Chesterbrook Academy

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the renewal inspection, cribs that were in use in the Infant classroom were not separated at least 2 feet apart on three sides.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information of child #2 did not have their physician's telephone number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information of child #2 did not include their designated release person's address.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: The epi pen of child #1 was expired with an expiration date of 4/30/25.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: A bottle in the Toddler B classroom was not labeled with child's name.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff person #1 did not include their NSOR verification.

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. 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 Person #1 may not work in a child care position at the facility.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the renewal inspection the Beginner B bathroom had baseboard paneling peeling from wall. The Beginner B bathroom had damaged paint along the lower area of the wall. The Pre K classroom had damaged paint on the rear wall under the window. The Intermediate A classroom had two areas of damaged paint on the rear wall. The toddler A classroom had two areas of chipped paint on the rear wall

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: In the Pre-K A classroom, child #3 had an expired epinephrine pen dated 7/24.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Child #1 and #2 did not have their names labeled on their bottles.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a ceiling tile in beginners A classroom to the right of the entrance. that had a brown water spot. There were also 2 ceiling tiles in the back corner of the Pre k b classroom that had brown water stains.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Child in Toddler B classroom did not have their hands washed after diapering.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the complaint investigation, it was verified that the Beginners A classroom, Beginner's B classroom, and the Intermediate A classroom had been out of ratio. During interviews, it was reported that these classrooms were out of ratio several times a week from September 2023 to early June 2024.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Cert Rep found that the Young Intermediate classroom was out of ratio. There were 12 3-year-old children and 1 staff in the classroom. The Beginners B classroom was also out of ratio, there were 16 children between the ages of 2 and 3 and there were 2 staff persons.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection on 7/18/23, rest equipment located in Toddler A room was not labeled for each childs specific use.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During the renewal inspection on 7/18/23, yogurt was observed in a bag, in the cubby, of two children in care in room Pre-K B.

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

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: During the hybrid renewal inspection on 7/18/23, no staff files were submitted/presented for renewal inspection.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During the renewal inspection on 7/18/23, a first aid kit was not present in the Pre-K room. (CORRECTED ON SITE)

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 7/18/23, a ceiling tile in the Pre-K B room was hanging. Multiple ceiling tiles in the room were water damaged as if there is a leak in the ceiling.

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: During the renewal inspection on 7/18/23, peeling paint was observed on the wall above an electrical outlet in the Pre-K room. Peeling paint was observed along several walls in the Beginners B classroom.

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)(9)

Description: Written record

Noncompliance Area: During the hybrid renewal inspection on 7/18/23, the fire drill log submitted did not contain the names of the facility persons participating in the drill.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During the unannounced complaint visit on 3/15/23, it was confirmed that a staff member gripped a child up and pulled a child close to their person out of anger.

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

Regulation: 3270.113(b)/3270.113(c)

Description: No physical punishment /No ridicule or threaten harm

Noncompliance Area: During the unannounced complaint visit on 3/15/23, it was confirmed that a staff member purposely extended their foot outwards so that a specific older toddler would trip and fall.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.193(b)

Description: May not disclose

Noncompliance Area: During the unannounced complaint visit on 3/15/23, the director mistakenly emailed a parent of an enrolled child in care, the written write-up of a staff member.

Correction Required: A facility person may not disclose information concerning another facility person or adult providing a service at the facility, except in the course of investigations or inspections by agents of the Department.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the unannounced complaint visit on 3/15/23, the child:staff ratios in the PreK room and the Beginners B room were not in compliance. Sixteen preschoolers and 2 staff members were observed in the PreK room. A staff member left the classroom with 2 children leaving the other staff member with 14 preschoolers alone. Twelve Older toddlers and 1 preschooler were observed in the classroom with 2 staff members.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.51/3270.113(a)(2)

Description: Similar Age Level/Supervision on and facility premises

Noncompliance Area: On 10/25/2022, around 10 am, four rooms were observed to be out of ratio. Beginners A had 8 older toddlers with 1 staff person. Intermediate B had 14 preschoolers with 1 staff person. Beginners B had 13 older toddlers with 2 staff persons. Toddler B had 1 older toddler and 13 young toddlers with 2 staff persons.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, the steps for the outdoor play equipment in the preschool area appeared to be broken and loose.

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: During the hybrid renewal inspection visit on 7/19/22, the children files submitted did not include information to the family about the child's growth and development in the context of the services being provided.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, staff members #3, #4, #5,#7, #8, #9, and #13 was observed to be caring for children unsupervised. Staff members #5, #7 and #9 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety topics including pediatric 1st aid/CPR. Staff member #8 has not completed the Health and safety pre-service training required prior to caring for children unsupervised. Staff member #13 has not completed the Health and safety topics including pediatric 1st aid/CPR and the mandated reporter pre-service training required prior to caring for children unsupervised. Staff member #3 was observed to be caring for children with staff member #20. Staff member #3 has not completed the health and safety topics including the pediatric 1st aid/CPR. A file for staff member #20 was not submitted for review. Staff member #4 was observed to be caring for children with staff members #16 and #17. Staff member #4 has not completed the health and safety topics including the pediatric 1st aid/CPR. A file for staff members #16 and #17 was not submitted for review.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, a current physical was not submitted for staff members #4 and #6. No physical submitted for staff member #3 # 8. Non-compliance continues from renewal inspection on 2/16/22.

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)

Description: Mantoux TB

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, the health assessment submitted for staff member #10 did not include the results from tuberculosis screening.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, the health assessment submitted for staff member #5 did not include an examination for communicable diseases and the results of the examination.

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

Regulation: 3270.151(c)(4)

Description: Information re: medical problems

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, the health assessment submitted for staff member #5 did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, the health assessment submitted for staff member #5 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: 3270.18(a)

Description: On file at facility

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, the liability insurance submitted was not for the location. Non-compliance continues from renewal inspection on 2/16/22.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, the financial agreement form submitted for child #1 had not been updated once within a 6-month period. Agreement submitted last updated 12/14/21.

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

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, files were not received for staff members #1, #16, #17, #18, #19, #20 and #21. staff members #16, #17, #18 and #19 were observed caring for children at the facility during the time of the inspection. Non-compliance continues from renewal inspection on 2/16/22.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.192(1)/3270.192(2)(i)

Description: Name, address, and phone/Age

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, identification was not submitted for staff members #2, #3, #5 and #8. Verification of address was not submitted for staff member #7.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, education and experience was not submitted for staff members #3, #6, #11, #13 and #14. The record for staff member #15 did not contain verification of education that had been evaluated by the Department of Education standards. The education submitted for staff member #2 and staff member #8 does not verify education that qualifies the staff member for the position performing at the facility. The accreditation for the education submitted for staff member #8 was not provided.

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: During the hybrid renewal inspection visit on 7/19/22, two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person was not submitted for staff member #3. Only one reference letter was submitted for staff members #6, #8 and #11.

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: During the hybrid renewal inspection visit on 7/19/22, the current certificate of compliance and information on how to access the regulations electronically with instructions for contacting the appropriate regional child care office was not posted at the facility.

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: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, the current inspection summary issued from the renewal inspection on 2/16/22 was not posed at the facility.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, the emergency plan presented did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, facility did not have documentation on file of annual emergency drills conducted at the facility.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, the emergency plan presented had not been updated since May 2018.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, verification of annual emergency plan training was not submitted for staff member #2. Non-compliance continues from renewal inspection on 2/16/22.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, the required annual minimum 12 clock hours of child care training was not submitted for staff members #4, #6, #7, #9, #10 and #12 (DOH See LIS Code Sheet). Non-compliance continues from renewal inspection 2/16/22.

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: During the hybrid renewal inspection visit on 7/19/22, verification of annual fire safety training was not submitted for staff members #4, #6, #7, #10 and #12. Non-compliance continues from renewal inspection no 2/16/22.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, staff members #3, #4, #5, #6, #7, #8, #9, #10, #12, #13, #14 and #15 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety topics including pediatric first aid/CPR. Non-compliance continues from renewal inspection on 2/16/22.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, the disclosure or signature page was not submitted for staff members #2, #8, #9, #11, #13, #14 and #15. A completed FBI, NSOR and mandated reporter training was not summitted for staff member #6. A completed FBI clearance was not submitted for staff member #7. A completed NSOR and mandated reporter training was not submitted for staff member #13. A volunteer PA State police clearance was submitted for staff member #5. A completed FBI clearance was not submitted for staff member 5. Non-compliance continues from renewal inspection on 2/16/22.

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. Facility Person #5, #6, #7 and #13 may not work in a child care position at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, at approximately around 1:55pm, non-compliance with staff:child ratios were observed in the Beginners A room. Staff member #8 was observed caring for 11 older toddlers. 9 children were observed resting on their cots while 2 older toddlers were mobile. Non-compliance continues from renewal inspection on 2/16/22 (CORRECTED ON SITE).

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, a can of "OFF" insect repellent was observed in an accessible cubby of a preschool age child in the Intermediate A class 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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, the first aid kit located in the Pre K A classroom was on a hook at a height accessible to children. (CORRECTED ON SITE)

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22,the first-aid kit located in the Beginners A room did not include tape and scissors. Gauze was missing in the first aid kit located in the Intermediate A classroom. Non-compliance continues from renewal inspection on 2/16/22. (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: During the hybrid renewal inspection visit on 7/19/22, damaged ceiling tiles from a possible leak was observed in the Pre K B and Infants A classroom. Non-compliance continues from renewal inspection on 2/16/22.

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: During the hybrid renewal inspection visit on 7/19/22, peeling paint was observed on the wall in Intermediate B and Toddlers B classroom. Non-compliance continues from renewal inspection on 2/16/22.

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: During the hybrid renewal inspection visit on 7/19/22, the facility did not conduct fire drills at least once every 60 days. The fire drill log submitted included 2 dates for fire drills (2/2022 and 7/1/2022).

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: 3270.94(a)(9)

Description: Written record

Noncompliance Area: During the hybrid renewal inspection visit on 7/19/22, the fire drill log submitted did not include the names of each facility person who participated in the fire drill.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, the rest equipment (cots) observed in the following classrooms were not labeled for the specific use of a specified child: Beginners, Intermediate A and B.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, a daily schedule was not observed in the Multipurpose room. The daily schedule for the Pre -K class room was not located in the group space or the room.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, a written plan for transporting a child in the event of an emergency was not conspicuously displayed in the Toddler B or Pre K class room.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, a current physical was not submitted for staff members #1, #3, #4, #6, #8 and #14 thru #16. A physical along with tuberculosis screening was not submitted for staff member #12.

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: 3270.18(a)

Description: On file at facility

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, the facility did not submit documentation of general liability insurance for review.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.181(a)

Description: Each child

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, no children files were presented for review during the inspection review period.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, staff members #14 thru #16 were observed caring for children at the facility during the inspection. However, staff files were not submitted for staff members #14 thru #16. Staff member #14 was observed caring for 12 napping preschool age children without a staff member whose file was presented for review.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.27(a)

Description: Emergency plan

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, the facility did not submit the emergency plan for review.

Correction Required: The facility shall have an emergency plan.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, verification of annual emergency plan training was not submitted for any staff members employed at the facility.

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(d)

Description: Plan posted

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, the emergency plan posting was not observed in a conspicuous location in the facility.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, the required annual minimum of 12 clock hours of child care training was not submitted for any staff members.

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: During the hybrid renewal inspection visit on 2/16/22, verification of annual fire safety training was not submitted for staff members #1 thru #9, #11 thru #16.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, verification of the required professional development training was not submitted for staff members #1, #4, #5, #7 thru #10 and #12 thru #16.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, the disclosure or signature page was not submitted for staff members #8, #9, #10, #12, and #13. A completed National Sex Offenders Registry Certificate (NSOR) was not submitted for staff members #4. A PA State Police Criminal Clearance was not submitted for staff member #8. A Pa State Police Criminal Clearance, FBI or Child Abuse clearance was not submitted for staff member #6.

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. Facility Person #4, #6, #8, #9, #10 and #13 may not work in a child care position at the facility.

Regulation: 3270.36(b)(1)/3270.192(2)(ii)

Description: HS/GED + 30 credits/Exp, educ., training prior to facility

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, the record for staff member #9 did not contain verification of education that had been evaluated by the Department of Education standards. Therefore, verification of education and experience to qualify staff member #9 for the position performing at the facility was not submitted.

Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at §3270.36(b)(1)-(5). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, at approximately around 12:10pm, non-compliance with staff:child ratios were observed in the Infants B classroom. At this time, staff member #11 was observed caring for 4 infants and 1 young toddler. Non-compliance in ratios was also observed in the Intermediate B classroom. Staff member #3 was observed with 11 preschool age children. 10 children were on their cots napping, while 1 student remained mobile.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During the unannounced complaint visit on 2/16/22, at approximately 12:10pm 4 infants and 1 young toddler was observed in Infants B room with 1 staff member. In Intermediate B, 10 napping preschool age children and 1 mobile child was observed with 1 staff member.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, a protective receptacle cover was not observed in an electrical outlet located in the Pre-K room .

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, the hot water measured at the children's sink in the Intermediate A and Pre K classrooms measured above 110° F (111.9 and 112.4 respectively).

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: During the hybrid renewal inspection visit on 2/16/22, the fire-aid kit located in the Pre K room did not include soap, scissors, tweezers, tape and gauze. There was no first-aid kit located in the Multi-purpose room (room by play space door).

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: During the hybrid renewal inspection visit on 2/16/22, a hole in the wall was observed in Intermediate B room. Damaged ceiling tiles from a possible leak was observed in the Pre-K room.

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: During the hybrid renewal inspection visit on 2/16/22, peeling paint was observed in Intermediate B classroom.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, hand-washing signs were not observed above the sinks in the following rooms: Infant B, Infant 3, Toddler B, Beginners and the Pre-K room (by entrance door).

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

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, documentation of the facility's fire drill log was not submitted for review.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: During the hybrid renewal inspection visit on 2/16/22, verification that the facility has an operable fire protection system was not demonstrated or verified during the 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: 3270.51

Description: Similar Age Level

Noncompliance Area: ON 11/10/2021, CERT REP SUPERVISOR CONDUCTED UNANNOUNCED COMPLAINT INVESTIGATION. THE THREE YEAR OLD CLASSROOM HAD ONE TEACHER AND 12 CHILDREN; REGULATIONS REQUIRE 1:10. THE BEGINNERS CLASSROOM WITH TWO YEAR OLDS HAD FOUR TEACHERS AND 25 CHILDREN; REGULATIONS REQUIRE 1:6.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.