Child Development Center

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During renewal inspection on 5/18/26, Certification Representative reviewed child records. Child #1 file was missing the work address and work phone on the emergency contact form.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: During renewal inspection on 5/18/26, Certification Representative observed Volunteer #1 and #2 files were missing an initial health assessment.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During renewal inspection on 5/18/26, Certification Representative reviewed volunteer files and there were no initial or annual emergency plan trainings for volunteer person #1 and #2.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: During renewal inspection on 5/18/26, Certification Representative reviewed volunteer files and there was no record of an initial or annual fire safety training for volunteer person #1 and #2.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection on 5/18/26, Certification Representative reviewed volunteer #1 and #2 files and there was no record of FBI clearances and NSOR certificates in files.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Volunteer Person #1 and #2- may not work in a childcare position at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During renewal inspection on 5/18/26, Certification Representative inspected first aid kits in all rooms of the facility. Certification Representative observed no scissors in the first aid kit of the Sombrero Room and no tweezers in the first aid kit of the Evergreen Room. Director corrected each first aid kit 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: 3270.101(a)

Description: Age appropriate

Noncompliance Area: During a renewal inspection on 5/21/25 Cert rep observed Magna-tiles in the Evergreen room. Older toddlers were present in this room. The recommended age for Magna-tiles is 3 years of age and older.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During a renewal inspection on 5/21/25 Cert rep observed emergency contact forms for the children receiving care were not present with them in the Ocean lobby.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During a renewal inspection on 5/21/25 Cert rep observed cheese in children's lunch boxes that were in the Bayside room.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During a renewal inspection on 5/21/25 Staff 1 and 2 had more than 60 months between mandated reporter trainings. This is evidenced by Staff 1's trainings dated 1/15/2020, and 2/20/25, and Staff 2's trainings dated 1/9/2020, and 2/20/25 in their respective files. It was confirmed these staff continued to work as staff persons between 1/15/25-2/20/25, and 1/9/25-2/20/25 respectively.

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

Regulation: 3270.61(h)/3270.61(h)(2)(ii)

Description: Exceeding Capacity/Designated on facility schedule

Noncompliance Area: During a renewal inspection on 5/21/25 Cert rep observed 13 preschool children in the Ocean lobby. This child care space has a capacity of 11. This exceeding of capacity was not designated on the facility's schedule of daily activities.

Correction Required: The capacity established for an indoor space may not be exceeded. When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space each time period shall be designated on the facility's schedule of daily activities.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: During a renewal inspection on 5/21/25 Cert rep observed the first aid kit in Dessert wing lobby was on the floor and accessible to children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During a renewal inspection on 5/21/25 Cert rep observed fray carpets in Sombero Room, and Wave Room. These carpets were not in good repair.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During a renewal inspection on 5/21/25 Cert rep noted more than 60 days between fire drills one time: 6/7/24-8/29/24.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During renewal inspection, an address of a release person was missing from child #1's emergency contact form.

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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection, the following children's files did not reflect that they were immunized according to the recommendations of the ACIP: Child #2: Received 2 of 3 doses each of Rotavirus, DTAP, HIB, and Pneumococcal vaccines. There is not an acceptable exemption on file. Child #2 is an infant (see LIS code sheet for date of birth). Child #3: Received 1 of 2 doses of Hep A vaccine. There is not an acceptable exemption on file. Child #3 is an older toddler (see LIS code sheet for date of birth).

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of 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). Child #2 and child #3 must be dismissed from care by close of business 5/16/2024 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: It was observed in the Sand Pebble Room that there was not at least 2 feet of space on at least 3 sides of a crib that was in use.

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: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed in the refrigerator used by the Oak Room that something spilled at the bottom of the appliance which therefore caused the refrigerator to be unclean at the time of inspection.

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

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

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

Noncompliance Area: It was observed during rest time in the Cactus Room that staff person #3 had left the classroom space for several seconds leaving some of the children unsupervised. Staff person #3 was not in the same physical space as their primary care group and was using napping ratios.

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. Children must be supervised at all times. 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: 3270.113(a)/3270.113(a)(1)

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

Noncompliance Area: It was observed during rest time in the Cactus Room that staff person #3 had left the classroom space for several seconds leaving some of the children unsupervised. Staff person #3 was not in the same physical space as their primary care group and was using napping ratios.

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. The Legal Entity / Director will establish a supervision and ratio policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include the required staff:child ratios for each age group. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and while in the outdoor play area. The policy must include how the facility will ensure appropriate supervision and ratios during nap time. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his assigned group and be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. This supervision and ratio policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: File for child #1 and #2 did not contain documentation of the review of all immunizations recommended by the ACIP; neither file contained verification of the influenza vaccine at the time of inspection. However, adequate documentation was obtained and placed on file during inspection.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for staff person #2, see code sheet for hire date, showed documentation that they have lived outside of PA within the last 5 years, but documentation of the requested or completed out of state clearances were not observed on file at the time of 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. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.36(b)(5)

Description: Each staff person meets quals/HS/GED + 2 yrs

Noncompliance Area: It was observed and stated by the facility that staff person #1 was working in an assistant group supervisor position. The file for staff person #1 contained a high school diploma but did not contain documentation verifying at least 2 years experience working with children.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed in the Pine Room that a mouse glue trap was stored under the sink in a cabinet accessible to the children in care, and in the Oak Room the metal door frame, located on the door leading to the outside, contained a rusted sharp section in the lower right corner; both of these areas created a visible hazard to the children receiving care in those spaces.

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)/3270.102(a)

Description: No peeling paint or plaster/Clean and good repair

Noncompliance Area: It was observed in the preschool outdoor play space that the wooden climber contained areas of splintered wood and peeling paint.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed in the preschool outdoor play space that the railing on the stairs of the climbing equipment contained a sharp pointed object pushing out from under a taped area of that railing.

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: 3270.102(e)

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

Noncompliance Area: It was observed that wooden mulch, with a diameter of less than 1 inch, was scattered around the one side of the toddler outdoor play space allowing for that mulch to be accessible to those toddlers in care.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed in Room 198, the Oak room, that bags were stored under the changing table in a lower level cabinet allowing for those bags to be accessible to mouthing children in care.

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(e)

Description: Written emergency plan posted

Noncompliance Area: It was observed in Room 109, the Desert Flower room, that the facility's emergency transportation plan was not posted.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: It was observed in Room 198, the Oak room, that a staff person changed a child's diaper but did not ensure that the child's hands were washed after diapering.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: It was observed in Room 189, the Evergreen room, that the garbage can being used to discard diapers was broken at the time of inspection and therefore the cover could not opened hands-free.

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: 3270.51/3270.113(a)

Description: Similar Age Level/Supervised at all times

Noncompliance Area: It was observed in Room 169, the Wave Room, that staff person #1 was the only staff person present with 16 preschool aged children. Although children were preparing for rest time, they were not all observed on their rest equipment. Staff person #1 had positioned themselves in the room so that they could not see all 16 children, therefore could not adequately supervise all 16 children in that space.

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. 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. Children must be supervised at all times.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed in Room 189, the Evergreen room, that disinfectant wipes were stored in a lower level cabinet allowing them to be accessible to children in care.

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: It was observed in Room 185, the Pine room, that one cabinet door under the counter and one cabinet door over the counter had loose hinges; therefore leaving those cabinet doors not in good repair at the time of 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the infant and toddler outdoor play space peeling paint was observed on the white paint on the lower concrete baseboard near an entry door, and peeling paint was also observed on the red paint on a piece of play equipment.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: It was observed during a complaint investigation that the facility sent a written electronic report to the parent of child #1 stating that a medication was administered to child #1 on 11/9/21, at 10:50am and again at 2pm. The signed parental consent of administration of this medication was written as "every 4 hours as needed". This medication was administered less than 4 hours apart, therefore written consent for this administered dosage was not provided. The medication log for child #2 showed staff logged 3.5ml of medication administered to the child during 2/8-2/10/22, but the amount the parent had consented to was 2.5ml.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: It was observed and stated during a complaint investigation that medication was present for child #1 and child #2 and medication logs were initially established for each child's medications, but the facility failed to maintain these medication logs adequately and accurately. Written documentation, in the form of an electronic daily report, was provided to the parents of child #1 stating that at least one dose of medication was administered to child #1 on 9/28/21, 11/9/21, 11/11/21, 11/24/21, 1/18/22, and 1/19/22, but these administered doses were not written on the facility's medication log, and the dose administered on 3/1/22, documented it was given at 11am on the medication log but was communicated to the parent in writing electronically as being given at 2pm that day. The medication present for child #2 was admittedly administered between 2/8-2/10/22, but staff stated it was inaccurately written on the medication log for child #1.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. The Legal Entity / Director will establish a health and safety policy which must specifically address the facility's expectations of what information will be required for an adequate and complete medication log and must also address how the facility plans to monitor the skills, accuracy, and competency of those staff administering medication. All existing staff and new hires who administers medication must be trained using this policy and it must be documented in their files.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: It was observed and stated during a complaint investigation that medication was present for child #1 and child #2 and medication logs were initially established for each child's medications, but the facility failed to maintain these medication logs adequately and accurately. Written documentation, in the form of an electronic daily report, was provided to the parents of child #1 stating that at least one dose of medication was administered to child #1 on 9/28/21, 11/9/21, 11/11/21, 11/24/21, 1/18/22, and 1/19/22, but these administered doses were not written on the facility's medication log, and the dose administered on 3/1/22, documented it was given at 11am on the medication log but was communicated to the parent in writing electronically as being given at 2pm that day. The medication present for child #2 was admittedly administered between 2/8-2/10/22, but staff stated it was inaccurately written on the medication log for child #1.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. Any staff who administers medication should complete a standardized training course that includes skill and competency assessment in medication administration. The course should be taught by a trained professional. All existing staff and new hires who administers medication must be trained using this course and it must be documented in their files.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: It was observed and stated during a complaint investigation that medication was present for child #1 and child #2 and medication logs were initially established for each child's medications, but the facility failed to maintain these medication logs adequately and accurately. Written documentation, in the form of an electronic daily report, was provided to the parents of child #1 stating that at least one dose of medication was administered to child #1 on 9/28/21, 11/9/21, 11/11/21, 11/24/21, 1/18/22, and 1/19/22, but these administered doses were not written on the facility's medication log, and the dose administered on 3/1/22, documented it was given at 11am on the medication log but was communicated to the parent in writing electronically as being given at 2pm that day. The medication present for child #2 was admittedly administered between 2/8-2/10/22, but staff stated it was inaccurately written on the medication log for child #1.

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

Regulation: 3270.133(7)(vi)/3270.133(7)(vii)

Description: Time of administration/Staff initials

Noncompliance Area: It was observed during a complaint investigation on the medication log established for child #1 that a medication was administered on 9/15/21, but staff did not include the time of administration or the initials of the staff person who administered the medication.

Correction Required: A medication log shall include the time of administration. A medication log shall include the initials of the staff person who administered the medication.