College Hill Day Care Inc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the toddler room there was a blue bin that was cracked creating a pinch point.

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: In the toddler room there were foam blocks that had teeth marks accessible to children who are still placing objects in their mouths.

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

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

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

Noncompliance Area: The file for Child #1 does not include signed parental consent for the facility to obtain emergency medical care.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: One child was observed receiving care in the Back school age room without their emergency contact information being present in the child care space.

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

Regulation: 3270.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: The file for Child #1 does not include information for administration of medications or special dietary needs.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3270.182(5)

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

Noncompliance Area: The file for Child #1 does not include 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: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: The file for Child #1 does not include signed parental consent for walking excursions.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the grey cabinet in the school age room, it was observed that a young school age child was able to open it twice. In the bottom of the cabinet was powdered Borax that stated keep out of reach of children was 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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the girl's bathroom the pipe coming out of the wall to the toilet was leaking water and not in good repair.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #2's contained a child service report dated 10/2025 which is more than 6 months after the child's date of enrollment. Child #3 and 4's files contained child service reports dated 3/2025 which is more than 6 months ago. Child #5's file contained a child service report dated 7/2025 which is more than 6 month ago.

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 financial agreements on file for Child #2, 3, and 5 does not include the child's arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The financial agreements on file for Child #2 and 3 does not include the persons to whom the child can 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: Child #2's file did not contain the address of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #3 and 4's file was missing 1 address and 1 telephone number of an 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: The most recent 6-month review signature for the emergency contact forms on file for Child #1, #2, #3, #4, and #5 is dated 1/2026 which more than 6 months after the previous 6 month review signature of 6/2025.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #3, an older toddler age child, includes 0 of 1 MMR vaccines recommended by the ACIP for a child this age; 0 of 1 Varicella vaccines recommended by the ACIP for a child this age; and 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff #1's most recent health assessment is dated 6/16/23 which is 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 most recent 6-month review signature for the financial agreement on file for Child #1, #2, #3, #4, and #5 is dated 1/2026 which more than 6 months after the previous 6 month review signature of 6/2025.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: In the school age room on the 3rd third shelf of the purple shelf accessible to children was a pencil case that contained sewing needles.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #3's two most recent mandated reporter trainings are dated 4/16/20 and 10/21/25 which are more than 60 months apart.

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: Staff #3's 2 most recent state police clearances are dated 3/2/20 and 9/29/25 which are more than 60 months apart.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: It was observed that at approximately 845am Staff #1 left staff #2 in the School age/eating room alone with 1 young toddler, 2 older toddlers, and 8 preschool age children to answer the front door.

Correction Required: TIERED LIS: 1. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with § 3270.51 (relating to similar age level). This portion of the plan shall have an immediate correction date. *** 2. The Legal Entity will require all staff at the facility to attend a 2-hour minimum, in person training regarding maintaining proper ratio of children to staff presented by ELRC 3. The training may count towards the mandatory 12 training hours required by the Department. Documentation of training for each staff will be submitted to the department within 5 days of the completion of the training. The operator shall provide a date for when this training will be complete. *** 3. The legal entity will conduct ratio and supervision checks in all classrooms at least three times a week for a period of 3 months after the date this plan of correction is accepted. The classroom checks will be documented on a form pre-approved by the department and will remain onsite for review by a representative of the department during a minimum of at least 3 unannounced monitoring visits. The legal entity will review the classroom check forms on a weekly basis and will sign off on each form. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the checklist.

Regulation: 3270.55(a)

Description: Toddler and preschool children

Noncompliance Area: It was observed that at approximately 12:35pm that Staff #2 left Staff #3 in the Toddler room alone with 1 YT, 3OT, and 9 PS age children during nap multiple times, once to talk to the office staff and another time to do work in the hall. Staff were given guidance about maintaining proper ratio at nap time. At approximately 12:45pm Staff #3 left Staff #2 alone in the toddler room during nap with 1 YT, 3OT, and 9 PS age children to answer the front door.

Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the school age room there was a green extension cord for the television that was missing a protective outlet cover.

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 toddler room was missing tape and soap. The first aid kit in the school age/eating room was missing scissors.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm testing log contained the following dates 11/20/25-12/23/25 which is more than 30 days apart.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #1's most recent mandated reporter training was dated 4/16/20 which is more than 60 months ago.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 9am it was observed that staff #2 had 11 preschool age children in the preschool room alone.

Correction Required: TIERED LIS: 1. 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. 2. The Legal Entity will arrange for all staff to complete a minimum of 2 hours of online training on staff child ratios. The training will be submitted to the regional office for approval prior to scheduling. Proof of training will be submitted upon completion.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The tall black shelf in the toddler room was not attached to the wall making it unstable when touched.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: Child #2's financial agreement was not signed by the operator.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: Child #2's financial agreement did not contain the fee amount.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The current child service reports on file for child #1,2, and 3 were dated 6/3/24 and 1/2/25 which are more than 6 months apart.

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: Child #2's financial agreement did not contain the child's arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Child #2's financial agreement did not contain 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: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Child #2's financial agreement did not contain 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of inspection, one child was receiving care in the Toddler room without their emergency contact information being in the room where they were receiving care.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files for child #1, 2, and 3 contained emergency contact 6-month review signatures dated 6/3/24 and 1/2/25 which are more than 6 months apart.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #2 were dated 3/17/22 and 5/10/24, more than 24 months apart.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The files for child #1, 2, and 3 contained financial agreement 6-month review signatures dated 6/3/24 and 1/2/25 which are 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The most recent written documentation of an emergency drill on file at the facility is dated 2/28/23, more than 1 year ago.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum and 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 or (g)1-10. 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 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 8/28/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person/facility person/volunteer #3 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 #3, staff person #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: Staff person #3's file contained an NSOR certificate dated 2/7/20, which is more than 60 months old.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the toddler room was missing tape.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm testing log contained the following dates 10/1/24-11/4/24, 11/4/24-12/9/24, and 1/6/25-2/14/25 which are more than 30 days apart.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.108(c)

Description: No styrofoam

Noncompliance Area: Styrofoam bowls which may not be used were observed in the eating area. When staff were asked what they use the Styrofoam bowls for they stated to feed the children.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Upon returning to the facility from the park, it was observed that there were toddlers inside even though staff #3 that answered the door both times (9:25am and 10am) had said there were no children in the facility when she originally answered the door. Staff #3 left 4 young toddlers, 2 older toddlers, 1 older school age child alone in the classroom to answer the door both times.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 930am at the park across the street from the facility when originally asked about supervisory groups Staff #1 and #2 did not know which children were assigned to them. Staff #1 then decided to take the preschoolers and stated that there were 9 preschool age children. Staff #1 could only name 7 of the 9 children in her group saying that she did not know the names of 2 children because they were new. Staff #2 identified 13 School age children in their group which put her out of ratio. When given another opportunity to identify their groups again they refused. Upon reviewing the emergency contact forms it was determined that there were 12 preschoolers and 10 school age children again putting them out of ratio. Upon returning to the facility, it was observed that there were toddlers inside even though the staff #3 that answered the door both times (9:25am and 10am) had said there were no children in the facility when she originally answered the door. Staff #3 left the children alone in the classroom to answer the door both times. It was observed that Staff #3's granddaughter an older school age child was in the classroom with the 6 toddler age children. When asked Staff #3 named the 1 young toddler and 5 older toddlers but did not name the 1 older school age child. Staff #3 was out of ratio. Upon review of emergency contact forms, it was determined that there were 4 young toddlers, 2 older toddlers, and 1 older school age child which still left Staff #3 out of ratio.

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(d)

Description: No harsh language

Noncompliance Area: At approximately 930am it was observed that Staff #1 was yelling in a child's face.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was missing for 6 school age children in the school age classroom and the preschool classroom while they received care in both spaces.

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

Regulation: 3270.124(d)

Description: Excursions

Noncompliance Area: While on an excursion from the facility at the park across the street from the facility neither group, school age or preschool, had a emergency contact information specific to each child on the excursion accompany a staff person on the excursion.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: The school age children did not wash their hands before lunch they just used hand sanitizer. A young toddler that could walk and climb was observed to not wash hands after being diapered.

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: 3270.134(g)

Description: Paper cups or water fountain

Noncompliance Area: While outside it was observed that the preschool age and school age children shared 2 water bottles with no individual cups to use. Teachers would spray the water into each child's mouth when they said they were thirsty.

Correction Required: Paper cups, discarded after one use, or water fountains shall be used for between-meal drinking by children who are not bottle-fed.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 930am at the park across the street from the facility when originally asked about supervisory groups Staff #1 and #2 did not know which children were assigned to them. Staff #1 then decided to take the preschoolers and she stated that she had 9 preschool age children. Staff #1 could only name 7 of the 9 children in her group saying that she did not know the names of 2 children because they were new. Staff #2 identified 13 School age children in their group which put her out of ratio. When given another opportunity to identify their groups again they refused. Upon reviewing the emergency contact forms it was determined that there were 12 preschoolers and 10 school age children again putting them out of ratio. Upon returning to the facility, it was observed that there were toddlers inside even though the staff #3 that answered the door both times (9:25am and 10am) had said there were no children in the facility when she originally answered the door. Staff #3 left the children alone in the classroom to answer the door both times. It was observed that Staff #3's granddaughter an older school age child was in the classroom with the 6 toddler age children. When asked Staff #3 named the 1 young toddler and 5 older toddlers but did not name the 1 older school age child. Staff #3 was out of ratio. Upon review of emergency contact forms, it was determined that there were 4 young toddlers, 2 older toddlers, and 1 school age child which still left Staff #3 out of ratio.

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

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: Staff person #3 was the only facility person in the facility from approximately 9:25am- 10:15am with 4 young toddlers and 2 older toddlers.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: The electrical outlet in the preschool room beside the teacher's desk was missing a protective receptacle cover.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the preschool room on the teacher desk was hand sanitizer accessible to children that stated keep out of reach of children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.75(d)

Description: On excursions

Noncompliance Area: While on an excursion from the facility at the park across the street from the facility neither group, school age or preschool, had a first aid kit with them.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the toddler room an outlet cover cracked causing sharp edges to be exposed. The front steps are crumbling causing a tripping hazard.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The last fire drill documented was 2/1/24 more than 60 days prior.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The last fire test was documented 2/1/24 more than 30 days prior.

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: 3270.131(b)(2)

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

Noncompliance Area: The file for Child# 2, a preschool aged child, contained a Health Assessment that was more than 12 months old.

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)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #1 contained an immunization record that was lacking one dose of DTAP, i dose of HIB, one dose of Pneumococcal and one dose of Hepatitis A.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 contained an FBI clearance that was more than 60 months old. The file for Staff #2 contained an FBI clearance that was lacking the rap sheet that should have been attached to the clearance. The file for Staff #2 also contained a Mandated Reporter training that was not an approved curriculum.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A plastic toy bin was observed in the school age classroom that was cracked with a sharp edge on it.

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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for Child #1 who is a young toddler age child contained a health assessment that was more than 6 months old.

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: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #1 and #2 contain immunization records that are lacking the annual influenza 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.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility did not provide parents with information on how to access the regulations electronically.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan was lacking accommodations for infants and toddlers, children with special needs, 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 facility was lacking a documented annual emergency drill.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The facility was lacking a posted emergency plan.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility was lacking documentation that the emergency plan was sent to the local and county EMA.

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(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #1 was lacking the 1 hour Health and Safety update. The file for Staff #2 was lacking the 10 hour Health and Safety training.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The stalls in the boys restroom were lacking handwashing signs.

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: 3270.102(g)

Description: Hazardous toys and equipment

Noncompliance Area: In the toddler room, it was observed that there was a bumba seat that had been recalled.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement for child #1 lacked the date on which the fee is to be paid.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement for child #2 and child #5 lacked 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: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement for child #2 and child #5 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for child #1, child #2, and child #4 lacked the enrolling parent's work address and work phone number. The emergency contact form for child #3 lacked the enrolling parent's home address.

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 #5 lacked the release person's address.

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 emergency contact form and financial agreement for child #3, child #4, and child #5 were signed on 6/8/21 and 1/5/22, which is more than 6 months apart.

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(d)(5)

Description: Immunization record

Noncompliance Area: The files for child #2 and child #3 lacked immunized status according to recommendations of the ACIP.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for facility person #1 and facility person #2 had health assessments completed more than 24 months since the previous health assessment. The file for facility person #3 lacked 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for facility person #3 lacked 2 written references.

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(a)(6)

Description: Emergency plan

Noncompliance Area: Facility has not completed an emergency drill.

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 file for facility person #3, facility person #4, facility person #5, and facility person #6 all lacked emergency plan training at initial hire, but had current emergency plan training on file.

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

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

Description: Age and Training

Noncompliance Area: The file for facility person #1 and facility person #2 completed pediatric first aid and CPR training on 8/29/19 and 9/30/21, which was after the previous training had expired.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for facility person #3 lacked health and safety training.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: The file for facility person #3 completed pediatric first aid and CPR on 9/30/21, which is more than 90 days after hire.

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

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file for facility person #5, with a start date of 9/29/21 completed mandated reporter training on 1/16/22, which is more than 90 days from the start date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #3, with a start date of 5/15/21, lacked a state police clearance and national sex offender registry certificate. The file for facility person #5, with a start date of 9/29/21 lacked a national sex offender registry certificate. The file for facility person #6, with a start date of 1/14/22 lacked a signed disclosure statement and contained a state police clearance dated for 1/26/22, which is after the start date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3, #5, #6 -- may not work 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. Facility Person #3, #5, #6--- may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Hand sanitizer was observed in the school age room on a shelf that was accessible to the 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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the boys bathroom, it was observed that that stall walls were rusted and chipping.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: It was observed in the toddler room that the door in the back of the room was blocked by a bin of balls.

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

Regulation: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: It was observed that the facility had a space heater in the office.

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: Facility lacked proof of purchase of the inter-connected smoke alarms.

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.