Clarion County Younger Years

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

Description: Age and Training

Noncompliance Area: 2nd Citation: Previously cited on 4/24/26. Staff person #1 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 2/29/24. Documentation of updated Pediatric first aid and CPR training is not on file.

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. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1 staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: 2nd Citation: Previously cited on 4/24/26. Staff person #3 has not completed the following required pre- service training within 90 days of their date of hire: Pediatric First Aid/CPR in an approved curriculum from a certified PQAS instructor (see LIS code sheet).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children at a minimum by, an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2, 4 and 5 have completed Pediatric first aid and CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #2, 4 and 5 must be supervised, when interacting with children at a minimum by, an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, 4 and 5, staff person #2, 4 and 5 may not work in a child-care position at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: The facility self-reported that on 5/20/26 at approximately 140pm Child #1(See LIS Code Sheet) was left alone in the preschool room during an evacuation that occurred starting at 135pm. This was confirmed through video review.

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. TIERED LIS: Tier 1: 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. This portion of the plan shall have an immediate correction date. Tier 2: All staff will take the online DHS Fire Safety training from the PA Keys. Once all facility persons have completed the required DHS Fire Safety training, the legal entity will submit the training certificates for all facility persons to the Western Regional Office within 5 business days of the last date of completion. The operator shall provide a date for when this training will be complete. Tier 3: Once the requirement in Tier #2 is met, the legal entity will ensure that the facility director and other legal entity representatives in a leadership role participate in technical assistance with the PA Key representative. The technical assistance shall include but will not be limited to discussion about policy changes and practice improvements and post-evaluation of evacuation practices via de-briefing processes. The operator shall provide a date for when this technical assistance will be completed. Tier 4: Once the requirement in Tier #3 is met, the legal entity will ensure that all facility persons participate in a training conducted by the PA Key regarding evacuation of children and staff during scheduled fire drills and other emergencies that require evacuation. Once all facility persons have completed this required training, the legal entity will submit the training certificates for all facility persons to the Western Regional Office within 5 business days of the last date of completion. The operator shall provide a date for when this training will be completed. Tier 5: Once the requirement in Tier #4 is met, the legal entity will ensure that all facility persons participate in a monthly staff meeting for 3 consecutive months. The staff meeting agenda will include discussion and debriefing on the training taken in Tier 4 and review policies regarding evacuation as well as a review of the citations that were issued within the past 6 months. The meeting agenda and sign in sheet will be submitted to the Regional Office for review within 5 business days after the completion of the meeting. The correction date for this portion of the plan shall be at minimum 3 months from the date that the training in Teir #4 is completed.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: The facility self-reported that on 5/20/26 at approximately 140pm Child #1(See LIS Code Sheet) was left alone in the preschool room during an evacuation that occurred starting at 135pm. This was confirmed through video review.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Per staff statements on 5/20/26 at approximately 140pm during an evacuation Staff #1 left Staff #2 with 9 young toddlers outside to go back inside and help staff #3 with their class causing staff person #2 to be out of ratio.

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

Regulation: 3270.55(b)

Description: Other staff on premises

Noncompliance Area: Per staff statements on 5/20/26 an evacuation occurred at approximately 135pm during naptime. The preschool 4-5 classroom had 20 preschool age children to 1 staff, the preschool 3-4 room had 18 preschool age children to 1 staff, older toddler room had 12 older toddlers to 2 staff, young toddler room had 9 young toddlers to 1 staff, and the infant room had 6 infants to 2 staff. When the evacuation occurred 3 staff members were on break not in the child care portion of the facility premises and 1 staff member was running errands for the child care not in the child care portion of the facility premises causing there not to be enough staff on premises to meet awake ratios.

Correction Required: Tiered LIS Tier 1: Staff persons who are on duty but are not providing child care during naptime shall remain in the child care portion of the facility premises. This portion of the plan shall have an immediate correction date. Tier 2: All facility persons and children will participate in at least one fire drill conducted during nap time within 60 days of the plans of correction being accepted. The operator shall provide a date for when this fire drill will be completed.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The fee agreement in the file for Child #1 was not signed by the operator.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent child service reports in the files for Child #3, 4, 5 and 6 exceeded six months between reports. The first child service report in the file for Child #1 was conducted more than six months after the child's first day in childcare. The files for Child #8 and 9 did not include documentation of a child service report conducted within the past six months.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The fee agreement in the file for Child #1 did not include the date of admission.

Correction Required: An agreement shall specify the date of the child's admission.

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

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

Noncompliance Area: The file for Child #1, a young toddler, did not include an updated health report conducted within the past six months. The most recent health reports in the file for Child #3, a young toddler, exceeded six months between reports.

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 reports in the file for Child #9, a preschool child, exceeded 12 months between reports.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most recent health assessments in the files for Staff Person #1, 2, 5, 6, 8, 9, 12, 13 and 23 exceeded 24 months between assessments. The initial health assessments in the files for Staff Person #14, 15, 18 and 22 were conducted after the staff persons' first day working in childcare (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 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)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The initial health assessment in the file for Staff Person #16 does not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent parent updates for the emergency contact forms in the files for Child #1, 3, 4, 6, 8, 9 and 10 exceeded six months between updates. The first parent update for the emergency contact form in the file for Child #5 exceeded six months from the child's first day in care. The emergency contact form in the file for Child #7, who has been enrolled for more than six months, has not been updated by the parents. The fee agreements in the files for Child #1, 3, 4, 5, 6, 7, 8, 9 and 10 have not been updated by the parents in the past six

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: 3270.182(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: The emergency contact forms in the files for Child #7 and 10 do not include signed parental consent for emergency medical care for the child or signed 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #20 contained only one letter of reference.

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(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #15, who has been working at the facility for more than 90 days, did not include documentation of initial training in the facility's emergency plan. The initial training in the facility's emergency plan in the file for Staff Person #16 was dated more than 90 days after the staff person's date of hire (See LIS 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)

Description: Age and Training

Noncompliance Area: The files for the following staff persons did not include documentation of 12 hours annual childcare training for the most recent full year full year of service: Staff Person #1, 3, 7: 10 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)

Description: Age and Training

Noncompliance Area: The most recent Pediatric First Aid/CPR certificate in the file for Staff Person #10 was acquired after the previous certificate had expired. Staff person #2 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 2/29/24. Documentation of updated Pediatric first aid and CPR training is not on file.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #14, 16, 17 and 22 have not completed the following required pre- service training within 90 days of their date of hire: Pediatric First Aid/CPR in an approved curriculum from a certified PQAS instructor (see LIS code sheet).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #14, 16, 17 and 22 must be supervised, when interacting with children at a minimum by, an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #14, 16, 17 and 22, staff person #14, 16, 17 and 22 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent Mandated Reporter Trainings in the files for Staff Person #4 and 7 exceeded 60 months between trainings.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The most recent clearances in the files for the following staff persons exceeded 60 months between clearances: Staff Person #1: Child Abuse, FBI, NSOR. Staff Person #2, 4, 6, 15: NSOR. Staff Person #7: Child Abuse. Staff Person #17: State Police, Child Abuse, FBI. The following clearances were acquired after the staff persons' first day working in childcare: State Police Clearance in the file for Staff Person #11. NSOR in the file for Staff Person #13, 16, 17 and 21. DHS FBI and NSOR in the file for Staff Person #14 and 22. DHS FBI and out-of-state Child Abuse Clearance in the file for Staff Person #19 (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.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff Person #5 contains a foreign degree from Canada that has not been evaluated by an approved accreditation agency.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The first written evaluations in the files for Staff Person #10, 17 and 18 were conducted more than 12 months after the staff persons' first day working in childcare. The most recent written evaluation in the file for Staff Person #2 exceeded 12 months between evaluations. The files for Staff Person #1 and 8 do not include a written evaluation conducted within the past 12 months (See LIS Code Sheet).

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: Observed one outlet, which lacked a protective receptacle cover, on an extension cord in the Busy Bears Room.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Buzzing Bees Room lacked soap. The first aid kit in the Jungle Adventures Room lacked gauze.

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: A handwashing sign was not posted by the toilet in the Buzzing Bees bathroom.

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement forms for Child #1-Child #9 lacked an admission date.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #1 lacked the work address and work phone number for 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)(4)/3270.182(3)

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

Noncompliance Area: The emergency contact form for Child #5 lacked parental consent for 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)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form for Child #1 and Child #4 did not include information on the child's special needs, specified by the child's parent.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #1, Child #7, and Child #9 lacked an address for the release persons. The emergency contact form for Child #4 contained an incomplete address 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(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #3, #4, #6, #7, #8, and #9 contained emergency contact form updates dated more than 6 months apart. The most recent emergency contact form update on file for Child #5 is dated 8/16/24, more than 6 months prior.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #3 and Child #7 did not contain an initial health report. The file for Child #8 contained a health report dated 8/29/24, more than 60 days after enrollment.

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

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

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

Noncompliance Area: The most recent health report on file for Child #1 (YT) is dated 7/1/24, more than 6 months prior. The most recent health report on file for Child #5 (YT) is dated 8/19/24, more than 6 months prior. The most recent health report on file for Child #8 (YT) is dated 8/29/24, more than 6 months prior. The most recent health report on file for Child #9 (YT) is dated 4/18/24, more than 6 months prior.

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)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record for Child #6 was illegible, therefore making it invalid.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report form on file for Child #4 did not include a statement that the child is free from contagious disease and is able to participate in childcare.

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: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The health report on file for Child #4 did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan lacked information regarding 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.

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 most recent health assessment on file for Staff #1 is dated 1/23/23, 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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The files for Child #3, #4, #6, #7, #8, and #9 contained agreement forms updates dated more than 6 months apart.

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: 3270.182(5)

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

Noncompliance Area: The emergency contact form for Child #5 lacked parental consent for administration of 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)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan parent letter lacked information regarding accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The most recent emergency drill log on file was dated 7/26/23, more than 12 months prior.

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 #1 is dated 2/13/24, more than 12 months 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(f)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation that the emergency plan was sent to county emergency management.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The most recent fire safety training on file for Staff #1 is dated 1/31/24, more than 12 months prior.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent NSOR certificates on file for Staff #1 are dated 12/20/19 and 1/16/25, more than 60 months apart. The two most recent PA State Police clearances for Staff #2 are dated 6/27/19 and 1/14/25, more than 60 months apart. The FBI clearance on file for Staff #2 was not the acceptable version, making it invalid. (SEE LIS CODE SHEET)

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Ocean Explorers Room, hand sanitizer labeled "Keep out of the reach of children" was located on the counter and accessible to 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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the Busy Bees Room, the diapering area lacked a handwashing sign.

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: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: During the time of inspection, a portable space heater was observed in the entrance vestibule.

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility's two most recent annual fire alarm testing reports are dated 2/14/24 and 2/17/25, more than 12 months 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff #1, lacked a health assessment within 12 months prior to providing initial start date in a child care position. This is evidenced by the health assessment on file with date of 12/3/24. SEE IS CODE SHEET. The files for staff #2, 3, 4 and 5 lack a health assessment within 12 months prior to providing initial start date in a child care position.

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff #1, lacked a TB screening within12 months prior to providing initial start date in a child care position. This is evidenced by the TB screening on file with date of 12/3/24. SEE IS CODE SHEET. The files for staff #2, 3, 4 and 5 lack a TB screening within 12 months prior to providing initial start date in a child care position.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(1)

Description: Name, address, and phone

Noncompliance Area: The files for staff #2, 3 and 5 lack the address of the facility person.

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

Regulation: 3270.192(2)(i)

Description: Age

Noncompliance Area: The files for staff #2, 3 and 5 lack verification of age.

Correction Required: A facility person's record shall include verification of age.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for staff #1, 2, 3, 4 and 5 lack two written, nonfamily references from individuals attesting to the person's suitability.

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(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The files for staff #2 and 3 lack emergency plan training within 90 days of initial employment.

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. 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 persons # 2, and 3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff #2 - Mandated reporter and Health and Safety. Staff #3 - Mandated reporter, Health and Safety and Pediatric CPR/FA.

Correction Required: .Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #2 and 3 will have until 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff persons #2 and 3 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 and 3-, staff persons #2 and 3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: ** file for staff #1 lacks the correct PA State Police clearance required under the CPSL and an NSOR, and the disclosure statement on file lacks a witness signature and date. The PA State Police clearance on file is for a volunteer. The file for staff #2, lacks a PA State Police, Child Abuse, DHS FBI and NSOR and the disclosure statement on file lacks a signature date. The file for staff #3 lacks a PA State Police, Child Abuse, DHS FBI, NSOR and disclosure statement. The file for staff #4, lacked a Child Abuse and FBI clearance on or before initial start date in a child care position and lacks the PA State Police clearance required under the CPSL, an NSOR, and the disclosure statement on file lacks a witness signature and date. This is evidenced by the Child Abuse clearance on file with date of 12/4/24 and FBI clearance on file with date of 12/9/24. THE PA State Police clearance on file is for a volunteer. SEE IS CODE SHEET. The file for staff #5, lacks a PA State Police, Child Abuse, DHS FBI, NSOR and disclosure statement.

Correction Required: ** For a period of 4 months the director will send either the completed clearances for all new facility persons or will send the completed provisional hire paperwork for all new facility persons to be reviewed and approved by an OCDEL certification representative prior to them working in any position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #6 lacks mandated reporter training within the past 60 months. This is evidenced by the current mandated reporter training on file with date of 5/8/19.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: * The file for staff #1 lacks the correct PA State Police clearance required under the CPSL and an NSOR, and the disclosure statement on file lacks a witness signature and date. The PA State Police clearance on file is for a volunteer. The file for staff #2, lacks a PA State Police, Child Abuse, DHS FBI and NSOR and the disclosure statement on file lacks a signature date. The file for staff #3 lacks a PA State Police, Child Abuse, DHS FBI, NSOR and disclosure statement. The file for staff #4, lacked a Child Abuse and FBI clearance on or before initial start date in a child care position and lacks the PA State Police clearance required under the CPSL, an NSOR, and the disclosure statement on file lacks a witness signature and date. This is evidenced by the Child Abuse clearance on file with date of 12/4/24 and FBI clearance on file with date of 12/9/24. THE PA State Police clearance on file is for a volunteer. SEE IS CODE SHEET. The file for staff #5, lacks a PA State Police, Child Abuse, DHS FBI, NSOR and disclosure statement.

Correction Required: * The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons # 1, 2, 3, 4 and 5 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The files for staff #2, 3, and 4, who hold the title of assistant group supervisor, lack verification of a high school diploma and 2500 hours of child care experience. The file for staff #5, who holds the title of aide, lacks verification of a high school diploma.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 12/17/24, it was observed that the last fire drill on file was not within the past 60 days and was dated 2/14/24.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Staff #1 used inappropriate/harsh language in the presence of children.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the Older Toddler Room cupboard, observed blue, gold and purple dazzler beads which are used for crafts and have a diameter of less than an inch. In the Young Toddler Room, observed pipe cleaners, foam letters, foam hearts, pom poms, wooden sticks and bells which are used for crafts and have a diameter of less than an inch.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The most current fee agreements on file for children #1, 2, 3, 4, 6 and 7 lacked the date of the child's admission.

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(a)/3270.123(a)(1)

Description: Signed /Amount of fee

Noncompliance Area: The most current fee agreement on file for children #1, 2, 3, 6 and 7 were not signed by the operator. The most current fee agreement on file for children #3 and 4 were not signed by the parent. The most current fee agreement on file for 1, 6 and 7 did not specify the amount of the fee to be charged per day or per week.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.124(b)(3)/3270.124(b)(6)

Description: Parent home/work address, phone/Insurance coverage information

Noncompliance Area: The emergency contact information on file for child #4 lacked the enrolling parents work phone and work address. The emergency contact information on file for child #7 lacked the enrolling parents' home and work addresses and telephone numbers. The emergency contact Information on file for child #2 lacked a health insurances policy number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 information on file for child #4 lacked the address of the individual designated by the parent to whom the child may be released. The emergency contact information on file for child #7 lacked the name, address and telephone number of the individual designated by the parent to whom the child may be released.

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(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: There were more than six months between updates/reviews of the emergency contact information on file for children #2, 3, 4, 6, 7 and 8. There are now current updates/reviews on file.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The files for children #2, 5 and 6, who have been enrolled for more than 60 days, lack an initial health report.

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

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

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

Noncompliance Area: There was more than six months between the previous and most current and updated health reports on file for children #3 and 8, who 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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The health report on file for child #7 lacks a signature by a physician, physician's assistant or a CRNP which includes the individual's professional title.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report on file for child #7 lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for staff #5, 6, 9, lacked the one-hour health and safety update by 12/30/22. The one hour update is now on file and dated - Staff #5 - 1/31/24, Staff #6 - 1/17/23, and staff #9 completed the revised health and safety training on 2/24/24.

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: The files for staff #1, 2 and 10 did not complete the six hour health and safety training between 9/30/16 and 6/30/18. This is evidenced by the six hour health and safety trainings on file dated - Staff #1- 9/27/18, Staff #2 - 9/16/16, and Staff #10 - 9/9/16.

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: There was more than 24 months between the previous and most current and updated health assessments on file for staff #6, 10 and 11, There are current health assessments on file. The files for staff # 12, 18 and 19, lacked an initial health assessment within 12 months of providing initial service in a child care setting. There are now a current health assessments on file. The files for staff #17, 20, 21 lack an initial health assessment within 12 months of providing initial service in a child care setting. The health assessment on file for staff #22 does not contain a date that the health assessment was completed.

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The files for staff #5, 20, 21 and 22 lack an initial TB screening within 12 months of providing initial service in a child care setting. The files for staff #12 and 19 lacked a TB screening within 12 months of providing initial service in a child care setting. SEE IS CODE SHEET. There are now TB screenings on file for both.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for staff #15 and 17 lack one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for staff #21 lacks two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the Young Toddler room, observed a sharp knife in an unlocked drawer and in reach of children.

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

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for staff #12 lacks emergency plan within 90 days of hire. The files for staff #13 and 14 lacked emergency plan training within 90 days of hire. SEE IS CODE SHEET. There is now emergency plan training on file and dated - Staff #13 - 2/21/24 and staff #14 - 2/21/24.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The parent letter lacked an explanation of lockdown and accommodations for infants, toddlers, children with chronic medical conditions and children with disabilities.

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(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5, 7, 16,18 and 19 did not complete the following required pre-service training within 90 days of their date of hire. SEE IS CODE SHEET. Staff #5 - Health and Safety health and safety training - 1/3/23. Staff #7 - Pediatric CPR/FA- 1/13/23, Staff #16 - Pediatric CPR/FA - 1/13/23, Staff #18 - Pediatric CPR/FA - 5/16/23, Staff #19 - 2/20/24.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: There was more than 60 months between mandated reporter trainings on file for staff #1, This is evidenced by mandated reporter trainings dated 9/27/18 and 1/17/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: There was more than 60 months between the previous PA State Police and DHS FBI clearances on file for staff #1. Dates are as follows: PA State Police - 8/15/18 and 8/30/23 and DHS FBI- 8/16/18 and 9/7/23. The file for staff #4 lacked a Child Abuse and PA State Police clearance on or before initial start date in a child care position and a current disclosure statement is not on file. SEE IS CODE SHEET. There is now a Child Abuse clearance on file and dated 1/2/24, and a DHS FBI clearance on file and dated 1/4/24. There was more than 60 months between the Child Abuse and DHS FBI clearances on file for staff #5. Dates are as follows: Child Abuse - 8/24/18 and 1/17/24 and DHS FBI - 8/22/18 and 12/5/23. There was more than 60 months between PA State Police, Child Abuse and DHS FBI clearances on file for staff #8. Dates are as follows: PS State Police- 1/2/19 and 1/11/24, Child Abuse- 1/7/19 and 1/11/24, and DHS FBI - 7/6/17 and 10/28/22. There was more than 60 months between PA State Police clearances on file for staff #10. Dates are as follows: 8/14/17n and 8/16/17. The file for staff #12, lacks the correct DHS FBI clearance required under the CPSL. The file for staff #13 lacked a DHS FBI, NSOR and disclosure statement on or before initial start date in a child care position. SEE IS CODE sheet. There are now current clearances on file and date - DHS FBI- 9/11/23, DHS FBI- NSOR - 1/19/24 and disclosure statement dated 2/12/24. The file for staff #14 and 15 lacked an NSOR clearance on or before initial start date in a child care position. SEE IS CODE SHEET. There is now an NSOR on file and dated - Staff #14 - 1/19/24 and staff #15 - 3/4/24. The disclosure statements on file for staff #15, 20 and 21 lack the date that it was signed and witnessed. The file for staff #16 lacked an NSOR on or before initial start date in a child care position. SEE IS CODE SHEET. There is now an NSOR on file and dated 3/23/23. The file for staff #17 lacked an NSOR on or before initial start date in a child care position and lacks a current disclosure statement. There is now an NSOR on file and dated 2/14/24. The file for staff #18 lacked a disclosure statement on or before initial start date in a child care position. SEE IS CODE SHEET. There is now a disclosure statement on file and dated 2/15/23.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #12 -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #13, who holds the title of aide, lacks a high school diploma or GED. The file for staff #18, who holds the title of assistant group supervisor, lacks 2500 hours of child care experience. The file for staff #21, who holds the title of aide, lacks verification of an 8th grade education.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for staff #16 and 19 did not contain a staff evaluation within 12 months of hire date. SEE IS CODE SHEET. There are now staff evaluations on file and dated 12/27/23 for both staff.

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

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: In the Older Toddler diaper changing area, observed toxic Oxi Clean, Windex, Scotch Guard, Wizard Air Freshener and sanitizing wipes located on a shelf directly above the diapers. These were free standing and could easily fall over and leak onto the diapers, causing a hazard to the children in care by the toxics then touching the skin of the newly diapered child.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water faucets that were recently replaced with separate cold and hot spouts and located in the Older Toddler, Young Toddler, Preschool and K Prep rooms were measured at 122 degrees F.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed at the time of inspection the diapering pads in the infant, young toddler and older toddler classrooms had crumbs and debris under them. The air vent in the Pre-school room was covered in a layer of dust; the exposed bolts in the outdoor play area had protective caps missing.

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: It was observed at the time of inspection the cribs in the infant room were numbered but did not have a cot chart identifying the names of the infants using each specific crib.

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)(3)

Description: Services proceeded

Noncompliance Area: It was observed at the time of inspection that child #1, child #2 and #4 did not have a child service report completed within the last six months as required.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: It was observed at the time of inspection child #1's financial agreement and emergency contact information was last signed by the parent on 12-15-21; child #2 financial agreement and emergency contact information was last signed by the parent on 6-7-22; child #3 financial agreement and emergency contact information was last signed by the parent on 5-24-22; child #4 financial agreement and emergency contact information was last signed by the parent on 8-3-22.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3270.131(a)/3270.131(a)(1)

Description: Health information/Initial health report for infant dated no more than 3 months

Noncompliance Area: It was observed at the time of inspection child #4's health assessment was not completed by a physician and received within 60 days of enrollment.

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 initial health report for an infant must be dated no more than 3 months prior to the first day of attendance at the facility.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: It was observed at the time of inspection child #2's most recent health assessment was completed on 5-24-22.

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: 3270.134(b)/3270.134(c)

Description: Towels labeled and laundered/Paper towels discarded

Noncompliance Area: It was observed at the time of inspection after the young toddler children's hands were washed, staff was using the same cloth towel to dry all of the children's hands.

Correction Required: Cloth towels and washcloths shall be labeled with the child's name, used by only the named child and laundered weekly. The director shall arrange a laundry schedule with the parent. Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: It was observed at the time of inspection Staff #3, staff #10 and Staff #11 did not complete the required Pennsylvania Health and Safety Update by December 30, 2022. Staff #4 completed the required Pennsylvania Health and Safety Update on 1-8-23, staff #5 completed the required Pennsylvania Health and Safety Update on 3-1-23; staff #6 completed the required Pennsylvania Health and Safety Update on 2-26-23; staff #7 completed the required Pennsylvania Health and Safety Update on 2-2-23 after the 12-30-22 requirement; staff #12 completed the required Pennsyvania Health and Safety Update on 1-11-23 after the 12-30-22 requirement.

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.