Dixon Day Care

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Three children's records did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#1, #2 and #3)

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. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Ensure that this information is updated every 6 months for all enrolled children as specified.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: One child has been enrolled in the facility for more than 60 days and their record did not include a health report in accordance with this regulation.(#1)

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. Obtain and submit a current up-to-date health report that contains the required contents for the identified child. Ensure that all children's health reports contain the required contents as specified in these regulations.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: One staff person's record did not contain a health assessment completed within 12 months prior to the date of hire. (#2)

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. Obtain and submit a current up-to-date health assessment for the identified staff persons. Ensure that staff health assessments are completed within the required timeframes as specified in this regulation.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two facility person's record did not contain the required CPSL hiring documents. (#1- hired 3/26/25 - hired more than 45 days and no proof of completed FBI) (#2 hired 10/1/24- NSOR completed on 5/13/25)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a childcare position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff persons.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not include provide for accommodations for toddlers, children with disabilities, and children with chronic medical conditions, and lockdown procedures.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions, and lockdown procedures. Submit a written copy of the amended emergency plan.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Staff person placed blanket over a child's body during nap time to forcibly hold child down to keep child from getting off the cot.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The legal entity must arrange for all facility staff persons to receive at least 2 hours of DHS approved training regarding supervision of children, including the prohibition of the use of restraints. Submit written verification of the training content and completed training for all facility staff persons. Provide staff persons the facility's policies on discipline and the probation of the use of restraints.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection dated 5/25/2023, certification representative observed that the cots in the Cheney room and the Yale room 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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the renewal inspection dated 5/25/2023, certification representative observed that facility did not have an updated notification to the local traffic and safety authorities.

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: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: During the renewal inspection dated 5/25/2023 certification representative observed that the emergency plan did not have lockdown procedures in it.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection dated 5/25/2023 certification representative observed that updated emergency plans had not been sent to the local municipality and to the county emergency agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection dated 5/25/2023, certification representative observed that the file of staff person #1 does not contain a completed NSOR verification. Staff person #2 file contains a child abuse clearance dated 4/2/18, a DHS required FBI clearance dated 3/30/18, and a PA Criminal clearance dated 3/26/18, which are more than 60 months old. (see code sheet for the date of hire). There were no documented requests to update those clearances.

Correction Required: Staff person #1 and staff person #2 must be removed from a child care position by the close of business 5/25/2023. 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 #--- may not work in a child-care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection dated 5/25/2023, certification representative observed electrical outlets uncovered in the Cheney Room, the Temple room, Lasalle room. and the University of Penn room

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection dated 5/25/2023, certification representative observed that the upstairs and downstairs hallway closet were unlocked and also in the Easter Room closet and toxic cleaning materials were accessible to children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection dated 5/25/2023, certification representative observed that paint and/or plaster was chipping in the Temple room, the Lasalle room, Cheyney room, West Chester room, and the gym.

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: During the renewal inspection dated 5/25/2023, certification representative observed that the door knob to the closet in the gym was falling off and was a hazard to the children.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection dated 5/25/2023, certification representative observed that paint and/or plaster was chipping in the Temple room, the Lasalle room, Cheyney room, West Chester room, and the gym

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During complaint investigation, cert rep discovered a staff member had smacked a child on his hands as a form of discipline.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: During complaint investigation, cert rep discovered the facility never alerted the Southeast Regional Office of a child needing emergency care as a result of an injury sustained while receiving care at the facility.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Regulation: 3270.20(b)

Description: Mail or deliver written report to regional office within 72 hours

Noncompliance Area: During complaint investigation, cert rep discovered the facility never alerted the Southeast Regional office in writing about a child needing emergency care from an injury sustained while in care at the facility within the 72 hour allotted time period.

Correction Required: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department

Noncompliance Area: During renewal inspection on 6/20/19, cert rep observed a missing agreement in the file of Child 1.

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

Noncompliance Area: During renewal inspection on 6/20/19, cert rep observed agreements missing the designated release persons in the files of Child 2, 3, 4, 5, 6, 7, and 8.

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

Noncompliance Area: During renewal inspection on 6/20/19, cert rep observed original agreements on file at the facility for all children.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: During renewal inspection on 6/20/19, cert rep observed missing name, address and telephone number for source of medical care in the file of Child 8.

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

Noncompliance Area: During renewal inspection on 6/20/19, cert rep observed missing health insurance policy number in the file of Child 8.

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

Noncompliance Area: During renewal inspection on 6/20/19, cert rep observed missing address information for the emergency contact individual in the file of Child 7.

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

Noncompliance Area: During renewal inspection on 6/20/19, cert rep observed out of date signatures on the agreement of Child 2.

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

Noncompliance Area: During renewal inspection on 6/20/19, cert rep observed missing documentation of a health assessment in the file of Child 7.

Correction Required: A child's record shall contain initial and subsequent health reports.

Noncompliance Area: Children # 1, 7, & 8 do not have parent signature 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.

Noncompliance Area: Children # 2, 3, 4, 5, 6, & 7 are missing the release persons' addresses and/or phone numbers.

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

Noncompliance Area: Children # 1, 7, & 8 do not have parent signature for minor first aid.

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.

Noncompliance Area: On 9/21/17, a school age child was able to leave her classroom, walk down the steps, and go to visit another classroom, where staff in that room took her under supervision.

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. Children must be supervised at all times.

Noncompliance Area: On 9/20/17, a preschooler was able to open the gate on the outside playground and exit the playground for approximately three minutes. He was returned to the office by a neighbor living on the city street the center is located on who noticed the child paying outside the playground.

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. 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 providing copies of the documentation to the Regional Office of Child Development and Early Learning upon request at the Certification Representative's visit for a period of three months after DHS approves the documentation format.

Noncompliance Area: On 9/20/17, a preschooler was able to open the gate on the outside playground and exit the playground for approximately three minutes. He was returned to the office by a neighbor living on the city street the center is located on who noticed the child paying outside the playground.

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

Noncompliance Area: Children # 1, 3, 4, 5, 8, 10, & 11 have emergency contact forms that are missing required information on the child's physician.

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

Noncompliance Area: Children # 5 & 6 have emergency contact forms that are missing one or both parent signatures for 1st aid and 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 administration of minor first-aid procedures by facility staff and for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: Children # 4, 7, 8, 9, 10, 11, & 12 have emergency contact forms that are missing health insurance policy information.

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

Noncompliance Area: Children # 1, 2, 3, 7, 10, & 11 have emergency contact forms that are missing required information for release persons.

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

Noncompliance Area: Staff person #1 last had a physical on 7/24/14, more than 24 months. Staff person #3 does not have a physical on gile.

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.

Noncompliance Area: Staff person #3 does not have references in his file.

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

Noncompliance Area: Staff person #2 has a training document that does not indicate that it meets Act 31 of 2014 training requirements for Mandated Reporters.

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 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 # 2 may not work in a child care position at the facility.

Noncompliance Area: Staff person #3 does not have verification of education.

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.A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The insulation around the pipes in the basement indoor play area is torn and falling off and the pipes are exposed.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.Floors, walls, ceilings and other surfaces, including the facility`s outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: There is peeling paint throughout the facility, especially in Spellman, Temple, St. Joe's, and the indoor play area.

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

Noncompliance Area: Staff person #1 allowed a 5 year old child to cross the hall and use the bathroom by himself. The student was discovered in the bathroom without supervision by another staff person.

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. : Children must be supervised at all times. 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.