Elite Childcare & Learning Center

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Applications for the NSOR certification for Staff #1 were dated after Staff #1's Date of Hire. Therefore, Staff #1 was incorrectly provisionally hired. (SEE LIS CODE SHEET)

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Room #5 (Older Toddlers) the plastic, white garbage can, left of the entrance door had two (2) cracks on the top of the garbage can.

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: 3270.103/3270.104(a)

Description: Small Toys and Objects/Clean, good repair, proper size

Noncompliance Area: In Room #2 (Infants) in the back left hand corner of the room, a changing table pad was ripped with exposed stuffing that posed a choking hazard to the children in the room 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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form(s) for child(ren) file(s) #1 lacked the "Address of the Listed Release Person." (SEE LIS CODE SHEET)

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: In Room #3 (Preschool), emergency contact information for two enrolled children was not available in the classroom at the time of inspection.

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: 3270.131(b)(2)/3270.182(1)

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

Noncompliance Area: The file(s) for Child(ren) #2, (Older Toddler) lacked an Updated Health Report within the last year. (SEE LIS CODE SHEET)

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 shall contain initial and subsequent health reports.

Regulation: 3270.151(a)

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

Noncompliance Area: The two most recent health assessments for Staff #1 were dated more than 24 months apart. (SEE LIS CODE SHEET)

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)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The file(s) for Staff Person(s) #2 and #3 lacked an initial Health Assessment.

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file(s) for Staff Person(s) #2 lacked documentation of a Tuberculosis (TB) screening.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: Based on a conversation with the director, the facility did not have an annual traffic letter nor was it sent to the local authorities.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility's Updated Emergency Plan lacked proof of the Emergency Plan being sent to the local municipality and Allegheny County Emergency Management Services.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff person #1 lacked an annual (2025) written evaluation that was conducted within the past 12 months. (SEE LIS CODE SHEET)

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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A trash receptacle in Room #3 (Pre School) containing human secretions (dirty plates with food, dirty napkins, used cups with juice still in the bottom) was not contained in a closed, plastic-lined receptacle.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The First aid kit(s) in Room #3 (Pre School) lacked scissors.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On October 17, 2025 an unannounced complaint inspection was conducted and at that time the last documented testing of the smoke detection system was 9.5.25, which is more than the required 30 days or less.

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: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: On September 18, 2025, the Western Regional Office of the Office of Child Development and Early Learning (OCDEL) was notified by the Bureau of Workers' Compensation Compliance Department that the legal entity failed to provide the required documentation of current Workers' Compensation Insurance.

Correction Required: 1. 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. This operator shall provide a date when compliance will occur. 2. The legal entity shall complete the steps as provided by the Bureau of Workers' Compensation Compliance Department to verify workers' compensation insurance. This operator shall provide a date when compliance will occur.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 9/3/25, staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety basics, pediatric first aid and cpr, mandated reporter training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Room 3 (Pre-School) a magnetic catch for a door on the play kitchen was cracked and loose posing a cutting hazard. In Room 4 (School Age) a 2 x 4 wooden shelf on the right wall was a blue bin with various toys was cracked posing a cutting or pinch point hazard.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In Room #2 (Infant Room) the crib had a broken crossbar which exposed a corner of the plexiglass and broken shards of wood posing a cutting hazard.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Room #2 (Infant Room) lacked the required emergency contact information for the children receiving care in the 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: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health assessment for Child File #1 had an initial health assessment dated 08.2024 which is more than 60 days from the first day of attendance at the facility. (SEE LIS CODE SHEET)

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

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The initial health assessment for Staff #3 was dated 12.2023 which is after their date of hire.

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The two most recent Emergency Plan Trainings for Staff #2 was dated more than 12-months apart.

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(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff #2 (See LIS for DOH) contained Emergency Plan Training dated 08.01.2024 and not to hire. The file for Staff #3 (See LIS for DOH) contained Emergency Plan Training dated 02.2024 after initial employment.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety training (dated 02.26.2024) and Pediatric First Aid/Pediatric CPR.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent PA State Police and Child Abuse clearances for Staff #3 were dated more than 60 months apart. (SEE LIS CODE SHEET). The NSOR for Staff #3 was dated (11.20.2023) after their date of hire. (SEE LIS CODE SHEET)

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent PA State Police clearances for Staff #1 were dated more than 60 months apart. (SEE LIS CODE SHEET)

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 last two Mandated Reporter Trainings for Staff #1 were dated more than 60 months apart. (SEE LIS CODE SHEET)

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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A trash receptacle in Room 3 (Pre-School) containing human secretions (partially eaten food, dirty napkin and used paper cups) were not contained in a closed, plastic-lined receptacle.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The mats in use in Classroom 3 have not been labeled for use of a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A written plan of daily activities was missing from Classroom 1.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement form for Child #4 lacked the date the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for #5 lacked an approved developmental assessment and the child has exceeded 6 months since their enrollment at the facility.

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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact forms for Children #1 and #4 lacked a policy number for the child's health insurance.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact from for Children #1 and #3 lacked the addresses for the release persons listed. The emergency contact form for Child #2 lacked the complete names for the release persons listed.

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: Emergency contact forms were missing for the children receiving care in Classroom 2 and Classroom 3

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(e)

Description: Written emergency plan posted

Noncompliance Area: The written emergency transportation plan was not posted in Classroom 6.

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: The files for Children #1, #3 and #4 lacked an initial health assessment and the children have exceeded 60 days since 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 files for Children #1, #3 and #4 lacked an immunization record for the child. The children have exceeded 60 days since their first day of attendance at the facility.

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). Children #1, #3 and #4 will be dismissed from care at the close of business on 4.10.24.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Signed parental consent was missing for an Albuterol Inhaler present in Classroom 3 intended for Child #3.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The garbage can in place at the changing table in Classroom 1 did not have a lid in place on the can. The garbage can in place at the changing table in Classroom 2 did not open when the hands free mechanism was pressed and the lid was observed to pop off. The garbage can in place in the upstairs restroom was missing a plastic liner. Soiled diapers were observed in all of the garbage cans.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact form for Child #2 has exceeded 6 months since review. The most recent review date was 8.18.23. The agreement form on file for Child #2 lacked a date to verify review and update within the last 6 months.

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

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The emergency contact form for Child #5 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid procedures by facility staff.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for Staff Person's #1, #2 and #3 lacked verification that the staff have received training regarding the emergency plan within 90 days of starting at the facility.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: One uncovered electrical outlet was observed in Classroom 1.

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: In Classroom 2, one diaper bag was observed on the floor and another bag was observed on a chair accessible to a young toddler receiving care in the space. Vaseline, Aquaphor ointment and Dove Wash were observed in the bags. The items were all labeled Keep Out of Reach of Children. In the upstairs hallway a bottle of disinfecting spray was observed on a cart outside the restroom and a Lysol Neutra Air spray was observed on the sink in the restroom. The toxics were accessible to preschool children receiving care upstairs.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water in Classroom 2 was observed to measure 119.7° F.

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

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: One window in Classroom 5 and two windows in Classroom 4 were observed to have the window restriction disengaged, allowing the window to open more than 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A hand washing sign was missing from the changing table in Classroom 1.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: A source of water for handwashing was not present at the diapering area in Classroom 1.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility has exceeded 30 days since their last fire alarm testing on 2.28.24.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1, #3 and #4 were observed to be caring for children unsupervised. Staff person #1, #3 and #4 have not completed the following pre-service training required prior to caring for children unsupervised: 10-hour health and safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1, #3, and #4 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff persons available to supervise staff person #1, #3, and #4, staff persons #1, #3, and #4 may not work in a child-care position at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for Facility Person's #1, #2, and #3 lacked one of their two written, nonfamily references attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: SECOND CITATION Facility Person #2 lacked an FBI clearance required to be on file prior to returning to the facility. FACILITY PREVIOUSLY CITED ON 11.9.2023.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 may not work at the facility.

Regulation: 3270.106(j)/3270.119

Description: Prohibit items in crib/Infant sleep position

Noncompliance Area: ***SECOND CITATION. An infant was observed to be sleeping on a boppy pillow in Classroom 2. FACILITY PREVIOUSLY CITED ON 11.6.23.

Correction Required: ***All Facility Persons will participate in an in-person Safe Sleep training through the ELRC 5.

Regulation: 3270.106(j)/3270.119

Description: Prohibit items in crib/Infant sleep position

Noncompliance Area: *SECOND CITATION. An infant was observed to be sleeping on a boppy pillow in Classroom 2. FACILITY PREVIOUSLY CITED ON 11.6.23.

Correction Required: *Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.106(j)/3270.119

Description: Prohibit items in crib/Infant sleep position

Noncompliance Area: ** SECOND CITATION. An infant was observed to be sleeping on a boppy pillow in Classroom 2. FACILITY PREVIOUSLY CITED ON 11.6.23.

Correction Required: ** The Operator will post the CPSC Bare is Best posting above each crib and pack and play where an infant may receive care in the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: * At approximately 1:03 pm Certification Rep observed a young school age child alone in the hallway through the front door window. The child announced someone was at the door at which time Staff Person #1 was observed to emerge from the restroom in the hallway and opened the door. Staff Person #1 apologized and indicated they were to be in the Infant Classroom. Four infants were observed to be alone in Classroom 2. In Classroom 1, a group of children that were later reported to include 1 preschooler, 3 older toddlers and 1 young toddler were observed alone. The young school ager, who was observed upon entrance to the facility, was observed alone in Classroom 4 upstairs. In Classroom 3 upstairs, a group of children that were later reported to include 3 preschoolers and 1 older toddler were observed to be alone. Staff Person #1 indicated they were being assisted by Facility Person #2 however, Facility Person #2 is not qualified to fulfill the duties of a staff person and therefore cannot be responsible for supervision of children or serve in the regulatory ratio. Staff Person #1 was the only Staff Person present in the building.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: ** At approximately 1:03 pm Certification Rep observed a young school age child alone in the hallway through the front door window. The child announced someone was at the door at which time Staff Person #1 was observed to emerge from the restroom in the hallway and opened the door. Staff Person #1 apologized and indicated they were to be in the Infant Classroom. Four infants were observed to be alone in Classroom 2. In Classroom 1, a group of children that were later reported to include 1 preschooler, 3 older toddlers and 1 young toddler were observed alone. The young school ager, who was observed upon entrance to the facility, was observed alone in Classroom 4 upstairs. In Classroom 3 upstairs, a group of children that were later reported to include 3 preschoolers and 1 older toddler were observed to be alone. Staff Person #1 indicated they were being assisted by Facility Person #2 however, Facility Person #2 is not qualified to fulfill the duties of a staff person and therefore cannot be responsible for supervision of children or serve in the regulatory ratio. Staff Person #1 was the only Staff Person present in the building.

Correction Required: ** Children must be supervised at all times. The legal entity must arrange for all facility staff to complete the in-person OCDEL approved supervision training. Following the completion of the OCDEL approved supervision training, all facility staff will participate in the ELRC training: Creating a Safe Environment Through Active Supervision.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *** At approximately 1:03 pm Certification Rep observed a young school age child alone in the hallway through the front door window. The child announced someone was at the door at which time Staff Person #1 was observed to emerge from the restroom in the hallway and opened the door. Staff Person #1 apologized and indicated they were to be in the Infant Classroom. Four infants were observed to be alone in Classroom 2. In Classroom 1, a group of children that were later reported to include 1 preschooler, 3 older toddlers and 1 young toddler were observed alone. The young school ager, who was observed upon entrance to the facility, was observed alone in Classroom 4 upstairs. In Classroom 3 upstairs, a group of children that were later reported to include 3 preschoolers and 1 older toddler were observed to be alone. Staff Person #1 indicated they were being assisted by Facility Person #2 however, Facility Person #2 is not qualified to fulfill the duties of a staff person and therefore cannot be responsible for supervision of children or serve in the regulatory ratio. Staff Person #1 was the only Staff Person present in the building.

Correction Required: *** The legal entity must maintain documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios and supervision requirements at all times. The legal entity will confirm continuing compliance by maintaining copies of the documentation on file at the facility for a period of three months after DHS approves the documentation format.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 1:03 pm Certification Rep observed a young school age child alone in the hallway through the front door window. The child announced someone was at the door at which time Staff Person #1 was observed to emerge from the restroom in the hallway and opened the door. Staff Person #1 apologized and indicated they were to be in the Infant Classroom. Four infants were observed to be alone in Classroom 2. In Classroom 1, a group of children that were later reported to include 1 preschooler, 3 older toddlers and 1 young toddler were observed alone. The young school ager, who was observed upon entrance to the facility, was observed alone in Classroom 4 upstairs. In Classroom 3 upstairs, a group of children that were later reported to include 3 preschoolers and 1 older toddler were observed to be alone. A Staff Person was not physically present with the children in Classrooms 1, 2, 3 and 4. Staff Person #1 indicated they were being assisted by Facility Person #2 however, Facility Person #2 is not qualified to fulfill the duties of a staff person and therefore cannot be responsible for supervision of children or serve in the regulatory ratio. Staff Person #1 was the only Staff Person present in the building.

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

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

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

Noncompliance Area: Facility Person #2 was observed to be providing care to a group of children. A completed health assessment and tuberculosis screening were not on file prior to coming into contact with the children.

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: 3270.191

Description: Individual Records

Noncompliance Area: Facility Person #2, who was observed to be providing care to children at the facility, lacked an Individual file.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.31(a)

Description: Age and Training

Noncompliance Area: Facility Person #2 was observed to be alone and providing care to a mixed age group that was reported to include 1 preschooler, 3 older toddlers and 1 young toddler in Classroom 1. Facility Person #2 is required to be directly supervised at all times by a staff person.

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person.

Regulation: 3270.31(b)

Description: Staff person - 18 yrs.

Noncompliance Area: Facility Person #2 was observed to be alone and providing care to a mixed age group that was reported to include 1 preschooler, 3 older toddlers and 1 young toddler in Classroom 1. Facility Person #2 is not 18 years of age or older and not qualified to be a Staff Person. The individual is 17 years old.

Correction Required: A staff person shall be 18 years of age or older.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Facility Person #2 was observed to be alone and providing care to a mixed age group that was reported to include 1 preschooler, 3 older toddlers and 1 young toddler in Classroom 1. Facility Person #2 did not have a completed PA State Police, PA Child Abuse, FBI or NSOR Certificate. Facility Person #2 also lacked completion of Mandated Reporter Training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 may not work at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: * At approximately 1:03 pm Certification Rep observed a young school age child alone in the hallway through the front door window. The child announced someone was at the door at which time Staff Person #1 was observed to emerge from the restroom in the hallway and opened the door. Staff Person #1 apologized and indicated they were to be in the Infant Classroom. Four infants were observed to be alone in Classroom 2. The young school ager, who was observed upon entrance, was observed alone in Classroom 4 upstairs. A staff person was not present with the child(ren) to meet the required staff:child ratio.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: ** At approximately 1:03 pm Certification Rep observed a young school age child alone in the hallway through the front door window. The child announced someone was at the door at which time Staff Person #1 was observed to emerge from the restroom in the hallway and opened the door. Staff Person #1 apologized and indicated they were to be in the Infant Classroom. Four infants were observed to be alone in Classroom 2. The young school ager, who was observed upon entrance, was observed alone in Classroom 4 upstairs. A staff person was not present with the child(ren) to meet the required staff:child ratio.

Correction Required: ** The required staff:child ratios must be maintained at all times. The legal entity must maintain documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by maintaining copies of the documentation on file at the facility for a period of three months after DHS approves the documentation format.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: * In Classroom 1, a group of children that were later reported to include 1 preschooler, 3 older toddlers and 1 young toddler, were observed alone. In the Classroom 3 upstairs, a group of children that were later reported to include 3 preschoolers and 1 older toddler, were observed to be alone. A Staff Person was not present with the children to meet the staff:child ratio requirements.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: ** In Classroom 1, a group of children that were later reported to include 1 preschooler, 3 older toddlers and 1 young toddler, were observed alone. In the Classroom 3 upstairs, a group of children that were later reported to include 3 preschoolers and 1 older toddler, were observed to be alone. A Staff Person was not present with the children to meet the staff:child ratio requirements.

Correction Required: ** The required staff:child ratios must be maintained at all times. The legal entity must maintain documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by maintaining copies of the documentation on file at the facility for a period of three months after DHS approves the documentation format.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: ** Staff Person #1 was the only qualified facility person present at the facility. At the time of the unannounced visit 4 infants, 1 young toddler, 4 older toddlers, 4 preschool children and 1 young school ager were present at the facility. Staff Person's #3 reported that they had left with Staff Person #4 to go to Sam's Club while the children were napping.

Correction Required: ** Operator will participate in technical assistance through the ELRC 5. This technical assistance will include in-person meetings with both a Quality Coach and a Leadership Development Strategist. Operator will meet with each of these individuals at a minimum of once per month for a period of 4 months.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: * Staff Person #1 was the only qualified facility person present at the facility. At the time of the unannounced visit 4 infants, 1 young toddler, 4 older toddlers, 4 preschool children and 1 young school ager were present at the facility. Staff Person's #3 reported that they had left with Staff Person #4 to go to Sam's Club while the children were napping.

Correction Required: * At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A cracked laundry basket containing toys was observed in classroom 6. These cracks resulted in sharp edges and pinch points on the laundry basket.

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: One crib was observed to be labeled for two infants (twins) receiving care at the same time. The infants did not have individual rest equipment.

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(j)/3270.119

Description: Prohibit items in crib/Infant sleep position

Noncompliance Area: At approximately 9:20am in Classroom 2 an infant was observed to be sleeping on a boppy pillow in their crib. This did not allow for the child to be placed in the sleep position recommended by the ACIP.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A written plan of daily activities was not posted in classroom 2.

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

Regulation: 3270.123(a)(4)/3270.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: The financial agreement for Child #1 lacked the arrival and departure times and the designated persons to whom the child may be released.

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The file for Child #4 was observed to contain an original agreement form.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #4 lacked the physician's telephone number.

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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for Child #2 lacked the health insurance coverage and policy number for the child. The emergency contact form for Children #3 and #4 lacked the policy number for the child's health insurance.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Children #2, #3 and #4 lacked the telephone number for one of the release persons listed.

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: An emergency contact form was missing for an infant receiving care in Classroom 2.

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: 3270.131(a)

Description: Health information

Noncompliance Area: The file for Child #4 lacked an initial health assessment within 60 days of their first day of attendance at the facility. The health assessment on file was dated 68 days after starting 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(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The written exemption on file for Child #4 lacked a parent signature and a date.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.134(d)

Description: Liquid or powdered soap

Noncompliance Area: The batteries on the hands-free soap dispenser in the upstairs restroom appeared to be dead which did not allow for soap to be accessible for handwashing following the use of the restroom.

Correction Required: Liquid or powdered soap shall be used for handwashing.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff Person #1 lacked completion of the updated 1-hour health and safety training within 90 days of starting at the facility.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: Written feeding statements from the parents were missing for 3 of the infants receiving care at the time of the inspection.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility has not submitted an annual traffic letter to their local traffic safety authorities.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: One electrical outlet was missing a protective receptacle cover in classroom 3.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the kitchen was measured at 50° F. The refrigerator in Classroom #2 was measured at 55° F.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for Staff Person #1 lacked verification of experience to qualify them for the position they are to perform.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: The file for Staff Person #2 lacked the results of their recent tuberculosis screening.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.62(a)

Description: Large muscle space provided

Noncompliance Area: The outdoor play space was not ready for use at the time of the inspection as installers were present to install a fence. An indoor play space is not in place.

Correction Required: A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water at the sink in Classroom #2 was measured at 117.2° F.

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

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: Two windows in Classrooms #3, #6 and one window in Classroom #5 were observed to be missing restrictions allowing the windows to open more than 6 inches. The window in the upstairs restroom was also missing a restriction.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A hand washing sign was missing from the two toilets in the Boys and Girls restrooms, at the changing table in Classroom #2, and at the toilet in the upstairs restroom.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.