Community Preschool And Nursery Llc

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The file for child #2 lacked an initial health assessment and immunization record within 60 days of the child's first day of attendance at the facility and requires a current health assessment and immunization record. The file for child #3 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child #1, a preschooler, had health assessments that exceeded 12 months between assessments.

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)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for child #1 had a health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The files for staff person #1 and #2 had health assessments that exceeded 24 months between assessments.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The file for staff person #2 had a health assessment that lacked an examination for communicable diseases and the results of that examination.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 completed the following required pre-service training on 1-13-26 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #4 had mandated reporter trainings dated 5-6-20 and 6-25-25 that were over 60 months between trainings.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 7-16-25 at approximately 11:22 a.m., staff person #1 was observed in the kitchen at the end of the back hallway, and there were 7 preschoolers that were sitting in the hallway alone without a staff person present in the hallway. Staff person #1 could not see all of the children in the hallway while they were in the kitchen getting food out of the oven for lunch.

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: On 7-16-25 at approximately 11:22 a.m., staff person #1 was observed in the kitchen at the end of the back hallway, and there were 7 preschoolers that were sitting in the hallway alone without a staff person present in the hallway. Staff person #1 could not see all of the children in the hallway while they were in the kitchen getting food out of the oven for lunch.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 7-16-25 at approximately 11:04 a.m., staff person #1 answered the door with 1 preschool child, and staff person #2 was left in the preschool room with 13 preschoolers resulting in staff person #2 being out of ratio. On 7-16-25 at approximately 11:22 a.m., staff person #1 was observed in the kitchen at the end of the back hallway, and there were 7 preschoolers that were sitting in the hallway alone without a staff person present in the hallway, resulting in a 0 to 7 staff to child ratio. Staff person #1 could not see all of the children in the hallway while they were in the kitchen getting food out of the oven for lunch.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the preschool room, there was a fabric climbing block that had a tear in the fabric that exposed the foam inside.

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: 3270.102(g)

Description: Hazardous toys and equipment

Noncompliance Area: In the infant room, there was a Boppy Newborn Lounger that had been recalled by the United States Consumer Product Safety Commission.

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: 3270.107

Description: Refrigerator

Noncompliance Area: In the kitchen, the second refrigerator from the right measured at 53° F and was observed to be storing food that staff said is served to children enrolled at the facility.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 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 4-27-20. Staff person #2 was observed to be caring for children unsupervised. Staff person #1 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 5-12-20.

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. Until such time as the required pre- service trainings are completed, staff person #1 and #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 #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 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 4-27-20. Staff person #2 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 5-12-20.

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 #1 and #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 #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On the outdoor play space, there were multiple areas along the chain link fence that had holes at the bottom of the fence and loose bricks with uneven ground that were a visible hazard. In the lobby on the right wall, there was an electrical outlet with a wall plate that was loose exposing wires that were behind the outlet.

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: In the front toddler room, there was one area with peeling paint on the far blue wall near the front of the room. In the preschool room, there were multiple areas of peeling paint on the left wall in the back hallway near the bathrooms.

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)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: In the lobby, there were multiple push pins in the wall/bulletin board that had sharp edges and a diameter of less than 1 inch and were accessible to children, including children who are still placing objects in their mouth.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #3 lacked a current child service report updated within the last 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #2 had an emergency contact form that lacked the name of the health insurance and the 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #1 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

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(e)/3270.131(e)(3)

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: The file for child #2 lacked an immunization record within 60 days of the child's first day of attendance at the facility and requires a current immunization record.

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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 must be dismissed from care by close of business on 1-14-25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) dated 5-1-22 but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

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. Staff person #1 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2.

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

Description: 12 months prior to service and every 24 months thereafter/Record include X-ray results and evaluation

Noncompliance Area: The file for staff person #2 had a health assessment that included a record of a positive tuberculin skin test and had the results of a chest x-ray that were dated after the staff person provided initial service in a child care setting at the facility.

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 record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #2 had emergency plan training that exceeded a year between trainings.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff person #3 lacked a current staff evaluation completed by the director within the last 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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the toddler room with young and older toddlers present in the room, the left outlet on the back wall that was accessible to the toddlers had a prong that was stuck in the top socket of the electrical outlet and was preventing the cover from sliding and covering the outlet.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the bathroom in the toddler room, the toilet had two bolts on the base of the toilet that were protruding up and were a visible 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(e)

Description: Toilet and sinks proper height

Noncompliance Area: In the infant room with a 1 year old that was walking and able to wash their hands, the sink near the changing table lacked a platform or steps and was unable to be reached by the child after diapering to wash their hands.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: In the preschool room, an easel was observed in front of the exit door leading to the front sidewalk.

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: On 1-14-25, a portable space heater was observed in use in the office.

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The names of the facility persons who participated in the fire drill were not listed on the fire drill log for multiple drills within the last year.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The current emergency contact form on file for Child #3 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

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

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

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

Noncompliance Area: The most recent health assessments on file for Child #3, who is a Young Toddler, is dated 1/25/23, more than 6 months ago.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Shaken Baby Policy submitted by the facility does not include language regarding the 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: 3270.181(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 is dated 12/7/22, more than 6 months ago. The most recent 6-month review signature for the financial agreement on file for Child #2 is dated 5/1/23, more than 6 months ago.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: The filing cabinet where the child files are located was not locked at the time of inspection.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #1 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

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(f)

Description: Emergency plan

Noncompliance Area: The facility does not have documentation verifying that the most recent emergency plan was submitted to the county emergency management agency.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water in the Infant room in the diaper changing area measured 128 degrees Fahrenheit; the water in the Preschool girls bathroom sink measured 125 degrees Fahrenheit.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was present in the Preschool room under the Whiteboard on the right wall.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #1 does not include the address for the child's pediatrician/source for medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #1 does not include the complete home address for the enrolling parent.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment on file for Child #2, with an enrollment date of 9/7/21, is dated 1/13/22, more than 60 days after enrollment. The initial health assessment on file for Child #4, with an enrollment date of 4/18/22, is dated 8/9/22, more than 60 days after enrollment.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The most recent health assessment on file for Child #1, who is a Young Toddler, is dated 4/21/22, more than 6 months ago.

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(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The most recent influenza vaccination on file for Child #2, who is 4 years old, is dated 12/18/20, more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #3, who is 2 years old, is dated 9/17/20, is dated more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #5, who is 3 years old, included 3 of 4 pneumococcal 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 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan on site does not include provisions regarding volunteer emergency preparedness training, required as of 7/1/22, as per Announcement C-22-04.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff person #1, #2, #3, and #4 did not include the 1-hour Pennsylvania Health and Safety update training, which was due by 12/30/22, as per Announcement c-22-06

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #1 were dated 5/2/19 and 5/21/21, 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log on file at the facility included documented 30-day tests on 4/1/22-5/2/22; 5/2/22-6/2/22; 7/1/22-8/1/22; and 8/1/22-9/1/22, all 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: 3270.133

Description: Child Medication and Special Diets

Noncompliance Area: Staff person #1 did not ensure prescribed medication was administered to Child #1 on an unspecified date, as per the prescription on the medication.

Correction Required: The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of medication or a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. Facility persons are not required to administer medication or special diets which are requested or required by a parent, a physician, a physician's assistant or a CRNP but are not treatment related to the child's special needs.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan on file does not include the updates required as of 7/1/22, as per Announcement C-22-04, regarding volunteer emergency preparedness, and a plan for continuity of operations.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The signed disclosure statement on file for Staff person #1 is not dated, making it invalid.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The 30 day test log for the fire alarm system on file at the facility includes test dates 5/2/22-6/2/22; 7/1/22-8/1/22; and 8/1/22-9/1/22, all more than 30 days apart.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the outdoor play space the Little Tykes plastic outdoor castle's bridge had exposed bolts which posed a tripping and/or protrusion hazard.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The Fee Agreement form for Child #4 lacked the amount of the fee to be charged.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The Fee Agreement Form for Child File #4 lacked the Date of Admission.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The immunization record of Child #3 lacked a yearly Influenza shot for 2021 with no Letter of Exemption in File. Child file #1 lacked updated written verification of ongoing administered vaccines: 1 dose of Hepatitis A. Child file #2 lacked updated written verification of ongoing administered vaccines: 1 dose of Rotavirus. Child file #3 lacked updated written verification of ongoing administered vaccines: 3 doses of DTAP. Child file #4 lacked updated written verification of ongoing administered vaccines: 1 dose of HIB.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: It was observed, during a diaper change, the staff member placed the soiled diaper on the changing table and not immediately into a plastic-lined, hands-free covered can.

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: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: It was observed that between diaper changes, a staff member did not clean or sanitize the diaper changing surface.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.151(a)

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

Noncompliance Area: The two most recent Health Assessments for Staff #3 were dated 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.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator had outdated regulations posted and had not provided parents with the 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)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: The Emergency Plan lacked a method for facility persons to contact parents when an emergency arises and ends.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility did not conduct an annual emergency drill.

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

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

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

Noncompliance Area: The two most recent Mandated Reporter Trainings for staff #1 were dated more than 60 months apart.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations for Staff #2 were completed more than one year apart.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The last two fire drills were conducted more than 60 days apart.

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 facility's fire alarm test report documented testing of the fire alarm system on 02/22/2021, 04/21/2021, 05/24/2021, 06/21/2021, 07/22/2021, 08/25/2021, 09/27/2021, 11/30/2021, which are all more than 30 days apart. The following fire extinguishers were expired in the facility as of 12/31/2021: Next to Girl's Rest Rooms, Rooms 3 and 4, Next to Basement Door, Next to Main Entrance Door and Main Office.

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.

Noncompliance Area: Staff person #1, with a documented start date with children of 7-16-19, had an FBI clearance that documented that a record existed but there was no attached rap sheet. Staff person #1 was observed to be working in a classroom alone with a group of children.

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

Noncompliance Area: There were 2 sit on scooters on the outdoor play area on which the wheels were broken.

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

Noncompliance Area: Child #3 had an emergency contact form that lacked the addresses of the individuals 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.

Noncompliance Area: Child #3 had a health report that did not include a statement that the child was able to participate in childcare.

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

Noncompliance Area: Child #1, Child #2, and Child #3 had an immunization record that lacked the influenza vaccination as recommended by the ACIP.

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.

Noncompliance Area: Staff person #5 had a previous health assessment dated 7-14-17 and a current health assessment dated 9-24-19.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: Staff person #3 had a health assessment that did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: Staff person #5 had no proof of childcare training between 7-17-18 and 7-17-19.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: Staff person #1, functioning as Director with a documented start date with children of 11-12-19, lacked an NSOR verification. Staff person #2, with a documented start date with children of 10-22-19, lacked an NSOR verification. Staff person #2 had documentation that the NSOR verification was not applied for until 10-28-19, which was after the staff person started in a childcare position. Staff person #3, with a documented start date with children of 11-5-19, lacked an NSOR verification form. Staff person #4, with a documented start date with children of 8-26-19, had one state police clearance that was under review dated 1-24-18 and a second state police clearance that was under review dated 12-18-19. Staff person #4 lacked a valid completed state police clearance. The valid complete state police clearance for Staff person #4 was obtained during the course of the inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1, #2, #3 may not work in a child care position at the facility.

Noncompliance Area: There were cleaners being stored in an unlocked cabinet under the sink in the bathroom in the young toddler room. The door to the bathroom was unlocked, thereby making the cleaners accessible to the children in the young toddler room.

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

Noncompliance Area: There was a beer can partially filled with liquid on the ground in the outdoor play area.

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

Noncompliance Area: There was no visual strip on the glass in the door between the preschool and school age rooms.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Noncompliance Area: There was no handwashing sign posted by a sink in the kitchen.

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.

Noncompliance Area: The garbage can by the sink in the kitchen lacked a lid.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Noncompliance Area: The facility's most recent fire drill was documented as being held on 11-19-19.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: At approximately 11:00am it was observed that Staff person #1 and Staff person #2 were in the preschool room with 11 preschoolers. Staff person #1 reported that she was responsible for all of the children but could not name any of the children by name. Staff person #2 identified by name the 5 children assigned to her group and then identified 5 children by name who were assigned to Staff person #1. In addition, only 10 of the 11 children present were identified as being assigned to a staff person.

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.

Noncompliance Area: There were diaper creams accessible to children in the unlocked cabinet under the diapering table in the preschool room. There was a diaper cream accessible in a child's bag hanging from a low hook in the hallway. There was a diaper cream accessible to the children on top of the diapering table in the preschool room.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: Staff person #1, with a documented start date with children of 5-8-19, had an initial health assessment dated 12-5-17.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: Staff person #2 had only 1 written non-family reference.

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

Noncompliance Area: There was an open bag of ice melter being stored in an open plastic bin accessible to children on the floor in the lobby area of the facility. There was a travel sized container of hand sanitizer attached to a staff person's purse which was accessible to children on top of a low toy shelf in the preschool room. Both items had labels that said "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.

Noncompliance Area: There were cracks on the covers to the electrical boxes attached to the exit doors in the preschool and school age rooms. There was a hole in the wall near the sink in the rear of the young toddler room. There was a hole in the blue wall under the alphabet letters in the preschool room. There was a puddle in the middle of the floor in the boy's bathroom. There was a short plastic bin lined with a plastic bag filled with standing water, garbage and debris on the ground in the outdoor play area accessible to the children.

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

Noncompliance Area: There was no hand washing sign in one of the toilet stalls in the boy's bathroom.

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

Noncompliance Area: The exit door in the infant room that leads to the young toddler room was obstructed with two infant seats and a plastic stool.

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

Noncompliance Area: At approximately 11:20am, it was observed that there was a preschool child alone in the afterschool room playing underneath a table. Upon investigation, it was determined that the child left the preschool/older toddler room and went into the afterschool room without the knowledge of the staff in the preschool/older toddler room. This occurred when the staff in the preschool/older toddler room were assisting children in the bathroom.

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.

Noncompliance Area: At approximately 11:20am, it was observed that there was a preschool child alone in the afterschool room playing underneath a table. Upon investigation, it was determined that the child left the preschool/older toddler room and went into the afterschool room without the knowledge of the staff in the preschool/older toddler room. This occurred when the staff in the preschool/older toddler room were assisting children in the bathroom.

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.

Noncompliance Area: Child #1, child #2, and child #3 had agreements that lacked the amount of fee to be charged per day or per week.

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

Noncompliance Area: Child #2 had an updated agreement that lacked the persons designated by the 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.

Noncompliance Area: Child #2 had an updated emergency contact form that lacked the child's health insurance 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.

Noncompliance Area: There were no emergency contact forms present in the preschool/ older toddler room for two of the children receiving care in that room.

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

Noncompliance Area: Child #3, enrolled 11-7-18, lacked an initial health assessment.

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.

Noncompliance Area: Child #1 had a health report that did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Noncompliance Area: Child #3, enrolled 11-7-18, lacked a record of immunization.

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.