Willow Tree Early Learning Center

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: An unannounced inspection was conducted at the facility on April 17,2026 at that time the facility's fire drill and detection log was reviewed and the last documented fire drill was conducted on February 5, 2026.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted at the facility on 12/16/25, at that time there were sensory bottles in the young toddler room that contained small objects that have a diameter of less than 1 inch and were accessible to children.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection was conducted at the facility on 12/16/25, at that time a review of staff files was conducted. Staff person #1 did not have a NSOR on file prior to employment as is required as evidenced by NSOR dated 7/2/25. (See code sheet for date of hire).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). TIERED LIS 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The correction date for this portion of the plan must be immediate. 2. The director will create a form to track each staff and their required clearances, trainings, and documents to assist with the hiring process and ongoing updates. This form will have due dates for all required trainings, clearances, health assessments etc. This form must be approved by the Northeast Regional Office prior to use. The director will ensure that this form is used during the hiring process and to track all required updates. This portion of the plan should reflect a date that allows for time to develop the form and implement it.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection was conducted at the facility on 12/16/25, at that time the facility's fire drill and detection log was reviewed and there were more than 30 days between system tests March 28, 2025 to April 28, 2025.

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. Child care facilities in a commercial space (center and group) must manually test its alarm at least once every 30 days and shall maintain a written record of testing with the facility's fire drill logs in accordance with 62 P.S. § 1016(c)(1).

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 2 plastic bins, containing toys, that were cracked and broken.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: Child #1 and Child #2 did not have signed parental consent for emergency medical care.

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 emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Two trash cans for soiled diapers in the toddler area were not hands- free.

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: 3270.151(a)

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

Noncompliance Area: Staff person #1 had more than 24 months between physicals 6/2022 to 8/2024.

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

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Child #1 and Child #2 did not have signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: 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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Emergency drills were conducted 2/23/23 and then not again until 8/15/24 per emergency drill logs.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: A bottle of infant pain relief medication expired June 2024.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a small hole in the wall in the 2-year-old room.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Per the facility's fire drill and detection log there were more than 30 days between tests of the fire detection system on April 1, 2024 to May 6, 2024, and then again July 3 to August 5, 2024,

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not address continuity of operations.

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(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility did not have any documentation of notifying local traffic safety authorities of the location of the facility and the pedestrian and vehicular routes around the facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 and #2 has not completed the required Pediatric First Aid/CPR pre-service training within 90 days of their date of hire (see LIS code sheet)

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #1 and #2 will have until 2/7/2024 to complete the required training. Until such time as the required training has been completed, staff person #1 & 2 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #1 did not have the correct FBI clearance. The current clearance on file is from out of state and not a DHS clearance.

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

Regulation: 3270.35(e)

Description: 46 or more children- additional group sups

Noncompliance Area: The facility exceeds 45 children, but does not have a group supervisor as a staff member. There were 54 kids on site at the time of inspection.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 12/8/22, Staff #1 pulled child #1, who was stuck between the ball pit and the wall, up by the hand, directly resulting in an injury to the child's elbow (Nursemaid's Elbow).

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. Children must always be picked up under the armpits.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 12/8/22, Staff #1 pulled child #1, who was stuck between the ball pit and the wall, up by the hand, directly resulting in an injury to the child's elbow (Nursemaid's Elbow).

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. Children must always be picked up under the armpits. The legal entity must develop a written policy and procedure to be implemented in the facility. The written policy and procedures must address the proper ways to pick up young children. The legal entity will submit policy/procedures to the Northeast Regional Office for approval. All existing staff and new hires must be trained on the approved policy and procedures and it must be documented in their files.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During renewal inspection on 12/19/22 cert rep reviewed several children's files. CHILD #1 emergency contact form and financial agreement were last updated 6/2/22. CHILD #3 emergency contact form was last updated on 5/6/22 and financial agreement was last updated on 4/6/22. These dates are more than 6 months ago.

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(d)(5)/3270.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: During renewal inspection on 12/19/22 cert rep reviewed several children's files. CHILD #2 (see code sheet for date of birth) does not have the third Rotavirus immunization or any influenza immunizations. There are no exemption letters in child's file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection on 12/19/22 STAFF #1, 3, 5 (see code sheet for start dates) were observed to be caring for children unsupervised. STAFF #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid & CPR by a PQAS-certified instructor. STAFF #3 & STAFF #5 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid & CPR by a PQAS-certified instructor and CCDBG Health & Safety training.

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

Regulation: 3270.151(a)/3270.151(b)

Description: 12 months prior to service and every 24 months thereafter/Conducted by physician, PA or CRNP

Noncompliance Area: During renewal inspection on 12/19/22 STAFF #1 (see code sheet for start date) had an After-Visit Summary printout dated 11/11/21. This is not a signed health assessment, and it was more than 12 months before STAFF #1's start date. STAFF #3 (see code sheet for start date) had tuberculosis results in file, but no health assessment/physical form.

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 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)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During renewal inspection on 12/19/22 STAFF #1 (see code sheet for start date) did not have results of current tuberculosis screening in file. STAFF #3 (see code sheet for start date) had results of tuberculosis screening in file. The date was after STAFF #3's start date.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During renewal inspection on 12/19/22 STAFF #1 did not have verification of qualifications including childcare experience, education and training prior to service at the facility. STAFF #2, an assistant group supervisor possessing a high school diploma, did not have verification of 2,500 hours of prior childcare experience in file.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During renewal inspection on 12/19/22, the file of STAFF #3 (see code sheet for start date) did not contain completed NSOR information required under the CPSL. A copy of the application for the NSOR dated 10/3/22 is in file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). STAFF #3 may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.37(c)

Description: Comply with CPSL/Aides supervised all times

Noncompliance Area: During renewal inspection on 12/19/22 at 9:50 am STAFF #4 and 5, who were both identified as Aides and are provisional hires, were observed in the Toddler 2 room working alone with children and were not in the vicinity of a permanent employee. At 10:00 am STAFF #3, who was identified as an Aide and is a provisional hire, was observed in the Crawler room working alone with children and was not in the vicinity of a permanent employee.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During renewal inspection on 12/19/22 cert rep observed damaged paint in the preschool room in the corner of the science area and behind the bookshelf.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 5/24/22 during an unannounced inspection, Staff 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12 had 1st Aid and CPR training that is not on the approved curriculum list and was conducted by a trainer who is not PQAS certified.

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. Until such time as the correction is implemented, Staff #1-12 must be supervised by staff persons who are at least an AGS and have completed Pediatric first Aid/CPR with an approved curriculum and a PQAS-certified trainer. If the program does not have enough staff with the appropriate Pediatric first-aid/CPR training to provide supervision to the staff who do not have appropriate Pediatric first-aid/CPR, the staff who are unable to be supervised must be removed from child care until an approved training is completed.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 5/24/22 during an unannounced inspection, Staff 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12 had 1st Aid and CPR training that is not on the approved curriculum list and was conducted by a trainer who is not PQAS certified.

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. Staff 1 through 12 will have 15 days from the date this directed POC is submitted and accepted to complete Pediatric first-aid/CPR training with an approved curriculum and a PQAS-certified instructor.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: As of an unannounced inspection on 5/24/22, Staff #6 (see code sheet for hire date) had not complete the required health and safety training topics and has been employed for more than 90 days.

Correction Required: Staff persons shall complete professional development in the topics listed in subsection 3270.31(f)(1-10) within 90 days of hire. Staff must be supervised until such time as the required training is complete.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: As of an unannounced inspection on 5/24/22, Staff #6 (see code sheet for hire date) had not complete the required health and safety training topics and has been employed for more than 90 days.

Correction Required: Staff persons shall complete professional development in the topics listed in subsection 3270.31(f)(1-10) within 90 days of hire. Staff #6 has 15 days from the days from the date this directed POC is submitted and accepted to complete required health and safety training topics.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 5/24/22 during an unannounced inspection, Staff 1 (see code sheet for hire date) did not have a signed disclosure statement on file. Staff #2 (see code sheet for hire date) did not have NSOR clearance or a signed disclosure statement on file and was observed working with children. Staff #6 (see code sheet for hire date) did not have the FBI clearance or the NSOR on file. Staff #12 (see code sheet for hire date) did not have an FBI clearance or the NSOR on file. Staff #12 had a State Police clearance on file that was obtained for volunteer purposes, which is not able to be used for childcare employment purposes.

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, #6, and #12 may not work in a child care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 5/24/22 during an unannounced inspection between 8:30am and 8:45am, the infant room had 7 infants with staff #7, and the Preschool room had 14 preschoolers with staff #3.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 5/24/22 during an unannounced inspection, the most recently documented fire drill at the facility was 12/14/21.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 5/24/22 during an unannounced inspection, the fire alarm system was not being tested every 30 days as required. Staff #8 stated that they recently made the fire alarm system independent from the shopping center and that the program can now set off the alarm by calling the company to put it in test mode.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff Person #1, date of hire 11/1/2021, does not have an FBI clearance on file. Staff Person #2, date of hire 12/1/2021, does not have a National Sex Offender Registry certification on file.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #3 began in a child care position at the facility on 8/1/2021 and did not obtain her National Sex Offender Registry certification until 11/22/2021.

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

Noncompliance Area: There was no thermometer in the "crawlers" refrigerator.

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

Noncompliance Area: Child 2 did not have the health insurance policy number on file.

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: Child 1 and 3 had outdated emergency forms and fee agreements. Child 1's emergency form and fee agreements were last updated on 6/6/2019. Child 3's emergency contact form was last updated on 12/6/2018 and the fee agreement will be updated on 6/6/2019. Child 4's emergency contact form was last updated on 5/23/2019 and child 5's emergency contact form was last updated on 6/6/2018.

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 informationA 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: Child 1 had an outdated health assessment. The health assessment was last updated in February of 2018. Child 3 needs an updated health assessment. Child 3, who is an infant, last had her health assessment updated on 2/19/2019.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerThe operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: Child 3 did not have updated immunizations on file. She had outdated DTAP, HIB and Pneumococcal immunizations.

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: Staff 2, 3 and 9 did not have proof of experience on file. Staff 2 also did not have proof of education on file.

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

Noncompliance Area: Staff 2 did not have a health assessment or TB screening on file.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: The emergency plan was not reviewed within a year. It was last reviewed on 12/12/2018. Staff 4, 5, 6, 7 and 8 also had outdated emergency plan training. Staff 4's emergency plan training was last conducted on 10/18/2018. Staff 5's emergency plan training was last conducted on 8/17/2018. Staff 6's emergency plan training was last conducted on 12/28/2017. Staff 7's emergency plan training was last conducted on 2/11/2018 and staff 8's was last conducted on 1/3/2018.

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

Noncompliance Area: The emergency plan was not posted in a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: Staff 1, who was in her provisional hire period, had a volunteer state police clearance on file. Staff 2, who was in her provisional hire period, did not have proof of applying for the child abuse, state police or FBI clearance on file. Staff 3, who was past her provisional hire date, did not have an FBI clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1, 2 and 3 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1, 2 and 3 may not work in a child care position at the facility.

Noncompliance Area: There were more then 60 days between fire drills. There was a fire drill conducted on 7/2/2019 and not again until 10/9/2019. 10/9/2019 was also the date of the last fire drill from the date of inspection on 12/18/2019.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: Child 1 last had his child service report dated 6/1/2018.

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: Child 2 did not have his health insurance information on file.

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: An infant bottle was not labeled with the correct name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: Staff 1 did not have proof of education on file. Staff 2 did not have proof of education or verification of child care hours on file. Staff 4 did not have verification of child care hours on file.

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

Noncompliance Area: Staff 5 had two letters of reference on file but they were family references. Staff 1 and 3 did not have two letters of reference on file.

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

Noncompliance Area: The emergency plan was last updated and reviewed more than one year ago. It was last reviewed on 10/22/2017. Staff 5 and 6 did not have it within one week of hire. Staff 5, whose date of hire was 8/15/2018, had it on 10/18/2018. Staff 6, whose date of hire is 5/11/2018, had it on 9/25/2018.

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

Noncompliance Area: Staff 5 signed her disclosure after her date of hire, which was 8/15/2018. Staff 6 had an outdated state police clearance. The state police clearance was dated 11/1/2012. Staff 1, whose date of hire was 11/19/2018, did not have any clearances, or proof of applying for them, on file. Staff 3, whose date of hire is 8/13/2018, did have all three clearances on file. However, they were dated after her date of hire and she did not have proof of applying for them upon employment.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person 1 and 6 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and 6 may not work in a child care position at the facility.

Noncompliance Area: There was cleaner and glad spray accessible to the children on the changing table in the toddler classroom.

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

Noncompliance Area: The preschool room was missing scissors and soap from their first aid kit.

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.

Noncompliance Area: On 1/22/2018, facility was cited for having peeling paint on a picnic table that was accessible to the children in the outside playground. On 2/23/2018, certification representative went to the facility to verify correction and the picnic table continued to have peeling paint.

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

Noncompliance Area: During the inspection on 1/22/2018, child 1 did not have a parental signature on the fee agreement. Child 7 did not have the director signature on the fee agreement.

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

Noncompliance Area: During the inspection on 1/22/2018, child 1-7 did not have a date of admission documented in their files.

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

Noncompliance Area: Child 3 did not have information for an emergency contact person on file.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: Child 6 was enrolled at the facility for more then 60 days and did not have a health assessment on file.

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.

Noncompliance Area: Child 3 and 7 did not have parental permission for emergency medical care and minor first aid. Child 6 did not have permission for minor first aid.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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: In the outdoor playground, there was a picnic table accessible to the children that had peeling paint.

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

Noncompliance Area: During the inspection on 1/22/2018, the facility did not have a fire drill completed within 60 days. The date of the last fire drill was on 11/8/2017.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: Staff 1 did not have TB screening results on file. As a result, it was not known if the results were a positive or negative TB screening.

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

Noncompliance Area: Staff 1 did not have a high school diploma on file. She also did not have proof of experience on file.

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

Noncompliance Area: Staff 1 and 2 did not have proof of emergency plan training at initial hire on file during an allocated unannounced visit on 12/28/2017.

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.

Noncompliance Area: There was a cabinet in the U-shaped room that posed as a tipping hazard.

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

Noncompliance Area: Staff 1 did not have two letters of reference on file. There was also no proof stating that the chest x-ray for her TB test came back negative.

Correction Required: A facility person`s record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.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

Noncompliance Area: Bathroom stalls that will be utilized by the children, did have rust on them.

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.