Creating Landscapes Early Learning Centers Inc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 2 Magna Tiles in the Green Room and 4 Magna Tiles in the Little Green Room that had cracked and broken edges with missing pieces of plastic on the edges.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: There was no written daily activity schedule in the Yellow room..

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for Child #3 does not include the child's arrival and departure times.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #4 does not include the address for the child's pediatrician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #2 and #4 does not include the work address and/or telephone number for the enrolling parent.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #2, #3, #4, and #5 does not include a complete address for all listed release persons.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for Child #1, #2, #3, #4, #5, who were all enrolled 8.27.25, more than 6 months ago, does not include a 6-month parental review signature for the emergency contact form and agreement.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #4, with an enrollment date of 8.27.25, which is more than 60 days ago, does not include an initial health report.

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

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

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The immunization record on file for Child #3, who is 4 years old, included 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

Correction Required: Child #1 must be dismissed from care by close of business 3.23.26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.14/3270.21

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: 3270.151(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 are dated 7.20.23 and 8.28.25, more than 24 months apart.

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

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

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

Noncompliance Area: The file for Staff person #1 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet); the training was completed on 8.25.25..

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was an outlet in the Yellow classroom near the refrigerator that was missing an outlet cover and was accessible to children.

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: There were two closets in the gross motor room that contained cleaning products and arts and crafts paint and products labeled "Keep out of reach f children" that were not locked, making the toxic items 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: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: The Certification Representative observed a Jade plant and a Shamrock (Oxalis) pant in the Green room. Both plants are considered to be (mildly) toxic and were accessible to children.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was a sink in the bathroom that did not have a handwashing sign posted.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file included fire drills conducted 1.9.25-3.14.25 and 3.15.25-5.16.25, more than 60 days apart.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure 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 fire alarm 30-day test log includes test dates 3.12.25-4.14.25, more than 30 days apart.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: According to witness and staff statements, on 9.2.25 at approximately 11:50 AM, Child #1 exited the main classroom and then exited the building through the emergency exit. The emergency exit led directly to the fire escape landing and stairs. The fire escape landing was one story above the ground on the side of the building. When Child #1 exited the building, the emergency door closed and locked behind Child #1, leaving the child alone on the fire escape with no staff person present with the child, to see, hear, direct, and assess the child. When child #1 left the main classroom, he/she was being supervised by Staff #1. Staff #1 was supervising a group of 14 preschool aged children at the time child #1 left the main classroom. Staff #2 was not present with the children in his/her supervisory group in the main classroom at this time because he/she went downstairs to obtain the soup for lunch. Child #1 was unsupervised by any staff person for approximate 5 minutes.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: 1) Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. This portion of the plan shall have an immediate correction date. 2) Each staff member will complete DHS approved training on the topic of Supervision. Documentation of the completed training will be submitted to the certification representative within 1 week of completion of the training. This portion of the plan will have date within one week of the completion of the approved training. 3) The provider will develop a policy regarding staff placement so that all parts of the classroom can be monitored at all times. This policy will be distributed to all staff. All current staff will sign a declaration that they have received the policy. This policy will also be posted in all classrooms. This portion of the plan will have a correction date within two weeks of the approval of this plan. 4) The provider will post "Stop and Count" signs at every exit and entrance to all childcare spaces, the building, and the indoor and outdoor play spaces. The operator shall provide a date for when this will be implemented. 5) The director will conduct random supervision and ratio checks in all classrooms a minimum of 3 times each week for a minimum of 3 months. The checks will include the name of the classroom, the time and date the check was performed, the staff present and the number of children present by age. The legal entity will record the results on a DHS approved form and will submit the forms to the certification representative biweekly. This portion of the plan will have a correction date 3 months after the approval of the supervision monitoring form. 6) The facility will conduct monthly staff meetings for a period of 4 months from the approval of the plan of correction, reviewing supervision requirements and the tiered requirements set in this inspection summary. This portion of the plan will have date within one week of the completion of the fourth staff meeting.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: According to witness and staff statements, on 9.2.25 at approximately 11:50 AM, Child #1 exited the main classroom and then exited the building through the emergency exit. The emergency exit led directly to the fire escape landing and stairs. The fire escape landing was one story above the ground on the side of the building. When Child #1 exited the building, the emergency door closed and locked behind Child #1, leaving the child alone on the fire escape with no staff person present with the child, to see, hear, direct, and assess the child. When child #1 left the main classroom, he/she was being supervised by Staff #1. Staff #1 was supervising a group of 14 preschool aged children at the time child #1 left the main classroom. Staff #2 was not present with the children in his/her supervisory group in the main classroom at this time because he/she went downstairs to obtain the soup for lunch. Child #1 was unsupervised by any staff person for approximate 5 minutes.

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. Tiered LIS: 1) Each staff person shall be assigned the responsibility for supervision of specific children, know the name and whereabouts of children in their assigned group and be physically present with the children in their group. This portion of the plan shall have an immediate correction date. 2) The provider will develop a policy for how and when children will be assigned to specific staff person each day. This policy will be distributed to all staff. All current staff will sign a declaration that they have received the policy. This portion of the plan will have a correction date within one week of the approval of the POC. 3) The provider will utilize supervision cards, with each staff person having cards for the children assigned to them. The operator shall provide a date for when this will be implemented.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On 9/2/25 Child #1 was alone and unsupervised on the fire escape for approximately 5 minutes. The second story fire escape is narrow and very steep and unmanageable for a young child. At the bottom of the fire escape there was no barrier to keep Child #1 from having direct access to the main street with vehicular traffic that was 20 feet away.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: During a complaint investigation, the CR observed the following hazards accessible to children under the fire escape steps: a wood pallet with splintered beams on the ground; sharp edges from 2 metal cylinder laying on the ground..

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

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

Description: Age and Training

Noncompliance Area: The file for Staff person #2, #3 includes verification of First Aid/CPR training dated 3.19.25, after the expiration date of the previous training, 1.31.25.

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: Staff person #1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet):PA Required Health and Safety for Centers-Group Child Care Part 1 and Part 2.

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)/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 (See LIS Code Sheet).

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: According to witness and staff statements, on 9.2.25 at approximately 11:50 AM, Child #1 exited the main classroom and then exited the building through the emergency exit. The emergency exit led directly to the fire escape landing and stairs. The fire escape landing was one story above the ground on the side of the building. When Child #1 exited the building, the emergency door closed and locked behind Child #1, leaving the child alone on the fire escape with no staff person present with the child, to see, hear, direct, and assess the child. When child #1 left the main classroom, he/she was being supervised by Staff #1. Staff #1 was supervising a group of 14 preschool aged children at the time child #1 left the main classroom. Staff #2 was not present with the children in his/her supervisory group in the main classroom at this time because he/she went downstairs to obtain the soup for lunch. Child #1 was unsupervised by any staff person for approximate 5 minutes.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #3 does not include a complete address for all listed release persons.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: A child was observed receiving care in the Main classroom without their emergency contact forms being in the classroom.

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

Regulation: 3270.131(b)(2)/3270.181(c)

Description: Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent health assessment on file for Child #2, who is a preschool age child, is dated 8/31/23, more than 12 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A 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)(4)

Description: Acute or chronic health problem

Noncompliance Area: the current health assessment on file for Child #4 does not indicate if the child has any acute or chronic health problem or special needs and recommendations for treatments or services.

Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #4, who is a preschool child, includes 0 of 2 Hepatitis A vaccinations recommended by the ACIP for a child this age. The immunization record on file for Child #2, who is a preschool child, includes 1 of 2 Hepatitis A vaccinations recommended by the ACIP for a child this age. The immunization record on file for Child #4, who is a preschool child, includes 3 of 4 Pneumococcal vaccinations and 1 of 2 Hepatitis A vaccinations recommended by the ACIP for a child this age.

Correction Required: ·Child #4 must be dismissed from care by close of business on 10/28/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #1 includes only 1 written nonfamily reference.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. & Get Started with Center-Based Care; Building Blocks for Quality.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2 will have until 12/4/24 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality; the training was completed on 8/19/24.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 did not complete the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2 will have until 12/4/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling paint on the wall by the gate in the Main classroom.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was not a handwashing sign at each sink in the Main room bathroom.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file included fire drills conducted 11/15/23-1/24/24, 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 fire alarm 30-day test log includes test dates 10/12/23-11/15/23 and 11/15/23-12/18/23, 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: 3270.123(a)

Description: Signed

Noncompliance Area: The file for child #1 was not signed by the operator.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #1 contains emergency contact information that is lacking health insurance policy information.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #1 contains emergency contact information that is lacking the address and phone number for the emergency release persons.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facilities policy regarding shaken baby syndrome, abusive head trauma and child maltreatment does not include 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #3 contains only one of the required two written reference letters.

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(e)

Description: Letter to parents

Noncompliance Area: The letter to parents regarding the facility emergency plan does not include accommodations for children with disabilities and chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff person #1 contains a current annual evaluation that was conducted greater than 12 months following the previous evaluation. The file for staff person #2 is lacking an annual evaluation conducted within the past 12 months.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for child #1, #2 and #3 contain emergency contact forms that are lacking addresses for the emergency release persons.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A medical emergency transportation plan was not posted in the facility play space.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for facility person #2, serving as a cook, is lacking a health assessment conducted during the previous 24 month period.

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: 3270.31(e)/3270.192(2)(iii)

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

Noncompliance Area: The file for staff person #1 is lacking 12 hours of child care training completed during the year 12/19/2020 to 12/19/2021.

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

Description: Comply with CPSL

Noncompliance Area: The file for staff person #1 contains a mandated reporter training that expired 8/23/2022 and an updated mandated reporter training dated 9/23/2022 which is greater than 60 months following the previous training. The file is now current.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1, hire date (see IS code sheet) contains an FBI clearance that expired 7/31/2022 and an updated FBI clearance dated 9/8/2022 which is greater than 60 months following the previous clearance. The file for facility person #2, hire date (see IS code sheet) contains a state police clearance that expired 9/4/2022 and a child abuse clearance that expired 9/2/2022 and updated clearances dated 9/23/2022 which is greater than 60 months following the previous clearance. The file for facility person #3, hire date (see IS code sheet) contains a state police clearance that expired 9/2/2022 and a child abuse clearance that expired 9/11/2022 and updated clearances dated 9/23/2022 and 9/26/2022 which is greater than 60 months following the previous clearance. The files are now current.

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: 3270.136(d)

Description: Communicate report to DOH

Noncompliance Area: Facility failed to promptly notify OCDEL of a positive COVID test result that occurred on Saturday, 1/8/22; OCDEL did not receive notification of the positive COVID test result until Friday, 1/14/22 which was more than 24 hours.

Correction Required: A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: 2nd CITATION: The staff file for Staff person #1 lacked one nonfamily reference. PREVIOUSLY CITED on 10/13/21.

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

Regulation: 3270.31(h)/3270.192(2)(iii)

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

Noncompliance Area: 2nd CITATION: The staff file for Staff person #1 lacked training in health and safety topics numbers 1-10 as listed in the regulation 3270.31(f) which was required to be completed within 90 days of hire. PREVIOUSLY CITED on 10/13/21.

Correction Required: All staff persons shall complete the professional development under subsection (f). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The child file for Child #3 contained a financial agreement form that lacked 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)(5)

Description: Designated release persons

Noncompliance Area: The child file for Child #4 contained a financial agreement form that lacked the name(s) of the person(s) designated by the parent to whom the child may be released to.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The child file for Child #4 contained an emergency contact information form that lacked home and work address of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The child file for Child #2 contained an emergency contact information form that lacked the health insurance policy number. The child file for Child #3 contained an emergency contact information form that lacked the health insurance policy name and number. The child file for Child #4 contained an emergency contact information form that lacked the health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The child file for Child #1 contained an emergency contact information form that lacked the addresses for five of the individuals designated by the parent to whom the child may be released to. The child file for Child #4 contained an emergency contact information form that lacked the addresses for two of the individuals designated by the parent to whom the child may be released to.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The child file for Child #4, who is a preschool aged child, lacked a flu shot for 2020.

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: 3270.151(a)

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

Noncompliance Area: The staff file for Staff person #5, who has a start date working in child care of 1/4/21, contained a health assessment dated 10/6/21 which was not obtained prior to working with children.

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)(2)

Description: Mantoux TB

Noncompliance Area: The staff file for Staff person #1, who has a start date working in child care of 1/4/21, contained a tuberculosis screening dated 1/7/21 which was not obtained prior to working with children. The staff file for Staff person #5, who has a start date working in child care of 1/4/21, contained a tuberculosis screening dated 10/6/21 which was not obtained prior to working with children. The staff file for Staff person #7, who has a start date working in child care of 1/4/21, contained a tuberculosis screening dated 1/6/21 which was not obtained prior to working with children.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The staff file for Staff person #1 lacked two nonfamily references. The staff file for Staff person #6 lacked one nonfamily reference.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: As of 12/19/20, the facility lacked an emergency plan that provides for accommodations for infants and toddlers.

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(c)

Description: Training regarding plan

Noncompliance Area: The staff file for Staff person #1 through #6 lacked documentation of having received training on the facility emergency plan at time of hire; Staff person #1 through #6 received emergency plan training on 9/29/21. The staff file for Staff person #7, who has a start date working with children of 1/4/21, lacked documentation of having received training on the facility emergency plan.

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 staff file for Staff person #6 contained child and baby first-aid/CPR training that was an online only training which is not an acceptable training.

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(h)/3270.192(2)(iii)

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

Noncompliance Area: The staff file for Staff person #1, Staff person #2, Staff person #5, and Staff person #6 lacked training in health and safety topics numbers 1-10 as listed in the regulation 3270.31(f) which was required to be completed within 90 days of hire.

Correction Required: All staff persons shall complete the professional development under subsection (f). 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(2)(iii)

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

Noncompliance Area: The staff file for Staff person #2, who has a start date working in child care of 3/15/21, contained mandated reporter training dated 9/30/21 which was completed more than 90 days from start date working with children. The staff file for Staff person #6, who has a start date working in child care of 5/18/21, lacked mandated reporter training.

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 staff file for Staff person #1, who has a start date working in child care of 1/4/21, lacked a valid State Police and FBI clearance on file. The staff file for Staff person #1 also contained a disclosure statement that was not dated thus making unable to determine if it was signed prior to first day working with children. The staff file for Staff person #4, who has a start date working in child care of 9/1/21, lacked documentation of having applied for and received a State criminal history check, a State sex offender registry check, and a State child abuse and neglect registry check from the State in which they resided in within the previous five years as required by the Child Protective Service Law (CPSL). The staff file for Staff person #5, who has a start date working in child care of 1/4/21, contained an FBI clearance dated 2/4/21 and there was no documentation of receipt on file of having gotten fingerprinted prior to working with children. The staff file for Staff person #5 also contained a disclosure statement that was not dated; thus unable to determine if it was signed prior to first day working with children.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The classroom's first-aid kit lacked tweezers.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The bathroom located in the classroom, which is used by the children in care, had two stalls which were observed to lack a handwashing sign at each toilet or inside the stalls.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Upon review of the facility's fire drill log from the past year, fire drills were conducted on 10/5/20 and 1/6/21, as well as on 2/26/21 and 6/9/21 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 documentation of the annual fire alarm test by a fire professional lacked mention that the interconnected smoke alarms were tested and that they were operable.

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: The child file for Child #1, Child #2, and Child #3 contained an emergency contact information form that lacked the addresses of individuals designated by the parent to whom the child may be released to.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: The staff file for Staff person #1 lacked a valid health assessment; the last health assessment on file is dated 11/7/17. The staff file for Staff person #2 lacked a valid health assessment; the last health assessment on file is dated 8/28/18.

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

Noncompliance Area: The staff file for Staff person #1 and Staff person #2 lacked a National Sex Offender Registry (NSOR) verification certificate on file by 7/1/2020 as required per the Child Protective Service Law (CPSL).

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

Noncompliance Area: The staff file for Staff person #2 lacked a written staff evaluation every 12 months; the last evaluation on file is dated 12/12/18.

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

Noncompliance Area: The playroom lacked a posting of the daily activity schedule.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: The child file for child #1, who has an enrollment date of 12/14/18, lacked a child service report; an ages and stages questionnaire was on file but it is not a department approved form. The child file for child #3, who has an enrollment date of 12/17/18, lacked a child service report; an ages and stages questionnaire was on file but it is not a department approved form.

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).

Noncompliance Area: The child file for child #2 and child #3 contained a financial agreement form that lacked the names of 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.

Noncompliance Area: The child file for child #5 contained an emergency contact information form that lacked the health insurance name 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: The child file for child #3 and child #4 contained emergency contact information forms that lacked the address and/or telephone number 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: In the classroom, 16 preschool aged children were observed to be utilizing the child care space and their emergency contact information forms were not 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.

Noncompliance Area: The child file for child #1, who has been enrolled in care since 12/14/18, lacked an initial health report. The child file for child #2, who has been enrolled in care since 5/1/19, lacked an initial health report.

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

Noncompliance Area: The child file for child #4, who is a preschool aged child, lacked an updated health report; the last documented health report on file is dated 3/16/18.

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.

Noncompliance Area: The child file for child #1, who has been enrolled in care since 12/14/18, lacked a copy of the child's immunization record. The child file for child #2, who has been enrolled in care since 5/1/19, lacked a copy of the child's immunization record.

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

Noncompliance Area: The child file for child #5, contained a health report 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.

Noncompliance Area: The child file for child #3, who is a preschool age child, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; child #3 was last vaccinated on 2/15/17. The child file for child #4, who is a preschool child, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; child #4 was last vaccinated on 9/8/17.

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

Noncompliance Area: The child file for child #1 contained emergency contact information and financial agreement form that were not reviewed and updated by the parent at least once in a 6-month period; the emergency contact information was reviewed by the parent on 12/13/18 and 9/2/19 and the financial agreement form was reviewed by the parent on 1/2/19 and 9/2/19. The child file for child #3 contained emergency contact information and financial agreement form that were not reviewed and updated by the parent at least once in a 6-month period; the emergency contact information and financial agreement forms were last reviewed by the parent on 12/13/18. The child file for child #4 contained emergency contact information and financial agreement form that were not reviewed and updated by the parent at least once in a 6-month period; the emergency contact information and financial agreement forms were last reviewed by the parent on 2/1/19.

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.

Noncompliance Area: The staff file for facility person #4 and facility person #5 lacked two non family references attesting to the person's suitability to serve as a facility person.

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

Noncompliance Area: The staff file for staff person #4, who has an employment date of 5/13/19, lacked documentation of receiving training on the facility emergency plan at time of initial employment. The staff file for staff person #5, who has an employment date of 11/20/18, lacked documentation of receiving training on the facility emergency plan at time of initial employment.

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

Noncompliance Area: The staff file for staff person #1, who has a start date working with children of 12/4/17, lacked documentation of receiving annual fire safety training. The staff file for staff person #2, who has a start date working with children of 8/29/18, lacked documentation of having received annual fire safety training.

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

Noncompliance Area: The staff file for facility person #3, who has an employment date of 5/13/19, contained a State Police and Child Abuse clearance dated 5/14/19 and an FBI clearance dated 5/18/19 and the file did not contain documentation of a copy of having applied for a State Police or Child Abuse clearance or a receipt for having been fingerprinted for the FBI clearance prior to working with children as required for provisional hiring under the CPSL. The staff file for facility person #4, who has an employment date of 11/20/18, lacked a valid FBI clearance on from from 11/20/18 to 12/20/18 and the file did not contain a receipt for having been fingerprinted for the FBI clearance prior to working with children as required for provisional hiring under the CPSL.

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

Noncompliance Area: In the main classroom, a Ventolin inhaler was observed to have expired as of 12/2015 and an EpiPen was observed to have expired as of 2/2019.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: The staff file for staff person #2, who has a start date working with children of 1/2/19, contained a health assessment dated 1/21/19 which was after her initial start date working with children. Individual #1, who started volunteering at the facility as of 3/11/19 and was observed to be in direct contact with the children, lacked a health report on file 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.

Noncompliance Area: Individual #1, who started volunteering at the facility as of 3/11/19 and was observed to be in direct contact with the children, lacked a tuberculosis screening and the results on file at the facility.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: Individual #1, who started volunteering at the facility as of 3/11/19, lacked two nonfamily references on file.

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: The facility's certificate of compliance that was posted was observed to not be current and expired as of 1/22/19.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The staff file for staff person #1, who has a start date working with children of 1/22/19 and staff person #2, who has a start date working with children of 1/2/19, lacked documentation of having received emergency plan training at time of initial hire.

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.