Doodle Bugs Childrens Centers

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Classroom 8, a clear plastic toy bin was observed to be cracked on two sides of a corner causing it not to be in good repair.

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(f)

Description: 2 feet apart

Noncompliance Area: Between approximately 12:55pm and 1:10pm during naptime the following mats in the following rooms were observed to not have at least 2ft of space on 3 sides while in use: In Classroom 8 in the back left corner underneath the window, two preschool age children were observed sleeping on their individual mats that were placed near each other; The mat on the left had two sides of the mat directly up against the corner walls and the mat on the right had one side approximately 1ft of space from the book display shelf and there was approximately 1ft of space in between the two mats. Two other preschool age children were sleeping on the opposite sides of the room on their individual mats were observed having one side of their mat up against the wall and another side of their mat was placed directly up against a book display shelf or toy shelving unit. Another preschool age child was observed sleeping on their mat that was placed in between a wooden stove/sink playset and wooden play refrigerator/dress up unit with approximately less than 9 inches of space on two sides. Also, in Classroom 4 during nap time one toddler was observed sleeping on a mat with one side up against the wall and another side up against furniture. In Classroom 7, in the back right corner a toddler was observed sleeping on their cot that was placed with one side approximately 7 inches from a book display shelf and another side against the wall. In Classroom 5 a toddler was observed sleeping on their cot with one side approximately 1ft from a wooden stove/sink plays set and another side approximately 9 inches from a toddler table. In Classroom 6 two toddlers were observed sleeping on their individual cots that were in opposite corners of the room; two sides of their mats were against the wall, and another side was approximately 15 inches or less of space from a toy shelving unit.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 10:00am, while outside on the playground, two staff and 17 preschool age children were observed. During the onset of supervision and ratio check, when staff were asked to identify and name the children whom they were responsible for, Staff person #1 identified and named 10 preschool aged children and Staff #2 identified and named 5 preschool age children thus leaving 2 children unaccounted for.

Correction Required: TIERED IS: 1. Each staff person shall be assigned 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. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to complete a training regarding Supervision Groups and utilizing a tangible method to identify the specific children assigned to each staff. The training must be offered by ELRC 5, in-person and a minimum of 2 hours. The training must be completed within 3 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete. 3. The Director, or a designated staff member, will conduct a supervision and ratio assessment in each childcare space (including classrooms and play spaces) at least three times per week. During the assessment, the Director will ask each staff member in each classroom to identify the children in their assigned supervision group by naming and pointing to each child. These checks must be completed at different times of the day. The Director must create a form that includes the following: the date and time of each check, the name of the staff member conducting the check, the room name, the name of each staff member in the room, and the number and ages of the children each staff member is responsible for supervising. The form must be submitted to the Western Region office for review prior to use. The Director will ensure that this documentation is completed at the time of each check and kept on file at the facility for the Department's review upon request. The documented checks are to be completed for a period of three months from the date the form is approved by the Department. The correction date for this portion of the plan shall be a minimum of three months from the date the Department approves the checklist.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #1 (See IS Code Sheet), who has resided out of state within the previous five years, was observed to lack the required Criminal History check, Sex Offender check, and Child Abuse and Neglect check as required by the Child Protective Service Law (CPSL). The staff file for Staff person #2 was observed to contain a disclosure statement that was not signed by a witness.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In Classroom 8, a chrome three shelf storage unit located to the right of the changing table was observed to have a clear plastic bin containing multiple diaper cremes labeled 'Keep Out of Reach of Children' stored on a middle shelf accessible to the preschool age children care.

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: In Classroom 12, the cabinet floor underneath the sink used by the children in care was observed to not have been kept clean as evidenced by having small black granular spots and brownish/black staining.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator inside Classroom 6 was observed to lack 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: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The current immunization record for Child #1 was observed to be missing the following vaccines: the 2nd dose of DTaP vaccine, the 2nd dose of Rotavirus vaccine, the 2nd dose of Hib vaccine, the 2nd dose of PCV13 and the 2nd dose of Polio vaccine as recommended by the ACIP and did not have an acceptable exemption on file.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 will be dismissed from care by close of business (12/10/25) until either the immunization record is updated, or a parent provides a written, signed exemption letter.

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 staff file for Staff person #3, contained a current health assessment dated 12/9/25 which was conducted more than 24 months from the previously dated 6/28/23 health assessment on file. The staff file for Staff person #5, contained a current health assessment dated 4/5/24 which was conducted more than 24 months from the previously dated 3/30/22 health assessment 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.

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The staff file for Staff person #6, lacked a valid health assessment on file as it lacked a physician, physician's assistant or CRNP signature.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The staff file for Staff person #2 contained a current health assessment dated 8/4/25 that lacked examination for communicable diseases and the results of that examination. The staff file for Staff person #3 contained a current health assessment dated 12/9/25 that lacked examination for communicable diseases and the results of that examination.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: Upon review of the facility's current emergency plan, it was observed to not have been updated to reflect the change of director.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #8 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 and Mandated Reporter Training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #8 will have until 12/30/25 to complete the required training. Until such time as the required training has been completed, staff person #8 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 #8, staff person #8 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The staff file for Staff person #4 contained current mandated reporter training dated 10/23/25 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 10/20/20.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #7 (See IS Code Sheet), who has resided out of state within the previous five years, was observed to lack a Maryland Sex Offender Check and Child Abuse and Neglect Check.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #7 may not work in a childcare 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. Staff Person #7 may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff file for Staff person #5 contained current staff evaluation dated 6/25/25 which was not completed at least one every 12 months from the previous staff evaluation on file dated 2/23/24.

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: 3270.35(b)(1)/3270.192(2)(ii)

Description: Bachelor's/Exp, educ., training prior to facility

Noncompliance Area: The staff file for Staff person #1 who is functioning as a Group Supervisor, lacked proof of a bachelor's degree.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. 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: In Classroom 10, an electrical outlet located to the left of the sink area was observed to lack one protective cover.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In Classroom 1 an infant was observed sleeping in a crib that lacked at least two feet of space on three sides as evidence by a toy shelving unit was placed up against the crib and a bouncer swing was observed on another side of the crib thus prohibiting 2ft of space on three sides while in use. In Classroom 2 two infants were observed sleeping in separate cribs that lacked at least two feet of space on three sides as evidence by one crib was placed against the wall and a toy shelving unit was place up against the crib and another crib had a toy shelving unit up against one side and an infant table was up against another side of the crib thus prohibiting 2ft of space on three sides while in use.

Correction Required: TIERED LIS: 1.) At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. This portion of the plan shall have an immediate correction date. 2.) The operator will develop a layout of the room for crib use when infants are sleeping to include furniture placement, to allow for proper spacing of rest equipment when in use. The operator shall provide a date for when this training will be completed.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During a self-reported noncompliance investigation conducted on 11/20/25, according to staff statements, it was determined that on 11/5/25 at approximately 10:00am, after staff completed a name to face check, prior to transitioning from the classroom to the outdoor play space, a preschool age child was left behind in the classroom for approximately 20 to 40 minutes without being supervised by any staff person.

Correction Required: TIERED LIS: 1.) Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. This portion of the plan shall have an immediate correction date. 2.) Director must arrange for all staff persons, including the director and assistant director, to complete the following one-hour training from Better Kid Care titled Supervision: Teamwork. The printed certificate from Better Kid Care will be submitted upon completion of the training and may be counted towards annual training hours. Compliance will be verified through an unannounced monitoring inspection. The operator shall provide a date for when this training will be completed. 3.) The director and assistant directors will develop a log to manually document the date, time, classroom, number of staff persons, number and ages of children, locations transitioning to/from, and if the transition was successful. Once the log is developed, it shall be submitted to the WRO for review. After, the director and assistance director will use this log to document observations of routine transitions during the day. Checks are to be conducted for at least 3 transitions per week for the next 4 weeks following review of the plan of correction. The completed log will be made available to OCDEL-DHS representatives upon request. Compliance will be verified through unannounced monitoring inspection(s). The provider can request assistance from ELRC #5 for development of a log, if desired. The correction date for this portion of the plan should be at minimum four weeks from the date that WRO gives feedback on the tool.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During a self-reported noncompliance investigation conducted on 11/20/25, according to staff statements, it was determined that on 11/5/25 at approximately 10:00am, after staff completed a name to face check, prior to transitioning from the classroom to the outdoor play space, a preschool age child was left behind in the classroom for approximately 20 to 40 minutes. No staff person was physically present with the child.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During a self-reported noncompliance investigation conducted on 11/20/25, according to staff statements, it was determined that on 11/5/25 at approximately 10:00am, after staff completed a name to face check, prior to transitioning from the classroom to the outdoor play space, a preschool age child was left behind in the classroom for approximately 20 to 40 minutes without any staff present resulting in the staff: child ratio being 0:1.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 8/12/25 to 9/17/25 (36 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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The child file for Child #2, was observed to contain an updated child service report dated 10/1/24 which was conducted more than 6 months from the previously dated 3/21/24 child service report on file. The child file for Child #3, was observed to contain an updated child service report dated 10/1/24 which was conducted more than 6 months from the previously dated 3/13/24 child service report on file.

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: 3270.131(b)(2)

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

Noncompliance Area: The child file for Child #1, who is a preschool age child, was observed to contain an updated health report dated 8/28/24 which was conducted more than 12 months from the previously dated 7/16/23 health report on file.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The staff file for Staff person #1 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 10/14/24 and 9/14/23. The staff file for Staff person #2 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 11/14/24 and 9/14/23.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #3 was observed not to contain a valid State Police clearance.

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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: In Classroom 13, the first aid kit was observed on top of a child's locker and considered accessible to the preschool/school age children in care.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In Classroom 11, one ceiling tile directly above the sink was observed to not be kept clean as evidence by having a slight water spot from a previous leak that has since been repaired.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In Classroom 2 an infant was observed sleeping in a crib that lacked at least two feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The child file for Child #2, who is a young toddler, was observed to contain health reports that were conducted more than 6 months apart; those health report dates are dated 911/22/22 and 6/7/23.

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: 3270.151(a)

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

Noncompliance Area: The staff file for Staff person #1, contained a current health assessment dated 6/25/23 which was conducted more than 24 months from the previously dated 5/9/21 health assessment 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.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: Child #3, who is an infant, was observed to lack a written feeding schedule from the parent.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #1 contained a current financial agreement and emergency contact form that were not reviewed and updated the parent at least once in a 6-month period. The two most recent reviews by the parent were dated 10/3/23 and 3/21/23.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The staff file for Staff person #2 contained a current State Police clearance dated 7/14/23, a current Child Abuse clearance and DHS FBI clearance dated 7/27/23 all of which were not renewed within 60 months of the previously dated 6/26/18 State Police clearance, 7/26/18 Child Abuse clearance and 7/20/18 DHS FBI clearance expiring. The staff file for Staff person #3 lacked a valid State Police clearance.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In Classroom 10 twelve diaper cremes all labeled 'Keep Out of Reach of Children' were observed being stored inside a plastic box storage unit that was unlocked and easily accessible to the preschool age children in care.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: In Classroom 4, Classroom 8 and Classroom 9 one or more spray bottles containing a cleaning solution were observed to not be labeled with the specific content.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Outside on the Preschool Playground a book bag containing a first-aid kit was observed hanging from the metal chain link fence at a height accessible to the preschool aged children who were playing outside.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 1:00pm, during naptime in Classroom 4, Classroom 6, Classroom 7, Classroom 8, and Classroom 10, depending on where staff were positioned in the room they could not adequately supervise some of the napping children due to multiple pieces of furniture obstructing the Staff's ability to see and assess those children who were napping.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #1 contained a financial agreement and emergency contact information form that were not reviewed by the parent at least once every 6 months; the last two dates of review for the financial agreement form were 9/23/22 and 10/12/20 and the last two dates of review for the emergency contact information form were 5/17/22 and 10/10/20. The child file for Child #2 contained a financial agreement and emergency contact information form that were not reviewed by the parent at least once every 6 months; the last two dates of review for the financial agreement and emergency contact forms were 10/12/22 and 4/5/21. The child file for Child #3 contained a financial agreement and emergency contact information form that were not reviewed by the parent at least once every 6 months; the last two dates of review for the financial agreement and emergency contact forms were 9/29/22 and 2/6/22. The child file for Child #4 contained a financial agreement and emergency contact information form that were not reviewed by the parent at least once every 6 months; the last two dates of review for the financial agreement form were 9/27/22 and 10/7/20 and the last two dates of review for the emergency contact information form were 10/20/22 and 10/11/20.The child file for Child #5 contained an emergency contact information form that was not reviewed by the parent at least once every 6 months; the last two dates of review for the emergency contact form were 12/7/22 and 2/28/22. The child file for Child #7 contained a financial agreement and emergency contact information form that were not reviewed by the parent at least once every 6 months; the last two dates of review for the financial agreement form were 9/28/22 and 10/12/20 and the last two dates of review for the emergency contact information form were 7/7/22 and 10/8/20. The child file for Child #8 contained a financial agreement and emergency contact information form that were not reviewed by the parent at least once every 6 months; the last two dates of review for the financial agreement and emergency contact forms were 10/4/22 and 3/9/22.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #3 and Staff person #8 lacked one non-family reference.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff person #17 lacked annual fire safety training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training, and Pediatric First Aid/CPR; Staff person #3 completed both trainings in September 2022. Staff person #5 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training; Staff person #5 completed Health and Safety Training 9/21/22. Staff person #9 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training, and Pediatric First Aid/CPR; Staff person #9 completed Health and Safety and Pediatric First Aid/CPR training on 9/21/22. Staff person #10 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training; Staff person #10 completed Health and Safety training on 11/28/22. Staff person #13 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; Staff person #13 completed Pediatric First Aid/CPR on 4/26/22. Staff person #14 and Staff person #15 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; Staff person #14 and Staff person #15 completed Pediatric First Aid/CPR on 5/26/22. Staff person #16 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; Staff person #16 completed Pediatric First Aid/CPR on 12/15/21. Staff person #17 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Mandated Reporter Training, Health and Safety Training, and Pediatric First Aid/CPR; Staff person #17 completed Mandated reporter training 6/26/20, Health and Safety training 10/18/21, and Pediatric First Aid/CPR 12/15/21. Staff person #17 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR and Health and Safety training; Staff person #17 completed Pediatric First Aid/CPR on 12/15/21 and Health and Safety training on 10/18/21.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Mandated Reporter Training; Staff person #3 completed mandated reporter training 9/15/22.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #1 was observed not to contain a valid National Sex Offender Registry (NSOR) certificate within 45 days of hire (See IS CODE SHEET). Staff person #1's NSOR certificate is dated 11/1/22. The file for Staff person #6 was observed to lack a valid DHS FBI clearance. The file for Staff person #7 was observed not to contain a valid NSOR certificate within 45 days of hire (See IS CODE SHEET). Staff person #7's NSOR certificate is dated 6/7/22. Staff person #7 also lacked documentation of having applied for and received a State child abuse and neglect registry check, a State sex offender check, and State criminal background check from the State in which they resided in within the previous five years as required by the Child Protective Service Law (CPSL). The file for Staff person #8 was observed not to contain a valid National Sex Offender Registry (NSOR) certificate within 45 days of hire (See IS CODE SHEET). Staff person #8's NSOR certificate is dated 11/28/22. The staff file for Staff person #11 (See IS Code Sheet) contained an application of having applied for a NSOR clearance dated 4/6/22 which was not submitted prior to them working with children on 4/4/22. The staff file for Staff person #12 (See IS Code Sheet) lacked a signed disclosure statement at time of hire; a disclosure statement dated 3/14/22 on file was not signed by a witness.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person # 2, Staff Person #6, Staff Person #7 may not work in a childcare 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. Staff Person # 2, Staff Person #6, Staff Person #7 may not work at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff person #17 lacked an annual staff 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)(1)

Description: HS/GED + 30 credits

Noncompliance Area: The file for Staff person #9, who is functioning as an assistant group supervisor lacked 30 credit hours from an accredited college or university; only 23 college credits in education or a human service field were documented.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In Classroom 9, which is used by preschool aged children, an electrical outlet located to the right of the play kitchen area was observed to not be covered with 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: In Classroom 3 the first aid kit was observed to lack 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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In Classroom 12 the restroom located on the right lacked a handwashing sign above the toilet.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Upon review of the facility's 30-day fire alarm testing log the following tests were observed to have been conducted more than 30 days apart: 12/16/21 - 1/24/22 (39 days), 3/16/22 - 5/2/22 (47 days), 7/12/22 -8/20/22 (49 days), 8/30/22 - 9/30/22 (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: In room #4, there were two clear plastic bins used for storing bedding that had white lids that were cracked and had sharp edges. In room #5, there was a clear plastic bin used for storing bedding that had a white lid that was cracked and had sharp edges. In room #6, there was a blue art bin that was cracked with sharp edges.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On the outdoor toddler play space, the poured-in-place surface had small beads that were less than an inch in diameter that were coming apart from the surface in multiple areas and were accessible to children who are still placing objects in their mouths.

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: In room #8, the rest equipment used by the children was not labeled with each child's name.

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)

Description: Signed

Noncompliance Area: The file for child #2 had an agreement that lacked the signature of the operator.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #1 had an emergency contact form that lacked the name of the health insurance and the policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #1 had an emergency contact form that lacked the name, address and telephone number 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(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: In room #3, a staff person changed a child's diaper and used their hand to open the lid to discard the soiled diaper and did not use the hands-free pedal to place the soiled diaper into the plastic-lined trash can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)

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

Noncompliance Area: The files for staff person #9 and staff person #12 had a health assessment that exceeded 24 months between assessments.

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

Regulation: 3270.182(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: The file for child #3 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff person #6, with a start date of 8-27-21, lacked health and safety training, covering topics #1-9 as required in regulation 3270.31(f), within 90 days of their start date and requires current training. The files for staff person #3, #5, #8, #10, and #14 had health and safety training that was completed over 90 days after their start date, with the health and safety training covering topics #1-9 as required in regulation 3270.31(f).

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.

Regulation: 3270.31(f)(10)/3270.31(h)

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

Noncompliance Area: The files for staff person #10, with a start date of 7-12-21, and staff person #11, with a start date of 6-28-21, lacked pediatric first-aid and CPR training within 90 days of their start date and require current training. The files for staff person #3 and #14 had pediatric first-aid and CPR training that was completed over 90 days after their start date.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. All staff persons shall complete the professional development under subsection (f).

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

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

Noncompliance Area: Staff person #5, with a start date of 8-23-21, had mandated reporter training dated 12-2-21 that was over 90 days after their start date.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #15 had a state police clearance dated 4-11-16, a child abuse clearance dated 4-11-16, and an FBI clearance dated 4-11-16 and lacked current clearances within the last 60 months. The files for staff person #1, #2, #3, #4, #5, #6, #7, #8, #10, #11, and #13, hired in 2021, had outdated disclosure statements and lacked the current disclosure statement form. The file for staff person #12 had state police clearances dated 4-30-15 and 11-24-20 that were over 60 months between clearances.

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. Staff Person #15 may not work at the facility.

Regulation: 3270.36(b)(1)/3270.192(2)(ii)

Description: HS/GED + 30 credits/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #2, functioning as an assistant group supervisor, lacked verification of education to qualify as an assistant group supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

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

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

Noncompliance Area: The file for staff person #6, functioning as an assistant group supervisor, lacked verification of 2 years of experience working with children to qualify as an assistant group supervisor.

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: In Doodleville, there was an outlet on the left wall that lacked 2 outlet covers and an outlet on the front wall that lacked an outlet cover and were accessible to children 5 years of age and younger that use the room.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: In room #1, the water temperature at the sink used by children was 119° F. In room #2, the water temperature at the sink used by children was 119° F. In room #3, the water temperature at the sink used by children was 121° F.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit located in the shed on the outdoor toddler play space lacked tape. In room #6, the first-aid kit lacked tape.

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: On the outdoor toddler play space, the middle flowerbed had splintering with sharp edges at both ends of the wooden border around the flowerbed.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In classroom #8 at approximately 2 p.m. during naptime, there were 6 children on cots that did not have 2 feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: 2ND CITATION: According to staff statements, staff person #1 used painter's tape to wrap the tape around child #1's head to keep the mask on the child's face. PREVIOUSLY CITED ON 8-18-21.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on staff interviews, multiple staff have observed staff person #1 cover 1 year olds with a blanket, including covering their heads, while the children are in their cribs to sleep during naptime.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on staff interviews, multiple staff have observed staff person #1 on multiple occasions be forceful with a child by using their hands to push and hold a 1 year old child down to sleep in their crib during naptime.

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