Discovery Kids Daycare Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the outdoor play space the exposed bolts on the fence adjacent to the building and landscaping rocks with rough edges located on the left side of the space from the gate.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of the inspection, the refrigerator located in the infant room lacked a thermometer.

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: 3270.111(a)

Description: Written plan

Noncompliance Area: At the time of the inspection, there was not a daily schedule posted in the infant room.

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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files of children #3, #4, and #5 lacked child service reports every 6 months.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file of child #2 lacked an emergency contact form with the full address of the child's physician or source of medical care.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files of children #3, #4, and #5 lacked documentation of parent reviewing the emergency contact form and financial agreement every 6 months.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: At the time of the inspection, observed 2 bottles identified for child #1 but were not labeled.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Based on the emergency plan drill log and at the time of the inspection, more than 12 months had passed since the last emergency plan drill due to the fact the log was dated 8/2024.

Correction Required: 1.Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. 2. The legal entity must arrange training with ELRC 6 for all staff in an administrative position. The operator shall provide a date for when this training will be completed. 3. The legal entity and ELRC 6 will submit documentation of completion of training for all staff in an administrative position.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file of staff #1 had documentation of completing emergency plan training more than 12 months apart due to the fact they were dated 3-23-26 and 11-20-24.

Correction Required: 1. 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. 2. The legal entity must arrange training with ELRC 6 for all staff in an administrative position. The operator shall provide a date for when this training will be completed. 3. The legal entity and ELRC 6 will submit documentation of completion of training for all staff in an administrative position.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file of staff #1 had documentation of completing Fire Safety training more than 12 months apart due to the fact they were dated: 3-24-26 and 1-19-25.

Correction Required: 1. Staff persons shall participate, at least annually, in fire safety 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. 2. The legal entity must arrange training with ELRC 6 for all staff in an administrative position. The operator shall provide a date for when this training will be completed. 3. The legal entity and ELRC 6 will submit documentation of completion of training for all staff in an administrative position.

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): Health and Safety Part 2. Staff person #3 had not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet) due to the fact the training was dated 4-3-26 Health and Safety Part 1 and 4-5-26 Health and Safety Part 2.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person 2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 had Child Abuse clearances more than 60 months apart due to the fact they were dated: 9-2-20 and 4-7-26. The file of staff #2 had a National Sex Offender Registry report after their date in care with children due to the fact it was dated 1-12-26 (see LIS code sheet).

Correction Required: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. 2. The legal entity, director, and any other designee responsible for the hiring of staff will complete Confluence Pod Cast 8 and 9 within 30 days of submitting acceptable plans of corrections. 3. The legal entity will contact ELRC 6 to arrange for the facility director and any designee responsible for the hiring of staff to obtain training regarding record keeping and hiring staff. 4. The legal entity, facility director, and any designee responsible for the hiring of new staff will submit all required clearances at the time of hiring new staff to the Cert Rep for approval prior to new staff's start date at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed in the infant room an electrical outlet lacking a protective receptacle cover.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Observed in the main room the first aid kit lacked gauze and in the school age room the first aid kit lacked soap.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed in the outdoor play space the fence adjacent to the building the top of the chain link fence was damaged and lacking a secure pole across the top of the structure.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre- service training required prior to caring for children unsupervised: health and safety training topics, Pediatric First Aid and CPR, and mandated reporter training

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #2 must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

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 of staff #2 lacked a health assessment and was observed caring for children in the infant room.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of staff #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 lacked out of state clearances from CT and ID; and had an NSOR clearance dated after her date in care with children. The file of staff #2 lacked all clearances and was observed caring for children in the infant room.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #1 and #2 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 Persons #1 and #2 may not work in a child care position at the facility.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: At the time of the inspection, there was not a handwashing sign at the sink located in the preschool space.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Second citation, previously cited on 4-10-25, the file of staff #1 lacked completing health and safety training within 90 days of hire (see LIS code sheet).

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a red and yellow Little Tikes Cozy Coupe with an exposed bolt on the right side near the door.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files of children #2 and #5 lacked emergency contact forms with the parents' work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file of child #5 lacked an emergency contact form with the information on the child's special needs or "NA" if not applicable.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of child #4 lacked an emergency contact form with the full, complete address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection, there was not emergency contact information in the rooms where the children were observed to be receiving care for the following children: child #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, and #14.

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: 3270.151(a)

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

Noncompliance Area: The file of staff #2 had a late initial health assessment due to the fact it was dated 3-26-25 (see LIS code sheet). The file of staff #5 lacked health assessments every 24 months due to the fact they were dated: 11-8-22 and 3-25-25.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of staff #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person due to the fact there was 1 in the 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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file of staff #5 lacked documentation of completing the annual minimum of 12 clock hours of child care training.

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: The file of staff #5 had documentation of not renewing CPR training prior to expiration due to the fact they were dated: 11-2024 expiration and 1-8-25 renew date.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file of staff #7 had not completed the 1-hour health and safety training and only had documentation of completing Health and Safety training; not revised. The files of staff #1 and #9 lacked completing health and safety training within 90 days of hire (see LIS code sheet).

Correction Required: Staff #7 must complete both parts of PA Required Health and Safety for Centers-Group Child Care Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The files of staff #2, #3, and #7 lacked completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files of staff #4, #8, and #9 lacked the National Sex Offender clearance report (see LIS code sheet). The file of staff #2 lacked the National Sex Offender clearance report and PA Child Abuse clearance report.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #2, #4, #8, and #9 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 Persons #2, #4, #8, and #9 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file of staff #6 lacked a written evaluation.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: Staff #4 identified 5 children in care; 4 young toddlers and 1 infant. Therefore, staff #4 was over ratio.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: At the time of the inspection, the first-aid kit in the older toddler room lacked band aides and the first-aid kit in the school-age room 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: At the time of the inspection, there was not a hand washing sign posted at the second toilet from the left upon entering the restroom.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed cubbies by the changing table which were not anchored creating a potential tipping hazard in the Infant Room.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: 2nd citation. Previously cited on 4/2/24. Children #2 and #3 lacked child service reports completed at least every 6 months. Child #2, with an admission date of 8/28/23, had a child service report in the file, but it was not dated. Child #3, with an admission date of 3/14/23, had a child service report in the file, but it was not dated.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: 2nd citation. Previously cited on 4/2/24. Emergency contact information for Child #1 did not include the 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)(4)/3270.182(3)

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

Noncompliance Area: 2nd citation. Previously cited on 4/2/24. The emergency contact for Child #1 did not include written consent signed by a parent for emergency medical care.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: 2nd citation. Previously cited on 4/2/24. The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: 2nd citation. Previously cited on 4/2/24. The emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact was signed on 8/21/23. Child #2's agreement was signed on 8/28/23. The emergency contact and agreement for Child #3 were not reviewed and updated at least once in a 6-month period. Child #3's emergency contact and agreement were signed on 7/26/23.

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

Regulation: 3270.182(5)

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

Noncompliance Area: 2nd citation. Previously cited on 4/2/24. The files of Children #1 and #3 did not contain signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: 2nd citation. Previously cited on 4/2/24. The operator did not provide to the parent of each enrolled child a letter explaining the emergency procedures including lockdown.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: 2nd citation. Previously cited on 4/2/24. The file of Staff #1 lacked a dated disclosure statement. The file of Staff #2 lacked a dated disclosure statement. The file of Staff #3 did not contain a witnessed disclosure statement.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: 2nd citation. Previously cited on 4/2/24. Observed an electrical outlet which lacked a protective receptacle cover to the left of the bookcase in the reading nook area of the Infant Room.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: 2nd citation. Previously cited on 4/2/24. Observed an exposed bolt on the bottom of the fence under the window in the Outdoor Play Space.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: 2nd citation. Previously cited on 4/2/24. Observed seven approximately 1/4 inch to 1-inch holes on the wall between the first and second windows in the Preschool Room. Observed 12 approximately 1/4-inch holes in the drywall under the chalkboard in the Preschool Room. Observed 2 approximately 1/4-inch holes to the right of the chalkboard and to the left of the second electrical outlet in the Preschool Room. Observed 1/2-inch and 1/4-inch holes to the left of the toy box in the Older Toddler Room.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: 2nd citation. Previously cited on 4/2/24. Observed a broken, lidded waste receptacle in the bathroom.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed approximately a 3-inch crack on the landing of a Little Tyes climber to the right of the refrigerator in the Young Toddler Room. Observed a black and white polka dot block with exposed foam in the Infant Room. Observed a frayed basket containing rattles and blocks in the Infant 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(g)

Description: Hazardous toys and equipment

Noncompliance Area: Observed a Bumbo seat with an incorrect strap. The strap used with the Bumbo seat stated "Little Tykes" on it.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed plastic bags containing clothes under the changing table in the Infant Room which were accessible to children.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Observed rest equipment not labeled for the use of a specific child in the Infant Room.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Children #2 and #5 lacked child service reports completed at least every 6 months. Child #2, with an admission date of 8/28/23, had a child service report in the file, but it was not dated. Child #5, with an admission date of 3/14/23, had a child service report in the file, but it was not dated.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #1 did not include the work address of the enrolling parent. Emergency contact information for Child #4 did not include the complete 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)(4)/3270.182(3)

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

Noncompliance Area: The emergency contact for Child #1 did not include written consent signed by a parent for emergency medical care.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information for Child #4 did not include the complete address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The files of Children #2 and #5 lacked a health report no later than 60 days following the first day of attendance at the facility. Child #2 who had an admission date of 8/28/23 had a health report dated 3/8/24. Child #5 who had an admission date of 3/14/23 had a health report dated 2/12/24.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file of Staff #10 lacked an initial health assessment conducted within 12 months prior to providing initial service in a child care setting. (SEE LIS Code Sheet). The file of Staff #10 contained a health assessment dated 12/2/23.

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 file of Staff #10 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #10 had a Mantoux read date of 12/2/23.

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: 3270.152

Description: Adult Hygiene

Noncompliance Area: Staff #12 did not immediately wash his/her hands after diapering a child in the Infant Room. After diapering a child, Staff #12 opened and closed a gate and then returned to wash his/her hands. The Infant Room lacked a means to dry hands.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed bottles which were not labeled with the child's name in the Infant Room.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact was signed on 8/21/23. Child #2's agreement was signed on 8/28/23. The emergency contact and agreement for Child #5 were not reviewed and updated at least once in a 6-month period. Child #5's emergency contact and agreement were signed on 7/26/23.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The files of Children #1 and #5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

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

Regulation: 3270.182(8)

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

Noncompliance Area: It was observed that an agreement was not on file at the date of enrollment for Children #3 and #5. Child #3's date of admission was 3/4/24 with an agreement dated 3/18/24. Child #5's date of admission was 3/14/23 with an agreement dated 7/26/23.

Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of Staff #1 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed 2 cribs with loose sheets in the Infant Room creating a potential suffocation hazard. Observed a flat screen TV in the Preschool Room which was not anchored posing a falling hazard.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files of Staff #1, #2, #3, and #6 lacked documentation of receiving training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The files of Staff #7, #9, #11, and #12 lacked documentation of receiving training regarding the emergency plan on an annual basis. The file of Staff #7 contained documentation of emergency plan training on 1/2/23 but no documentation for 2024. The file of Staff #9 contained documentation of emergency plan training on 10/13/22 and 1/2/23 but no documentation for 2024. The file of Staff #11 contained documentation of emergency plan training on 1/2/23 but no documentation for 2024. The file of Staff #12 contained documentation of emergency plan training on 2/10/23 but no documentation for 2024.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The operator did not provide to the parent of each enrolled child a letter explaining the emergency procedures including shelter of children during an emergency including lockdown, shelter in place at the facility, and shelter at locations away from the facility premises; evacuation of children from the building and evacuation of children to a location away from the facility premises; a method to contact parents as soon as reasonably possible when an emergency situation arises; a method for facility persons to inform parents that the emergency has ended and to provide instructions as to how parents can safety be reunited with their children; accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions; and emergency drills conducted annually.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files of Staff #7, #11, and #12 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file of Staff #7 and #9 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional (SEE LIS Code Sheet). The file of Staff #7 contained documentation of fire safety training completed on 2/27/24. The file of Staff #9 contained documentation of fire safety training completed on 11/21/23.

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 #10 has not completed the following required pre-service training within 90 days of their date of hire (SEE LIS Code Sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #10 will have until May 4, 2024, to complete the required training. Until such time as the required training has been completed, staff person #10 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 #10, staff person #10 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files of Staff #1 and #6 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing health and safety training on 1/4/24. The file of Staff #6 contained documentation of completing health and safety training on 3/27/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #1 lacked a valid FBI Clearance because it did not contain a disposition for all charges. The file of Staff #1, a provisional hire, lacked a National Sex Offender Registry Certificate within 45 days of start (SEE LIS Code Sheet). The file of Staff #1 contained no NSOR, and Staff #1 was not suspended after 45 days. The file of Staff #1 lacked a dated disclosure statement. The file of Staff #2 lacked a dated and witnessed disclosure statement. The file of Staff #4 lacked a dated disclosure statement. The file of Staff #5, a provisional hire, lacked application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #5 contained a NSOR request date of 4/1/24. The file of Staff #5 lacked a dated disclosure statement. The file of Staff #6 lacked a completed FBI Clearance prior to providing initial service in child care (SEE LIS Code Sheet). The file of Staff #6 did not contain an FBI Clearance. The file of Staff #6 did not contain a dated disclosure statement. The file of Staff #8 lacked a Child Abuse Clearance prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #8 contained a Child Abuse Clearance dated 3/18/24. The file of Staff #8 lacked a valid FBI Clearance because it did not contain a disposition for all charges. The file of Staff #8 did not contain a dated disclosure statement. The file of Staff #10 did not contain a witnessed disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #5, #6, and #8 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, #5, #6, and #8 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files of Staff #7, #9, #11, and #12 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #7 did not contain a written evaluation. The file of Staff #9 did not contain a written evaluation. The file of Staff #11 contained a staff evaluation dated 1/23/23. The file of Staff #12 did not contain a written evaluation.

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: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file of Staff #1, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed an electrical outlet which lacked a protective receptacle cover under the hanging cubby in the diapering area of the Infant Room.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Observed a first-aid kit on the windowsill to the left of the fire extinguisher in the Preschool Room which was accessible to children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed an exposed bolt on the bottom of the fence under the window in the Outdoor Play Space. Observed approximately a 1 inch by 2-inch loose piece of the protective surfacing in the middle of the Outdoor Play Space. Observed a loose doorknob on Preschool Room door.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling paint beside the 1st window on the wall opposite from the entrance in the Preschool Room. Observed five 1/2 inch to 1-inch holes in the drywall beside the 1st window on the wall opposite from the entrance in the Preschool Room. Observed nine approximately 1/2-inch holes in the drywall beside the sink and above the mats in the Young Toddler Room. Observed approximately fifteen 1/8-to-1-inch holes in the drywall behind the bookshelf in the Young Toddler Room. Observed ten approximately 1/8-to-1/4-inch holes in the drywall under the office window in the Older Toddler Room. Observed six approximately 1/2-inch holes in the drywall behind the TV in the Preschool Room. Observed three approximately 1-inch holes in the drywall under the 2nd and 3rd windows in the Preschool Room. Observed nine approximately 1/8-to-1/4-inch holes in the drywall to the left of the toy box in the Older Toddler Room.

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

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: The counter height sink in the Infant Room did not have platforms or steps, and staff were holding children to wash their hands.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The 1st stall in the bathroom lacked a handwashing sign.

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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: Observed a broken lidded waste receptacle in the bathroom.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: 2nd citation. Previously cited on 1/5/24. The files of Volunteers #1 and #2 lacked an FBI Clearance.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed a bookcase by the changing table which was not anchored creating a potential tipping hazard in Infant Room 1. Observed a bookcase in the reading area which was not anchored creating a potential tipping hazard in Infant Room 1. Observed a bookcase by the entrance to the reading area which was not anchored creating a potential tipping hazard in Infant Room 1.

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

Regulation: 3270.192(2)(i)

Description: Age

Noncompliance Area: The files of Volunteers #1 and #2 did not include verification of age.

Correction Required: A facility person's record shall include verification of age.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed 2 cribs with loose sheets in Infant Room 1 creating a potential suffocation hazard.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files of Volunteers #1 and #2 lacked an FBI Clearance and National Sex Offender Registry Certificate.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in Infant Room 1 lacked soap and disposable, nonporous gloves.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a protruding screw on an access panel to the left of the bump out in Infant Room 1.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling paint to the right of the door leading to the kitchen in Infant Room 1. Observed approximately a 1 by 2-inch hole in the drywall to the right of the door leading to the kitchen in Infant Room 1. Observed three approximately 1/2-inch holes and two approximately 1-inch holes in the drywall on the wall left of the main entrance in Infant Room 1. Observed approximately a 1 by 2-inch piece of missing drywall and approximately a 1 by 5-inch piece of missing drywall on the bump out to the left of the changing table in Infant Room 1.

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

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The Director or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: 2nd citation. Previously cited on 8/7/23. The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 4/3/23, 6/6/23, 8/9/23, and 10/9/23.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 8/7/23 the Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 4/3/23 and 6/6/23.

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: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: At approximately 10:56 AM Certification Staff observed a 4-month-old infant strapped in a bouncer seat while staff fed him/her a bottle.

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Observed toys and a tunnel on the ramp which obstructed the exit from the facility.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff did not ensure a child's hands were washed before giving a child a snack 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.