Aa To Zz Child Care And Learning Center

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed that in the 2's classroom an air freshener was in an unlocked cabinet and in reach of children.

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

Regulation: 3270.67(a)

Description: Trash removed once a day

Noncompliance Area: It was observed that the trash can on playground #2 was not emptied daily.

Correction Required: Trash shall be removed from the facility at least once per day.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the 2's classroom, the following areas had an excessive buildup of dirt: cubbies, shelves, toys, the inside of the plastic bins, rainbow mat, changing table, rugs, the mat in the calm down cube, and the walls and baseboards. In the pre-k classroom, the following areas had an excessive buildup of dirt: vents and carpets. In the pre-k bathroom, the following areas had an excessive buildup of dirt: the baseboards, doors, stool, and potty seat. The toilet seats on both toilets had excessive discoloration. In the YT classroom, the following areas had an excessive buildup of dirt: cubbies, shelves, toys, babydolls, the plexiglass and carpet on the climbing structure, the inside of the plastic bins, the sink in the play kitchen had a crack and was missing a corner, rainbow mat, changing table, rugs, and the walls and baseboards. In the PS-2 classroom, the following areas had an excessive buildup of dirt: cubbies, shelves, cradle, toys, the inside of the plastic bins, rugs, the mat in the calm down cube, and the walls and baseboards. In the PS-2 bathroom, the following areas had an excessive buildup of dirt: the baseboards, walls, doors, and stool. In the PS-1 classroom, the following areas had an excessive buildup of dirt: shelves, windowsills, the inside of the plastic bins, play kitchen, and doors and walls. In the PS-1 bathroom, the following areas had an excessive buildup of dirt: the baseboards, walls, and doors. In the infant classroom, the following areas had an excessive buildup of dirt: the shelves, toy baskets, toys, under the changing pad, and the mat in the book area. In the kitchen, the following areas had an excessive buildup of dirt: the outside of the cabinets, including the knobs. On playground #1, a plastic ladybug on the tree house was broken, causing sharp edges. On playground #2, it was observed that there was an excessive buildup of dirt on the plastic play structures; there was a blue bin with standing water; and the ramp up to the shed had splintered wood.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed that in the older toddler classroom the children had access to rocks that had a diameter of less than one inch.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: It was observed that staff persons #1, #2, and #3 were unable to name all children in their care groups.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system log showed that the fire system was not tested at least every 30 days. 7/1/25-8/1/25 (31 days) 8/1/25-9/1/25 (31 days) 10/1/25-11/1/25 (31 days) 12/1/25-1/2/26 (32 days) 1/2/26-2/2/26 (31 days)

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: Equipment on the Preschool Playground was found to be dirty or in poor repair as follows: The wooden sensory bin lid was peeling. An empty cup and straw were on top of the lid. The yellow sensory bin was full of dirty water and did not have a lid. The trash can the following items on top; an empty, wet tissue box, wet napkins, and a pack of cookies. The trash can was full of trash and flies were all around it. A nap cot used by Child #3 in the PreK/SA Room, had broken, peeling plastic on the corner of it.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Rest cots in the PreK/SA Room, were not labeled correctly for the use of a specific child and only used by the specific child. Some of the cots had names while some had faded numbers, with some cots having 2 numbers, and there was no cot chart showing which cot was assigned to each child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: The Daily Routine/Schedule was not posted in the PreK/SA Room (corrected on-site).

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report (dated 1/8/25) for Child #1, did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. That question was not checked/answered by the health care practitioner.

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: 3270.133(1)/3270.133(3)

Description: Original container/Name on bottle

Noncompliance Area: Medication for Child #2, was not in the original prescription container with a label that identifies the name of the medication and the name of the child for whom the medication is intended.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. 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.

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: Staff Person #3 reportedly administered medication for Child #2 on 6/5/25 without written instructions from the medical practitioner who prescribed the medicine. There was no medication log filled out by the parent, or by staff who had administered the medication.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: Medication for Child #2 was observed in a small bag inside of the child's backpack, which was hanging in the child's cubby in the classroom where it was accessible to children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was no medication log filled out by the parent, giving consent to administer medication to Child #2.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: There was no Medication Log at the facility for medication that had been administered to Child #2. When medication is administered at the facility, a Medication Log must be established and maintained. The Log must include all items in 3270.133 (7)(i) through .133 (7)(viii).

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #2 did not contain documentation of the required 12 hours of annual childcare training. Documentation on file only showed that 2 hours of annual training was completed.

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

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

Description: Age and Training

Noncompliance Area: Staff Person #1 has not completed Pediatric First Aid/CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric First Aid/CPR training on file expiring 5/11/25. Documentation of updated Pediatric First Aid/CPR is not on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #1 must be supervised when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff persons available to supervise staff person #1, staff person #1 may not work in a childcare position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An outlet to the left of the sink in the Older Toddler Room was uncovered (corrected on-site).

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There were no Handwashing Signs posted at the toilets and sink in the Young Toddler Room.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files for Staff Persons #1 and #2, did not contain current clearances as follows: Staff Person #1 did not have a current NSOR clearance (dated 1/30/20) or State Police clearance (dated 2/21/20) and was observed working alone with children. Staff Person #2 did not have a current NSOR clearance (dated 1/30/20) and was observed working with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Persons #1 and #2 may not work in a childcare position at the facility until all current clearances are on file.

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

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

Noncompliance Area: On 12/2/2024 child #1 was left alone on the outdoor play space, unsupervised for a period of approximately 6 - 8 minutes. At the time of the supervision lapse, staff #1 had 6 older toddlers in her care group and staff #2 had 5 younger and older toddlers in her care group, which included child #1. When lining up to come inside, both staff counted the total number of children. Staff did not recount or check for all children when they arrived back in the classroom. Staff #1 and staff #2 did not know child #1 was missing until they were returned to the group by the child's parent.

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

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

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

Noncompliance Area: On 12/2/2024 child #1 was left alone on the outdoor play space, unsupervised for a period of approximately 6 - 8 minutes. At the time of the supervision lapse, staff #1 had 6 older toddlers in her care group and staff #2 had 5 younger and older toddlers in her care group, which included child #1. When lining up to come inside, both staff counted the total number of children. Staff did not recount or check for all children when they arrived back in the classroom. Staff #1 and staff #2 did not know child #1 was missing until they were returned to the group by the child's parent.

Correction Required: Children must be supervised at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

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

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

Noncompliance Area: On 12/2/2024 child #1 was left alone on the outdoor play space, unsupervised for a period of approximately 6 - 8 minutes. At the time of the supervision lapse, staff #1 had 6 older toddlers in her care group and staff #2 had 5 younger and older toddlers in her care group, which included child #1. When lining up to come inside, both staff counted the total number of children. Staff did not recount or check for all children when they arrived back in the classroom. Staff #1 and staff #2 did not know child #1 was missing until they were returned to the group by the child's parent.

Correction Required: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. Documentation of completed training must be submitted to DHS and be kept on file at the facility.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: There was no thermometer inside the refrigerator in the Infant Room (corrected on-site).

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for Child #1 did not include an updated health report within 6 months prior to the last one dated 11/17/23. The one submitted after that last one was dated 10/24/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff Person #1 did not wash two of the children's hands prior to eating lunch in the Infant Room.

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

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: Staff Person #1 did not wash her hands before serving lunch in the Infant Room.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Sunscreen and diaper creams were accessible to children in a cabinet under the changing table in the Infant Room (corrected on-site). Hand sanitizer was accessible on a low shelf in the Prekdg room (corrected on-site) as well as on play equipment on the Toddler Playground (corrected on-site).

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Continued non-compliance from 11/14/23: A crib was observed being used for a newly enrolled infant (Child 1) in the Infant Room, that was not labeled for the use of a specific child. (Corrected on site).

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: The Emergency Contact Form in the classroom for Child 4 did not include Emergency Contact Persons.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency Contact Forms in the classrooms for the following children were missing info about the child's physician as follows: Child 3: No name of physician listed Child 6: No name, address and phone number of physician listed Child 7: No phone number and address of physician listed

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)(5)

Description: Information re: special needs

Noncompliance Area: Emergency Contact Forms for Child 3, Child 4, Child 5 and Child 6 did not include information about any special needs, allergies or medical/dietary needs of the child.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form for Child 6 did not include health insurance coverage and policy number.

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

Regulation: 3270.124(c)/3270.181(e)

Description: Each child care space/Emergency master file updated

Noncompliance Area: Continued non-compliance from 11/14/23: There were no Emergency Contact Forms in the classrooms for newly enrolled children; Child 1 and Child 2 (Child 1: corrected on-site). The Emergency Contact Form for Child 5, that was updated on 10/6/23 on the office copy, was not copied and given to the child's 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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Emergency Contact Forms in the classrooms for Child 3 and Child 6 did not include signed parental consent for emergency medical care or for administration of minor first-aid procedures by facility staff. The Emergency Contact form in the classroom for Child 7, did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff 7 did not include two written, nonfamily references. There was only one written reference in the file (corrected on-site).

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Continued non-compliance from 11/14/23: The file for Staff 3 (who was observed working on 1/2/24), did not include the results of the NSOR clearance within the 45-day provisional hire period.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff 3 may not work in a childcare position at the facility until the NSOR results have been submitted.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: The PreKDG room had a school age child visiting with the preschool aged children and Staff 5 had 11 children in her care group consisting of 10 preschool aged children and 1 school age child. The other staff person, Staff 8, had 6 preschool aged children in her care group (corrected on-site). The Older Toddler room had a total of 12 children which included 9 older toddlers and 3 younger toddlers. Staff 3 had 6 children in her care group that included 5 older toddlers and 1 young toddler. Staff 6 had 6 children in her care group that included 4 older toddlers and 2 young toddlers.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: The PreKDG room had a school age child visiting with the preschool aged children and Staff 5 had 11 children in her care group consisting of 10 preschool aged children and 1 school age child. The other staff person, Staff 8, had 6 preschool aged children in her care group (corrected on-site). The Older Toddler room had a total of 12 children which included 9 older toddlers and 3 younger toddlers. Staff 3 had 6 children in her care group that included 5 older toddlers and 1 young toddler. Staff 6 had 6 children in her care group that included 4 older toddlers and 2 young toddlers.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. The legal entity must arrange for the Director to register for and attend and complete Existing Provider Orientation with the Central Region Office of Child Development and Early Learning.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The climber in the Young Toddler Room was dirty and the climber carpet was stained. The dramatic play equipment was dirty in the Older Toddler Room.

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(a)

Description: Clean and good repair

Noncompliance Area: The tables and shelving units in the classrooms throughout the facility were found to be dirty.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: There were two cribs being used in the Infant Room for newly enrolled infants, that were not labeled for the use of a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.124(c)/3270.181(e)

Description: Each child care space/Emergency master file updated

Noncompliance Area: The Emergency Contact Forms that were present in the childcare classrooms, were not copies of the most current ones that had been updated in the past 6 months.

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

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The file for Child 2 did not include an initial health report within 60 days of the child's first day of attendance and the child is still enrolled at the facility. The immunization list provided for the child, did not include a current influenza vaccine. The last one documented was from 10/2020.

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 did not include an updated health report within 12 months from the previous one, dated 1/20/22.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: A child in the Older Toddler Room was observed not washing hands after using the toilet. Staff 3 was observed using gloves, but not washing her hands between diaper changes in the Older Toddler Room. Staff 4 did not wash infant hands after diapering. She said that she uses wipes on their hands but does not wash their hands with soap and water after diapering.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff 1 did not include two written, non-family references.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff 2 did not include the results of the NSOR clearance within the 45-day provisional hire period.

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

Regulation: 3270.33(a)/3270.36(b)(5)

Description: Each staff person meets quals/HS/GED + 2 yrs

Noncompliance Area: Staff 1 did not have documentation of 2 years of childcare experience to accompany her HS Diploma, as required for an Assistant Group Supervisor.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.67(d)/3270.82(i)

Description: Contaminated trash in closed plastic-lined receptacle/Lidded waste receptacles

Noncompliance Area: The bathroom in the Young Toddler Room contained a lined trash can with no lid and a lidded trash can with no liner. The bathroom in the Young Preschool Room also contained a lined trash can with no lid and a lidded trash can with no liner.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Older Toddler Room did not include tape. The first aid kit in the Young Preschool Room did not include scissors.

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

Regulation: 3270.75(d)

Description: On excursions

Noncompliance Area: The first aid kit in the Go Bag of the Young Toddler Room did not include a bottle of water.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Floors and rugs throughout the facility were found to be dirty throughout the facility as follows: The floor in the kitchen and Older Toddler Room were dirty. Area rugs in the Older Toddler, Young Toddler, Older Preschool and Young Preschool classrooms were dirty.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: The floors through the facility were found to be sticky and dirty. The kitchen was not adequately cleaned and the counter and sink area were cluttered with materials.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The sinks, toilets and mirrors in the Young Toddler and Older Preschool bathrooms were found to be dirty.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire drill log did not include documentation showing that the fire system was tested every 30 days.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for Staff Persons #1 and #3 did not include documentation of completion of the required 2022 1-hour Health and Safety training within the prescribed timeframe (by Dec. 30, 2022).

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 #5 contained only 1 of the 2 required written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff Person #2 did not include documentation of annual fire safety training within the past year.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff Person #4 has not completed the following required pre-service training within 90 days of hire (see LIS Code sheet): Pediatric First Aid/CPR from a PQAS approved trainer and a PQAS approved curriculum

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

Noncompliance Area: Facility person #1 self-reported the following incident on 04/18/2019. Facility person #2 placed Child #1 in a high chair so that the 9 month old child could be fed. While in the high chair child #1 was able to grab a cord of a crock pot that was sitting on top of the refrigerator. As a result child #1 pulled the hot water contained in the crock pot onto his arm causing 1st and 2nd degree burns.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Hot water temperature, in areas accessible to children, may not exceed 110 F. Staff must be trained in recognizing injuries and appropriate responses to injuries. DHS will make a referral to STARS requesting training.

Noncompliance Area: In the school age room, and unspecified chemical was observed to be stored in a pepsi can 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.

Noncompliance Area: Vents in the 2 yo room and 3 yo room were observed to be dusty at child level. Nap mats in the PS room and 3yo room were observed to have frayed tape around the edges with sticky residue exposed, making sanitation difficult. In the PS room the wall by the sensory table (green wall) was observed to have a hole, and in the 3 yo room the wall by the two bulletin boards was observed to have damage.

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: In the 2 yo room, flaky paint was observed on the bathroom door frame. In the 1yo room, flaky paint was observed on the windowsill (not accessible to children).

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

Noncompliance Area: The white table in the 3's room was observed to have peeling paint.

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

Noncompliance Area: Child #2 did not have an agreement form on file.

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

Noncompliance Area: Child #1 and #2 did not have consent for emergency care or first aid on file.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: Staff person #1 has been employed since 5/22/17 and does not have a health assessment or TB test on file.

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: On April 6, 2017, child #1, who is age 4, was left alone in the school age classroom after he had fallen asleep on the floor for 10-15 minutes, at about 12:15 PM.

Correction Required: The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: An inspection was conducted on 4/28/17 between 7:45 and 8:15 AM. At this time, the 2's classroom had 5, one year old children and up to 7 two year old children with 2 teachers between(Ratio should have been 1:5 for ones and 1:6 for twos). The school age classroom had up to 15 school age and preschool children with 1 teacher (Ratio for preschool should have been 1:10) The 3's classroom had up to 13 three and four year old children with 1 teacher (Ratio for preschool should have been 1:10)

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. The required staff:child ratios must be maintained at all times.

Noncompliance Area: Staff person #1 did not have two written non-family references on file. Staff hire date was 11/14/16.

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