Chesterbrook Academy

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: On 7/1/26, it was verified through staff interview that a staff person is telling children, who are ages 3-4, that they must wait to go to the bathroom even if the bathroom is easily accessible resulting in an increase in accidents for the children.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: On 7/1/26, it was determined through staff interview that staff in the intermediate A classroom are unable to appropriately manage the classroom and children's behaviors resulting in a lack of activities for all of the children. Staff were observed lifting children and carrying them around to prevent them from acting out, as well as shouting at them.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Tier 1: All facility staff will participate in a training and technical assistance with an outside agency regarding classroom management and appropriate daily activities for children.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: On 6/18/26, it was observed that staff person 1 was currently employed at the facility and did not have documentation of a health assessment or TB test 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. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: On 6/18/26, it was observed that staff person 3 did not have documentation of two written, nonfamily references on file. Only 1 reference was available. One additional reference is needed.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 6/18/26, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 1 had a State Police clearance on file for volunteers. All clearances must be for employment. CORRECTED ON SITE. Staff person 2 had a Child Abuse clearance on file for volunteers. All clearances must be for employment. Staff person 2 may not return to a childcare position until completed clearance is on file.

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

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: Staff person #1 did not wash their hands between helping multiple children with toileting. Gloves were used in-lieu of handwashing.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.21/3270.113(a)

Description: General Health and Safety/Supervised at all times

Noncompliance Area: On 1/29/26, child #1, a young toddler, was buckled into a low chair at the lunch table. Staff person #1 pulled the chair away from the table, unbuckled the child, and stepped away to attend to another child in the room. The child was unable to safely get out of the chair independently and fell forward striking their face and head. As a result of the fall, child #1 sustained both a nasal and a skull fracture.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Intermediates B - Small plastic toys with a diameter of less than 1 inch were observed in the sensory table and in the play kitchen area. (CORRECTED ON SITE)

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff persons #1 and #2 were present with a group of 11 children. When the staff identified their care groups, 1 child was not accounted for.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information on file for child #1 did not include the address and telephone number of the child's physician 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: 3270.151(a)

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

Noncompliance Area: The health assessment on file for staff person #5 were dated in October of 2023 and subsequently more than 24 months later in November of 2025. The health assessment on file for staff person #9 were dated in August of 2023 and subsequently more than 24 months later in September of 2025. The health assessment on file for staff person #10 answered "yes" to "Did this individual have any communicable diseases?".

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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health report on file for staff person #5 did not include results of an examination for communicable diseases.

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment on file for staff person #7 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The facility did not have documentation on file that staff person #13 had been trained on the emergency plan during the previous year.

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)/3270.192(2)(iii)

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

Noncompliance Area: The records for staff persons #4 and #12 each did not contain documentation of 12 annual training hours from the previous training year.

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

Description: Comply with CPSL

Noncompliance Area: The record for staff person #6 did not include an applicable out-of-state clearance. (CORRECTED ON SITE) The mandated reporter trainings on file for staff person #11 were dated 7/21/2020 and subsequently more than 60 months later on 8/4/25.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The annual staff evaluations for staff persons #3 #8 were due by the end of March of 2025, but were not completed until May of 2025.

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: Beginner B - A container of sunscreen and a container of bug spray were observed in a child's backpack within reach of the toddlers using the space. (CORRECTED ON SITE)

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

Description: Building Surfaces

Noncompliance Area: The bolts for the mulch barrier were protruding up out of the barrier. The ceiling vents were visibly dusty in pre-k A and in pre-k b.

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: According to the log on file at the time of inspection, manual tests of the fire detection system took place on 10/24/2025 and subsequently more than 30 days later on 12/10/2025.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: A staff person was observed feeding two infant their bottles while they were propped up on boppy pillows the floor. Both of the infants were under 6 months of age. (CORRECTED ON SITE)

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: The facility self-reported the following incident: On Tuesday, June 10th, staff person #1 fed child #1 from bottle meant for another infant. Child #1 consumed approximately 1.5-2 oz of the formula before the staff realized it was the wrong bottle.

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

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Staff person #1 put her teeth around the wrist of child #1 (older infant) after the child bit another staff person in the room.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff persons #1 and #2 were responsible for caring for 20 children. Staff person #1 identified 9 children that were in her group, and staff person #2 identified 10 children that were in her group. 1 child was unaccounted for.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.166(2)

Description: New foods - parent's consent

Noncompliance Area: Staff person #1 gave child #1 (older infant) Annie's gummies without first consulting with the child's parent.

Correction Required: New foods shall be introduced to an infant only after consultation with the child's parent.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: The facility self-reported the following incident: On the morning of March 19, 2025, staff person # 1 was supervising a group of older toddlers. Child #1 was able to slip out of the door as a parent was leaving the classroom, and staff person #1 was helping another child in the bathroom. The staff person noticed the child was not in the room within seconds, and the child was brought back into the room by a staff person who was in the hallway.

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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: Toddler playground - Rocks with a diameter of less than 1 inch were observed along the edge of the fencing within reach of toddlers that use the space.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Main hall, 2nd room on left - The toy shelves were dirty / dusty.

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 - Child service reports on file were completed in October of 2023 and then more than 6 months later in November of 2024. Child 6 - Child service reports on file were completed in 2023 and then more than 6 months later in November of 2024.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for child #3 did not include the work phone number 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(c)

Description: Each child care space

Noncompliance Area: Small infant room - A child was receiving care in the room, but the emergency contact information was not present in the child care space. (CORRECTED ON SITE)

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(e)

Description: Written emergency plan posted

Noncompliance Area: Back hall, 1st room on right - The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the child care space. (CORRECTED ON SITE)

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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Health reports on file for child #4 (young toddler) were dated in February of 2024 and subsequently more than 6 months later in October of 2024.

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

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The most recent immunization records on file for children #1 (toddler) and #5 (infant) were not updated in accordance with the schedule recommended by the ACIP. Dismissal policies were not implemented.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. 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: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: Room at end of main hallway - A staff person was observed changing a child's diaper. After the diaper changed, the staff person did not was their own hands, nor the child's hands. Large infant room - A staff person was observed changing a child's diaper. After the diaper changed, the staff person did not was their own hands, nor the child's hands.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Room at end of main hall - A staff person was observed using her hands to open the trash can to dispose of a soiled diaper. Back hallway, 1st room on right - Diapers were being disposed of into a trash can with a swinging lid that must be touched in order to be opened. (CORRECTED ON SITE)

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: Room at end of main hallway - A staff person was observed changing a child's diaper. After the diaper change, the staff person did not clean the surface.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #9 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #9 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessments on file for staff person #4 were dated in June of 2022 and subsequently more than 24 months later in September of 2024. The health assessments on file for staff person #5 were dated in April of 2022 and subsequently more than 24 months later in July of 2024. The health assessments on file for staff person #6 were dated in February of 2022 and subsequently more than 24 months later in July of 2024. The health assessments on file for staff person #10 were dated in August of 2022 and subsequently more than 24 months later in September of 2024. The health assessments on file for staff person #13 were dated in October of 2022 and subsequently more than 24 months later in November of 2024.

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment on file for staff person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the previous year, the operator had not notified local traffic safety authorities 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: 3270.192(5)

Description: Two written references

Noncompliance Area: One of the two written references on file for staff person #3 was written by a family member.

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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #7 completed fire safety training in June of 2023, and subsequently more than 12 months later in September of 2024. Staff person #8 completed fire safety training in April of 2023, and subsequently more than 12 months later in September of 2024. Staff person #11 completed fire safety training in July of 2023, and subsequently more than 12 months later in September of 2024. Staff person #13 completed fire safety training in October of 2023, and subsequently more than 12 months later in December of 2024. Staff person #14 completed fire safety training in October of 2023, and subsequently more than 12 months later in December of 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: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Staff person #2 did not complete a pediatric first aid and CPR training with an approved PQAs instructor within 90 days of hire. The training was completed 265 days after start date. Another training was on file, but it was not completed by a PQAs instructor.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person 1 resided outside of the state of Pennsylvania during the previous 5 years. Staff person 1 began employment at the facility without the necessary valid out of state clearances on file and the clearances still were not on file at the time of inspection. Staff person #5 worked for a period of time during the previous year with expired clearances on file. The PA state police clearance expired on July 3, 2024, but was not updated until September 16, 2024. The PA child abuse clearance expired on July 11, 2024, but was not updated until September 18, 2024. The DHS FBI clearance expired on July 16, 2024, but was not updated until September 17, 2024. Staff person #12 worked for a period of time during the previous year with expired clearances on file. The NSOR on file for staff person #12 expired on 11/18/24, but was not updated until 12/4/24. Staff person #13's state police clearance expired on 6/1/23. An updated clearance request was submitted 4/7/23, but the clearance was incomplete and did not include the results. (CORRECTED ON SITE) Staff person #14 worked for a period of time during the previous year with expired clearances on file. The NSOR on file for staff person #14 expired on 11/13/24, but was not updated until 1/3/25.

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

Regulation: 3270.35(d)/3270.35(e)

Description: Director only 45 children enrolled/46 or more children- additional group sups

Noncompliance Area: The facility currently has a maximum daily enrollment of 90 children, with a director and one group supervisor on staff. The facility does not have a second group supervisor for the 2nd group of 45 children.

Correction Required: A director may not function as a group supervisor in a facility in which more than 45 children are enrolled. In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Back hall, room through 2nd on right (with separate entrance) - A container of ant bait was observed on the windowsill within reach of children in the room. (CORRECTED ON SITE)

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: 3270.70(a)

Description: 65º F minimum

Noncompliance Area: Room at end of main hallway - The thermometer in the room read at 63° F at naptime. (CORRECTED ON SITE)

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Large infant room - The first aid kit in the backpack did not contain soap. (CORRECTED ON SITE)

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: Main hall, 1st room on left and 3rd room on left - The trash can lids were visibly soiled. (CORRECTED ON SITE)

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: Main hall, 2nd room on left - Areas of peeling paint were observed on the walls near the block center.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: According to the log on file at the time of inspection, fire drills were conducted on 5/17/24 and subsequently more than 60 days later on 7/17/24.

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The fire detection system at the facility was tested on 5/17/24, and subsequently more than 30 days later on 6/17/24.

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)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff person 1 only identified the names and whereabouts of 6 of the 7 children in her care group.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: According to the log on file at the time of inspection, the fire system was manually tested on 1/8/24 and subsequently more than 30 days later on 2/29/24.

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)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: The facility self-reported the following incident: At approximately 7:45 am on 3/18/24, staff person 1 was transitioning a group of 5 older toddlers when child 1 was left behind. The group was lined up "sticky back" outside the 1st room as the staff person counted the children. A parent arrived to drop off his children and was talking with the staff person while holding his daughter. A child in line went running, the staff person quickly moved the group to catch up with the running child. The group arrived to their room with 5 children. The newly arrived child had joined the group, and another toddler that was with the group remained waiting at the wall. The child was unsupervised in the hallway for approximately a minute to a minute and a half before being found by staff person 2.

Correction Required: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: The facility self-reported the following incident: At approximately 7:45 am on 3/18/24, staff person 1 was transitioning a group of 5 older toddlers when child 1 was left behind. The group was lined up "sticky back" outside the 1st room as the staff person counted the children. A parent arrived to drop off his children and was talking with the staff person while holding his daughter. A child in line went running, the staff person quickly moved the group to catch up with the running child. The group arrived to their room with 5 children. The newly arrived child had joined the group, and another toddler that was with the group remained waiting at the wall. The child was unsupervised in the hallway for approximately a minute to a minute and a half before being found by staff person 2.

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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Main hall, 2nd room on left and 1st on right - Children were observed resting on equipment that had less than 2 feet of space on 3 sides. (CORRECTED ON SITE)

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: First preschool room on left - The arrangement of the children at naptime allows for blind spots, not allowing the staff person to see all of the children in the room.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The records for children 1-3 did not include documentation that the facility completed Child Service Reports (CSRs) (or another Department's approved form) at least every six months. Child 1's CSRs were completed in October of 2022 and then subsequently in November of 2023. CSRs were most recently completed for children 2 and 3 in May of 2023.

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: 3270.124(f)/3270.181(e)

Description: Updated every 6 months/Emergency master file updated

Noncompliance Area: A portion of the emergency contact forms located in the following rooms were past due for updates: 2nd room on right in back hall (down hall), 1st room on right main hall, 2nd room on left main hall. (CORRECTED ON SITE)

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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

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: The record for child 4 did not contain signed parental consent for emergency medical care for the child. The record also did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for 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: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: Child records were being stored on a cart in an unlocked bathroom in the gross motor room.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide accommodations for the 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: The facility did not have documentation that staff person 1 had been trained on the emergency plan at initial employment.

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(e)

Description: Letter to parents

Noncompliance Area: The facility's emergency plan parent letter did not include information about lockdowns, accommodations, and emergency drills.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. (a) The facility shall have an emergency plan that provides for: (1) Shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. (2) 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). (3) A method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. (4) 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. (5) Accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. (6) Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility did not have documentation on file that the emergency plan had been sent to the local municipality.

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)/3270.192(2)(iii)

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

Noncompliance Area: The record for staff person 2 included 10 clock hours of child care training. The record for staff person 4 did not include documentation of annual training hours. The record for staff person 9 included 10 clock hours of child care training.

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

Description: Comply with CPSL

Noncompliance Area: The record for facility person 1 did not include a complete state police clearance. They staff person has been employed for more than 45 days. (CORRECTED ON SITE) Staff person 7 started working with incomplete provisional hire paperwork on file, and continued to work after a 45 provisional hire period without complete clearances on file. The staff person's state police clearance was dated 106 days after start date. The staff person's record did not include documentation that the required out-of-state clearances had been requested by start date, and they were not on file at the time of inspection. Staff person 7 was observed working alone in a room with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 7 may not work in a child care position at the facility.

Regulation: 3270.36(b)(3)/3270.36(b)(5)

Description: HS/GED, 15 credits + 1 yr/HS/GED + 2 yrs

Noncompliance Area: Staff persons 3, 5, 6, and 8 are serving as assistant group supervisors at the facility. Their records did not include sufficient documentation of education and experience to justify the role they are serving in. Staff 3 - 18 college credits, did not include documentation of 1 year (1,250 hours) of child care experience Staff 5 - HS diploma, did not include documentation of 2 years (2,500 hours) of child care experience Staff 6 - Unrelated degree, did not include documentation of 2 years (2,500 hours) of child care experience Staff 8 - Unrelated degree, did not include documentation of 2 years (2,500 hours) of child care experience

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: 2nd room on right, back hall - A Swiffer mop with cleaning solution was observed in an unlocked classroom bathroom in an area accessible to children. (CORRECTED ON SITE) 1st room on left, main hall - Batteries were observed in an area accessible to children. A bottle of sanitizer was observed on a low shelf in an area accessible to children. (CORRECTED ON SITE) 3rd room on left, main hall - A container of glass cleaner was observed on a shelf within reach of the children. (CORRECTE ON SITE)

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 first aid kit in the toddler room at the end of the main hallway did not contain soap. (CORRECTED ON SITE) The first aid kit in the 2nd preschool room on left did not contain tweezers. (CORRECTED ON SITE)

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: A large and heavy box was observed leaning against the wall in an unlocked bathroom off a space used by children. Preschool playground - Loose window screens were observed leaning against the wall. A trash bag containing a rotting pumpkin was observed laying on the ground. Loose / sharp metal connectors were observed at the base of the fence. 1st room on right - A large orange extension cord was observed laying on the floor in a walkway. Sharp adult scissors were observed on the counter. (CORRECTED ON SITE)

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of the follow up visit to verify corrections for SIN-00234062, the plan of corrections for the violation citing 3270.113a1 had not been fully implemented. On 12/5/23, 15 preschool aged children were present in a classroom with staff persons 1 and 2. The staff persons were not assigned the responsibility for supervision of specific children.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: An infant was observed in a crib that had less than 2 feet of space on three sides of the equipment. (CORRECTED ON SITE)

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: 13 preschool aged children were present in a classroom with staff persons 1 and 2. The staff persons were not assigned the responsibility for supervision of specific children.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: According to the written record on file at the facility, the fire detection system was last tested in May of 2023. (CORRECTED ON SITE)

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)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed on the frame of the exterior door to the toddler classroom.

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

Noncompliance Area: A plastic flower pot located in pre-k A was cracked (sharp edges). (CORRECTED ON SITE)

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.

Noncompliance Area: The first aid bag (including an inhaler) in the pre-k b child care space, and the first aid kit in pre-k counts 2 room were stored in areas within reach of the children. (CORRECTED ON SITE)

Correction Required: A first-aid kit must be inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: The base of the fence that separated the preschool playground and the toddler playground was in poor repair. Multiple spots of the metal fencing had sharp edges exposed and pieces of the fencing were pointing inwards towards the toddler child care space.

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.

Noncompliance Area: Small areas of peeling paint were observed in the intermediate room and in the bathroom between the intermediate room and pre-k a.

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

Noncompliance Area: Several woven baskets in the intermediate and toddler a rooms were observed to have sharp pieces protruding. Corrected during inspection.

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.

Noncompliance Area: Staff in the toddler 1's room was having children stand on several stacked chairs instead of a stool for handwashing. Corrected during inspection.

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

Noncompliance Area: Several mats were being used by children in the Pre K Counts 2 room. The mats were not labeled for specific children. Corrected during inspection.

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.

Noncompliance Area: Facility does not have a written supervision policy.

Correction Required: 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.

Noncompliance Area: According to the immunization records on file, child #1 is not immunized in accordance with the schedule recommended by the ACIP.

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

Noncompliance Area: Staff person #1, date of hire 11/04/19, does not have documentation of her TB test results on file. Corrected during inspection.

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.

Noncompliance Area: Facility person #2 does not have documentation of two written references on file attesting to her suitability to work with children. Corrected during inspection.

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

Noncompliance Area: Hot water in several of the sinks that children use to wash their hands ranged from 118-120 F. Corrected during inspection.

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

Noncompliance Area: There was no handwashing sign at the classroom sink in the Pre K Counts 2 room. Corrected during inspection.

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.

Noncompliance Area: A broken woven basked holding books was observed in the Pre K A room. Removed during inspection. A plastic house on the toddler playground was observed to have a layer of surface dirt and pollen.

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.

Noncompliance Area: A prescription Avi Q was observed in the PreK A room and there was no written parental consent to administer the medication.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: Facility person #1, date of hire 02/04/19, does not have a completed state police clearance on file. The certification form was not printed, only the one line clearance. Corrected during inspection.

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.

Noncompliance Area: Uneven tiles were observed on the toddler playground. The tiles are a trip hazard. The corner of the shed in the outdoor play space was damaged and sharp. Corrected during inspection.

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.

Noncompliance Area: Cot #1 in the Toddler A room was torn. (Removed during inspection)

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.