Casa Jeanette Christian Day Care

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The school age children have a large indoor basketball hoop with a plastic backboard that is cracked on the backboard.

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)(3)

Description: Services proceeded

Noncompliance Area: Child # 2 has attended the facility over 6 months and does not have a child service completed and on file.

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

Regulation: 3270.123(a)/3270.181(d)

Description: Signed /Dated signature affixed

Noncompliance Area: Child # 1,2 & 3 have fee agreements that are not dated by the child's parent or guardian at the time of review with signature. Child # 2 & 3 have fee agreements not signed by the facility operator.

Correction Required: An agreement shall be signed by the operator and the parent. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: There is Desitin for a child # 3 that expired in May 2025.

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

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: There are expired croissants with a sell by date of Sept 15, 2025 in the children's snacks area. There are numerous Wawa breakfast sandwiches in the refrigerator with the children drinks and snacks for the children that state "Time good until 10:50 AM- 9/15/25. This is date stamped by Wawa that made the sandwiches.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: There is a tommee tippeee bottle being used by a child at the facility at the time of the inspection that is not labeled for the child.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Facility staff # 2 only has 1 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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility has not conducted an annual emergency drill in over 12 months since 9/18/24.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Facility staff # 1,2,3 & 5 have not reviewed the emergency plan in over a year since 8/30/24.

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: Facility staff # 1,3,4, & 5 have not have fire safety training in over 12 months from 3/13/.24 to 6/18/25.

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: 3270.31(f)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: Facility staff # 2 hired and working at the facility over 90 days has not completed the health and safety requirements in pediatric first aid and cpr, mandated reporter trainings and the health and safety trainings.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. All staff persons shall complete the professional development under § 3270.31(f).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 1 did not update their PA state police clearance in over 60 months from 6/26/20 to 9/12/25. Facility staff # 1 who is working at the facility has a child abuse clearance that is over 60 months old from 2/24/20. Facility staff # 2 has a volunteer PA state police clearance on file and does not have a signed disclosure statement.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Facility purple wall to the right entering the large childcare room under the Happy Birthday Letters on the wall has screws sticking out of the wall near the area the mattresses are stacked the children rest on.

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)/3270.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: The facility has no documentation of conducting fire drills at the facility.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility did not test the alarms in over 30 days from 3/10/25 to 5/4/25.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: There is no children's cot list assigning cots to the children.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: Child # 3's fee agreement does not say the fee amount or date to be paid nor is it anywhere else in the child's file.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.124(b)(3)/3270.124(b)(6)

Description: Parent home/work address, phone/Insurance coverage information

Noncompliance Area: Child # 1 does not have their health insurance policy number on file. Child # 4 does not have a health insurance policy name or number on file.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child # 3 did not have their fee agreement or emergency contact forms updated and reviewed in over 6 months from 10/12/23 to 8/12/24 for the emergency contact form and 1/6/23 to 8/12/24 for their fee agreement. Child # 4 has not had their fee agreement updated in over 6 months since 12/28/22 and their emergency contact forms since 10/12/23. Child # 1 did not have their emergency contact form in the facility emergency bag updated in over 6 months since 1/3/23.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.27(c)/3270.123(a)(1)

Description: Training regarding plan/Amount of fee

Noncompliance Area: Facility staff # 1, #2 & # 3 have not had emergency plan training in over 12 months from 7/21/22 to 8/30/24.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Facility staff # 1 & # 2 only have 10 hours of annual childcare training on file for their annual hours.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of childcare training. Facility staff are required to do 2 hours of annual childcare training and submit the training certificate towards this year's missing childcare training hours. Facility staff # 1 & # 2 will still be required to complete an additional 12 hours of childcare training that will be reviewed at next year's annual inspection.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Facility director has not done a staff evaluation for facility staff # 1 in over 12 months from 8/1/23 to 9/4/24 and for staff # 2 in over 12 months from 8/1/22 to 9/3/24.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There is toxic hand sanitizer and Odo Ban disinfectant on top of the refrigerator accessible to the children. This was displayed to operator by having a school aged child stand and grab the items off the refrigerator and hand to the rep with no stool or chair used by the child. There is toxic hand sanitizer and coconut milk conditioner in an unlocked closet accessible to the children.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The facility first aid kit does not have tweezers.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: There is a hole on the back wall to the left when exiting the children's bathrooms in the rear of the facility.

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: Facility has not tested the fire alarm system in over 30 days from 4/4/24 to 5/10/24.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the inspection, there was a plastic, dramatic play kitchen in the childcare space. The oven door to the kitchen was cracked posing sharp edges which are a hazard to children.

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: 3270.121(a)/3270.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: During the inspection, the operator did not have documentation of the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection, child #3's agreement did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: During the inspection, child #5 did not have a date of admission on the agreement.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the inspection, child #1 did not have the address of the child's physician or source of medical care on the emergency contact form.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the inspection, the emergency contact form for child #1 did not include the work address of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the inspection, the emergency contact form for child #4 and child 5 did not include health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the inspection, the address of the individual designated by the parent to whom the child may be released was not on the emergency contact form for child #4 and child #5.

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(d)

Description: Excursions

Noncompliance Area: During the inspection, the vehicles used by the facility for transportation did not include the emergency contact forms for the children that were being transported.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During the inspection, child #2 and child #3 did not have an update to the emergency contact form and agreement in the previous 6 months.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the inspection, the provider did not have a written policy that addresses the prevention 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. The provider's written policy must include, but is not limited to addressing the prevention and identification of child maltreatment.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1, staff person #2, staff person #3, staff person #4 was observed to be caring for children unsupervised. Staff person #1, staff person #2, staff person #3 and staff person #4 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 3/17/23, 7/11/23, 7/11/23 and 7/11/23, respectively.

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 trainings are completed, staff person #1, staff person #2, staff person #3 and staff #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 #1, staff person #2, staff person #3 and staff person #4, staff person #1, staff person #2, staff person #3 and staff person #4 may not work in a child care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, staff person #1, staff person #2, staff person #3, staff person #4 and staff person #5 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #1, staff person #2, staff person #4, staff person #4 and staff person #5 shall complete the required one-hour 2022 update to the health and safety training by 10/25/23.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: During the renewal inspection, staff person #5 did not have a tuberculosis screening at initial employment (see LIS code sheet for date of hire).

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: 3270.161(a)

Description: Wholesome

Noncompliance Area: During the inspection on 10/3/23, in the kitchen refrigerator, there were packs of Lil' Smokies which stated to use by 9/27/23. There was a container of Lactose Free milk which did not contain a lid and was opened.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During the inspection, child #4 and child #5 did not have signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

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.

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During the inspection, on the emergency contact form for child #2 through child #5, there was no signed parental consent for transportation. The children are transported daily.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.20(e)/3270.182(7)

Description: Copies of reports in file at facility/Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: During the inspection, the operator did not have a facility copy of incident reports for children who receive injuries while at the child care facility.

Correction Required: Copies of reports of injury, death or fire shall be kept in a file at the facility. A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the inspection, staff person #2, staff person #3, staff person #4 and staff person #5 does not have annual emergency plan training on file. This is evidenced by the emergency plan training dates of 7/30/22, 9/21/21, 7/21/22 and 6/9/22, respectively.

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)

Description: Age and Training

Noncompliance Area: During the inspection, staff person #1 through staff person #4 did not have any clock hours of childcare training on file during their 12/21-12/22 training period. Staff person #5 did not have any clock hours of childcare training on file during the 6/22-6/23 training period.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

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

Description: Age and Training

Noncompliance Area: During the renewal inspection, staff person #1, staff person #2, staff person #3 and staff person #4 does not have current pediatric First Aid/CPR training. This is evidenced by the previously documented pediatric First Aid/CPR training expiration date of 3/17/23, 7/11/23, 7/11/23 and 7/11/23, respectively.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection, staff person #1 did not complete annual fire safety training. This is evidence by the training on file dated 9/14/22.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal, staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training requirements

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -9) within 90 days of hire. Staff person #5 will have until 10/25/23 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During the renewal inspection, staff person #5 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 #5 will have until 10/25/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person#5 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/facility person/volunteer #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.75(c)/3270.178

Description: Has all items/Transportation First Aid Kit

Noncompliance Area: During the inspection, the vehicle that staff person #3 was driving did not contain scissors, tweezers or soap in the first aid kit. The vehicle that staff person #4 was driving did not contain soap in the 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. A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the inspection, there was a hole in the wall by the bathroom to the right of the kitchen.

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: During the inspection, the manual monthly monitoring log had a test date of 9/13/23 with a previous testing date of 8/9/23. This reflects more than a 30 day testing requirement for the manual monthly monitoring of the fire detection system.

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

Regulation: 3270.108(c)

Description: No styrofoam

Noncompliance Area: During the renewal inspection, Styrofoam cups and plates were observed being used in the main child care space.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection, the phone number of the child's physician or source of medical care was missing from the emergency contact form for child #2.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection, the work address of the enrolling parent was missing from the emergency contact form for child #3.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection, the address of the individual designated by the parent to whom the child may be released was missing from the emergency contact form for child #5.

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: During the renewal inspection, in the main child care space, there were no emergency contact forms for the children that were present in the 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: 3270.124(d)

Description: Excursions

Noncompliance Area: During the renewal inspection, staff #3 was observed arriving at the child care facility in a vehicle with 3 school age children in it. There were no emergency contact forms for these children in the vehicle.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During the renewal inspection, the emergency contact forms and financial agreements on file for child #2, child #3, child #4 and child #5 have not been updated by the parent in writing within the past 6 months.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, the provider did not have written policies identifying the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and addressing the prevention 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. The provider's written policy must include, but is not limited to recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and addressing the prevention and identification of child maltreatment.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During an onsite inspection on 7/18/22, the operator did not have practice drills and volunteer emergency preparedness training in the emergency plan. The operator was not in compliance with federal requirements at 45 CFR § 98.41(a)(1)(vii) relating to health and safety requirements. An acceptable plan of correction was obtained stating that all corrections would be completed by 8/5/22. A follow up visit was conducted on 8/25/22. The operator still did not have practice drills and volunteer emergency preparedness training in the emergency plan. An acceptable plan of correction was received stating all corrections would be implemented by 8/31/22. A renewal inspection was conducted on 10/4/22, the operator still did not have practice drills and volunteer emergency preparedness training in the emergency plan. Continuity of operations was also missing from the emergency plan. The operator is still not in compliance with federal requirements at 45 CFR § 98.41(a)(1)(vii) relating to health and safety requirements.

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: During the renewal inspection, the operator did not have documentation showing the local traffic safety authorities are notified annually in writing of the location of the facility and 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(b)/3270.171(c)

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

Noncompliance Area: During the renewal inspection, written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

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

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, the provider did not have lockdown procedures posted in the emergency plan.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: During the renewal inspection, the provider did not have a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises in the emergency plan. There was also no method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children in the emergency plan.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(b)/3270.27(f)

Description: Plan reviewed/updated annually/Emergency plan

Noncompliance Area: During the renewal inspection, there was no annual update and review of the emergency plan by the City of Allentown and Lehigh County Emergency Management Agencies.

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 send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection, staff #5 did not have documentation of fire safety training being conducted within the past 12 months.

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: 3270.75(c)/3270.178

Description: Has all items/Transportation First Aid Kit

Noncompliance Area: During the renewal inspection, staff #3 was observed arriving at the child care facility in a vehicle with 3 school age children in it. There was no first aid kit in the vehicle.

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.A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During the renewal inspection, the last documented manual monthly monitoring of the fire detection system was conducted on 9/29/22. The previous manual monthly monitoring of the fire detection system was conducted on 8/2/22 showing more than a 30 day timeframe of when the fire detection system was manually monitored.

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: During an onsite inspection on 7/18/22, the operator did not have practice drills and volunteer emergency preparedness training in the emergency plan. The operator was not in compliance with federal requirements at 45 CFR § 98.41(a)(1)(vii) relating to health and safety requirements. An acceptable plan of correction was obtained stating that all corrections would be completed by 8/5/22. A follow up visit was conducted on 8/25/22. The operator still did not have practice drills and volunteer emergency preparedness training in the emergency plan. The operator is still not in compliance with federal requirements at 45 CFR § 98.41(a)(1)(vii) relating to health and safety requirements.

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(a)(6)

Description: Emergency plan

Noncompliance Area: During an onsite inspection on 7/18/22, the operator did not have verification of emergency drills being conducted annually. An acceptable plan of correction was obtained stating all corrections would be made by 8/5/22. A follow up inspection occurred on 8/26/22. The operator still did not have verification of emergency drills being conducted annually.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the inspection on 7/18/22, child #9 did not have address and telephone number of the child's physician or source of medical care on the emergency contact form.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During an onsite inspection on 7/18/22, child #3 and child #10 did not have the work address for the enrolling parent on the emergency contact form.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During an onsite inspection on 7/18/22, there was no address of the individual designated by the parent to whom the child may be released on the emergency contact form for child #6, child #8 and child #9.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During an onsite inspection on 7/18/22, there was no 6 month review/update by the parent to the child #6's emergency contact form and agreement.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.131(a)(4)

Description: Initial health report for school age; accordance with school attendance

Noncompliance Area: As of the onsite inspection on 7/18/2022, the initial health assessment on file for Child #8 does not have a date to indicate when the assessment was conducted.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: During an unannounced investigation on 7/18/22, the operator did not have a valid fire inspection or fire permit on file. This was verified with the Fire Marshall on 7/20/22.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During an unannounced investigation on 7/18/22, staff person #6 was observed to be caring for children unsupervised. Staff person #6 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training Topics including Pediatric First Aid/CPR and Mandated Reporter 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. Until such time as the required pre-service trainings are completed, staff person #6 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 #6, staff person #6 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During an onsite inspection on 7/18/22, the operator did not have practice drills and volunteer emergency preparedness training in the emergency plan. The operator was not in compliance with federal requirements at 45 CFR § 98.41(a)(1)(vii) relating to health and safety requirements.

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. To maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for volunteer emergency preparedness training, practice drills and continuity of operations included in their emergency plan.

Regulation: 3270.151(a)

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

Noncompliance Area: During an onsite inspection on 7/18/22, staff #6 did not have question #1, #2 or #3 answered on the health assessment that was on file.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During an onsite inspection on 7/18/22, the operator did not have verification of emergency drills being conducted annually.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During an unannounced investigation on 7/18/22, staff person #2 and staff #3 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(10), within 90 days of hire. Staff person #2 and staff person #3 will have until 8/21/2022 to do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During an unannounced investigation on 7/18/22, staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety topics including Pediatric First Aid/CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #6 will have until 8/6/22 to complete the required training. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an unannounced investigation on 7/18/22, facility person #5 (see code sheet for start date of volunteering) did not have a completed FBI clearance on file. Staff person #6 (see code sheet for date of hire) did not have a disclosure statement with a witness signature or a date the staff person signed the form. Staff person #6 had a PA State Police clearance on file that was of volunteer status and not employment purposes. There was no Child Abuse clearance on file for staff #6. Staff person #6 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 #6 will have until 8/6/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #6 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 #6, staff person#6 may not work in a child-care position at the facility. Facility person #5 may not volunteer in the child care facility until the FBI clearance is obtained and reviewed by DHS. Staff Person #6 may not work in a child care position until the PA State Police and Child Abuse clearance is obtained and reviewed by DHS.

Regulation: 3270.33(a)/3270.37(b)

Description: Each staff person meets quals/Aide qualifications

Noncompliance Area: During an onsite inspection on 7/18/22, staff #6 did not have education on file to be qualified as a staff person.

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.An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3).

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During an unannounced investigation on 7/18/22, staff #2 admitted to being out of ratio during an inspection with the Allentown Health Bureau that occurred on 6/22/22. Staff #2 admitted the preschool side of the classroom contained 12 children with 1 staff person. This ratio requires two staff people.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an onsite inspection on 7/18/22, the last documented date of manual monthly monitoring of the fire detection system was conducted on 4/14/22 and not every 30 days, as required.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During a follow up inspection on 7/20/22, the fire detection system at the facility was not fully operable. When the provider tested the system, the alarms did not sound and the strobe lights did not turn on. The alarm company stated on 7/20/22 that there was not enough voltage going to the alarm panel. This caused the inoperability. The facility was not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).(b)

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. The provider will not operate under current fire detection system. The provider must temporarily install operable smoke detectors on each floor and demonstrate compliance with a DHS certification representative before being allowed to reopen.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During a follow up inspection on 7/20/22, the fire detection system at the facility was not fully operable. When the provider tested the system, the alarms did not sound and the strobe lights did not turn on. The alarm company stated on 7/20/22 that there was not enough voltage going to the alarm panel. This caused the inoperability. The facility was not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).(b)

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. The provider will come into compliance with ACT 62 by having an operable fire detection system at all times. The provider will demonstrate operation and compliance with DHS certification representative.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: At the time of the inspection, there was no fee amount to be charged on the agreement for child #1.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: At the time of the inspection, the agreement for child #1 did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: At the time of the inspection, the immunization record for child #1-5 did not contain an annual influenza vaccination or letter of exemption for that vaccine.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: At the time of the inspection, the health assessment on file for child #2 and 5 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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: At the time of the inspection, on the health assessment for staff #2 there was no statement that an examination for communicable diseases was conducted and the results of that examination.

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