Carnegie Boys & Girls Clubhouse

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 record for staff person #2 and #3 lacked a current 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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Children's lunchboxes containing potentially hazardous food brought from their homes were observed on the storage cubes in the game room.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator's annual notification to local traffic safety authorities did not include the program's use of pedestrian and vehicular routes around the child care 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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: The safety during drop off and pick up notice posted in the child care facility did not include safe routes.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.193(a)

Description: Confidential; stored in locked cabinet

Noncompliance Area: Facility persons' records were stored in an unlocked cabinet in the office.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff person #3 did not receive training regarding the emergency plan on an annual basis during the period between 1/26/2025 and 3/16/2026.

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: 3270.34(b)(2)/3270.192(2)(ii)

Description: Bachelor's, 30 credits + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The record for staff person #1, who was identified as the director, did not include verification of 30 credit hours in early childhood education, child development, special education, elementary education or the human services field required to work as a director.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 2 years of 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: A protective receptacle cover was not placed in an electrical outlet on the blue wall accessible to children 5 years of age or younger in the game room.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The following toxic materials labeled keep out of the reach of children were observed in areas accessible to children in the game room: a bottle of hand sanitizer and packet of sunscreen were observed on the storage cube and (2) bottles of hand moisturizer were observed on top of the desk.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Trash that appeared to be contaminated by human secretions was observed in an open receptacle under the desk in the game room and in the office.

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

Regulation: 3270.72(b)

Description: Screened

Noncompliance Area: The window in the bathroom in the office used for ventilation was not screened when open.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The ceiling in the office was water-stained/damaged.

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: Peeling paint/damaged plaster was observed on the handrail on the steps to the entrance of the facility, on the walls in the makers room and on the ceiling in the multi-purpose room.

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

Regulation: 3270.81

Description: Glass

Noncompliance Area: A visual strip or other visual identification was not placed on the glass doors used to enter the building, the gym, the pre-K room and the makers room, and the glass window between the gym and the game room.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted at the sink and at the toilet in the bathroom in the office.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The bathroom in the office was not equipped with a lidded waste receptacle.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: A cot was observed to have less than 2 feet of space on three sides of it while in use in room 2.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's shaken baby syndrome, abusive head trauma and child maltreatment policy did not include: -Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; and Identification of child maltreatment.

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

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The record for staff #1 included a current health assessment dated more than 24 months following the date of their previous 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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff #1 did not participate in fire safety training, at least annually, between 4/11/2024 and 6/16/2025; and staff #3 did not participate in fire safety training, at least annually, between 11/30/2023 and 9/4/2025.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent written evaluations for staff #1, #2, #3 and #4 were more than 12 months apart.

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 record for staff #1 lacked verification of 2 years child care experience to be qualified to work as an AGS.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The temperature of the hot water from the water dispenser in room 2 exceeded 110° F and it was accessible to children in care.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Water-stained ceiling tiles were observed in the Maker Space Room and hallway on the bottom level.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system was not tested every 30 days between 8/1 and 9/1/2025; and it was not tested within the last 30 days.

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: 3270.54(b)

Description: Two facility persons on excursions

Noncompliance Area: On 8/1/2025, video showed staff #1 supervising a group of 4 older SA children who were operating a lemonade stand on the sidewalk outside the fence of the facility's premises between 2:55 to 3:25 PM without a 2nd facility person present.

Correction Required: At least two facility persons shall be present when children are on an excursion away from the facility. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system test dates were more than 30 days apart between 3/3 to 4/4/25 and 4/4 to 5/5/25. The most recent test conducted was on 5/5/2025, which was more than 30 days ago.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The record for child #1, who has been enrolled more than 60 days, contained a health report that was not dated.

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: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The record for staff #2 included a current health assessment dated more than 24 months following the date of their previous 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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The parent letter did not include the facility's emergency procedures for shelter in place at the facility, including lock down; and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff #1 did not participate, at least annually, in fire safety training during the period between 6/9/2023 and 9/25/2024.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: (6) wall mounted dispensers containing Germ X hand sanitizer, which is labeled keep out of the reach of children, were hung on walls in the facility (Art room, the Game room, the Stem room, the Performing Arts room and the Gym), accessible to children in care.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: An excursion bag containing a first-aid kit was observed sitting on a shelving unit, accessible to children in care.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted at the sink in the preschool room.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #2 does not include the address for the child's pediatrician or source of medical care. The emergency contact form on file for Child #3 does not include the name, address, or telephone number for the child's pediatrician or source of medical care.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent influenza vaccination on file for Child #1, who is 3 years old, is dated 2/25/21, more than 1 year ago, and is recommended annually by the ACIP.

Correction Required: ·Child #1 must be dismissed from care by close of business on 10/20/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Health and Safety professional development training update on file for Staff person #1 is dated 9/5/23, after the deadline of 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #2 is dated 1/10/23, after the deadline of 12/30/22, as per Announcement C-22-06.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter.

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 required pre-service trainings are completed, staff person #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #4 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #4 will have until 12/12/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There were cans of shaving cream, labeled "Keep out of the reach of children" in a cupboard that was not locked and making them accessible to children in the Pre-K room.

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

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: There were cans of shaving cream, labeled "Keep out of the reach of children", used for arts and crafts projects, in the Pre-K classroom.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were multiple missing toilet bolt covers on the toilets in the Boy's and the Girl's bathrooms in the Multipurpose room. There were padded mats hanging on the walls in the gym with frayed corners and seams.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file does not include documentation of drills being conducted between 12/2/22-6/30/23.

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: The fire alarm 30-day test log includes test dates 1/7/23-2/11/23; 5/9/23-6/30/23; 6/30/23-7/31/23, more than 60 days apart. The most recent 30-day fire alarm test on file is dated 9/8/23, more than 30 days ago.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There were Styrofoam peanuts smaller than an inch in diameter for use in the sensory table in the preschool 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #2 does not include a complete address for all listed release persons.

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(e)

Description: Written emergency plan posted

Noncompliance Area: There was no medical emergency transportation plan posted in the Computer room and in the Maker room.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent emergency contact form and financial agreement 6 month review signature on file for Child #1 is dated 5/17/22, 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(b)(2)/3270.181(c)

Description: Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent health assessment on file for Child #1, who is 5 years old, is dated 11/30/21, more than 1 year ago.

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 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)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for Child #3, who is 3 years old, includes 0/4 Pneumococcal vaccinations, 0/2 Hepatitis A vaccinations, or an annual influenza vaccination, all recommended by the ACIP for a child this age.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan on site does not include provisions regarding volunteer emergency preparedness training, and continuity of operations, required as of 7/1/22, as per Announcement C-22-04. The emergency plan was updated to include continuity of operations on 8.10.22, after 7/1/22, as per Announcement C-22-04.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality. The training was completed on 6/4/22.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There were 4 uncovered outlets in the gym in the left corner by the door. There were several uncovered outlets on the stage in the gym area.

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

Regulation: 3270.70(a)

Description: 65º F minimum

Noncompliance Area: The temperature in the gym measured 58 degrees Fahrenheit degrees while preschool age children were in the gym.

Correction Required: The indoor temperature shall be at least 65° F.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There were several areas of peeling paint in the Maker Room.

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 30 day test log for the fire detection system includes test dates of 4/1/22-5/6/22 and 10/1/22-11/4/22, more than 30 days apart.

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: 3270.117(a)

Description: Released only to parent or designee

Noncompliance Area: Child #1 was released to an individual who was deleted as a release person by the enrolling parent from the emergency contact form.

Correction Required: A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise.

Regulation: 3270.117(b)

Description: In emergency, child released upon oral designation

Noncompliance Area: The staff person on duty did not contact the enrolling parent to obtain verbal permission to release Child #1 to an unauthorized individual.

Correction Required: In an emergency, a child may be released to an individual upon the oral designation of the parent, if the identity of the individual can be verified by a staff person.

Regulation: 3270.117(c)

Description: Verbal Release

Noncompliance Area: Staff person #1 neglected to make a copy of the updated emergency contact form for the classroom, or inform the classroom staff when the enrolling parent for Child #1 updated the emergency contact form.

Correction Required: If a child is released upon the oral designation fo the parent, the information shall be logged in the child's record.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the water activity inspection, sunscreen was observed in baskets on the ground with no closure/lock on the baskets, making the sunscreen accessible to children.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement on file for Child #1 is not signed by the operator.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement on file for Child #1 does not include the child's date of admission to the program.

Correction Required: An agreement shall specify the date of the child's admission.A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #2 and #3 does not include the work address for the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #3, with an enrollment date of 11/8/21, more than 60 days ago, does not include an initial health assessment.

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(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for Child #3, with an enrollment date of 11/8/21, more than 60 days ago, does not include the child's immunization record.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for Staff person #5 does not include the results of a tuberculosis screening within 12 months prior to hire. The file included the result of a chest x-ray, which is not acceptable without an included positive tuberculosis screening test; an x-ray result is not acceptable on it's own.

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

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

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

Noncompliance Area: The file for Staff person #1, #2, #3, , #4, who first worked with children 9/7/21, has emergency plan training dated 12/1/21, not at hire.

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(h)/3270.192(2)(iii)

Description: Health and Safety Training/Exp, educ., training at facility

Noncompliance Area: The file for Staff #2, #3, #4, who first worked with children on 9/7/21, and Staff person #5, who first worked with children on 9/14/21, lacked documentation of health and safety training numbers 1 - 9, as listed in the regulation 3270.31(f). Training was required within 90 days of hire, as specified by the current regulations.

Correction Required: All staff persons shall complete the professional development under subsection (f). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The NSOR certificate on file for Staff person #3, who first worked with children on 9/7/21, is dated 11/30/21, with no proof of application prior to working with children.

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

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

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

Noncompliance Area: The file for Staff person #6, classified as an assistant group supervisor, does not include verification of 30 credits in education or a related human services field; or 15 credits in education or a related human services field and 1 year of experience with children; or 2 years of experience with children.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The storage closet in the Maker Room was not locked and contained bottles of Clorox cleaner on the floor, marked "Keep out of reach of children", which were accessible to accessible to children.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kits in the Computer Lab and the Maker Room were unlocked and in an area accessible to children.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Arts and Crafts room does not include 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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Three red and two blue chairs, used by children in the Maker Space room, were missing one bolt on each seat, creating a falling / toppling hazard.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A daily activity schedule was not posted in the Pre-K room.

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

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: The unlocked first-aid box, in the Game room, which was accessible to children, contained the following: Bactine spray (1), Salinaax Eye Wash (1), Acetaminophen packets (2), alcohol wipes (9), Ibuprofen packets (2), Diphenhydramine (2), Safetec Sting Relief (2), Aspirin packet (1), Triple Antibiotic Lotion (1), and Backtrokill (1), which stated, "Keep out of reach of children."

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Nine wooden picnic tables, which were located outside of the gym emergency exit doors, had mushrooms growing from each of them, causing a potential health hazard. A five gallon bucket of stagnant standing water, which was located outside of the gym emergency exit doors, contained mosquito larvae, causing a potential health hazard.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not demonstrate a means of providing the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: The following outlets were accessible to children under age 6: A protective receptacle cover was missing from an outlet near the entry door by the white cabinets in the Maker Space room. A protective receptacle cover was missing from an outlet on the left, blue wall, above the white shelves, in the Maker Spacer room. Two protective receptacle covers were missing from an outlet on the wall adjacent to the mirrored wall in the Multipurpose room.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: First-aid kits were not located in the following child care rooms: Pre-K, School-Age, Computer Lab, Maker Space, or Multipurpose.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A sharp cord guide, in the Pre-K room, which extended from the ceiling to approximately half way down the wall, had a sharp edge on the bottom, and was accessible to children. The door stop, on one bathroom stall in the girls' restroom, was broken and had a sharp edge, creating a scraping / cutting hazard. The metal walls, enclosing the toilets in the upstairs girls' restroom, had holes with sharp edges, creating a scraping / cutting hazard. The metal walls, enclosing the toilets in the upstairs boys' restroom, had holes with sharp edges, creating a scraping / cutting hazard. Four sharp window brackets, in the upstairs boys' restroom, which were partially unattached and accessible to children, created a scraping / cutting hazard. One sharp white hook was protruding through the wall in the back of the Maker Space room, near the baseboard, creating a scraping / cutting hazard. Through the emergency door near the Pre-K room and Multipurpose room, the cement area and stairs contained debris, wet leaves, mud, and a plastic bag, creating safety hazards. Multiple sharp nails were protruding through the wall in the Pre-K room, creating a safety hazard.

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: There was peeling paint on the outdoor cement ceiling / walls when exiting the emergency door near the Pre-K and Multipurpose rooms.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Three toilets, in the girls' upstairs restroom, had sharp base bolts with no covers, creating a scraping / cutting hazard. Two toilets, in the boys' upstairs restroom, had sharp base bolts with no covers, creating a scraping / cutting hazard.

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