Center Of Xcellence

Regulation: 3270.26

Description: Compliance/Nondiscrimination

Noncompliance Area: FACILITY HAS NOT SUBMITTED THE BEO/CIVIL RIGHTS COMPLIANCE PAPERWORK.

Correction Required: A legal entity must comply with The Pennsylvania Human Relations Act (43 P. S. §§951-962.2), the Age Discrimination Act of 1975 (42 U.S.C.A. §§6101-6107), Title VI of the Civil Rights Act of 1964 (42 U.S.C.A. §§2000d-2000d-4a). Title VII of the Civil Rights Act of 1964 (42 U.S.C.A. §§2000e-2000e-5), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C.A. §794), the Americans with Disabilities Act of 1990 (42 U.S.C.A. §§12101-12514).

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #2 did not have TB test results.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the files for staff #1, staff #2 and staff #3 did not include emergency plan training.

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: 3270.94(a)

Description: Director or designated staff person responsibility

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and there was no fire drill log on file.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the critera specified in §3270.95Ia)(1)- (a)(9) are met

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: During the unannounced monitoring, the daily activity chart does not reflect the activities being conducted or address when the children go to the play area for large muscle activity. (Continued noncompliance from renewal inspection conducted on 8/25/25 and unannounced monitoring on 10/6/25)

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the unannounced monitoring, there was no annual written notification to the local traffic safety authorities. (Continued noncompliance from renewal inspection conducted on 8/25/25 and unannounced monitoring on 10/6/25)

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: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During the unannounced monitoring, the file for staff #1 did not include a verification of education. (Continued noncompliance from renewal inspection conducted on 8/25/25 and unannounced monitoring on 10/6/25)

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the unannounced monitoring, there were no accommodations for infants or toddlers in the emergency plan. (Continued noncompliance from renewal inspection conducted on 8/25/25 and unannounced monitoring on 10/6/25.)

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the unannounced monitoring, the emergency plan was not sent to the local municipality and county emergency management agency. (Continued noncompliance from renewal inspection conducted on 8/25/25 and unannounced monitoring on 10/6/25 )

Correction Required: 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: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walkthrough and staff #1 was working alone with 10 children, at least one was an infant.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.61(i)

Description: Measurement and use of indoor child care space

Noncompliance Area: During the unannounced monitoring, there was 13 children present at the facility when the total capacity is 11.

Correction Required: The total number of children receiving child care services at the facility at any one time may not exceed the facility's maximum capacity.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the unannounced monitoring, there was chipped paint on the walls surrounding the bathroom. (Continued noncompliance from renewal inspection conducted on 8/25/25 and the unannounced monitoring on 10/6/25)

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: During the unannounced monitoring, the daily activity chart does not reflect the activities being conducted or address when the children go to the play area for large muscle activity. (Continued noncompliance from renewal inspection conducted on 8/25/25)

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the unannounced monitoring, there was no annual written notification to the local traffic safety authorities. (Continued noncompliance from renewal inspection conducted on 8/25/25)

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: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During the unannounced monitoring, the file for staff #1 did not include a verification of education. (Continued noncompliance from renewal inspection conducted on 8/25/25)

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the unannounced monitoring, there were no accommodations for infants or toddlers in the emergency plan. (Continued noncompliance from renewal inspection conducted on 8/25/25)

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the unannounced monitoring, the emergency plan was not sent to the local municipality and county emergency management agency. (Continued noncompliance from renewal inspection conducted on 8/25/25)

Correction Required: 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: 3270.61(b)

Description: Care space not play space at same time

Noncompliance Area: During the unannounced monitoring, half of the indoor play space was being utilized as childcare space. There was a desk and chairs and other office furniture/equipment. (Continued noncompliance from renewal inspection conducted on 8/25/25)

Correction Required: Indoor child care space may not be used simultaneously as play space.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the unannounced monitoring, there was chipped paint on the walls surrounding the bathroom. (Continued noncompliance from renewal inspection conducted on 8/25/25)

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and the daily activity chart/list does not specify the activities being conducted or address when the children go to the play area for large muscle activity.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.113(a)/3270.113(e)

Description: Supervised at all times /Restraints prohibited

Noncompliance Area: During the renewal inspection, certification representative did a facility walk through. Staff #2 left an infant ( who was in the staff person's assigned group) unattended in a bouncy chair on the floor in the corner between a wall and highchairs. The child was not supervised by a staff person. Staff person # 1, # 2, # 3 and # 4 were present in the space and supervising additional children.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of 4 hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 staff files and: 1. the file for staff #4 did not contain the part 1 health and safety training. 2.There was no policy for Shaken Baby Syndrome and Child Maltreatment per Announcement C-22-03 that was issued on January 24,2022.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 staff files and the file for staff #2 did not have a physical or TB test results.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the renewal inspection, certification representative reviewed facility files and there was no annual written notification to the local traffic safety authorities.

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: During the renewal inspection, certification representative conducted a facility walk through and there was no pick up and drop off procedures posted.

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

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection, certification representative reviewed staff files and the file for staff #1 and staff #4 did not include a verification of childcare experience and the file for staff #2 did not include a verification of childcare experience or education.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include information on how staff are to respond(specific duties) in the event of an evacuation or relocation and did not include a location for staff and children to relocate to.

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

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

Description: Contact when arises/Contact when ended

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the emergency plan did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency arises and did not provide a method for facility persons to contact parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

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(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the emergency plan did not include accommodations for infants, toddlers, children with special needs and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 staff files and the files for staff #1, staff #2,STAFF #3 and staff #4 did not include emergency plan training.

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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, there was no documentation to show that the emergency plan was sent to the local municipality and county emergency management agency.

Correction Required: 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, certification representative reviewed 4 staff files and the file for staff #2 did not contain fire safety training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 staff files and the files for staff #4 is missing the FBI clearance(the one on file has the wrong name) and the state criminal history clearances

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Staff #4 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.61(b)

Description: Care space not play space at same time

Noncompliance Area: During the renewal inspection, observation of the indoor play space showed that half of the space is being utilized as childcare space. There is a desk and chairs and other office furniture/equipment.

Correction Required: Indoor child care space may not be used simultaneously as play space.

Regulation: 3270.61(g)

Description: Preschool - no napping/play are

Noncompliance Area: During the renewal inspection, While an infant slept, children were observed engaging in large muscle activities in the main childcare space while staff watched.

Correction Required: Preschool and school-age children may not be involved in small or large muscle activity in the same group space in which children are sleeping or resting.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection, certification representative did a facility walk through, and there was a bottle of bleach sitting on top of the toilet.

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: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and there was chipped paint throughout on the walls surrounding the bathroom.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and the toilet on the left is clogged up with excrements inside of bowl.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and there were no handwashing signs that stated that "a facility person and an able child shall wash his hands after toileting and before eating" requirement is written shall be in the children's bathrooms/at all sinks.

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: 3270.107

Description: Refrigerator

Noncompliance Area: During the initial inspection, certification representative conducted a facility walk through and the refrigerator temperature was greater than 45° F per the thermometer.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the initial inspection, certification representative reviewed two staff files and the facility paperwork and the file for staff #2 did not include the 1hr health and safety update or emergency plan training. The emergency plan did not include or address an emergency situation while children were in the basement of the facility or specific staff duties per announcement c-22-04, issued 4/19/22.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the initial inspection, certification representative reviewed 2 staff files and the file for staff #1 and staff #2 did not include two non-family references.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the initial inspection, certification representative reviewed 2 staff files and the file for staff #2 did not include 12 hrs of childcare training.

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

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: During the initial inspection, certification representative reviewed two staff files and the file for staff #1 and staff #2 did not have a verification of childcare experience.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During the initial inspection, certification representative conducted a facility walk through and there was no first aid kit in the indoor childcare space.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the initial inspection, certification representative conducted a facility walkthrough and there were no tweezers in the first aid kit in the main childcare area.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the initial inspection, certification representative conducted a facility walk through and there were no handwashing signs that stated that a facility person and an able child shall wash his hands after toileting and before eating in the children's bathrooms.

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