Chesterbrook Academy

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Documentation that child #4 had received Hepatitis A vaccination in accordance with the schedule recommended by the ACIP was not available. Documentation that child #5 had received Hepatitis A vaccination in accordance with the schedule recommended by the ACIP was not available.

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.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Written consent from a parent to administer medication was not available for child #1, child #2, or child #3.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Documentation showed that Staff #1 had a health assessment on 8/31/23 and again on 3/1/26, exceeding the requirement that staff health assessments be conducted every 24 months. Documentation showed that Staff #2 had a health assessment on 1/3/24 and again on 3/10/26, exceeding the requirement that staff health assessments be conducted every 24 months. Documentation showed that Staff #3 had a health assessment on 8/28/23 and again on 3/9/26, exceeding the requirement that staff health assessments be conducted every 24 months.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Documentation of the date of the TB test for staff #7 was not available.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Documentation showed that staff #1 completed Pediatric First Aid and CPR on 10/9/23 and again on 11/11/25, exceeding the requirement that CPR training be completed prior to the expiration of the certificate. Documentation showed that staff #4 completed Pediatric First Aid and CPR on 9/14/23 and again on 11/11/25, exceeding the requirement that CPR training be completed prior to the expiration of the certificate.

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)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: Documentation showed that staff #2 completed fire safety training on 1/3/25 and again on 2/24/26, exceeding the requirement that fire safety training be completed annually (within 12 months of previous completion). Documentation showed that staff #3 completed fire safety training on 1/14/25 and again on 2/25/26, exceeding the requirement that fire safety training be completed annually (within 12 months of previous completion). Documentation showed that staff #5 completed fire safety training on 1/14/25 and again on 2/25/26, exceeding the requirement that fire safety training be completed annually (within 12 months of previous completion).

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Documentation of updated PA state police clearance and child abuse clearance was not available for staff #2. The most recent state police clearance was dated 3/30/21 and the child abuse clearance was dated 3/26/21. Staff #5 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/16/21. Documentation that staff #6 had completed mandated reporter training within 90 days of service was not available. The mandated reporter training was dated 2/28/24. See LIS for date of hire.

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. Staff #2 may not work in a child care position at the facility. Until such time as the required training has been completed, staff #5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff #5, staff # 5 may not work in a child-care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Documentation that staff #5 received a staff evaluation within 12 months was not available. The most recent staff evaluation was dated May 2025 with no evidence that an evaluation had been conducted in 2024.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.36(b)(5)/3270.192(2)(iv)

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: Documentation of education was not available for staff #6.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include 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: 3270.76

Description: Building Surfaces

Noncompliance Area: Food stains were observed on the wall by the trash can in the Pre-K A classroom. Unidentified substance was observed on the walls of the bathroom shared by Pre-K classrooms. Unidentified substance was observed on the wall of the bathroom in the Pre-school classroom.

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: Documentation showed that a fire system test was conducted on 2/4/26 and again on 3/17/26, exceeding the requirement that the fire detection system be tested every 30 days.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person #1, #2, and #3's files did not include the required verification of child care experience.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person #3 and #4's records did not include verification of education. Staff person #4's education is from another country and the document on file which provides the evaluation was obtained from an agency that our department does not accept.

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

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: Staff person #2's record did not include a complete disclosure statement.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were not conducted at least once every 60 days (10/6/25, 1/13/26)

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The testing of the fire detection system was not conducted at least every 30 days (10/6/25, 1/9/26).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed, in the 2-3 yr classroom (Rm 124) that Bingo chips and Unifix cubes (smaller than 1" diameter) were accessible to children (corrected during inspection).

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: 3270.151(a)

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

Noncompliance Area: The time between Staff person #6's health assessments exceeded the permitted every 24 months' timeframe (11/29/22, 1/2/25).

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(a)

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

Noncompliance Area: Staff person #7's initial health assessment was conducted more than 12 months prior to providing initial service (5/4/23) See Code Sheet

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person #4's record did not contain the verification of child care experience needed to be utilized as an Assistant Group Supervisor, but was being used as an AGS.(corrected during inspection).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 required an out-of-state Sex Offender Registry clearance, and it was not on file (corrected during inspection).

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: Staff person #2, #3, and #4, #5, and #6's time between staff evaluations exceeded the permitted annual timeframe (4/20/23, 7/25/24) and (4/19/23, 7/25/24), (5/16/23, 7/25/24), (5/18/23, 7/4/24), (4/14/23, 7/25/24) respectively.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed, in Rm 127, that one of the toilets was not functioning (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.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person #1's record did not include verification of education.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1's file did not contain the NSOR clearance. See Code Sheet

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed that one of the toilets in the bathroom in Room 123 was non-functional, covered with a plastic bag. There is a broken Bye Bye Buggy, with missing wheels, positioned against the building outside of the Toddler classroom. The playground covering ("turf") at the bottom of the slide has an approximately 9 inch tear, and the material under the turf is exposed.

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)(1)

Description: Amount of fee

Noncompliance Area: The agreements of child #2, #4, #5, #6, #7, #9 and #10 did not specify the amount of the fee to be charged per day or per week.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #7 and #10's records did not contain an updated child service report within 6 months of the previous one (Child #7's most current 8/8/23; Child #10's most current 8/12/23)

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)(4)/3270.123(a)(6)

Description: Arrival/departure times/Admission date

Noncompliance Area: Child #2's agreement does not specify the child's arrival and departure times. The agreements of child #2 through #10 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #8's emergency contact information did not include the enrolling parent's work telephone number.

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

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: Child #7's record did not contain an updated health report at least every 6 months: Most current health assessment dated 3/21/23 SEE CODE SHEET

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Child #1's current health assessment does 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: 3270.135(a)(3)/3270.135(b)

Description: Disposable diapers/Surfaces cleaned

Noncompliance Area: It was observed, in the Infant A room, that a staff person discarded the soiled diaper by using her hands to open the hands-free covered can and did not clean the diaper changing surface with a sanitizing solution after changing a child's diaper (corrected during inspection).

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. 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff person #8's file contained health assessments that were beyond the permitted every 24 months' timeframe (8/18/21, 2/29/24).

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person #7's record did not contain the proof of experience working with children that is required to be unsupervised, yet had been working unsupervised (Group Supervisor). Staff persons #9 and #10's records did not contain the proof of experience working with children that is required to be an Assistant Group Supervisor (unsupervised), and both had been working unsupervised. (Corrected during inspection for staff person #9).

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person #7' and #12's records did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's current certificate of compliance was not posted in a conspicuous location used by parents (corrected during inspection).

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Emergency drills were not conducted annually. The most recent documented emergency drill was dated 5/13/22.

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: Staff person #8 did not receive emergency plan training and has been employed for greater than 90 days. Staff person #13 did not receive emergency plan training within one year of the previous emergency plan training (most current is 9/26/22). SEE CODE SHEET

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(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire: 10 hour Health and Safety training. Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric First-Aid and CPR (see LIS code sheet)

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 #-2 and #7 will have until 5/2/24 to complete the required training. Until such time as the required training has been completed, staff persons #2 and #7 must be supervised, when interacting with children, by and who has completed the required training related to this citation. If there are no staff available to supervise staff person #2 and #7s, staff persons #2 and #7 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1's file did not contain an FBI clearance and had been working beyond the 45 days provisional permitted timeframe. Staff person #4's file did not contain and NSOR clearance and had been working beyond the 45 days provisional permitted timeframe. Staff person #7's file did not contain a completed Disclosure Statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #1 and #4 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: There is no proof of annual written staff evaluations for staff persons #5 and #13 (staff evaluations not dated).

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: It was observed that the following toxins were accessible to children in the Teachers' Lounge (to left of main office): Raid, Air Freshener spray can, and hand sanitizer bottles. (corrected during inspection)

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: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The facility's fire detection system was not tested at least every 30 days. (4/18/23, 6/18/23), (6/18/23, 8/6/23), (8/6/23, 9/12/23), (9/12/23, 10/16/23), (11/13/23, 2/28/24).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff person #1 was not aware that child #1 had remained in the classroom, for a few minutes, after taking the class onto the facility's outdoor playground.

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(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The time between documented testing of the fire detection system was greater than the permitted at least every 30 days' timeframe. (4/18/23, 6/18/23).

Correction Required: 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: It was observed, in the Beginner B classroom, that the diaper changing pad had 3 tears with foam exposed (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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed, in the Beginner B classroom (on a shelf), that there were pompoms (less than 1 inch diameter) accessible to children who are still putting objects in their mouths. It was observed, in Room 123, that there were Unifix Cubes (less than 1 inch diameter) accessible to children who are still placing objects in their mouths (both corrected during inspection).

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: It was observed in Beginner A, Beginner B, Rm 119A, Rm 123, and Rm 124, that the rest equipment was not labeled for the use of a specific child (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.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: It was observed, in Rm 124 (Int B) that rest equipment while the mats were in use did not have at least 2 feet of space on three sides (corrected during inspection).

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: Staff person #1 and #2 in Rm 124 (Int B) took three attempts to correctly name the children in their primary care groups.

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: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: At the time of enrollment, parents did not receive in writing the facility's 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.

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The parents of child #1 through #10 did not receive the original agreements. Originals were in children's files.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: It was observed that, in every child care space, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency situation displayed conspicuously.

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(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Child #2, #4, and #7 did not have current Influenza vaccinations on record: Most current #2 10/6/21, #4 1/11/22, #7 11/1/21.

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.

Regulation: 3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The exemption letter for the Influenza vaccination on record for child #9 did not include the parent's reason for the exemption.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: It was observed that there was no med log for a child in Room 124 (Int B) classroom for the medication for this child.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: It was observed that there were crumbs/debris under the diaper changing pad, in the Infant room (corrected during inspection)

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: The facility's emergency plan does not contain a Continuity of Operations plan.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not notify local traffic safety authorities annually (in 2023) 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: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: The facility's emergency plan does not provide 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.

Correction Required: 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff person #4 did not obtain 12 clock hours of child care training between 12/19/21 and 12/19/22.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #5's record did not contain proof of participating in fire safety training conducted by a fire protection professional staff in 2022.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #3's record contained a NSOR clearance dated 9/7/22 which was after the first day working with children (see code list) and there was no proof of applying for the NSOR in the staff file.

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: Staff person #5's most recent staff evaluation on record is dated 3/8/21.

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: It was observed that there were toxins (air freshener spray) accessible to children in the staff bathroom across from the Beginner B classroom, in a cabinet (corrected during inspection). It was observed in Rm 124 (Int B) that the class bathroom contained a cabinet with A&D ointment, Aquaphor, and Desitin (keep out of reach of children) accessible to children. Two bottles of hand sanitizer were accessible to children on a classroom shelf in this room. (corrected during inspection). The facility's kitchen was accessible to children and had Germicide and sanitizing spray (bleach/H2O) accessible to children (corrected during inspection).

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: It was observed that the water temperature of the sink in the bathroom shared by the Beginner A and Beginner B child care rooms measured 111.9 degrees F (exceeding the permitted maximum temperature of 110 degrees F). Corrected during inspection

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed that the first-aid kit in the 1 yr old Toddler Rm (119B) did not contain soap (corrected during inspection). It was observed that Room 126 (not currently used by children) did not contain a first-aid kit (corrected during inspection).

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: It was observed that the facility's kitchen was accessible to children and contained a variety of potential hazards: oven, large freezer, large refrigerator, knives, etc. (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.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The fire detection system was not tested at least every 30 days. It was last tested on 1/2/23 and no documentation of testing in February 2023 (tested the system during this renewal inspection).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.162(b)

Description: Parents may provide

Noncompliance Area: Staff person #1 fed child #1 part of another child's bottle, even though both bottles were labeled.

Correction Required: Meals and snacks may be provided by the parent, upon agreement between the parent and the operator.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the Beginner's (2's) classroom, a broken, small piece of crayon (small enough to fit into a choke tube) was accessible to the children (corrected during inspection). In the same classroom, plastic bags hanging from cubbies were accessible to children (also corrected during inspection).

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: In the Beginner's (2's) Room, there was no Emergency Contact Form for Child #1, who was in attendance in the classroom (corrected during inspection).

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a container of white-out was accessible to children, as it was in the top desk drawer in the KDG/Summer Camp classroom (Corrected during inspection). The door to the Janitorial Room was unlocked with a can of paint on the floor and a cart of cleaning supplies (corrected during inspection).

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: In the Intermediate classroom, a magic eraser in the cabinet above the sink was not labeled as such.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff person #1 pulled chair out from child #1 and child fell to the floor.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.