Brightside Academy Early Care Education

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: 3rd Citation: Previously cited on 2/2/26 and 4/7/26: The file for Child #1, who has been enrolled for more than 60 days, lacked an initial health report.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed dirt and debris under the mats of the diaper changing tables in Room #1 and the restrooms.

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: 3270.123(a)

Description: Signed

Noncompliance Area: The fee agreement in the file 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)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: The fee agreement in the file for Child #1 did not specify the amount of the fee or the date on which the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The fee agreement in the file for Child #1 did not specify the arrival and departure times.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The fee agreement in the file 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(c)

Description: Each child care space

Noncompliance Area: The emergency contact binder in Room #8 did not include emergency contact forms for Child #3 and #4, who were receiving care in that room.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #1, who has been enrolled for more than 60 days, lacked an initial health report.

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 preschool child, did not include an updated health report conducted within the past 12 months.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent parent updates for the emergency plan and fee agreement in the file for Child #3 exceeded 6 months between updates.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The initial emergency plan trainings in the files for Staff Person #1 and #2 were conducted more than 90 days after the staff persons' first days working in a child care position at the facility. This was due to previous emergency plan trainings being purged from the files (See LIS Code Sheet).

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The most recent fire safety trainings in the file for Staff Person #1 exceeded 12 months between trainings.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The disclosure statement in the file for Staff Person #3 was signed/dated four years prior to staff person's first day working in a child care position at the facility (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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The first written evaluations in the files for Staff Person #1 and #2 were conducted more than 12 months after the staff persons' first days working in a child care position at the facility. This was due to previous evaluations being purged from staff persons' files (See LIS Code Sheet).

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Observed a soiled diaper in the hands-free can, which lacked a plastic liner, in Room #1.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed two frayed washers, which create sharp edges, under the screws in the wall in Room #7.

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: Observed flaking plaster from two holes in the wall near the bookshelf in Room #7. Observed flaking paint under the alphabet sign in Room #8.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on staff interviews and review of video footage, the following was verified: On 12/8/25 at approximately 4:34 PM, Staff Person #1 was supervising one (1) young toddler and two (2) older toddlers in the gym. Staff Person #2 was supervising eight (8) preschool children in the gym. Staff Person #3 was present in the gym but was not assigned to a specific group of children. At 4:35 PM, review of video footage shows Child #1, an older toddler, pushing open the emergency exit door and exiting the gym. Staff confirmed the emergency alarm was not functioning on the day of the incident. Staff Person #1 and Staff Person #2 were seated directly across from the emergency exit door, and Staff Person #3 was positioned in the middle of the room. Interviews confirmed that no staff person saw Child #1 exit the gym. At 4:37 PM, Staff Person #3 recognized Child #1 was missing and exited the gym to search. At 4:39 PM, Staff Person #3 located Child #1 in the first-floor lobby near the exit doors. Child #1 remained alone and without supervision for approximately four (4) minutes after exiting the gym and traveled down two (2) flights of stairs (24 steps) to the lobby.

Correction Required: TIER 1: 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. This portion of the plan shall have an immediate correction date. Tier2: The legal entity must work with the ELRC to develop and ensure that all staff at the facility participate in two (2) hours of in-person training focused on active supervision while children are in care in all childcare and play spaces at the facility. The training will emphasize maintaining continuous supervision, including requiring staff to position themselves so that children can be observed at all times, and will address the importance of staff not engaging in activities that distract from active supervision. This training must be completed within 30 days of the Department's acceptance of the Plan of Correction and may count toward the required twelve (12) annual training hours mandated by the Department. Documentation verifying completion of the training must be provided to the Department Representative within five (5) days of completion. The operator will provide a date for when documentation verifying completion of the training will be submitted to the Department. Tier3: Once Tier 2 is met, the legal entity must work with the ELRC to develop a written supervision policy that defines staff physical location within each classroom/play space, including required positioning near exit doors, and clearly outlines staff responsibilities while in the classroom, including monitoring, engagement with children, and appropriate positioning. All staff must review and sign the policy to confirm understanding. The policy must be provided to the Department Representative within five (5) days of completion. The operator must also provide a date by which proof of completion of supervision checks will be submitted to the Department. Tier4.: Once Tier 3 is met, the legal entity must work with the ELRC to develop an environmental hazard reporting form for staff to promptly document and report safety concerns, including alarm issues and building or safety concerns. The form must be completed and submitted to the Director, or placed in a designated file or box, on the same day the concern is identified. The Director must document the concern and implement a plan to address the hazard as soon as possible. All staff must review and sign to confirm understanding. The form must be provided to the Department Representative within five (5) days of completion. The operator will provide a date for when proof of these supervision checks will be submitted to the department. Tier 5. Once Tier 4 is met, the legal entity must work with the ELRC to develop a supervision tracking form to ensure that random supervision checks are conducted and documented at least three times per week for all childcare and play spaces and all age groups. This requirement must be completed for four consecutive months. Supervision check form must be provided to the Department within five days of completion. The operator must provide a date for when proof of these supervision checks will be submitted to the Department. Tier 6. Once the supervision tracking form is developed and implemented, and supervision checks are being conducted three times per week for the first week, the legal entity must ensure that staff meetings are held once per month for four consecutive months to review supervision checks, reinforce supervision expectations outlined in the written supervision policy, and review findings reported as a result of the Environmental Hazard Form, as well as citations issued since February 2025. Meeting agendas and sign-in sheets must be maintained on site and made available to the Department upon request. The operator must provide a date for when proof of completion of these staff meetings will be submitted to the Department.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Based on staff interviews and review of video footage, the following was verified: On 12/8/25 at approximately 4:34 PM, Staff Person #1 was supervising one (1) young toddler and two (2) older toddlers in the gym. Staff Person #2 was supervising eight (8) preschool children in the gym. Staff Person #3 was present in the gym but was not assigned to a specific group of children. At 4:35 PM, review of video footage shows Child #1, an older toddler, pushing open the emergency exit door and exiting the gym. Staff confirmed the emergency alarm was not functioning on the day of the incident. Staff Person #1 and Staff Person #2 were seated directly across from the emergency exit door, and Staff Person #3 was positioned in the middle of the room. Interviews confirmed that no staff person saw Child #1 exit the gym. At 4:37 PM, Staff Person #3 recognized Child #1 was missing and exited the gym to search. At that time, Child #1's whereabouts were unknown to staff. At 4:39 PM, Staff Person #3 located Child #1 in the first-floor lobby near the exit doors. Child #1 remained alone and without supervision for approximately four (4) minutes, from 4:35 PM until 4:39 PM, and traveled down two (2) flights of stairs (24 steps) to the lobby.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling, flaking paint in the following areas: Room #2 beside exit door on the left. Room #11 below window. Last two toilet stalls on right in the restroom across from Preschool #3.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On the day of the inspection (9/23/25), a fire drill had not been conducted within the past 60 days. Most recent fire drill was conducted on 5/29/25.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form in the file for Child #2 lacked the release person's address.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact binder in Room #4 lacked an emergency contact form for Child #1, who was receiving care in that room.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health report in the file for Child #2 was conducted more than 60 days after the child's first day in care.

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 #3, a Preschool child, did not include an updated health report conducted within the past 12 months.

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 most recent health assessments in the file for Staff Person #4 exceeded 24 months between assessments.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for Staff Person #1 and #2, who have been working at the facility for more than 90 days, did not include documentation of initial training in the facility's emergency plan. The files for Staff Person #4 and #5 did not include documentation of annual emergency plan training conducted within the past 12 months. (See LIS Code Sheet).

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The most recent fire safety trainings in the file for Staff Person #4 exceeded 12 months between trainings.

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 NSOR Certificate in the file for Staff Person #3 was dated after the staff person's first day working in child care and the staff person's file did not include documentation of application for the NSOR Certificate on or before the staff person's first day working in child care. The disclosure statement in the file for Staff Person #3 was not dated.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for Staff Person #4 and #5 did not contain a written evaluation conducted within the past 12 months.

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

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

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

Noncompliance Area: The files for Staff Person #3 and #6, assistant group supervisors, lacked documentation of two years child care experience.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: The electrical outlet near the entrance of the gym lacked a protective receptacle cover.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling, flaking paint on the wall behind the first toilet in the bathroom across from Room #6.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: * According to staff statements and video observation, on 12-13-24 in the infant room, staff person #1 placed child #1 on the changing table and while staff person #1 was turned and talking to another staff person and had one hand on child #1, child #1 fell from the changing table to the floor falling headfirst through the opening of the railing on the front of the changing table.

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: * * * According to staff statements and video observation, on 12-13-24 in the infant room, staff person #1 placed child #1 on the changing table and while staff person #1 was turned and talking to another staff person and had one hand on child #1, child #1 fell from the changing table to the floor falling headfirst through the opening of the railing on the front of the changing table.

Correction Required: All staff, including directors and leadership team, will participate in a technical assistance/demonstration session with a Quality Coach from ELRC #5 focused on supervision while diapering and the proper way to stabilize a child on a diapering surface, along with best practices for diapering. An attendance sheet will be provided by the ERLC #5 to verify attendance by all staff.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: * * According to staff statements and video observation, on 12-13-24 in the infant room, staff person #1 placed child #1 on the changing table and while staff person #1 was turned and talking to another staff person and had one hand on child #1, child #1 fell from the changing table to the floor falling headfirst through the opening of the railing on the front of the changing table.

Correction Required: Leadership will review staff compliance with the facility's cell phone policy by conducting random checks of all classrooms at least twice per week for the next two months. The checks shall be conducted at a different time of day for each check. These checks shall be documented on a log that lists each classroom, the date, time of day, and indication whether staff was compliant or noncompliant. This log will be available upon request from the Certification Representative.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: According to staff statements and video observation, on 12-13-24 in the infant room, staff person #1 placed child #1 on the changing table and while staff person #1 was turned and talking to another staff person and had one hand on child #1, child #1 fell from the changing table to the floor falling headfirst through the opening of the railing on the front of the changing table.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility had documentation of the interconnected fire detection system's annual testing by a fire safety professional on 10-13-23 and lacked annual testing of the interconnected fire detection system within the last year.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed one electrical outlet in the gym that lacked a protective receptacle cover.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On the date of the inspection (9/19/24) a fire drill had not been documented in the last 60 days (7/15/24).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: The most recent immunization records in the files for Child #1 and #2 were not in accordance with the recommendations of the ACIP. Based on the ages of the children, each was determined to be missing their second Hep A vaccine.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Child #1 and #2 must be dismissed from care by close of business 3/22/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(e)(3)

Description: Dismissal policy

Noncompliance Area: The most recent immunization records in the files for Child #1 and #2 were not in accordance with the recommendations of the ACIP. Based on the ages of the children, each was determined to be missing their second Hep A vaccine.

Correction Required: 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 #1 and #2 must be dismissed from care by close of business 3/22/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed dirt and debris under the mat of the diaper changing table in the Preschool Girl's Restroom.

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

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

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

Noncompliance Area: The most recent updated health reports in the file for Child #1, a young toddler, exceeded 6 months between reports.

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 most recent updated health reports in the file for Child #2, a preschool child, exceeded 12 months between reports. The file for Child #3, a preschool child, did not include an updated health report conducted within the past 12 months.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff Person #3, who has been working for more than 90 days, (See LIS Code Sheet) did not have documentation of the one-hour Health and Safety Update.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The most recent emergency plan trainings in the files for Staff Person #1 and #2 exceeded 12 months between trainings.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The most recent fire safety trainings in the file for Staff Person #2 exceeded 12 months between trainings.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The first written evaluation in the file for Staff Person #1 was conducted more than 12 months after the staff person's first day in child care (See LIS Code Sheet).

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit for Room #7 lacked tape.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling, flaking paint in the left corner wall in the Preschool Girl's Restroom.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed dirt and debris under the pads on the diaper changing tables.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The fee agreement in the file for Child #4 was not signed by the operator and the parent.

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

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The fee agreements in the files for the five child files reviewed were the original documents.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form in the file for Child #4 did not include the physician's phone number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The files for #4 and #5, who have been enrolled for more than 60 days, did not include an initial health report.

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

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

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

Noncompliance Area: The most recent updated health reports in the files for Child #2 and #3, who are preschool children, were conducted more than 12 months apart. The file for Child #1, a Preschool Child, did not contain an updated health report conducted within the past 12 months.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The most recent immunization record in the file for Child #2 did not contain documentation of a flu shot administered within the past 12 months or a letter of exemption from the parent or physician.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff Person #3 did not include the One-Hour Health and Safety Update. The One-Hour Health and Safety Update in the file for Staff Person #4 was conducted on 2/20/23. The prescribed time frame for completion was 12/30/22.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent parent updates for the emergency plan and fee agreement in the files for Child #1 and #2 exceeded 6 months between updates. Child #1: 9/20/21-9/20/22. Child #2: 1/2/21-9/20/22. The first parental update for the emergency plan and fee agreement in the file for Child #5 was conducted more than 6 months after the child's start date. Enrolled: 9/15/21. First Update: 9/15/22. The emergency plan and fee agreement in the file for Child #3 have not been updated by the parents in the past 6 months (1/2/21).

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The letters of reference in the file for Staff Person #3 were family members.

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

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

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

Noncompliance Area: The file for Staff Person #3, who has been working for more than 90 days (See LIS Code Sheet) did not include documentation of initial training in the facility's emergency plan.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

Description: Age and Training

Noncompliance Area: The current Pediatric First Aid/CPR Certificate in the file for Staff Person #1 was issued after the previous certificate had expired.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The state police and FBI clearances in the file for Staff Person #2 did not contain dispositions for the charges on the rap sheets attached to these clearances. The file for Staff Person #3 did not contain a copy of the request for the NSOR Certificate. The NSOR Certificate in the file for Staff Person #3 was dated 12/21/22, which was after the staff person's start date (See LIS Code Sheet).

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff Person #4, who has been working for more than one year (See LIS Code Sheet), did not include a written evaluation.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed dirt and debris in Room #2, corner by language development area and on the landing and steps in the exit stairwell by the kitchen. Sinks in the child care rooms were dirty. Counter tops were propped against the wall in the stairwell by the elevator.

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: Observed peeling, flaking paint and plaster on the wall of the bathroom across from Room #6.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Three screws were missing from the door of a cubby in room 7. The missing screws caused the wooden door to separate from the metal hinge which created a pinch point.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A Jolly Rancher hard candy was observed in a cubby in room 1, which is designated for toddlers. A paper clip was observed on the floor of room 4, which is designated for toddlers. A second paper clip was observed on the floor between 2 cribs in the infant room.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: Room 11 lacked a posted written plan of daily activities.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The files for children #1 and #3 contained agreements which were 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 file for child #1 contained an agreement which did not specify the amount of the fee.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The files for children #1, #3, and #4 contained agreements which did not specify the date of the child's admission.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The files for children #2, #4, and #5 contained initial health reports conducted more than the 90 days allowable at the time of their enrollment due to the suspension of the regulation related to covid 19. The most recent health reports on file for all 3 children are 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(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for child #2 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The files for children #2 and #3 contained immunization records which lacked documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. Written exemptions were not on file.

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

Regulation: 3270.151(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 an invalid health assessment.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Two pairs of adult scissors were accessible to children in room 8 in an unlocked cubby/locker labeled for teacher supplies.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Based on documentation, the facility has not conducted an emergency drill in the past 12 months.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Three first aid kits were observed to be accessible to children in the following areas; on the floor in room 11, on the half wall separating room 11 and room 5, and on the cubbies in room 7.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed on the bottom of the dividing wall between stall 2 and 3 in the boys restroom, on the half wall by the door of room 5, and near the top of the cubbies at the door of room 6.

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

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 provide proof of installation or purchase of the fire alarm system on the day of the inspection.

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.

Noncompliance Area: The file for child #4 contained an agreement which 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.

Noncompliance Area: The file for child #2 contained a service report which was not updated in the past 6 months. The last documented report was completed and shared with parents on 6/24/19.

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

Noncompliance Area: The file for child #4 contained an agreement which did not specify the child's arrival and departure times.

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

Noncompliance Area: The file for child #4 contained the original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The file for child #4 contained emergency contact information which did not include written consent signed by a parent for emergency medical care or signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The file for child #4 contained emergency contact information which did not include the health insurance policy number for the child.

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.

Noncompliance Area: The files for child #4 and child #5 contained emergency contact information which did not include the addresses of the individuals designated by the parent to whom the children may be released.

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

Noncompliance Area: The file for child #5, enrolled for over a year, did not include a health report.

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

Noncompliance Area: The file for child #3 contained a health report which was not updated within the required 12 month period. 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 12 months for an older toddler or preschool child.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The file for child #3 contained an immunization record which lacked documentation of having received the influenza vaccine within the last 12 months.

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

Noncompliance Area: The file for staff #3 contained a health assessment which was not updated with the required 24 month period. The most recent health assessment on file 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.

Noncompliance Area: The files for child #1 and child #3 contained emergency contact information and agreements which were not updated at least once in a 6 month period. The documents for child #1 were updated on 6/17/19 and again on1/6/20. The documents for child #3 were updated on 2/11/19 and again on 1/2/20. Both files now contain current emergency contact information and agreements.

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.

Noncompliance Area: The file for staff #1 lacked documentation of receiving annual training regarding the emergency plan. Documentation on file indicated training was received in 2017 and again on 10/2/19.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #1 lacked documentation of completing 6 hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: The file for staff #2, with a start date of 11/14/17, contained a child abuse clearance obtained for the purpose of volunteering. The clearance was dated 11/14/17. A valid child abuse clearance as not included in the file.

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 #2 may not work in a child care position at the facility.

Noncompliance Area: The file for staff #1lacked documentation of having received a high school diploma. Based on statements made by staff it was determined staff #1 assumes the role of assistant group supervisor for short periods of time in various rooms.

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.

Noncompliance Area: Three electrical outlets, accessible to children 5 years of age or younger, lacked protective covers on a power strip near the printer outside the office.

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