Eagles Nest Group Daycare

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #2's most recent child service report was not dated, making it invalid, and the previous child service report was dated 2/2025 which is more than 6 months ago.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #1 and 2's file did not contain the work address 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: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: Child #1's file, who has been enrolled for more than 60 days(See LIS Code Sheet), did not contain a health assessment.

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

Regulation: 3280.131(b)(2)/3280.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments

Noncompliance Area: Child #2's, a preschool age child(See LIS Code Sheet), two most recent health assessments are dated 3/20/24 and 4/20/26, which are more than 12 months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: Staff #3's file contained an after-visit summary dated 6/18/25, this is not a valid health assessment. Staff #3's previous health assessment is dated 5/6/24 which is more than 24 months previous.

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: 3280.192(5)

Description: Two written references

Noncompliance Area: Staff #1's file only contained 1 written nonfamily reference.

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

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #2's two most recent mandated reporter trainings are dated 2/2/21 and 2/4/26 which is more than 60 months apart.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1's file did not contain the receipt for proof of applying for DHS FBI clearance to be a provisional hire before first date of caring for children(See LIS Code Sheet).

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

Regulation: 3280.35(3)/3280.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: Staff #1's file did not contain proof of education.

Correction Required: A secondary staff person shall have a minimum of an 8th grade education and 2 years of 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: 3280.76

Description: Building Surfaces

Noncompliance Area: In the outside play space the wooden shed is crumbing all along the bottom edges exposing splintered wood accessible to 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: 3280.151(a)/3280.192(3)

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

Noncompliance Area: 2nd citation previously cited on 6/4/25: On 6/18/25 at approximately 11am, Staff person #3 was observed in the outside play space supervising children. Staff person/volunteer #3's file did not contain an initial health assessment.

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: 3280.192(5)

Description: Two written references

Noncompliance Area: 2nd citation previously cited on 6/4/25: On 6/18/25 at approximately 11am, Staff person/volunteer #3 was observed in the outside play space supervising children. Staff person/volunteer #3's file did not contain two written nonfamily references.

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

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: 2nd citation previously cited on 6/4/25: On 6/18/25 at approximately 11am, Staff person/volunteer#3 was observed in the outside play space supervising children. Staff person/volunteer #3's file did not contain mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 may not work in a child care position at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: 2nd citation previously cited on 6/4/25, On 6/18/25 at approximately 11am, Staff person #3 and 4 were observed in the outside play space supervising children. Staff person #4's most current NSOR certificate is dated 5/20/20 which is more than 60 months ago. Staff person/volunteer #3's file did not contain a state police clearance or a DHS FBI clearance.

Correction Required: TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 and 4 may not work in a child care position at the facility. (This portion of the plan shall have an immediate correction date.) (Implemented 6/26/25) 2. The legal entity must arrange for all facility persons to listen to Episode #3 -- Clarifying the Child Protective Service Law (CPSL) Requirements for Child Care - The Pennsylvania Key(https://www.pakeys.org/confluence-ep3/). All facility staff will need to sign and date an attestation that they have listened to the podcast. Once all facility persons have completed this required listening, the legal entity will submit the attestations for all facility persons to the Western Regional Office within 5 business days of the last date of completion. (The operator shall provide a date for when this training will be complete.) (Implemented 7/8/25)

Regulation: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: 2nd citation previously cited on 6/4/25: On 6/18/25 at approximately 11am, Staff person #3 and 4 were observed in the outside play space supervising children. There was 1 infant, 1 young toddler, 1 preschooler, and 2 young school age children. Staff person #3 is a volunteer and cannot be counted in 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 at §3280.52(b). TIERED LIS: 1. The required staff:child ratios must be maintained at all times. (This portion of the plan shall have an immediate correction date.) 2. The legal entity will ensure that all facility persons complete the 2- 1 hour trainings entitled: Supervision: Staff:Child Ratios and Supervision: Teamwork found on Penn State Better Kid Care website. Once all facility persons have completed the required training, the legal entity will submit the training certificates for all facility persons to the Western Regional Office within 5 business days of the last date of completion. (The operator shall provide a date for when this training will be complete.)

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #4 did not contain the home phone number, work phone number, and work address for the enrolling parent.

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

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child 3's file was missing the address of one 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: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The most recent 6-month review signature for the emergency contact form on file for Child #4 is dated 8/5/24 which is more than 6 months ago.

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: 3280.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Child #2's two most recent health reports are dated 5/20/24 and 4/11/25 which is more than 6 months apart.

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: 3280.131(b)(2)

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

Noncompliance Area: Child #1's two most recent health report are dated 3/20/24 and 4/10/25 which are more than 12 months apart.

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: 3280.151(a)/3280.192(3)

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

Noncompliance Area: Staff person/volunteer #3's file did not contain an initial health assessment.

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: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent 6-month review signature for the financial agreement on file for Child #4 is dated 8/5/24 which is more than 6 months ago.

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: 3280.192(1)

Description: Name, address, and phone

Noncompliance Area: Staff person/volunteer #3's file did not contain the address of the facility person.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: Staff person/volunteer #3's file did not contain two written nonfamily references.

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

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person/volunteer #3's file did not contain mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 may not work in a child care position at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1's two most recent child abuse clearances are dated 2/28/20 and 5/13/25 which are more than 60 months apart. The file for staff person #2 included an DHS FBI clearance dated more than 45 days after hire (See LIS Code Sheet) required for provisional hiring under the CPSL. Staff person/volunteer #3's file did not contain a state police clearance or a DHS FBI clearance. Staff person #4's two most recent child abuse clearances are dated 2/10/20 and 4/10/25 which is more than 60 months apart. Staff #4's most current NSOR certificate is dated 5/20/20 which is more than 60 months ago.

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

Regulation: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: At approximately 1013am Staff #4 left Staff #5 in the main room alone with 3 preschool age children and 2 infant age children.

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 at §3280.52(b).

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: In the outside play space the particular shed door is crumbing in the bottom right corner exposing splintered wood accessible to children. In the main room the carpet is separating from the floor and away from the heating duct in the floor causing a trapping hazard.

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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The fire alarm testing log contained the following dates 8/2/24-9/3/24 and 11/1/24-12/2/24.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.103

Description: Small Toys and Objects

Noncompliance Area: In the outside play space to the right under the tree on the ground there were many chestnuts that have a diameter of less than 1 inch 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: 3280.111(b)

Description: Posted in area used by parents

Noncompliance Area: There was no written plan of daily activities and routines posted in the facility.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Regulation: 3280.123(a)

Description: Signed

Noncompliance Area: In the file for Child #4 the financial agreement was not signed by the operator.

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

Regulation: 3280.124(a)

Description: Each child emergency contact person

Noncompliance Area: In the file for Child #4 the emergency contacts did not have last names on the emergency contact form.

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

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for child #2 and #3 did not contain work addresses or 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: 3280.124(b)(4)/3280.182(3)

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

Noncompliance Area: Child #2 file did not have signed parental consent for emergency medical care for the child.

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

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: In Child #2 file the addresses for whom the child may be released did not include house numbers. In child #4 file one release person did not have a phone number.

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: 3280.124(f)/3280.181(c)

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

Noncompliance Area: Child #1 file the emergency contact form was signed 3/1/23 and not signed updated until 2/2/24 which is more than 6 months apart.

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: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: Child #2 file did not contain an initial health assessment within 60 days following the first day of attendance at the facility(See LIS Code Sheet). The first health assessment on file was dated 6/16/23.

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

Regulation: 3280.131(b)(1)/3280.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health assessments

Noncompliance Area: The file for child #4 contained a health assessment dated 8/25/23 that was more than 6 months old (See LIS Code Sheet).

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. A child's record must contain initial and subsequent health reports.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #4 includes 2 of 3 DTAP vaccines recommended by the ACIP for a child this age(See LIS Code Sheet) and 2 of 3 Pneumococcal vaccines recommended by the ACIP for a child this age(See LIS Code Sheet).

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3280.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Child #4 health report did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #1 file the financial agreement was signed 3/1/23 and not signed updated until 2/2/24 which is more than 6 months apart.

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: 3280.182(5)

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

Noncompliance Area: Child #2 file did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3280.20

Description: General Health and Safety

Noncompliance Area: In the kitchen in the middle draw that does not lock there was a pizza cutter and sharp metal food grater that was accessible to children. In the outside play space along the left side leaning on the fence was a splintered wooden pallet accessible to children.

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

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The documentation on file for the most recent emergency drill does not allow for documentation of the following required elements: if any special accommodations for children with special needs were required and any observations or problems encountered during the drill.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3280.26(e)

Description: Letter to parents

Noncompliance Area: The facility did not have a letter explaining the emergency procedures to provide to the parents. They provided a parent handbook to the parents that only included their evacuation plan.

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: 3280.31(e)

Description: Age and training

Noncompliance Area: The file for Staff person #1 includes 4 of 12 required annual training hours completed between 12/19/22-12/19/23. The file for Staff person #2 includes 8 of 12 required annual training hours completed between 12/19/22-12/19/23. The file for Staff person #3 includes 0 of 12 required annual training hours completed between 12/19/22-12/19/23.

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

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: The file for staff #1 contained a 6-hour Health and Safety training that was taken on 8/27/2016 which is not an acceptable Health and Safety training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Horse chestnuts which are toxic to children were found on the ground in the outside play space to the right under a tree accessible to children.

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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3280.69(a)

Description: 110º F or less

Noncompliance Area: The water in the bathroom sink that is accessible to children reached a temperature of 138 degrees F which more than 110 degrees F.

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

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: There are 14 exposed bolts that are protruding into the outside 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: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log included drill dates 11/7/23-3/19/24 (133 days) which is more than 60 days apart. The last documented drill date was 3/19/24 which was longer than 60 days had passed at time of inspection.

Correction Required: The primary staff person 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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The fire alarm testing log included testing dates 10/28/23-11/29/23(32 days) and 12/26/23-2/6/24(42days), which are more than 30 days apart.

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

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The files for Child #2 and Child #3 did not contain the phone number of the 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: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The file for Child #2 did not include a Health Assessment.

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

Regulation: 3280.131(d)(2)/3280.131(d)(4)

Description: Child's allergies/Acute or chronic health problem

Noncompliance Area: The file for Child #2 did not contain a Health Assessment which addressed allergies or health problems.

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

Regulation: 3280.131(d)(3)/3280.133(8)

Description: Current medication and reason/Special diet - parent's instructions

Noncompliance Area: The file for Child #2 did not contain a Health Assessment which addressed medications or special diets.

Correction Required: A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for Child #1 did not include documentation of the Influenza vaccination. The file for Child #2 did not include documentation of the following vaccinations: Influenza, MMR, or Varicella.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of 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 and Child #2 must be dismissed from care by close of business on 6.16.23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3280.131(d)(7)/3280.131(d)(8)

Description: Free from contagious/communicable disease/Age appropriate screenings complete

Noncompliance Area: The file for Child #2 did not contain a Health Assessment which addressed participation in Child Care and age-appropriate screenings.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The two (2) most recent Health Assessments, in the files for Staff #2 and Staff #3, exceeded the 24-month renewal requirement.

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: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 contained documentation of Mandated Reporter training on 1.25.17 and 1.27.22, which exceeded the 60-month renewal requirement. The file for Staff #2 contained documentation of Mandated Reporter training on 3.2.17 and 4.29.22, which exceeded the 60-month renewal requirement.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 contained FBI Clearances dated 2.8.17 and 4.8.22, which exceeded the 60-month renewal requirement.

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: 3280.76

Description: Building Surfaces

Noncompliance Area: Broken/chipped/peeling floor tile, in the eating area, was present in multiple locations throughout the floor, which created a tripping hazard for children in care.

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: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact form, in the file of Child #1, did not contain the enrolling parent's work address.

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

Regulation: 3280.124(b)(4)/3280.182(3)

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

Noncompliance Area: The Emergency Contact form, in the file of Child #1, did not contain signed parental consent 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 must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A Shaken Baby Policy was not available at the facility, and the Staff did not know if one had been developed.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The file for Staff #2 contained Health Assessments dated 11.11.19 and 11.22.21, which exceeded the 24 month renewal requirement.

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: 3280.182(5)

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

Noncompliance Area: The Emergency Contact form, in the file for Child #1, did not contain signed parental consent for the administration of minor first-aid.

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

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: No information was provided for the parents on how to access the regulations electronically.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 contained Child Abuse clearances dated 2.24.15 and 2.28.20, and FBI clearances dated 3.12.15 and 6.30.20, which exceeded the 60 month renewal requirement. The file for Staff #3 contained Child Abuse clearances dated 5.5.17 and 6.1.22, and FBI clearances dated 1.18.17 and 4.27.22, which exceeded the 60 month renewal requirement.

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: 3280.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: Approximately 45, hard bush stalks, approximately 1' to 4' tall, were extended through the metal and orange fencing, in the outdoor play yard, which created a scraping/cutting hazard for child in care.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: A Proof of Purchase for the interconnected fire detection system was not provided.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Noncompliance Area: The Fee Agreement in the file for Child #5 was not signed by the operator.

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

Noncompliance Area: The most recent Child Service Reports in the file for Child #3 exceeded six months between reports: 6/14/19-2/3/20. The most recent Child Service Report in this file is current.

Correction Required: An agreement shall specify 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 at 3280.124(f).

Noncompliance Area: The Emergency Contact Form in the file for Child #1 did not include the phone number 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.

Noncompliance Area: The Emergency Contact Form in the file for Child #3 did not include the release person's address. The Emergency Contact Form in the file for Child #4 did not include the release person's address or telephone number.

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

Noncompliance Area: The file for Child #5, who has been enrolled for more than 60 days, did not include an initial health report. Health Report was due for this child prior to suspended reg during COVID-19 shutdown.

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

Noncompliance Area: The most recent immunization records in the files for Child #2 and #3 did not include documentation of a flu shot conducted within the past 12 months.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. A child's record must contain initial and subsequent health reports.

Noncompliance Area: The first parental updates (2/5/20) in the file for Child #3 were dated more than six months after the child's start date (6/3/19). These updates are current.

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

Noncompliance Area: The most recent Mandated Reporter Trainings in the file for Staff Person #1 exceeded 60 months between trainings: 4/16/15-7/7/20. The most recent Mandated Reporter Training in file is current.

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

Noncompliance Area: The most recent State Police Clearance in the file for Staff Person #1 was not on the PA Criminal Background Investigation form accepted by DHS.

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

Noncompliance Area: Observed flaking rust on the railings at the entrance to the facility. Observed in the main room, a plastic floor register vent cover, which was cracked, creating a sharp edge. Observed splintering wood and protruding nails outside of the rear exit, which leads to 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.

Noncompliance Area: Observed peeling paint in the right corner by the window of the main room. Observed peeling paint outside of the rear exit, which leads to the outdoor play space.

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

Noncompliance Area: The temperature of the thermometer for the refrigerator in the kitchen measured 52.

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.

Noncompliance Area: The Emergency Contact Forms in the files for Child #1 and #2 did not include the addresses of the 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: The most recent immunization records in the files for Child #1 and Child #3 were not in accordance with the schedule recommended by the ACIP. Child #1: 7-month old, missing 3rd DTAP and 3rd PCV13. Child #1: most recent flu shot July 2017.

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

Noncompliance Area: The first parental updates to the Emergency Plan and Fee Agreement in the file for Child #3 were dated more than six months after the child's enrollment: Enrolled: 8/20/18. First Update: 3/1/19. These updates are current.

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: Based on conversations with Owner, reports of accidents, injuries and illnesses, which have been provided to the parents, have not been copied and placed in accident file and child files

Correction Required: A child's record must contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: Observed two meat forks in an unlocked drawer in the kitchen, where children in care eat their meals and snacks.

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

Noncompliance Area: Observed a bottle of liquid starch on the floor in the rear exit, which is utilized for fire drills and accessing the outdoor play space.

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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Observed in the outdoor play space: rolled up fencing with sharp edges, blocks, bricks and shingles stacked along the outside wall of facility, one section of fence, which was not attached to the fence post.

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

Noncompliance Area: Observed peeling paint and flaking plaster along the wall by entrance to bathroom in the diaper changing 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: On the day of the visit to verify corrections for initial certification, plastic bags containing foam counters, pattern blocks, and number cubes measuring less than one inch in diameter, were observed on a shelf that would be within the reach of toddlers if children were in care.

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.

Noncompliance Area: The refrigerator did not have an operating 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.

Noncompliance Area: The file for Staff Person #1 did not include an initial health assessment.

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 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: The file for Staff Person #1 did not include an initial tuberculosis screening by the Mantoux method.

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

Noncompliance Area: The file for Staff Person #1 did not include verification of child care experience or education and training prior to service at the facility.

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

Noncompliance Area: The emergency plan did not include shelter in place at the facility.

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

Noncompliance Area: Several blocks and debris were observed in the portion of the yard on the facility property adjacent to the outdoor play space. This area is not being used as the outdoor play space.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: Emergency phone numbers were not posted by the facility telephone.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.