Chesterbrook Academy At College Hill

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The Fencing on the Preschool Playground, had areas where it was separating.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Mulch was washed up onto the Toddler playground.

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: 3270.111(c)

Description: Promote development

Noncompliance Area: Staff Person #1 sat Child #1 down in a chair firmly when Child #1 was not responding to verbal prompts and turned the child's face toward theirs to sternly scold the child for not listening. During the inspection, Staff Person #1 was observed raising their voice at a child who had spit at another child. This was in the presence of the other children in the group.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.123(a)(3)/3270.181(c)

Description: Services proceeded/Emergency info/agreement updated 6 mos

Noncompliance Area: There were no Child Service Reports (or STARS-approved Assessment Tool) completed and shared with the parent in the past 6 months or Children #2, 3, 4, #5, #6 or #7. The Financial Agreements for Children #2, #3, #5, #6 and #7 have not been updated (signed and dated) by the parent within 6 months of the last parent signature and date. The Emergency Contact Forms for Child #3 had not been updated (signed and dated) by the parent within 6 months of the last parent signature and date.

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). 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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The Financial Agreements for Children #2 and #7, did not list the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact form for Child #3 did not include the address of the child's physician.

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 for Child #7 did not include the enrolling parent's work address. The Emergency Contact form for Child #3 did not include the enrolling parent's work phone number.

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 for Child #1 did not include the addresses of authorized Release Persons. The Emergency Contact form for Child #8 did not include addresses and phone numbers of 2 of the 4 authorized 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)(2)

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

Noncompliance Area: The health reports on file for Children #3 and #7, were not conducted within 12 months of the prior ones as follows: Child #3: 1/2024 then 1/2026 Child #7: 4/2024 then 7/2025

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

Regulation: 3270.131(d)(1)/3270.131(d)(2)

Description: Child's health history/Child's allergies

Noncompliance Area: The health report for Child #1 was not filled out by the physician, documenting the following requirements: * Child's health history * Child's allergies

Correction Required: A health report shall include a review of the child's health history. A health report shall include a list of the child's allergies.

Regulation: 3270.131(d)(3)/3270.131(d)(4)

Description: Current medication and reason/Acute or chronic health problem

Noncompliance Area: The health report for Child #1 was not filled out by the physician, documenting the following requirements: * Child's current medications * Child's chronic health problem or special needs

Correction Required: A health report shall include a list of the child's current medication and the reason for the medication. A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Regulation: 3270.131(d)(7)/3270.131(d)(8)

Description: Free from contagious/communicable disease/Age appropriate screenings complete

Noncompliance Area: The health report for Child #1 was not filled out by the physician, documenting the following requirements: * Statement that the child is free from communicable diseases and able to participate in childcare * Statement that the child's age-appropriate screenings are current (vision, hearing, lead)

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. 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 Shaken Baby/Abusive Head Trauma policy did not include strategies for coping with a crying, fussing, or distraught child, or prevention and identification of child maltreatment.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The written notification to the local police, of the location of the facility and program's use of pedestrian and vehicular routes around the facility, had not been sent annually. The last letter sent was dated 1/2/25.

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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Written notification of safe routes (pick up-drop off procedures) were not posted at the parent postings area at the facility/

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: There was no documentation of a TB test result in the file of Staff Person #2.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff Person #1 was observed working alone with children without a current NSOR clearance that had been updated within 60 months from the previous one dated: 1/25/21. Staff Person #3 did not have a Child Abuse Clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Persons #1 and #3 may not work in a childcare position at the facility until the required, current clearances are on file.

Regulation: 3270.72(c)

Description: Good repair

Noncompliance Area: A torn window screen was observed in the Intermediate 2 Room.

Correction Required: Screens shall be in good repair.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Infant Room (on the left), did not contain soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The poured rubber surfacing on the Preschool Playground, was in poor repair. Areas of the surfacing were peeling and lifting up and the edging of the surfacing was degraded, creating a trip hazard.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The toilet that the PreK 1 bathroom, had yellow residue around the bottom of the toilet. The toilet in the PreK 2 bathroom, was dirty at the base of the toilet.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

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

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

Noncompliance Area: Staff persons #1 and #2 were responsible for a group of 13 children. When asked to identify their care groups, the staff accounted for 12 of the 13 children in the room. 1 child was unaccounted for in the care groups. Staff persons #3 and #4 were responsible for a group of 11 children. When asked to identify their care groups, the staff accounted for 10 of the 11 children in the room. 1 child was unaccounted for in the care groups.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: 1st room on left - The pipe underneath the sink in the boy's bathroom was leaking water. In addition, loose cords were observed in the area that were running into a battery pack (sink operates on a sensor).

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: At the time of the verification visits for the renewal visit (SIN-00263187), areas of peeling paint were again observed throughout the building. (All CORRECTED ON SITE) -The door at the entrance to the child care facility. -Right side infant room, on the wall near the kitchen -Door frames into child care spaces throughout the facility -Beginners 2 - window sill and window frame -1st on left - in the prep space near the soap dispenser, and multiple spots in the boy's bathroom near the sink. -Last room on right, large area on far wall near bulletin board.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff persons #1 and #2 were present with a group of 18 preschoolers. Staff person #1 identified 8 of the children as being in her care group, and staff person #2 identified 9 of the children as being in her care group. One child was unaccounted for in the care groups.

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: 3270.163(a)(1)

Description: Dairy

Noncompliance Area: Staff persons #3 and #4 were present with a group of preschoolers at lunchtime. The staff were not serving milk to all of the children and allowing them to choose water instead of the daily product.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Staff person #1 has fallen asleep while caring for and while holding infants.

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

Regulation: 3270.162(c)

Description: Not withheld as discipline

Noncompliance Area: Facility self-reported the following: After child #1 threw a piece of his lunch food and refused to clean it up, the child was sent away from the table. The child was not given time to eat the remainder of his lunch. Staff persons #1 and #2 were present with the group of preschoolers.

Correction Required: Food may not be withheld from a child for purposes of discipline.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: 1st room on left - Children were observed resting on cots that had less than 2 feet of space around three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: 1st room on left - The staff person present in the classroom was unable to see all of the children at naptime.

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.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: Left side infant room - An infant was observed sleeping soundly on a boppy pillow on the floor. Another infant was observed sleeping in a bouncy seat. The staff did not move the infants to their rest equipment once they were sleeping.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #3 has been enrolled for more than 12 months. The child's record included just 1 incomplete Child Service Report from the previous year. Child #4 has been enrolled fore more than 12 months. The child's record included just 1 CSR from the previous year, dated 12/24.

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(a)

Description: Each child emergency contact person

Noncompliance Area: Emergency contact persons were not listed on the emergency contact form for child #2.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information on file for child #4 did not include the work phone number for the enrolling parent (CORRECTED ON SITE).

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

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: The emergency contact form on file for child #3 was updated in March of 2024 and subsequently more than 6 months later in January of 2025. The emergency contact form on file for child #4 was updated in April of 2024 and subsequently more than 6 months later in January of 2025

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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health report on file was dated more than 60 days after the child's first day of attendance at the facility. The child began in care in July of 2024, but the initial health report was not on file until December of 2024.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The most recent health report on file for child #1 was more than 12 months old (dated 2/2024). Health reports on file for child #4 were dated in March of 2023, and subsequently more than 12 months later in April of 2024.

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

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The immunization record on file for child #5 is not in accordance with the schedule recommended by the ACIP. The child's record does not include documentation of the child receiving their 3rd dose of the polio vaccine.

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. 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).

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Right side infant room - A staff person was observed changing a child's diaper. The staff person did not wash the child's hands after the diaper change.

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

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

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

Noncompliance Area: Staff person #5 - Health assessments were dated in August of 2022, and subsequently more than 24 months later in January of 2025. Staff person #10 - The record for staff person #10 did not include results of a TB test. Staff person #13 - The record did not include an initial health assessment.

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

Regulation: 3270.181(c)/3270.181(e)

Description: Emergency info/agreement updated 6 mos/Emergency master file updated

Noncompliance Area: Emergency contact forms were past due to be updated in the following spaces. -5th room on right: 6 need to be updated -Beginners 2: 4 need to be updated -1st room on left: 3 need to be updated -Toddler 2: 1 needs to be updated -Toddler 3: 2 need to be updated -Interm 1: 4 need to be updated -Interm 2: 2 need to be updated -Beginners 1: 1 needs to be updated -Beginners 3: 1 needs to be updated

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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for staff person #3 did not include 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff person #1 completed 7 hours of annual training during the previous training year. Staff person #7 completed 9 hours of annual training during the previous training year. Staff person #11 completed 10.5 hours of annual training during the previous training year. Staff person #12 completed 7 hours of annual training during the previous training year.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The record for staff person #6 did not include documentation that the staff person had completed fire safety training during the past year. The most recent training on file was from February of 2024. The fire safety trainings on file for staff person #7 were dated in August of 2023, and subsequently more than 12 months later in April of 2025.

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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 - An updated mandated reporter training was not completed within 60 months. The trainings on file were dated 5/16/2019 and subsequently more than 60 months later on 11/18/24. Staff person #2 did not have a current mandated reporter training on file. The most recent training on file was more than 60 months old (dated 3/27/2020). In addition, an updated NSOR was not obtained within 60 months. The previous NSOR was dated 11/19/2019, and an updated clearance was not on file until 11/22/24. Staff person #2 worked during the time the NSOR was expired. Staff person #4 - An updated mandated reporter training was not completed within 60 months. The trainings on file were dated 6/24/19 and subsequently more than 60 months later on 11/15/24. In addition, updated state police, child abuse, and DHS FBI clearances were not obtained within 60 months. The child abuse clearance expired 6/21/2024, but was not updated until 11/2/24. The state police clearance expired 6/20/2024, but was not updated until 11/4/24. The DHS FBI clearance expired 6/26/2024, but was not updated until 11/6/24. Staff person #2 worked during the time the clearances were expired. Staff person #8 - The NSOR on file expired 11/19/24, but was not updated until 12/4/24. Staff person #8 worked during the time the clearance was expired. Staff person #10 - A completed disclosure statement was not on file at the time of inspection. Staff person #12 - An updated mandated reporter training was not completed within 60 months. The trainings on file were dated 9/10/19 and subsequently more than 60 months later on 11/14/24. In addition, updated state police, child abuse, and DHS FBI clearances were not obtained within 60 months. The child abuse clearance expired 09/20/2024, but was not updated until 11/10/24. The state police clearance expired 6/20/2024, but was not updated until 11/4/24. The DHS FBI clearance expired 10/23/2024, but was not updated until 11/6/24. Staff person #12 worked during the time the clearances were expired. Staff person #13 - An incomplete state police clearance was on file at the time of inspection. The dissemination date was not listed. (CORRECTED ON SITE) Staff person #14 - An incomplete state police clearance was on file at the time of inspection. Page 2 was missing. (CORRECTED ON SITE)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 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. 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: Staff person #9 has not received a completed staff evaluation in the past 12 months.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: Intermediates 1 - A container of cleaning solution was not labeled. (CORRECTED ON SITE) 1st room on left - A container of bleach water cleaning solution was not labeled. (CORRECTED ON SITE)

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: 5th room on right - The water temperature in the sink measured at 113° F. (CORRECTED ON SITE) Beginners 1 - The water temperature in the sink measured at 113° F. (CORRECTED ON SITE) Beginners 3 - The water temperature in the sink measured at 117° F. (CORRECTED ON SITE)

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: A backpack containing a first aid kit was stored in an area accessible to the children on the playground. (CORRECTED ON SITE)

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in Beginners 1 did not contain tweezers.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: 5th room on right- The wall and baseboard near the children's sink was visibly soiled. Intermediates 1 - The barrier on the bathroom door (in place to prevent pinched fingers) was cracked. (CORRECTED ON SITE)

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Areas of peeling paint were observed throughout the building. -The doorframe at the entrance to the child care facility. -Right side infant room - On the wall near the kitchen -3rd floor - behind the sink in the child care space -Door frames into child care spaces throughout the facility -Beginners 2 - window sill and window frame -1st on left - in the prep space near the soap dispenser, and in the boy's bathroom near the sink. -Intermediates 1 - Near the doorknob on the door to 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The operator was unable to provide documentation of the proof and date of purchase of an interconnected fire detection device or system.

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. A child care center shall keep the proof and date of purchase of an interconnected fire detection device or system with the facility's fire drill logs

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff persons #1 and #2 were present in Intermediates 1 with a group of 20 preschoolers. Staff person #1 identified 9 of the children as being in her care group, and staff person #2 identified 10 of the children as being in her care group. One child was unaccounted for in the care groups. Upon second questioning, staff person #1 included the remaining child in her group.

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

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

Noncompliance Area: Facility self-reported: On the afternoon of 2/6/25, staff person #1 was transitioning a group of 3 toddlers from the Toddler 2 room to the next-door Toddler 1 room. After staff person #1 entered the room, a parent found child #1 (young toddler) in the hallway unsupervised. Staff person #1 was unaware the child had walked away and reported not closing the door after entering into the room.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #1 did not compete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. The training was completed 122 days after the date of hire.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling/water damaged paint was observed on the wall near the edge of the bathroom counter in the Beginners 1 room.

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

Regulation: 3270.182(7)

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

Noncompliance Area: From June 5, 2024 through October 25th, 2024, 46 incident reports have been completed for child #1. The child's parent did not receive at least 7 of the 46 incident reports on the day of the incidents. 7 of the incident reports were not in the accident file. None of the incident reports were found in the child's file. Staff reported not writing incident reports after every time child #1 banged his head off of the floor.

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

Regulation: 3270.182(7)

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

Noncompliance Area: From June 5, 2024 through October 25th, 2024, 46 incident reports have been completed for child #1. The child's parent did not receive at least 7 of the 46 incident reports on the day of the incidents. 7 of the incident reports were not in the accident file. None of the incident reports were found in the child's file. Staff reported not writing incident reports after every time child #1 banged his head off of the floor.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. The legal entity must develop and implement a facility wide policy regarding the writing and handling of accident, injury, and illness reports. Documentation of the written policy and staff training regarding the policy must be submitted to the Regional Office of Child Development and Early Learning and must be kept on file at the facility.

Regulation: 3270.182(7)

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

Noncompliance Area: From June 5, 2024 through October 25th, 2024, 46 incident reports have been completed for child #1. The child's parent did not receive at least 7 of the 46 incident reports on the day of the incidents. 7 of the incident reports were not in the accident file. None of the incident reports were found in the child's file. Staff reported not writing incident reports after every time child #1 banged his head off of the floor.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. The legal entity must develop and implement a tracking system to log proper procedures in handling of accident, injury, and illness reports. The log must be completed and submitted to the Regional Office of Child Development on a weekly basis for a period of 3 months.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A stepping stone located on the preschool playground was broken. It was cracked in multiple areas, creating sharp edges. (CORRECTED ON SITE)

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff persons #1 and #2 were present with a group of 20 preschoolers. The staff were unable to identify which specific children they were each responsible for. Staff persons #3 and #4 were present with a group of 12 older toddlers. The staff persons identified 6 children in each of their care groups, but 1 child was accounted for in each group. One child in the group was not accounted for. Staff persons #5 and #6 were present with a group of 10 young toddlers. 8 of the children were accounted for when staff identified which children they were each responsible for. Staff persons #7 and #8 were present with a group of 10 young toddlers. 9 of the children were accounted for when staff identified which children they were each responsible for.

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: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: More than 2 hours lapsed between diaper changes on multiple occasions for child 1. -On 9/10/24, the report stated the child's diaper was checked and dry at 11:46am and then she was changed more than 2 hours later at 2:55pm (woke from nap at 2:11pm). -On 9/11/24, the report stated she was changed at 9:45am and then more than 2 hours later at 12:12pm. The next diaper change was more than 2 hours later at 3:20pm (woke from nap at 2:08pm). The last diaper change of the day was more than 2 hours later at 5:29pm. -On 9/12/24, the report stated she was changed at 11:00am and then more than 2 hours later at 3:15pm (woke from nap at 2:20pm). -On 9/16/24, the report stated she was changed at 9:52am and then more than 2 hours later at 3:05pm (woke from nap at 2:37pm). -On 9/19/24, the report stated she was changed at 11:13am and then more than 2 hours later at 3:14pm (woke from nap at 2:33pm). -On 9/20/24, the report stated the child's diaper was checked and dry at 12:10pm and then changed more than 2 hours later at 3:08pm (woke from nap at 2:31pm). -On 9/24/24, the report stated she was changed at 12:10pm and then more than 2 hours later at 3:29pm (woke from nap at 2:40pm). -On 9/26/24, the report stated she was changed at 9:27am and then more than 2 hours later at 11:38am. The third diaper change of the day took place more than two hours after that at 3:37pm (child woke from nap at 2:31pm). -On 9/27/24, the report stated she was changed at 10:27am and then more than 2 hours later at 2:55pm (woke up from nap at 2:11pm). -On 10/4/24, the report stated she was changed at 12:04pm, and then more than 2 hours later at 3:15pm (woke up from nap at 2:27pm).

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3270.182(7)

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

Noncompliance Area: Child 1, a young toddler, received 5 injuries at the facility in approximately a 6 week period. The child's parents did not receive the original of completed incident reports on the day of the incidents for at least 4 of the 5 incidents. The facility's accident file included just two of the five reports. The child's file did not include any incident reports.

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

Regulation: 3270.21/3270.111(c)

Description: General Health and Safety/Promote development

Noncompliance Area: Child 1, a young toddler, received the following 5 injuries at the facility from 9/4/24 to 10/7/24. The daily activities of the infant and then young toddler rooms presented multiple opportunities for the child to get injured. The multiple injuries in a short period of time demonstrate a lack of responsive caregiving. On 9/4/24, staff person #1 let child #1 (young toddler) climb up the steps to the changing table without active supervision. The child slipped, hitting her head off the side of the ladder. On the same day as the first incident, staff person #2 was putting child #1 down for a nap. The child was getting into a crawling position, and the staff reported that the child hit her head on the edge of the rest equipment as staff person was laying the child down. The child had bruises on the front and sides of her head after these two incidents (noticed by staff after nap). The parents of the child did not receive an incident report on the day of the incident. On a subsequent day, child 1 received a large bite mark on her arm. Staff person #3 reported being on the other side of the room changing a diaper. A second staff person was present in the room. The parents of the child did not receive an incident report on the day of the incident. On a separate day, staff person #4 was present when the child received multiple scratch marks on her arm from another child. The parents of the child did not receive an incident report on the day of the incident. The last incident took place on 10/7/24. Staff person #5 was putting child #1 down for nap. The child was reportedly squirming and fell from the staff person's arms. The child hit her head on the edge of the rest equipment. The child was put down for nap immediately following a bump to the head. The child had a dark red mark on her forehead after the woke up from nap. The parents were given an incomplete incident report on the day of the incident. Appropriate response to head bumps was not implemented. Notification to the facility leadership, child's parents, and the child being laid down for nap following head bumps (resulting in bruising) were not responsive to the child's needs.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.21/3270.111(c)

Description: General Health and Safety/Promote development

Noncompliance Area: Child 1, a young toddler, received the following 5 injuries at the facility from 9/4/24 to 10/7/24. The daily activities of the infant and then young toddler rooms presented multiple opportunities for the child to get injured. The multiple injuries in a short period of time demonstrate a lack of responsive caregiving. On 9/4/24, staff person #1 let child #1 (young toddler) climb up the steps to the changing table without active supervision. The child slipped, hitting her head off the side of the ladder. On the same day as the first incident, staff person #2 was putting child #1 down for a nap. The child was getting into a crawling position, and the staff reported that the child hit her head on the edge of the rest equipment as staff person was laying the child down. The child had bruises on the front and sides of her head after these two incidents (noticed by staff after nap). The parents of the child did not receive an incident report on the day of the incident. On a subsequent day, child 1 received a large bite mark on her arm. Staff person #3 reported being on the other side of the room changing a diaper. A second staff person was present in the room. The parents of the child did not receive an incident report on the day of the incident. On a separate day, staff person #4 was present when the child received multiple scratch marks on her arm from another child. The parents of the child did not receive an incident report on the day of the incident. The last incident took place on 10/7/24. Staff person #5 was putting child #1 down for nap. The child was reportedly squirming and fell from the staff person's arms. The child hit her head on the edge of the rest equipment. The child was put down for nap immediately following a bump to the head. The child had a dark red mark on her forehead after the woke up from nap. The parents were given an incomplete incident report on the day of the incident. Appropriate response to head bumps was not implemented. Notification to the facility leadership, child's parents, and the child being laid down for nap following head bumps (resulting in bruising) were not responsive to the child's needs.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The legal entity must arrange for all facility staff to receive a minimum of two hours of training (with corresponding technical assistance) regarding responsive caregiving of infants and toddlers, including appropriate response to head bumps. The legal entity must receive DHS approval of the training content prior to scheduling the training. New staff must be trained on responsive caregiving of infants and toddlers within the first 90 days of employment.

Regulation: 3270.21/3270.111(c)

Description: General Health and Safety/Promote development

Noncompliance Area: Child 1, a young toddler, received the following 5 injuries at the facility from 9/4/24 to 10/7/24. The daily activities of the infant and then young toddler rooms presented multiple opportunities for the child to get injured. The multiple injuries in a short period of time demonstrate a lack of responsive caregiving. On 9/4/24, staff person #1 let child #1 (young toddler) climb up the steps to the changing table without active supervision. The child slipped, hitting her head off the side of the ladder. On the same day as the first incident, staff person #2 was putting child #1 down for a nap. The child was getting into a crawling position, and the staff reported that the child hit her head on the edge of the rest equipment as staff person was laying the child down. The child had bruises on the front and sides of her head after these two incidents (noticed by staff after nap). The parents of the child did not receive an incident report on the day of the incident. On a subsequent day, child 1 received a large bite mark on her arm. Staff person #3 reported being on the other side of the room changing a diaper. A second staff person was present in the room. The parents of the child did not receive an incident report on the day of the incident. On a separate day, staff person #4 was present when the child received multiple scratch marks on her arm from another child. The parents of the child did not receive an incident report on the day of the incident. The last incident took place on 10/7/24. Staff person #5 was putting child #1 down for nap. The child was reportedly squirming and fell from the staff person's arms. The child hit her head on the edge of the rest equipment. The child was put down for nap immediately following a bump to the head. The child had a dark red mark on her forehead after the woke up from nap. The parents were given an incomplete incident report on the day of the incident. Appropriate response to head bumps was not implemented. Notification to the facility leadership, child's parents, and the child being laid down for nap following head bumps (resulting in bruising) were not responsive to the child's needs.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The facility director will develop and implement a written staff observation plan for all toddler staff present with a group of toddler children on the facility's premises. The legal entity must receive DHS approval of the observation plan before it is implemented. Documentation of completed observations must be submitted on a weekly basis to the Central Regional Office of Child Development and Early Learning for a period of 3-months. Documentation of completed observations must also be kept on file at the facility.

Regulation: 3270.24(a)/3270.191

Description: Immediate access/Individual Records

Noncompliance Area: Staff person 9 was observed caring for children. The staff on site were unable to provide certification staff (agent of the department) with a file for the staff person at the time of inspection. The staff person was helping for the day as she typically works at another location.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. An individual record is required for each facility person.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A complete state police clearance was not on file for staff person #10.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A discarded cigarette was observed on the toddler playground while children were playing in the area. An open and full can of beer was observed sitting on the ledge within reach of the preschool aged children lining up outside of the playground.

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: 32 days lapsed between the manual tests of the fire detection system that took place on 8/22/24 and subsequently 9/23/24.

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. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.102a on SIN-00243166 had not been fully implemented. On 5/15/24, baseboards in classrooms and bathrooms throughout the facility were dirty/dusty. On 7/3/24, the baseboards in classrooms and bathrooms throughout the facility were still dirty/dusty.

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: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.107 on SIN-00243166 had not been fully implemented. On 5/15/24, the thermometer located in the refrigerator in the 2nd floor infant room was reading at 48° F. On 7/3/24, the thermometer located in the refrigerator in the 2nd floor infant room was reading at 46° F.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270,124(b)(3) on SIN-00243166 had not been fully implemented. On 5/15/24, the emergency contact information on file for children 1, and 8 did not include the work addresses and work telephone numbers of the enrolling parent. On 7/3/24, the emergency contact information on file for children 1, and 8 still did not include the work addresses and work telephone numbers 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)(4)/3270.182(3)

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

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270,124(b)(4)/3270.182(3) on SIN-00243166 had not been fully implemented. On 5/15/24, the emergency contact forms on file for child 3 did not include written consent signed by a parent for emergency medical care. On 7/3/24, the emergency form on file for child 3 still did not include written consent signed by a parent 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)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270,124(b)(7) on SIN-00243166 had not been fully implemented. On 5/15/24, the emergency contact information on file for child 4 did not include complete contact information for listed release persons (missing a complete address for the listed release person). On 7/3/24, the emergency contact information on file for child 4 still did not include complete contact information for listed release persons (missing a complete address for the listed release person).

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: 3270.181(c)/3270.181(e)

Description: Emergency info/agreement updated 6 mos/Emergency master file updated

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.181(c)/3270.181(e) on SIN-00243166 had not been fully implemented. On 5/15/24, a portion of the emergency contact forms in the following rooms were past due for updates (signatures more than 6 months old): -1st room on left in main hallway -beginners 1 -beginners 3 - toddler 3. On 7/3/24, a portion of the emergency contact forms in the following rooms were past due for updates (signatures more than 6 months old): -1st room on left in main hallway -beginners 1 -beginners 3 - toddler 3.

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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.182(5)

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

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.182(5) on SIN-00243166 had not been fully implemented. On 5/15/24, the record for child 3 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. On 7/3/24, the record for child 3 did not contain 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A broken glass windowpane was observed in Intermediates 2.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.77a on SIN-00243166 had not been fully implemented. On 5/15/24, peeling paint was observed behind the sink in the Intermediates 1 room, on a windowsill in Intermediates 2, and below the sink the Beginners 1. On 7/3/24, the peeling paint was still observed on the windowsill in Intermediates 2, and below the sink the Beginners 1.

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: Toy shelves in Intermediates 2 were visibly dirty/dusty. Baseboards in classrooms and bathrooms throughout the facility were dirty/dusty.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Pom Poms (diameter of less than 1 inch) were observed in the sensory table (accessible to children) in Beginners 2 (toddler classroom).

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: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer located in the refrigerator in the 2nd floor infant room was reading at 48° F. The refrigerator located in the one-year-old room (next to 2nd floor infant room) contained a bin filled with old water and a mold-like substance. (CORRECTED ON SITE)

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(c)

Description: No ridicule or threaten harm

Noncompliance Area: Staff person 9 asked a child, "Do you know why you are at the front of the line? Because you weren't listening." The comment was loud enough for the other children to hear.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreements on file for children 5 and 9 each were 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 records for children 2, 4, 5, 7, 8, and 10 did not contain documentation that Child Service Reports (or another approved form) was being completed at least every 6 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)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for child 4 did not specify the child's arrival and departure times.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreements on file for children 4, 5, and 9 did not specify the date of the child's admission.

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

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: Originals of agreements were on file for children 1, 2, 4, 5, 7, 9, and 10. There was no agreement on file for child 3. Copies of initial agreements were not on file for children 1, 6, and 9. Child 1 - first agreement on file dated 3 months after start date. Child 6 - first agreement on file dated 3.5 months after start date. Child 9 - first agreement on file dated 1.5 months after start date.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information on file for children 3 and 10 each did not include a phone number for 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 information on file for children 1, 4, 8, 9, and 10 do not include the work addresses and work telephone numbers of the enrolling parent. The emergency contact information on file for child 5 did not include the work telephone 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)(4)/3270.182(3)

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

Noncompliance Area: The emergency contact forms on file for children 3, 8, 9, and 10 each did not include the written consent signed by a parent 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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information on file for children 1 and 5 each did not include the child's health insurance policy number. The emergency contact information on file for children 6, 8, and 9 each did not include 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 information on file for children 4 and 10 did not include complete contact information for listed release persons. -Child 4 - missing a complete address for the listed release person. -Child 10 - missing addresses and phone numbers for 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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in Pre-k 1 and in Toddler 3. (CORRECTED ON SITE)

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: Initial health reports were not obtained within 60 days for children 1, 4, 6, 8, 9, and 10. They were obtained late for children 1, 6, 8, and 9. The records for children 4, and 10 still did not include health reports (CORRECTED ON SITE).

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)(2)

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

Noncompliance Area: The updated health assessments on file for children 2 and 7 were not obtained timely. The health reports for child 2 were dated in September of 2022, and subsequently more than 12 months later in November of 2023. The health reports for child 7 were dated in June of 2022 and subsequently more than 12 months later in February of 2024. The children were older toddlers or preschoolers at the time of the lapse.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The records for children 1, 4, 6, 8, 9 and 10 did not include documentation that the children were vaccinated according to the ACIP schedule (or appropriate exemption notes) by the 60 day mark. The children remained in care during the time of the lapse in documentation. The records have since been obtained.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Intermediates 1 - A child was observed opening a trash can with their hands and disposing of their pullup into the trash can. Beginners 3 - A diaper was observed in an unlidded trash can. The trash can by the changing table was unlined.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)

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

Noncompliance Area: The updated health assessment on file for staff persons 6 and 7 were not obtained timely. Staff 6 - The health assessments were dated in November of 2021, and subsequently more than 24 months later in May of 2024. Staff 7 -The health assessments were dated in September of 2021, and subsequently more than 24 months later in October of 2023.

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.