor play space.

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 room 8, peeling paint was observed in the corner by the dramatic play area. In room 9, crumbling plaster was observed on the window frame near the TV with drywall debris visible on the carpet below.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: One of 2 exits from room 8 was blocked with a wooden shelf approximately 3 feet tall and 4 feet wide. The shelf was placed across the door. The door is marked with an exit sign.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The facility lacked documentation of fire drills conducted prior to January 2026. Drills from January 2026 to present are documented and are current.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The annual inspection/test report for the facility's fire alarm system was not conducted within 12 months of the previous report. The previous report was dated 7/02/25, the current report is dated 7/05/26.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #3, #4, and #5 lacked documentation of sharing child service reports with the parents in the last 6 months.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #2 did not include a complete address for the parent. The address lacked a city, state, and zip code.

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 information for child #2 and child #4 did not include complete addresses for the individuals to whom the child may be released. The addresses lacked a city, state, and zip code.

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 information and agreements for children #1 and #3 were not reviewed and updated by the parent within the required 6 month time frame. The forms for both children now include current dated parental signatures.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A written policy for the prevention and identification of shaken baby syndrome, abusive head trat, and maltreat of children was not presented for review during the inspection. The director was unable to locate the 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: 3270.171(b)/3270.171(c)

Description: Safe pick-up and drop-off in writing/Safe routes posted

Noncompliance Area: Pick up and drop off procedures and designated safe routes were not posted at the facility or presented for review during the inspection.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff #3 did not include 2 written references.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A stapler was accessible to children on a low counter in room 8.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility was unable to present a letter for parents explaining the emergency procedures at the time of the inspection.

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)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The file for staff #1 contained documentation of completing fire safety training more than 12 months apart; 7/24/24 and 8/08/25. Current training is now on file.

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. 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 files for staff #2 and #3 did not contain new versions of the disclosure statement as required by Announcement C-25-01.(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. Staff #3 may not work in a child care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Electrical outlets under the windows of Room 6 lacked protective covers. The outlets are 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(e)

Description: Arts and crafts non-toxic

Noncompliance Area: Barbasol shaving cream, labeled keep out of reach of children, was observed in the storage cabinet in Room 8. Based on statements made by staff, the cream has been used with children for art projects.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: A first aid kit was accessible to children on a toy shelf in room 7 and on a low shelf in the downstairs toddler room.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Stained ceiling tiles were observed in the boys restroom upstairs, over the sink in room 7, in the right corner of the downstairs infant room., above the restroom door at the bottom of the stairs, and in the lower lobby. A sharp piece of metal was observed protruding from a child lock on a cabinet in room 4 and was accessible to children.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: One toilet in the boy's restroom lacked a posted handwashing sign.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: One of 2 exit doors in the gym did not open freely. The 15 second delayed magnetic release mechanism was not functioning causing the door to require significant force to open.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The plastic coating on an outdoor bench on the playground was observed to be separating from the metal on the seating area resulting in sharp edges and exposed rust. One magnatile with broken areas was observed in room 8.

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: 3270.107

Description: Refrigerator

Noncompliance Area: Brown liquid was observed in the bottom of the refrigerator in the infant room.

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

Regulation: 3270.151(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 dated 1/16/25 which is after their recorded start date. (SEE LIS CODE SHEET) A current health assessment is now on file.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: Two staplers were accessible to preschoolers in room 8. The staplers were observed on the counter and on a table. A box fan was accessible to children in room 7. The fan was observed to be plugged in and sitting on the wooden crawl through cube.

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

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

Description: Age and Training

Noncompliance Area: Staff person #2 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 10/2024. Documentation of updated Pediatric first aid and CPR training was not on file at the time of the inspection.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: The following outlets, accessible to children 5 years of age or younger, lacked protective covers; 4 outlets on a power strip in room 7 near the lamp and 1 in room 8 near the lighted activity table.

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: A package of cigarettes was accessible to children in room 8. The cigarettes were observed in a purse in an unlocked cubby which was labeled with a child's name. A spray can of room deodorizer was also accessible on a table.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: A first aid kit was accessible to children in the gym. The first aid kit was observed in a backpack sitting on the table.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Stained ceiling tiles were observed in the following areas; 1 in room 6, 1 outside the custodian's closet near the restrooms, 1 above the doors to the street near the entrance to the playground, 1 in room 9 above the cubbies, 3 in room 7 above the box used for storing toxics, above the play kitchen center and above the closet door.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A broken front loader construction toy was observed in the outdoor play space. A broken plastic storage tub and a green plastic toy with a chewed end were observed in room 3.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: A heavy flat screen TV/computer monitor, that was not anchored, was observed on a table in room 9.

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

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: One clip on the safety strap of a highchair in room 3 was broken.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement for child #4 was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for child #4 did not specify the amount of the fee to be charged.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #5 did not include the home phone number, work address, or work phone number 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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #4 did not include a health insurance policy number.

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)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #2, enrolled over 60 days, did not contain a health report. The file for child #3 contained an initial health report dated more than 60 days after their first day of attendance. A current health report is now on file for child #3.

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 health report for child #1, an infant, contained health reports dated more than 6 months apart; 1/03/24 and 8/05/24. The most recent health report on file is now current.

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

Regulation: 3270.131(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 did not contain a current health report. The most recent health report on file is dated 5/09/23.

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(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 contained results of a TB screening conducted more than 12 months before their date of hire. The results were dated 1/23/23. (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: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: Inspection summary SIN-00246861 was not posted at the facility. An agent of the department has not verified correction of the violations documented on SIN-00246861.

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

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

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

Noncompliance Area: Staff #1 did not complete pediatric CPR and First Aid from an approved source within 90 days of hire. CPR/FA training on file dated 8/21/22 was obtained from the National CPR Foundation which is not an approved curriculum. Acceptable training dated 7/23/24 is now on file.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained a state police clearance from initial hire that lacked a dissemination date. The application date was 11/28/22. A valid state police clearance, dated 7/17/24, is now on file. The file for staff #1 also contained a disclosure statement that was not signed by a witness. (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: 3270.33(a)/3270.192(2)(ii)

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

Noncompliance Area: The file for staff #2, designated as a group supervisor on the staff data sheet, did not contain documentation of the qualifications required for the position.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Two electrical outlets, behind the stacked cots in room 9 lacked, protective covers.

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

Regulation: 3270.67(c)/3270.82(g)

Description: No insects or rodents/Clean and good repair

Noncompliance Area: While testing the water in a sink in room 9, the water was very slow to drain. As the water filled the sink, insect larvae and live insects were observed coming up from the drain.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted. Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit in room 6 was accessible to children on a low hook near the door. The first aid kit in room 9 was accessible to children on a storage shelf.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Stained ceiling tiles were observed in the following areas; 2 in room 9, 1 in room 1, and 2 in the children's restroom on the lower level.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *Staff person #2 self-reported that Staff person #1 left Child #1 unattended in the bathroom for approximately 5 minutes.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: **Staff person #2 self-reported that Staff person #1 left Child #1 unattended in the bathroom for approximately 5 minutes.

Correction Required: The Legal Entity will arrange for all staff to attend a minimum of 3 hours of in-person training on supervision conducted by the ELRCs. The training will be submitted to the regional office for approval prior to attendance. Proof of training will be submitted upon completion.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: **Staff person #2 self-reported that Staff person #1 left Child #1 unattended in the bathroom for approximately 5 minutes.

Correction Required: The legal entity and all staff will participate in technical assistance with the ELRC to address ways to properly supervise children and know their whereabouts at all times.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: *Staff person #2 self-reported that Staff person #2 left Child #1 unattended in the bathroom for approximately 5 minutes.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: *Staff #2 self-reported that Staff #1 left Child #1 unattended in the bathroom for approximately 5 minutes.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: **Staff person #2 self-reported that Staff person #1 left Child #1 unattended in the bathroom for approximately 5 minutes.

Correction Required: The legal entity will post the required staff:child ratios in a conspicuous location in every childcare space and bathroom in the facility.

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: The foam padding on the playground at the bottom of the slide was torn and crumbling in a space used by Toddlers, who are still placing objects in their mouths. In the Gym, there was debris along the floor that was less than 1 inch in diameter in a space used by Toddlers.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In Classroom 7 & 8, the rest equipment was not labeled for use by 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: In Room 1, a cot and a crib only had two feet of space on two sides 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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: In Room 1 at 1:57 PM, Staff #9 who was seated in a chair was unable to see a sleeping young toddler on a cot and an infant in a crib during nap due to equipment obstructing their view. During nap time, all three staff in Room 4 were observed not supervising the children appropriately, as they all were on their cell phones at the same time.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At 1:53 PM, Staff #8 was unable to name 1 preschool aged child in the group of 7 children they were supervising during nap in Room 4.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #1 does not contain a child service report after 6/3/2022. The file for Child #4 observed not to contain a child service report within 6 months from date of enrollment (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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #5 does not include the complete address for the child's pediatrician 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)(5)

Description: Information re: special needs

Noncompliance Area: The current emergency contact form on file for Child #4 does not indicate if the child has any special medical needs, which is needed in an emergency.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #5 does not include the health insurance coverage and policy number for the medical insurance policy.

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 form on file for Child #4 does not include the address for the release person who is listed on the emergency contact form.

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(c)

Description: Each child care space

Noncompliance Area: SECOND CITATION from 8/14/23: Emergency contact forms for the children present in Classroom 5 were not located in the childcare space. On 9/25/23 at 12:50PM, emergency contact forms for the children present in the childcare space were not observed in Room 4(Right Side)/5(Left Side). Staff Person #1 confirmed that the emergency contact binder did not have forms for the current children in care. Staff Person #3 in Room 5 (left side of room) confirmed that the emergency contact binder did not contain the forms for the children in Room 4, just the children in Room 5.

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(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The was no health assessment on file for Child #2, and the child has been enrolled more than 60 days.

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 two most recent health assessments on file for Child #1, who is a preschool age child, are dated 1/7/22 and 5/9/2023, more than 1 year apart.

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

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The files for Child #2 and Child #4 observed not to contain influenza vaccination, which is recommended annually by the ACIP, on file or a written exemption from the parent. Child #2 and #4 must be dismissed from care by close of business on 8/17/2023 and may only return when the immunization record is updated or when a parent provides a written, signed exemption letter.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: While observing a diaper change, Staff #3 did not dispose of the soiled diaper hand-free into a plastic lined covered can.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Health and Safety professional development training update on file for Staff #4 is dated 8/1/2023, after the deadline of 12/20/22, as per Announcement C-22-06. The file for Staff Person #8 did not contain the Pa. Health and Safety update 2022.

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

Regulation: 3270.151(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 was observed not to contain documentation of a Tuberculosis screening being completed within 12 months prior to date of hire (See LIS CODE SHEET). The Tuberculosis screening on file for Staff #1 was dated 7/8/2019.

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

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The current health assessment on file for Staff #10 does not indicate that the health assessment was conducted by a physician, physician's assistant, or CRNP.

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

Regulation: 3270.151(c)(3)/3270.192(3)

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: The current health assessment on file for Staff #8 indicates that the staff person has a communicable/contagious disease, with no additional information given. The most recent health assessment on file for Staff #11 is dated 5/13/2019, which is to be completed every 24 months consecutively.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. 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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff #4 and Staff #5 did not contain documentation of Fire Safety training within one year from date of hire (SEE LIS CODE SHEET).

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 #1, #2, and #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. Staff #1 and Staff #2 completed Pediatric First Aid/Pediatric CPR on 7/28/23. Staff #3 completed Pediatric First Aid/Pediatric CPR on 8/2/23. Staff #8 has a pediatric first aid/CPR training on file that is not an approved curriculum.

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 #1 does not contain a request or documentation of an FBI clearance prior or within 45 days of caring for children. The file for Staff #2 was observed not to contain a State Police clearance or documentation of an application for a State Police and NSOR clearance prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The file for Staff person #2 was observed taking a child to the restroom alone and giving breaks without having a state police clearance on file. Staff #3 was observed not to contain documentation of application of a Child Abuse clearance prior to date of hire (SEE LIS CODE SHEET) required for provisional hiring under the CPSL. The file for Facility person #7 was observed to include a State Police clearance, which indicated the person has a record, but did not contain approval for working with children from the Department of Human Services. The file for Facility Person #11 was observed to include an incomplete criminal history clearance indicating that it was under review, making it invalid. The file for Facility Person #11 includes child abuse clearances dated 7/28/2015 and 11/24/2020, which is more than 60 months apart. Staff #2 is unable to return to work after 8/14/2023 and may only return once updated clearances are obtained

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 is unable to return to work after 8/14/23 and may only return once updated clearances are obtained. 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In Classroom 5, diaper cream labeled "Keep out of the reach of children" was accessible to children in a bookbag in an unlocked cubby.

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: Spray bottles with toxics were unlabeled in a locked Janitor's closet.

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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The First Aid kit in Classroom 9 was accessible to children in an unlocked cubby.

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