Christian Family & Childrens Ctr

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Main Room, a red bin with a broken corner was observed to be accessible to children and could be harmful. In the Gross Motor space, the door on the plastic toy kitchen was observed to be cracked and was not in good repair.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In the Main Room, a crib used by Child #1 lacked a label with the child's name/number specifying 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: 3270.123(a)

Description: Signed

Noncompliance Area: The financial agreement forms on file for Child #2 and Child #3 lacked the operator's signature.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The financial agreement forms on file for Child #1 and Child #2 lacked the fee amount for the services provided by the facility.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The financial agreement forms on file for Child #1 and Child #2 lacked the date the fee is to be paid to the facility from the parent.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The financial agreement forms on file for Child #2 and Child #4 lacked the child's date of enrollment.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The file for Child #1, Child #2, and Child #5 contained the original financial agreement when the parent is to receive the original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency contact form on file for Child #1 lacked the parent's signature giving the facility written consent to obtain emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #3 lacked the child's health insurance coverage and policy number.

Correction Required: 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)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #5 lacked complete addresses for all listed 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: 3270.131(b)(1)/3270.182(1)

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

Noncompliance Area: The two health assessments on file for Child #4 (Younger Toddler at the time) are dated 7/16/25 and 2/4/26, more than 6 months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record for Child #1 (Infant) lacked the following immunizations: 1 dose of Hepatitis B, 1 dose of Rotavirus, 2 doses of DTAP, 2 doses of HiB, 2 doses of PCV, and 1 dose of Polio without a Letter of Exemption in the file. The immunization record for Child #3 (OT) lacked the following immunizations: 1 dose of Hepatitis A without a Letter of Exemption in the file.

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 #1 and Child #3 must be dismissed from care by close of business on 8/13/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health assessment on file for Child #2, dated 3/16/26, does not indicate if the child is free from contagious disease and may participate in child care.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility's annual traffic letter, dated 6/18/26, was not sent to the local traffic safety authorities.

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(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The emergency contact form on file for Child #1 lacked the parent's signature giving the facility written consent to administer minor first aid.

Correction Required: 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent mandated reporter trainings on file for Staff #2 are dated 5/24/21 & 7/21/26, more than 60 months apart.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent staff evaluation on file for Staff #3 is dated 7/2025.

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

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

Description: HS/GED + 2 yrs/Exp, educ., training at facility

Noncompliance Area: The file for Staff #1, classified as an Assistant Group Supervisor, included documentation of 2 years of experience with children but lacked documentation of a high school diploma or general education development certificate.

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 verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 10:30 AM on 8/13/26, Staff #1 was observed in the Main Room with 1 Infant, 2 Young Toddlers, 1 Older Toddler, and 3 Preschoolers while Staff #4 was in the classroom restroom.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In Room 111, exposed bolts were observed on both sides of the base of the toilet. The floor tile in the Main Room contained a layer of film creating a fall risk for children and could cause injury. In the outdoor play space, the grass was observed to be overgrown and could be hazardous to children.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The bathroom in the Main Room lacked handwashing signs at the two training chairs.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: In the bathroom in Room 111, a small table was observed obstructing the exit door which leads to the hallway.

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

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The facility's fire drill log contained consecutive hypothetical locations for the fire used for the fire drill in July 2025 and August 2025.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 5/4/26-6/4/26, more than 30 days apart.

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: 3270.105

Description: High Chairs

Noncompliance Area: In the Main Classroom, a young toddler and an older toddler were seated in a table with three bucket seats and were observed without the T-shaped safety straps buckled.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A vacuum cleaner cord was observed to be unraveled and accessible on the floor of the bathroom that is used by children, which could cause injury.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 11:00 AM, Staff #1 was observed alone in the Main Classroom with 1 Infant, 3 Younger Toddlers, and 3 Older Toddlers. At approximately 11:07 AM, Staff #2 returned to the Main Classroom with 1 Older Toddler.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Main Classroom, outlet covers were missing in the outlet near the closet and in the power strip next to the fridge.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Damaged paint and plaster were observed in multiple areas under the shelf in the bathroom.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Rest equipment in the Main Room was observed to be torn with exposed foam and not in good repair.

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: 3270.105

Description: High Chairs

Noncompliance Area: In the Main Room, a 3-seat table did not contain any T-shaped safety straps.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #1 lacked the address of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #1 lacked the work address and phone number of the enrolling parent.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #1 and Child #2 lacked a complete address and phone number for each listed person whom the child may be released to.

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(b)(1)/3270.182(1)

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

Noncompliance Area: The two most recent health assessments on file for Child #2 (Younger Toddler at the time) are dated 6/27/24 and 7/8/25, more than 6 months apart. The two most recent health assessments on file for Child #3 (Young Toddler) are dated 3/12/24 & 2/25/25, more than 6 months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two most recent health assessments on file for Staff #3 are dated 2/20/23 and 7/21/25, more than 24 months apart.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: The current health assessment on file for Staff #3, dated 7/21/25, indicates that the staff person has a communicable/contagious disease, with no additional information given.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. 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: 3270.21

Description: General Health and Safety

Noncompliance Area: Adult scissors were observed to be accessible in the desk drawer om the Main Room. Adult scissors and thumbtacks were observed accessible in the desk drawers in Room 111 and could cause injury to children.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The initial emergency plan training on file for Staff # is dated 5/31/25, more than 90 days beyond Staff #5's date of hire (SEE IS CODE SHEET).

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

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

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

Noncompliance Area: The two most recent Pediatric First Aid/CPR trainings on file for Staff #3 and Staff #4 were dated 1/28/23 and 3/22/25, more than 24 months apart.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The two most recent fire safety trainings on file for Staff #2 (1/30/24 & 7/10/25), Staff #3 (1/30/24 & 6/1/25), Staff #4 (1/30/24 & 7/24/25), and Staff #6 (1/30/24 & 7/22/25) are dated more than 12 months apart.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #5 did not complete the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Pediatric First Aid/CPR. The training was completed on 3/22/25.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The two most recent State Police clearances (6/8/20 & 6/28/25), Child Abuse clearances (6/9/20 & 7/22/25), and FBI clearances (6/9/20 & 7/1/25) on file for Staff #1 are dated more than 60 months apart. The two most recent State Police clearances (6/11/20 & 7/15/25), Child Abuse clearances (6/11/20 & 7/18/25), FBI clearances (7/13/20 & 7/24/25), and NSOR certificates (4/3/20 & 7/21/25) on file for Staff #2 are dated more than 60 months apart. The two most recent Child Abuse clearances (4/27/20 & 4/29/25) and NSOR certificates (4/9/20 & 6/17/25) on file for Staff #3 are dated more than 60 months apart. The two most recent State Police clearances (6/2/20 & 6/11/25, Child Abuse clearances (6/1/20 & 7/3/25), FBI clearances (7/12/20 & 7/18/25), and NSOR certificates (4/6/20 & 7/24/25) on file for Staff #4 are dated more than 60 months apart. The two most recent National Sex Offender Registry certificates on file for Staff #6 are dated 4/6/20 and 7/25/25, more than 60 months apart.

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: 3270.36(b)(5)/3270.192(2)(iii)

Description: HS/GED + 2 yrs/Exp, educ., training at facility

Noncompliance Area: The file for Staff #5, classified as an Assistant Group Supervisor, lacked documentation of a high school diploma or general education development certificate.

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 verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In Room 111, the outlet in the bathroom lacked protective electrical covers.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Standing water was observed in the sink of the play kitchen in the outdoor fenced play space.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 8/1/24-9/19/24 and 2/2/25-3/5/25, more than 30 days apart.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Main Classroom bathroom, an exposed screw was observed on the base of the toilet and was accessible to children. In the Fenced Playground, a white cracked plastic bin was observed with sharp edges and could be hazardous to children.

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: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The Emergency Contact form for Child #2 lacked written parental consent for the facility to obtain emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form on file for Child #1 lacked complete addresses for all listed 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: 3270.131(b)(1)/3270.182(1)

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

Noncompliance Area: The two most recent health assessments on file for Child #3 (YT, currently OT) were dated 1/18/23 and 2/6/24, more than 6 months apart and more than 6 months prior. The two most recent health assessments on file for Child #4 (YT) are dated 4/28/23 and 6/29/24, more than 6 months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The most recent health assessment on file for Child #1 is dated 8/21/23, more than 12 months prior.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff #4 contained the 6-hour Health and Safety Basics training dated 2/26/19, which is after the acceptable timeframe of 9/30/16-6/30/18.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two most recent health assessments on file for Staff #2 (dated 6/7/22 and 7/24/24) and Staff #3 (dated 1/28/22 and 5/2/24), were more than 24 months apart. The most recent health assessment on file for Staff #5 is dated 5/29/22, more than 24 months prior.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: The current health assessment on file for Staff #1 does not indicate if the staff person was assessed for communicable/contagious disease.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. 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: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The Emergency Contact form on file for Child #2 lacked written parental consent for the facility to administer minor first-aid procedures.

Correction Required: 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The most recent written documentation of an emergency drill on file at the facility is dated 6/2/23, more than 1 year ago.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The most recent Emergency Plan training on file for Staff #2 is dated 6/23/23, more than 1 year prior.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility's emergency plan lacked a letter to parents explaining the emergency procedures for the following topics: shelter and lockdown, evacuation, method to contact parents during an emergency, method to inform parents the emergency has ended and instructions on how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities and 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff #2 contained 6 of 12 annual child care training hours.

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

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

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

Noncompliance Area: The two most recent Pediatric First Aid/CPR trainings on file for Staff #5 are dated 6/11/22/ and 7/13/24, more than 24 months apart.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 included an NSOR certificate dated 7/16/24, more than 45 days after hire (See LIS Code Sheet) required for provisional hiring under the CPSL.

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: The two most recent staff evaluation on file for Staff #2 are dated 6/22/23 and 7/2024, more than 1 year apart.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In Room 111, an outer and surge protector lacked protective coverings.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed in the Main Classroom next to the garbage can, underneath the telephone.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 10/6/23-11/6/23, 12/6/23-1/6/24, and 1/6/24-2/6/24, more than 30 days apart.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #1 lacked documentation of completion of Pediatric First aid and CPR training conducted by a PQAS instructor in the staff file and was observed caring for children unsupervised on 10/20/23 at approximately 10:30 AM.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The black square bin in the dramatic play area in the preschool room was cracked and broken posing pinch points. The turtle sandbox in the outdoor play area was cracked and broken posing pinch points.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the preschool room lacked a thermometer.

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)

Description: Supervised at all times

Noncompliance Area: Person #11, who does not qualify as child care staff, was observed in the preschool room at approximately 10:30 AM with 6 preschool children in the classroom.

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.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Child file #1 lacked the date of the child's admission on the agreement form.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: Child file #2 contained health reports dated 7/12/22 and 8/3/23 which exceeded the 12 months as required for a preschool aged child.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Child files #1, and #3 lacked documentation of influenza vaccination in accordance with the recommendations of the ACIP. Child files #2 lacked documentation of the following updated vaccinations in accordance with the recommendations of the ACIP: HIB, Pneumococcal, Influenza, MMR, Varicella and Hepatitis A.

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(ren) #1, #2, and #3 must be dismissed from care by close of business and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The operator lacked updated sections in their emergency plan that addresses the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: All staff persons completed the Pennsylvania Health and Safety Update 2022 after December 30, 2022, which was the prescribed timeframe required by OCDEL to complete the training, as per Announcement C-22-06.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff file #2 contained health assessments dated 6/1/21 and 6/5/23 which was more than 24 months as required.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: Person #11 who was observed caring for children in the preschool room lacked an individual file with all the requirements to serve as a staff person.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Person #11, who does not qualify as child care staff, was observed in the preschool room at approximately 10:30 AM with 6 preschool children in the classroom.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was bleach sanitizer and hand sanitizer located on the shelf and in the bathroom in both the main and preschool rooms that were accessible to 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.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the preschool room lacked soap, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves as required.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The facility lacked a hand washing sign at each toilet in the main and preschool bathrooms.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact forms for Child #3 and #4 were not present in the child care space while the children were receiving care.

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)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: Child file #1 contained health report dated 8/3/21 but lacked an updated health report as required every 12 months for an older toddler.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Child file #2 lacked documentation of influenza vaccination administered in accordance with the schedule as recommended by the ACIP.

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

Regulation: 3270.133(6)/3270.133(7)

Description: Written consent/Medication log

Noncompliance Area: The facility lacked a medication log with written parental consent for administration of the Epi Pen for child #2 while the child is in care.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff file #1 lacked copies of two written nonfamily references attesting to the staff person's suitability to serve as a facility person.

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

Noncompliance Area: Child file #5 lacked fee amount to be charged and the date of child's admission on the agreement form in the child's file.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date of the child's admission.

Noncompliance Area: Child files #2, #3 and #5 lacked the child's arrival and departure times on the agreement forms.

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

Noncompliance Area: Child file #3 lacked the designated release person to whom the child may be released to on the agreement form.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: All child files reviewed contained the original agreements in the file. Original agreements were not given to the parents of the children in care.

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

Noncompliance Area: Child file #2 lacked the health insurance coverage and policy number for the child on the emergency contact form.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: Copies of the emergency contact forms for the children in care were not present in the child care space and in the excursion back for use when the children were outside.

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.

Noncompliance Area: Child file #2, lacked documentation or exemption for the influenza vaccination administered to the child in accordance with the recommended schedule by the ACIP.

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

Noncompliance Area: Staff person #2 was observed lifting the lid of the hands free diapering can to dispose of a soiled diaper while changing the child's diaper. After diapering the child, the staff person did not clean or sanitize the surface of the diaper changing pad.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: Staff file #1, DOH 6/1/17, contained health assessments dated 8/30/18 and 9/11/20, which exceeded the 24 months required for updated health assessments. Staff file #3, DOH 6/12/20, contained a health assessment dated 6/25/20, which was not obtained prior to hire at the facility. Staff file #4, DOH 6/1/17, contained health assessments dated 5/31/18 and 6/9/20, which exceeded the 24 months required for updated health assessments.

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.

Noncompliance Area: The infant bottles lacked labels with child's name on the bottle.

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

Noncompliance Area: Staff file #2, DOH 10/21/19 lacked documentation of child care experience prior to hire at the facility. Staff file #3, DOH 6/12/20, lacked documentation of education and child care experience prior to hire at the facility.

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

Noncompliance Area: Staff file #2, DOH 10/2/19 lacked documentation of emergency plan training at the time of initial hire at the facility.

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

Noncompliance Area: Staff file #2, DOH 10/2/19, lacked a copy of the DHS FBI in the file and copy of NSOR verification dated 5/7/20, but did not contain a copy of the request for NSOR verification in the file prior to hire. Staff file #3, DOH 6/12/20, lacked copies of requests for clearances prior to hire for the PA State Criminal Clearance dated 6/18/20; the Child Abuse Clearance dated 6/18/20; the DHS FBI Clearance dated 7/9/20. Staff file #3 also lacked copy of NSOR verification in the file. Both staff were working alone with children unsupervised by a permanent employee at the time of the renewal inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 and # 3 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 and #3 may not work in a child care position at the facility.