Childrens Journey

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: During a renewal inspection on 4/8/26 it was reported that the daily schedule was not being provided to parents in writing at enrollment.

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(a)(4)/3270.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: During a renewal inspection on 4/8/26 Child 1's fee agreement did not include the arrival or departure times for the child, or the fee amount to be paid.

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During a renewal inspection on 4/8/26 Child 5's emergency contact form did not include the phone number for the child physician/source of medical care.

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

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During a renewal inspection on 4/8/26 Children 2, 3, and 6's emergency contact forms did not include their parents' work address and phone number. Additionally Child 3's emergency contact form did not note the release person names, address or telephone numbers.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: During a renewal inspection on 4/8/26 Cert rep observed the emergency contact forms were not present in Room 5 for the children receiving care in Room 5.

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: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: During a renewal inspection on 4/8/26 preschool Child 4's most recent health report was dated 3/19/25, which is more than 12 months prior. Preschool Child 5's most recent health report was signed by a physician but was not dated. Child 5, did not have a health report that was dated within the previous 12 months. See LIS code sheet for dates of birth.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection on 4/8/26 Volunteers #4-9 did not have documentation of initial emergency plan training. The operator did not know Volunteers #4-9's date of hire/1st day volunteering but confirmed it was more than 90 days prior to the date of the inspection.

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. Per announcement C-22-04 Volunteers shall receive emergency plan training within 90 days of their date of hire, and annually thereafter.

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

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

Noncompliance Area: During a renewal inspection on 4/8/26 Volunteers #4-9 did not have an initial health reports, and TB test results. The operator did not know Volunteers #4-9's 1st day volunteering but confirmed that they had all begun volunteering with the children.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.181(a)

Description: Each child

Noncompliance Area: During a renewal inspection on 4/8/26 Children 2 and 6 did not have individual records. This was evidenced by Children 2 and 6's records were being maintained in the same file which was labeled with both of their names.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection on 4/8/26 Child 3's most parental review of the fee agreement was dated 7/7/25, which is more than 6 months ago.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: During a renewal inspection on 4/8/26 Facility Person 4-9 did not have 2 written references for each facility person attesting to their suitability to serve as Facility Persons.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: During a renewal inspection on 4/8/26 the emergency plan letter to the parents did not include information regarding accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During a renewal inspection on 4/8/26 Volunteers #4-9 have not completed mandated reporter training within 90 days of their date of hire/1st day volunteering. The operator did not know Volunteers' date of hire/1st day volunteering but confirmed it was more than 90 days prior to the date of the inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Volunteers #4-9 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 Volunteers #4-9, Volunteers #4-9 may not volunteer at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection on 4/8/26 the following violations of the CPSL were noted: Staff # 3 had a PSP clearance request dated 8/14/23, but did not have the PSP clearance on file. It has been more than 45 days since Staff #3's first day with children. See LIS code sheet for first day with children. Volunteers 4-9 did not have a DHS FBI clearance, NSOR clearance, or signed and dated disclosure statement on file. Volunteer 8 had a volunteer PSP request dated 2/21/25, but did not have a PSP clearance on file. The operator did not know Volunteers' date of hire/1st day volunteering but confirmed that all had begun volunteering with children.

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 #3, and Volunteers #4-9 may not work in a child care position or have direct contact with children at the facility until such time as the require missing clearance are on file at the facility. TIERED LIS: 1. Staff #3, and Volunteers #4-9 may not work in a child care position or have direct contact with children at the facility until such time as the require missing clearance are on file at the facility. This portion of the plan shall have an immediate correction date. 2. The director and persons responsible for maintaining Staff, facility persons and volunteer files shall view the DHS Vodcast regarding staff's file with the Certification Representative. The director and persons responsible for maintaining Staff, facility persons and volunteer files will contact the Certification Representative to schedule an appointment to view a DHS Vodcast regarding children's files. The provider shall provide a date for when this viewing of the Vodcast with the Certification Representative shall be completed by. 3. The legal entity must create a checklist for facility persons files including volunteers that addresses all necessary facility person and volunteer file paperwork and time frames for renewals of paperwork as appropriate. The facility persons and volunteer file paperwork that must be addressed in this checklist includes but is not limited to PA clearances, Out of State clearances and trainings as required by the CPSL and all documents required for facility persons to be hired or for volunteers to begin volunteering. The checklist must be submitted to the Regional Office for approval. Once approved this checklist shall be used by the person responsible for hiring and maintaining facility persons records. The provider shall provide a date for when this portion of the plan shall be completed.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection 4/8/26 Staff 2's most recent staff evaluation was dated 12/30/24 which is more than 12 months prior. Staff 2 was reported to have been on leave from 10/24/25 until mid January of 2026.

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: 3270.37(b)(2)

Description: 8th grade & enrolled in training

Noncompliance Area: During a renewal inspection on 4/8/26 Staff 1's file had information the Staff 1 had completed at least 10th grade and had previous been enrolled in a early childhood training program, however the facility did not have information that this program met the requirements as described in 3270.31(c) with regards to the program hours. It was reported that Staff 1 was still enrolled in the program however Staff 1's file did not include verification of Staff 1's continued enrollment, nor that Staff 1 had completed at least the classroom training of the curriculum requirements. Staff 1 has been working as an aide.

Correction Required: An aide shall have a minimum of an 8th grade education and enrollment in a training curriculum described at §3270.31(c). The classroom training portion of the curriculum shall be completed. Documentation of completion of classroom training and continuing enrollment in the training curriculum shall be included in the staff person's file.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During a renewal inspection on 4/8/26 Cert rep observed deodorant which was labeled "Keep out of reach of children," in a Facility Person's personal bag, which was kept on an accessible shelf in Room 2.

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(a)/3270.66(d)

Description: Locked or inaccessible/Toxic plants not permitted

Noncompliance Area: During a renewal inspection on 4/8/26 Cert rep observed a Peace Lily plant, in childcare space Room 4, on an accessible shelf. Peace Lily's are toxic to humans.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During a renewal inspection on 4/8/26 Cert rep observed frays in the carpet on the bottom of the ramp (Room 2), and frays and holes in the Noah's Ark carpet (Room 2). Cert rep also observed metal fasteners on the top of the middle segments playground fence which had sharp ends at least inch long sticking into the playground area creating a piercing hazard. Additionally, Cert rep observed peeling paint on the middle right of the back wall of Room 2.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During a renewal inspection on 4/8/26 Cert rep observed a plastic chair obstructing the emergency exit door in Room 1.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During an allocated unannounced inspection on 12/12/25 Staff 1 completed emergency plan training on 12/12/25, which is more than 90 days since their date of hire. See LIS code sheet for date of hire(DOH).

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an allocated unannounced inspection on 12/12/25 Staff 1 was observed to be providing care and Staff 1 had a Department of Education FBI clearance on file dated 2/15/25, however they did not have a DHS FBI clearance or clearance request on file. (See LIS code sheet for first day with children.) Additionally Staff 1 was provisionally hired and their disclosure statement was not dated.

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. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (related to protective Services. Staff 1 may not work in a child care position or have direct contact with children at the facility until such time as the DHS FBI clearance certificate, and the signed, dated, and witnessed disclosure statement is on file. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a checklist for staff and facility persons files that addresses all necessary staff and facility persons file paperwork and time frames for renewals of paperwork as appropriate. The staff and facility persons file paperwork that must be addressed in this checklist includes but is not limited to PA clearances, Out of State clearances, and trainings as required by the CPSL and all documents required for staff and facility persons to be hired. The checklist must be submitted to the Regional Office for approval. Once approved this checklist shall be used by the person responsible for hiring and maintaining facility persons records. The provider shall provide a date for when this portion of the plan shall be completed.

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

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

Noncompliance Area: During an allocated unannounced inspection on 12/12/25 it was reported Staff 1 had at least 2500 hour experience working with children however 0 hours of experience with children was verified in Staff 1's file. Staff 1 had a high school diploma on file. Staff 1 has been working as an assistant group supervisor.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During an allocated unannounced inspection on 12/12/25 Cert rep observed Lysol wipes and Lysol spray in an unlocked cabinet under the right side of the sink in Room #3(Upstairs Large Room), and Lysol wipes, Lysol spray, Febreeze, and Fabuloso in the unlocked cabinet under the changing table in Room #2(Toddler Room). All of these items were labeled "Keep out of Reach of Children."

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During a renewal inspection on 4/4/25 Cert rep noted tears in the brown couch in the small preschool room, tears in the blue mat in the toddler room. Cert rep also observed an exposed screw with an accessible sharp point on the stairs going into the left main entrance of the facility.

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: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: During a renewal inspection on 4/4/25 Cert rep noted the facility's general daily schedule, supervision policies, and transportation policies were not being provided to parents at the time of enrolment.

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(a)(4)

Description: Arrival/departure times

Noncompliance Area: During a renewal inspection 4/4/25-4/7/25 Cert rep noted Child 1's fee agreement did not have arrival and departure times of the child.

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

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: During a renewal inspection on 4/7/25 Cert rep noted Child 4 did not have a phone number/contact information for the child's emergency contact.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During a renewal inspection on 4/7/25 Cert rep noted Child 5 did not have the name of the child's physican/medical care. Child 3's emergency contact did not have the health insurance policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During a renewal inspection 4/4/25-4/7/25 Cert rep noted Child 1's emergency contact form did not have home address, work address and work phone number for the parents.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection 4/4/25-4/7/25 Cert rep noted Child 2's emergency contact form did not have addresses for the release persons and Child 5's emergency contact form did not have phone numbers for the release persons.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: During a renewal inspection on 4/4/25 Cert rep observed Child 1's emergency contact form was not present in the small preschool room while Child 1 was receiving care in that room.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(d)/3270.124(e)

Description: Excursions/Written emergency plan posted

Noncompliance Area: During a renewal inspection on 4/4/425 Staff reported that children's emergency contact forms are not taking with staff during transportation of school aged children to and from school. Staff reported that the emergency medical transportation plan was not taken with staff when children left for transportation, excursions or field trips.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: During a renewal inspection on 4/7/25 Cert rep noted Child 3(young toddler)'s most recent health assessment was dated 9/25/24. This is more than 6 months old. (see code sheet for date of birth).

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: During a renewal inspection on 4/4/25 Cert rep observed three expired diaper creams in the toddler room: Aquaphor(expired 10/2024), Desitin (expired 2/2024), and Zinc Oxide Cream (expired 10/2024)

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During a renewal inspection on 4/4/25 Cert rep observed the trash cans used for the disposal of soiled diapers in the toddler and infant rooms were not handsfree due to the hand-free mechanisms being broken.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection 4/4/25 Cert rep noted the facility's emergency plan did not address continuity of operations.

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. The facility emergency plan shall address continuity of operations.

Regulation: 3270.151(a)

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

Noncompliance Area: During a renewal inspection 4/4/25-4/7/25 Cert rep noted more than 24 months between health assessments for the following staff: Staff 2(8/13/21 & 3/5/24), Staff 4 (5/30/22 & 2/28/25), Staff 5 (12/6/22 & 2/25/25) and Staff 6 (2/18/22 & 4/26/24).

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.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During a renewal inspection on 4/4/25 Cert rep noted an annual traffic letter was sent on 4/4/25. This is more 12 months since the previous letter sent 3/20/23.

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: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During a renewal inspection on 4/7/25 Child 4 did not have consent for emergency medical care and administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.182(8)

Description: Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: During a renewal inspection on 4/7/25 Staff reported that only the most current fee agreements for enrolled children are in the files. Staff reported previous (initial and subsequent) fee agreements for all children currently enrolled were removed from the files and are no longer able to be accessed.

Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During a renewal inspection 4/4/25 Cert rep observed the facility did not have a means to access the 3270 regulations electronically.

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)(1)/3270.27(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: During a renewal inspection 4/4/25 Cert rep noted the facility's emergency plan did not address lockdown emergencies or 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 shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During a renewal inspection 4/4/25-4/7/25 Cert rep noted Staff 4 (Training year 9/2023-9/2024) and Staff 7 (Training year 8/2023-8/2024) only completed 9.5 hours and 10.5 hours respectively during their training years.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person 4 must take 2.5 hours of professional development to fulfill requirement for training year 9/2023-9/2024. Hours used to fulfill training year 9/2023-9/2024 may not be used to fulfill current training year (9/2024-9/2025). Staff person 7 must take 1.5 hours of professional development to fulfill requirement for training year 8/2023-8/2024. Hours used to fulfill training year 8/2023-8/2024 may not be used to fulfill current training year (8/2024-8/2025).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection on 4/4/25-4/7/25 Cert rep noted Staff 1 did not renew their Child abuse clearances within 60 months. This is evidenced by child abuse clearances dated 7/12/19 and 9/16/24.

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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection 4/4/25-4/7/25 Cert rep noted the most recent staff evaluation for Staff 3, 4, 6 and 7 was completed on 3/4/24. This is more than 12 months since the previous staff evaluations.

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: 3270.34(b)(3)

Description: Associate's + 3 yrs

Noncompliance Area: During a renewal inspection 4/4/25-4/7/25 Cert rep noted Staff 1 had a high school diploma, transcripts for 2 early childhood education certificates from an accredited college, and 7 years of childcare experience on file. Staff reported obtaining an associate's degree in early childhood education, however verification of the degree was not on file. Staff 1 has been working as director.

Correction Required: A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During a renewal inspection on 4/4/25 Cert rep noted an accessible electrical outlet in the bathroom of the toddler room did not have a protective outlet cover. Children in this room are under the age of 5.

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

Regulation: 3270.75(d)

Description: On excursions

Noncompliance Area: During a renewal inspection on 4/4/25 Cert rep observed the Preschool excursion first aid kit did not have a water bottle.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During a renewal inspection on 4/4/25 Cert rep observed uneven sections of concrete resulting from a tree root pushing the concrete up in the outdoor playspace. This is a tripping hazard.

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: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: During an unannounced inspection on 2/24/25 Cert rep observed Child 1 had an injury/incident report dated 2/14/25 in the facility accident, injury, illness file, but there was not a copy in the child's file. Staff reported that the facility was not maintaining a copy of accident, injuries and illness reports in the children's files.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: During an unannounced inspection on 2/24/25 Cert rep noted 3 incidents of more than 30 days between fire detection testing: 6/14/24-7/18/24, 9/21/24-10/22/24, and 1/3/25-2/3/25.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During a complaint investigation on 5/21/24, it was observed in the toddler room that there was not at least 2 feet of space on at least 3 sides of the rest equipment in use by the children.

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: 3270.119

Description: Infant sleep position

Noncompliance Area: During a complaint investigation on 5/21/24, it was observed upon entering the infant room that 2 infants were sleeping in two separate swings which is not the sleeping position recommended by the AAP. There was no documentation provided by the facility showing there was a medical reason that the children were sleeping in this position.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

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

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

Noncompliance Area: On 5/15/24, it was observed on video that child #1 was able to leave the SA room in a walker alone, go through the kitchen space, and then fall down 3 stairs before staff person #1, who had the child in their primary care group, noticed that the child left the room. According to the video and statements, there was approximately a 60 second lapse in time between the child leaving the room to the staff recovering the child from the fall in the walker. In addition, during the complaint investigation on 5/21/24, it was observed in the PreK room that staff did not establish their primary care groups. There were 17 children present with staff #3, #4, and #1. When asked, only staff person #3 stated that they had a care group and the responsibility of 5 children in that child care space. The other 12 children were not assigned to a care group.

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. The legal entity must arrange for all facility staff to receive a minimum of three hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. Training may not be conducted while children are in care.

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

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

Noncompliance Area: On 5/15/24, it was observed on video that child #1 was able to leave the SA room in a walker alone, go through the kitchen space, and then fall down 3 stairs before staff person #1, who had the child in their primary care group, noticed that the child left the room. According to the video and statements, there was approximately a 60 second lapse in time between the child leaving the room to the staff recovering the child from the fall in the walker. In addition, during the complaint investigation on 5/21/24, it was observed in the PreK room that staff did not establish their primary care groups. There were 17 children present with staff #3, #4, and #1. When asked, only staff person #3 stated that they had a care group and the responsibility of 5 children in that child care space. The other 12 children were not assigned to a care group.

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. 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 policy must also include a section specific to the challenges and expectations of staff that are in an opener and closer room. 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: 3270.113(a)/3270.113(a)(1)

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

Noncompliance Area: On 5/15/24, it was observed on video that child #1 was able to leave the SA room in a walker alone, go through the kitchen space, and then fall down 3 stairs before staff person #1, who had the child in their primary care group, noticed that the child left the room. According to the video and statements, there was approximately a 60 second lapse in time between the child leaving the room to the staff recovering the child from the fall in the walker. In addition, during the complaint investigation on 5/21/24, it was observed in the PreK room that staff did not establish their primary care groups. There were 17 children present with staff #3, #4, and #1. When asked, only staff person #3 stated that they had a care group and the responsibility of 5 children in that child care space. The other 12 children were not assigned to a care group.

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: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: It was observed that child #1 had visible injuries to their face after falling down 3 steps while in a walker, but the facility stated they did not provide to the family an incident report the day of the incident.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.20(a)(1)/3270.20(b)

Description: Inpatient hospitalization or ER treatment of child/Mail or deliver written report to regional office within 72 hours

Noncompliance Area: On 5/16/24, information was received regarding a child in care at the facility being taken to a hospital to receive emergency medical care on 5/15/24. Staff at the facility were questioned on 5/21/24, and the facility was aware of the child's treatment at the ER. However, the facility themselves did not report this event within 24 hours to the NE regional office and did not provide a written report of the incident within 72 hours as required.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department. Operator must enter the event that occurred on 5/15/24 into Provider Self Service in order to properly log the incident.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: It was stated by facility staff that on 5/15/24, staff person #1 left for the day leaving staff person #2 alone at the facility with child #1 and child #2 from approximately 5:20-5:30pm.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed that the SA room leads directly into the kitchen space with 2 doors present between the kitchen and the SA room. Only one of the two doors contained a childproof lock to limit access to that kitchen space. Through the kitchen space there is a doorway that leads down a small set of 3 stairs to the hallway of the lower level of the building. It was observed that child #1 made their way through the kitchen space in a walker and fell down these stairs while in that walker. There was nothing limiting the child's access to both the hazards in the kitchen space or the hazards of the stairs while in the mobile walker.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 4/16/2024, rest cots in the toddler room were numbered, but there was no chart in the room to show what cots were labeled for the use of a specific child.

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: On 4/16/2024, the preschool classroom did not have a written schedule of daily activities posted.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 4/19/2024, the emergency contact information for Child #2 did not include the address and telephone number for the individual that was designated by the parent as a release person. See LIS code sheet.

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(a)

Description: Health information

Noncompliance Area: On 4/19/2024, Child #1, an infant did not have an initial health report on file. See LIS code sheet.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: On 4/19/2024, the most recent health report on file for Child #2 was dated 3/21/2023. The most recent health report on file for Child #3 was dated 12/13/2022. Both children are young toddlers.

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

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: On 4/16/2024, an inhaler was observed in the medication bag in the Pre-K Counts classroom that did not contain the prescription label or any label with written instructions for administration from the individual who prescribed the medicine.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.151(a)

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

Noncompliance Area: On 4/16/2024, Staff #1 had a current health assessment on file dated 4/7/2024. However, the previous health assessment that was on file for Staff #1 was dated 8/2/2021.

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: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On 4/19/2024, the emergency contact information for Child #2 did not include signed written parental consent for emergency medical for the child and also did not contain signed written parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff #2 now has current certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) as of 4/17/2024. However, the previous certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on file for Staff #2 expired on 3/31/2024.

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(f)

Description: Health and Safety Training

Noncompliance Area: Staff #3 did not complete the required pre-service health and safety training within 90 days of hire. It was completed on 3/20/2024. See LIS code sheet.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. The required pre-service health and safety training.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: On 4/19/2023, the written plan of daily activities was not posted in the preschool classroom.

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

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: On 5/2/2023, Child #1 did not have an initial report or immunization record on file. Child #3 did not have an initial health report on file. See LIS code sheet.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: On 5/2/2023, the file for Child #1 did not include documentation of any of the immunizations according to recommendations of the ACIP. Child #2 did not have did not have documentation of the following up-to-date immunizations on file: Rotavirus, DTAP, HIB, Pneumococcal and Polio as recommended by the ACIP. Child #4 did not have documentation of the annual influenza immunization as recommended by the ACIP. The files for Child #1, Child #2 and Child #4 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent.

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 childcare group settings). Child #1, Child #2 and Child #4 must be dismissed from care by close of business 5/2/2023 and may only return to care when the immunization record is updated or when the parent provides a written, signed exemption letter.

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

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

Noncompliance Area: On 5/2/2023, the health assessment with a tuberculosis screening required at initial employment on file for Staff #1 was dated 8/26/2021. Staff #2 did not have an initial health assessment with a tuberculosis screening conducted until 1/13/2023. See LIS 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 childcare setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.175(c)

Description: Manufacturer's instructions used

Noncompliance Area: On 4/19/2023, two expired booster seats were observed inside the vans at the facility that are used to transport children. The instructions on these two booster seats read do not use this child restraint after 2020.

Correction Required: Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #2, #3, #5, #6, #8, #9, #10, #11, #12, #14 and #15 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. These were all completed at the time of the inspection.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #2, #3, #7, #11, #13, #14 and #15 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Staff persons #2, #3, #7, #11, #13, #14 and #15 will have until 6/6/2023 to complete the required training. Until such time as the required training has been completed, staff persons #2, #3, #7, #11, #13, #14 and #15 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #2, #3, #7, #11, #13, #14 and #15, staff persons #2, #3, #7, #11, #13, #14 and #15 may not work in a child-care position at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff persons #2, #11, #14 and #15 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR). They each completed pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 1/14/2023.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff persons #2, #11, #14 and #15 did not complete the mandated reporter training within 90 days of their date of hire (see LIS code sheet). They all had the mandated reporter training completed at the time of the inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff must complete the mandated reporter training within 90 days of their date of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 5/2/2023, Staff #7 had a volunteer child abuse clearance on file. Staff #2 had current clearances on file. However, the state police and child abuse clearances for Staff #2 were dated 1/9/2023. Staff #8 had current clearances on file. However, the state police and child abuse clearances were updated on 9/16/2022 and the DHS FBI clearance was updated on 9/20/2022. The previous clearances on file for Staff #8 were dated as follows: 6/14/2017 for the state police and DHS FBI clearances and 6/20/2017 for the child abuse clearance. See LIS code sheet.

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 #7 may not work in a childcare position at the facility until the child abuse clearance for employment is on file. Each required clearance for staff must be renewed at least every 60 months.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During the Renewal Inspection on 4/19/2022, the written plan of daily activities was not posted in the school age classroom and was also not in the preschool classroom.

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

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: Child files were reviewed on 4/19/2022. There were not any immunizations documented after May 22, 2018 on file for Child #1.There also was not an exemption from immunization for religious belief or strong personal objection equated to a religious belief documented by a written, signed and dated statement from the child's parent or guardian on file for Child #1 to exempt Child #1 from being immunized according to recommendations of the ACIP. See code sheet for date of enrollment.

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

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Child files were reviewed on 4/19/2022. The record for Child #1, Child #2 and Child #3 did not contain signed parental consent for emergency medical care for the child. These records also did not contain signed parental consent for administration of minor first-aid procedures by facility staff. See code sheet for dates of enrollment.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

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

Noncompliance Area: During the review of staff files on 4/19/2022, it was observed that each of following staff: Staff #1, Staff #2, Staff #3, Staff #4, and Staff #5 have not completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR). All five of these staff members been employed at the facility for longer than 90 days. See code sheet for dates of hire. In addition, the certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on file for Staff #6, Staff #7 and Staff #8 expired on 3/31/2022.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the review of staff files on 4/19/2022, it was observed that each of following staff: Staff #1, Staff #2, Staff #3, Staff #4, and Staff #5 have not completed professional development in the required health and safety basics. All five of these staff members been employed at the facility for longer than 90 days. See code sheet for dates of hire.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)). (8) Handling and storage of hazardous materials and appropriate disposal of biocontaminants. (9) Precautions when transporting children.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During the review of staff files on 4/19/2022, it was observed that each of following staff: Staff #1, Staff #3, Staff #4, and Staff #5 have not completed an approved mandated reporter training. All four of these staff members been employed at the facility for longer than 90 days. See code sheet for dates of hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All staff must complete an approved mandated reporter training within 90 days of hire.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: On 4/19/2022, Staff #8 and Staff #9 did not have written evaluations on file that were completed within the previous 12 months.

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: 3270.63/3270.115(a)(3)

Description: Unsafe Areas in Outdoor Space/Above-ground pool inaccessible

Noncompliance Area: During the Renewal Inspection on 4/19/2022, an aboveground swimming pool was observed on the outdoor playground at the facility. It was observed that the pool sides are collapsing, that dirty water was in the pool, and there was nothing around the pool to make it inaccessible to children.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the Renewal Inspection on 4/19/2022, peeling and chipped paint was observed near the door and the windows to the small building located on the outdoor playground. Cracked and rotted wood was also observed near the windows.

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: 3270.161(a)

Description: Wholesome

Noncompliance Area: A Complaint Inspection was conducted on 10/19/2021. There were 12 Trix yogurts labeled with a use-by date of 10/4/2021 observed in the the refrigerator at the facility.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.136(d)

Description: Communicate report to DOH

Noncompliance Area: During a Complaint Inspection on 8/18/2021, Staff #1, the operator admitted that a positive COVID-19 case in the facility that was confirmed on 8/9/2021 was not reported to the Department of Health. The Regional OCDEL office was not notified until 8/18/2021.

Correction Required: A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health.

Noncompliance Area: A renewal inspection was conducted on 7/24/2020. At that time, a broken cracked ride-on toy was observed on the playground.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: At the time the renewal inspection was conducted, the file for Child #1 did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: A renewal inspection was conducted on 7/24/2020. At that time, the gate to the playground fence was propped open giving the children access to inflatable pool filled with water in the neighbor's yard.

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

Noncompliance Area: A renewal inspection was conducted on 7/24/2020. At that time, hand sanitizer labeled "Keep out of reach of children" was observed on the cabinet upon entering the facility. The cabinet is approximately 3 1/2 feet high and the hand sanitizer would be accessible to some of the 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.

Noncompliance Area: A renewal inspection was conducted on 7/24/2020. At that time, a few tiny ants were observed crawling on the outside of a cabinet in the older toddler room. Upon opening the cabinet, approximately two dozen tiny ants were observed crawling along the back wall of the cabinet.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: A renewal inspection was conducted on 7/24/2020. At that time, sharp tomato cages were observed laying on the playground. A wire to string bulb lights was observed hanging from the ceiling outside the toddler room. The wire posed a hazard as it could be pulled down, breaking the bulb lights and posed a strangulation hazard.

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

Noncompliance Area: An unannounced inspection was conducted on 11/25/19. At that time, a slide on the playground was cracked creating a pinch point. The large playhouse on the playground was disassembled creating a crushing hazard.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: An unannounced inspection was conducted on 11/25/19. At that time, Facility Person #3, a group supervisor, identified twelve children in her group by name. There were thirteen children in her group. The thirteenth child was in an adjoining room where he was not visible to Facility Person #3, and therefore was not able to be properly supervised.

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.