Early Connections/city Center

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Based on interviews with staff and a review of documents, it was determined on two occasions that hair beads, with a diameter of less than one inch, had been removed from Child #1's hair and were accessible to children in the rooms who were still placing objects in their mouths. On 3/27/26, the hair beads had fallen out of the child's hair in the infant room. On 5/21/26, another child had pulled the beads from Child #1's hair in the YT Room. On each of these occasions, it was confirmed that other children (Inf/YT) had placed the beads 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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on interviews with staff and a review of documents, it was verified that some hair beads were pulled from Child #1's hair by another child on 5/21/26 at 3:00 PM. At this time, Staff Person #1, who was assigned to the children in the room, was entering information on ProCare and was not directly supervising the children.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cracked plastic toy bin in the school age room.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The rest mats in the Lions room and a packnplay in the Elephant room were not labeled with the names of the children who use them.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: There was less than 2 feet of space on three sides of a mat in use in the Lions room,

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The daily activity schedule was not posted in the Zebra room.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The only child service report (or approved assessment form) completed by staff, a copy given to the parent and placed on file for Child #1 was completed more than 6 months after their start date.

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: 3270.123(b)

Description: Parent receives original

Noncompliance Area: Original agreements were on file for children #1 - #4.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The medical emergency transportation plan was not posted in the Ladybug room.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: There was no health assessment on file for child #3, enrolled at the facility for more than 60 days.

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

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: There was no documentation of current immunizations on file for child #2.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.Child #2 must be dismissed from care by close of business 2/24/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter

Regulation: 3270.151(a)

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

Noncompliance Area: The current health assessment on file for Facility Person #2 was completed more than 24 months after the previous 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.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment on file for Facility Person #4 indicated there was a communicable disease without providing any further information.

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

Regulation: 3270.166(3)

Description: Disposable nursers or parents

Noncompliance Area: Bottles used for infant feedings are provided by the program and handwashed between uses, as per staff statements.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There was one written nonfamily reference letter on file for Facility Person #4.

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: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: There was no documentation the emergency plan had been reviewed and updated in the previous 12 months.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The current emergency plan training documented and on file for Facility Person #2 was completed more than 12 months after the prior emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The criminal history clearance on file for Facility Person # 1 was incomplete. The criminal history and NSOR clearances on file for Facility Person #3 were dated 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 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 without all completed clearances.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was an unlocked cabinet under the sink in the Lions room with windex and disinfectant spray.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: There was no tape or gauze in the first aid kit in the Giraffe room.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: In the Lions room there was play equipment in front of an exit.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: SECOND CITATION; PREVIOUSLY CITED ON 12/18/25: According to staff statements and video camera footage, on 1/6/26 at approximately 1:15 PM in the Zebra room, Facility Person #1 was observed aggressively picking up Child #1 and dropping them on their rest mat face down twice. They then abruptly dragged the child's mat to another part of the room, causing the child to almost fall from the mat. The staff person then took the child and their mat to the Rhinos room where they roughly sat the child on the mat where the child remained for a few minutes before Facility Person #1 returned the child to the care of another staff person in the Zebra room.

Correction Required: 1.A facility person may not use any form of physical punishment, including spanking a child. THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE. 2. The legal entity shall ensure that all facility staff persons complete a training regarding appropriate behavior guidance of children. Prior to registering for the training, the operator shall send the training title/description to the certification representative for approval. Documentation of the training, as required under Chapter 3270.192, shall be retained on file and forwarded to the certification representative. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED 3. The legal entity shall ensure that all facility staff persons complete a training regarding stress management. Prior to registering for the training, the operator shall send the training title/description to the certification representative for approval. Documentation of the training, as required under Chapter 3270.192, shall be retained on file and forwarded to the certification representative. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED 4. After completion of the required trainings, the operator shall conduct a staff meeting, with all facility staff in attendance, to discuss the facility's policies on behavior guidance, the trainings and their content, and offer staff the opportunity to ask questions and receive feedback regarding the policies and trainings and apply them to their experiences in the classroom. The meeting date, attendees and agenda shall be documented, retained on file, and forwarded to the certification representative. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: According to staff statements and video camera footage, on 1/6/26 at approximately 1:15 PM in the Zebra room, Facility Person #1 was observed holding Child #1 down on their rest mat with one hand on the child's legs, and the other on their torso.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: As observed on classroom video footage, on 12/3/25, at approximately 12:15 PM in the Grasshoppers Room, Facility Person #1 abruptly lifted up Child #1 from the floor, positioned the child on their hip, then aggressively put the child down into a chair and pushed the chair towards a table. Child #1 then pushed away a cup that was on the table in front of them, and Facility Person #1 then leaned over the back of the child and covered the child's mouth with their hand. The interaction between the staff and child ended when the child's parent, who had just entered the room, approached the child.

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: The operator reported an incident occurring on 6/20/25. At approximately 11:00, the facility conducted a lockdown drill. During the drill, Facility Persons #1 and #2 were supervising a group of children in a staff restroom with the lights off. According to staff statements, Child #1 stated they were touched inappropriately by another unknown child while the lights were off. Staff state they were unable to see the children during this time to determine what occurred.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There were empty plastic bags in an unlocked cabinet under the sink in the Giraffe room, accessible to toddlers in care in the room.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: There was no daily activity schedule posted in the Elephants room. The daily activity schedules posted in the Grasshopper and Butterfly rooms did not cover activities during the morning hours the rooms are under DHS certification.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The arrival and departure times were not listed on the agreements on file for child #1.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for child #2 did not include the address of all release persons listed. The emergency contact forms on file for children # 4 & #5 did not include the release persons information that was listed on the agreements for children #4 and #5.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: There were no emergency contact forms in the Giraffe room for three of the children receiving care in that space.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The current emergency contact forms and agreements on file for children #3, #4 and #5 were reviewed and updated by a parent in writing more than 6 month after they were previously reviewed.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The most recent health assessment on file for child #4, a preschooler, was completed on 9/5/23.

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: 3270.133(6)

Description: Written consent

Noncompliance Area: There was no written parental consent for administration of a child's abuterol in the Zebra room.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: There was no documentation of completion of approved pediatric first aid/CPR training on file for Facility Person # 6, who was observed to be caring for children unsupervised.

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

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: The health assessment on file for Facility Person #3 was completed more than 12 months prior to their start date. The TB test on file for Facility Person #5 was not dated.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: There was an infant's bottle in the Elephant room not labeled with the child's name.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to the parents to explain the emergency plan does not provide information regarding the facility's plan for a lockdown or accommodations in the event of an emergency.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures required under subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The following noncompliance with CPSL was observed: The most recent child abuse and NSOR clearances on file for Facility Person #1 were completed more than 60 months prior. There were no clearances, or applications for these clearances, on file for Facility Person #2 from a state in which the facility person resided in the previous 5 years. There was no child abuse clearance on file for Facility Person #5 from a state in which the facility person resided in the previous 5 years. The proof of application on file for this clearance was dated after their start date. The criminal history clearance on file for Facility Person #6 was completed after their start date, with no proof of application for this clearance on file. The most recent NSOR clearance on file for Facility Person #9 was completed more than 60 months prior. The most recent mandated reporter training documented and on file for Facility Person #8 was completed more than 60 months prior.

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 Persons # 1, #2, #5 and #9 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(iii)

Description: Each staff person meets quals/Exp, educ., training at facility

Noncompliance Area: Facility Person #2 was classified as an assistant group supervisor. The documentation of the education required for this position on file was an international degree that was not accompanied by an evaluation of U.S. equivalency from an accredited agency. Facility Person #3 was classified as a group supervisor without the required education documented and on file. Facility Person #4 was classified as an assistant group supervisor. The documentation of previous child care experience on file for Facility Person #4 did not include sufficient information to determine that the required number of years/hours of child care experience for the classification was completed.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the schoolage room, there was an uncovered outlet on the wall in reach of 5 year olds who receive care in the room.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There were toxics accessible in unlocked cabinets in the Giraffe room (Clorox and lavender cleaners) and in the Schoolage room (Swiffer wet jet pads and hand sanitizer)

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: 3270.75(a)

Description: In child care spaces

Noncompliance Area: There was no first aid kit in the Ladybugs room.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit in the Grasshopper room was hanging on a hook, low enough to be in reach of children.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There were two small areas of peeling paint on the wall in the schoolage room, one behind the door, and the other behind a refrigerator.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent approved assessment completed, and a copy given to the parents, on file for child #5 was completed more than 6 months prior.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact forms on file for children # 1 and #4 did not include the complete names, addresses and phone numbers of all 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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent documented parental review of emergency contact forms and agreements on file for children #1, #3, and #4 were completed more than 6 months after the previous reviews.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health assessment on file for child #5 was completed more than 60 days after their first day of attendance at the facility.

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

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The current immunization record on file for child #2 indicated the child had insufficient doses of the DTAP and pneumococcal vaccines as recommended for a child of their age by the ACIP.

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 #2 must be dismissed from care by close of business 2/22/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: There was an unlabeled bottle in the infant (Elephant) room.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There was only one written, nonfamily reference on file for Facility Person #3.

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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The documentation of the annual emergency drill did not include all required information.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to the families explaining the emergency plan did not include information regarding the lockdown plan, accommodations in an emergency or annual drills.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures specified in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The criminal history clearance on file for Facility Person # 1, employed at the facility more than 45 days, was incomplete.

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: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: Facility Person #2 and #4 were classified as and AGS and a GS, respectively, without documentation of sufficient education and/or child care experience required for their respective classifications.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There were two uncovered outlets in the Ladybugs room.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The most recent fire drill documented was conducted on 5/5/23, more than 60 days prior.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The most recent test of the facility's smoke detectors documented was conducted on 5/26/23, more than 30 days prior.

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)

Description: Signed

Noncompliance Area: There was no agreement completed for child #2 when most recently enrolled. The agreement on file for child #1 was not signed by the operator.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent assessment completed, on file, and shared with the parent of child #1 was dated May 2022 more than 6 months prior.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The arrival and departure times were not specified on the agreement on file for child #4.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreements on file for children #1 and #4 did not specify the admission date.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The agreements on file for children #1, #3, #4, and #5 were the originals.

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

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: There was no current emergency contact form completed at enrollment on file for child #2.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The address of the physician was not included on the emergency contact form on file for child #3.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The addresses of some listed release persons were not included on the emergency contact form on file for child #1.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: There were two children in the Rainbow Fish room and one in the Kangaroo room without emergency contacts for them present in that room.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The emergency contact forms on file for children #1 and #4 were reviewed and updated by a parent in writing more than 6 months after the prior review. The agreements on file for children #1 and #4 were not reviewed and updated by a parent in writing in the previous 6 months.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The health assessment on file for child #3, enrolled more than 60 days, was not dated.

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

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file indicate that child #1 did not have sufficient doses of the DTAP, pneumococcal, and Hepatitis A vaccines according to the ACIP recommendations for the age of the child. There was no documentation of annual flu vaccines (recommended by the ACIP) on file for children #1, #3 and #4.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not include a plan for continuity of operations, as required by federal regulation.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The current health assessment on file for Facility Person #3 was not completed within 24 months after the prior 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(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: The TB test on file for Facility Person #8 was completed more than12 months prior to their start date.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The only emergency drill documented was conducted on 12/21/22, more than 1 year after the effective date of the regulation (12/19/20). The documentation of the emergency drill did not include all required components.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The most recent date the emergency plan was reviewed and potentially updated was not documented.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The current emergency plan training documented and on file as completed by Facility Person #3 was completed more than 12 months after the previous emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The facility's emergency plan was not posted in a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The most recent firesafety training documented and on file for Facility Person #3 was completed more than 12 months after the previous firesafety training documented.

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)

Description: Comply with CPSL

Noncompliance Area: The disclosure statments on file for Facility Persons #1, #4, #6, #8, #9, #10, and #11 were not signed by a witness.

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 most recent FBI clearance on file for Facility Person #3 was completed more than 60 months prior. At approximately 11:15 AM on 2/10/23, Facility Person #3 was observed caring for 4 older toddlers in the restroom unsupervised. There was no child abuse clearance from a state in which Facility Person #4 lived in the last 5 years on file.

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 Persons #-3 and #4 may not work at the facility without all completed clearances on file.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent staff evaluations on file for Facility Person #3 and #7 were dated "2022," with no further details to the date documented. Previous staff evaluations on file were dated November 2021.

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: 3270.34(b)(2)/3270.192(2)(ii)

Description: Bachelor's, 30 credits + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: There was no documentation of child care experience on file for Facility Person #2, classified as the program's director.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field 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: 3270.36(b)(5)/3270.192(2)(ii)

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

Noncompliance Area: Facility Person #10 was classified as an assistant group supervisor with documentation of high school graduation and less than 2 years of experience on file.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There were cleaning supplies, including a disinfectant spray and Lysol spray in an unlocked cabinet under a sink in the Grasshopper room.

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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit in the Grasshopper room was in a backpack hung low enough that it was in reach of children in the room.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There were small areas of peeling paint on walls in the Rainbow Fish and Bumblebee rooms. There was damaged plaster on the ceiling in the stairwell.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There was no proof of purchase of the interconnected fire alarm system on file at the facility.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 12:40 in the Kangaroo room, Facility Person #1 was observed caring for 5 older toddlers who were all resting on rest equipment. Facility Person #1 was seated in a chair at one end of the napping area. From this seated position, Facility Person #1 was unable to see one of the children (Child #1) who was resting, due to the placement of furniture obstructing the view of the child.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: According to staff statements, at times the classroom floors in the morning are visibly dirty and not yet cleaned from the day prior.

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: 3270.136(b)

Description: Parent info communicable diseases

Noncompliance Area: According to staff statements, the operator did not notify parents of children potentially exposed to covid when a child in care subsequently tested positive for the illness.

Correction Required: The operator shall inform parents of enrolled children when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency in the opinion of the Department of Health.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: The program administration reported the following incident that was also observed via video recordings from the classrooms: On 5/26/22 at approximately 3:00, Child #1, a young schoolager, was seated at a table when Facility Person #1, in response to the child's behavior, abruptly pulled out the chair he was sitting on, causing him to fall onto the floor. Facility Person #1 then dragged the child out of the room and into an empty classroom. When the child shoved a table in that classroom, Facility Person #1 pushed the child into a chair and stood about 1-2 inches in front of him, making it difficult for him to move, and twice pushing him back down on the chair when he tried to get up. Then she carried him to the floor, and sitting behind him, wrapped her arms around him and held him for approximately 5 minutes while he struggled to get up. She released him after about 9 minutes.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Rainbow Fish Room the toy washer had a crack in the lid that could cause a pinch point for the children.

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: In the Koala Room there was smart sand, small rocks, and pom poms that were all under 1 inch in diameter and accessible to young toddlers 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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the Butterflies Room was lacking a thermometer to ensure that the refrigerator was maintaining food at 45 degrees or below.

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)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #1 contained an immunization record that was lacking one dose of Hepatitis B, one dose of Rotavirus, 2 doses of DTAP, one dose HIB, 2 doses Pneumococcal, and 1 dose Polio. The file for Child #2 contained an immunization record that was lacking one dose DTAP, one dose Varicella, and two doses Hepatitis B.

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: 3270.151(a)

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

Noncompliance Area: The file for Staff #2 contained two health assessments that were more than 24 months apart.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #1 was lacking annual emergency plan training. Staff #2, and #5 both contained initial emergency plan training that was conducted more than 7 days after start date.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #3, who has not resided in PA for the last 5 years, was lacking out of state clearances. The file for Staff #5 contained two mandated reporter trainings that were more than 60 months apart. The file for Staff #4 contained a disclosure statement that was lacking a date. Staff #4 contained an FBI clearance with a record that was lacking the rap sheet. The file for Staff #5, with a hire date of 9/3/21, requested NSOR certificate on 10/28/21, after their start date. The file for Staff #6, with a hire date of 6/23/21, requested NSOR certificate on 8/2/21, after their start date. The file for Staff #7, with a hire date of 6/28/21, contained an NSOR certificate dated 9/2/21, which is more than the 45 day provisional hire period.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the rainbow fish classroom was lacking gloves.

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