Elizabeth Seton Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Penguin Room, there was a small purple Magna-Tile and large pink Magna-Tile that were cracked posing a cutting hazard. In the Elephant Room, there was a blue bin behind the teacher's desk with Mr. Potato Head pieces that was cracked posing a pinch point or cutting hazard. In the butterfly room, in the play refrigerator was a blue bin with plastic toy fruit that was cracked posing a pinch point or cutting hazard. In the butterfly room there was a green bin with wooden blocks in the middle of the room next to the window on the 2 x 2 bookcase that had a piece missing which was exposing a sharp edge which poses a cutting 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There was a puppet in the Bunny room that had loose, stitched on beaded eyes and nose, smaller than 1 inch, that were loose and therefore a choking hazard to children 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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: There was a shelving unit in the Bunny room that had contact paper on the top surface that was peeling.

Correction Required: 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 on file for Child #2, #6, and #8 does not include a complete address for all listed 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #7 and Child #8, with an enrollment date more than 60 days ago, does not include an initial health report.

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

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 two most recent health assessments on file for Child #1, who is a preschool age child, are dated 7.30.24 and 10.28.25, more than 12 months apart. The two most recent health assessments on file for Child #3, who is a preschool age child, are dated 11.1.24 and 2.27.26, more than 12 months apart. The most recent health assessment on file for Child #4, who is a preschool age child, is dated 10.2.24, more than 12 months ago. The most recent health assessment on file for Child #5, who is an older toddler age child, is dated 2.7.25, more than 12 months ago.

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: 3270.133(1)

Description: Original container

Noncompliance Area: There were 3 prescription medications labeled for use by specific children in the Butterfly room that were not in the original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: An unlabeled Albuterol container, reported by staff to be intended for specific children are lacking the name of the child for whom the medication for whom the medication is intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: Diazepam, labeled for use by a specific child, in the Lion room, had an expiration date of 5.21.25, and was therefore not in accordance with the manufacturer's original label.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: In the Butterfly room there was an Epinephrine Pen labeled for use by a specific child that did not have written parental permission to administer, and 2 Albuterol inhalers labeled for use by specific children that did not have written parental permission to administer. There was an Albuterol inhaler in the Lion room labeled for use by a specific child which did not have written parental permission to administer.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: While observing a diaper change in the Bunny room, it was observed that the child's hands were not washed following the diaper change. The child was observed to be able-bodied and capable of walking to the sink.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Shaken Baby Policy submitted by the facility does not include language regarding the prevention and identification of child maltreatment.

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)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #1 were dated 8.24.23 and 10.14.25, more than 24 months apart. The 2 most recent health assessments on file for Staff person #2 were dated 12.6.23 and 3.11.26, more than 24 months apart. The 2 most recent health assessments on file for Staff person #4 were dated 10.27.22 and 12.4.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #5 were dated 2.14.24 and 3.10.26, more than 24 months apart. The file for staff person #9 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for staff person #9 was dated 2.23.26.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The current health assessment on file for Staff person #1 indicates that the staff person has a communicable/contagious disease, with no additional information given. The current health assessment on file for Staff person #9 does not indicate if the staff person was assessed for communicable/contagious disease.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: There was an infant feeding bottle in the refrigerator in the infant room that was not labeled with the name for whom the bottle was intended.

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 of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 & Part 2; Part 1 & Part 2 were completed on 3.4.26. Staff person #8 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 & Part 2; Part 1 & Part 2 were completed on 3.3.26. Staff person #9 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 & Part 2; Part 1 & Part 2 were completed on 2.22.26. Staff person #9 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the training was completed on11.4.25.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #3 completed their current mandated reporter training on 9.26.25, more than 60 months after the previous training dated 8.24.20.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #1 includes Child Abuse clearances dated 6.1.20 & 7.8.25; more than 60 months apart. The file for Staff person #3 includes Child Abuse clearances dated 9.30.20 & 10.1.25; more than 60 months apart. The file for Staff person #4 includes Criminal History clearances dated 1.10.21 & 1.14.26; more than 60 months apart. The file for Staff person #6 includes a Child Abuse clearance dated after the employee's first date working with children, required for provisional hiring under the CPSL. The file for Staff person #7, who was rehired, does not include a Disclosure statement dated within 180 days of the rehire 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 #7 may not work in a child care position at the facility.

Regulation: 3270.37(b)(1)/3270.192(2)(ii)

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

Noncompliance Area: The file for Staff person #6, who is classified as an aide, does not include a high school diploma or a general educational development certificate.

Correction Required: An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were 7 exposed bolts on the fence in the Large playground and 2 exposed fence bolts on the gate in the Small playground that pose a cutting or puncture hazard to children on care

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file included fire drills conducted 8.6.25 & 10.15.25, more than 60 days apart.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: There was a bottle of Infant Tylenol in the Seal room that was labeled with only a last name, when there are multiple children in the facility with the same last name, therefore is not labeled for use of a specific child.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: The Penguin room contained Benadryl labeled for use by Child #1 which had expired 5.2025. The Turtle room contained Tylenol labeled for use by Child #2 which had expired 5.2025.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: The Elephant room contained an Albuterol inhaler labeled for use by Child #3 that did not include written parental permission to administer.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: There was a medication log for Infant Tylenol in the Seal room that included the names of two siblings on the same medication log, Child #4 and #5; they did not have separate medication logs.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #2 includes only 1 written nonfamily reference.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2 was observed to include a PA child abuse clearances which was obtained for volunteer purposes and is invalid for employment (See IS 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. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed in the Giraffe Room under the bulletin board in the Circle Time area.

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

Regulation: 3270.115(a)(6)

Description: Lifeguard training/supervision

Noncompliance Area: During an unannounced monitoring visit at a swimming activity, it was observed that the LE had children and staff from 2 separate locations at the pool, with only one lifeguard present, supervising swimming activity for 2 locations simultaneously.

Correction Required: When children are swimming, supervision shall include one person certified in lifeguard training, as described in § 3270.31(e)(4)(iii) (relating to age and training).

Regulation: 3270.124(b)(4)/3270.182(3)

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

Noncompliance Area: The file for Child #1, #2, #3 does not include written parental permission for the facility to obtain emergency medical care.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The file for Child #1, #2, #3 does not include written parental permission for the facility to administer minor first aid procedures.

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

Regulation: 3270.27(c)/3270.192(2)(iii)

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

Noncompliance Area: The file for Staff person #1 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet).

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

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

Noncompliance Area: Staff person #1 has not completed the mandated reporter training within 90 days of 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). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #1 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid; the previous Criminal History clearance is dated 5.8.19, more than 60 months ago. The file for Staff person #1 includes an FBI clearance dated 5.21.19, more than 60 months ago and also included an FBI clearance obtained through the PA Department of Education, dated 7.31.24, which is not valid for employment in a childcare facility.

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.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: According to staff statements, children apply sunscreen at the facility prior to going to the pool, but some children take sunscreen to the pool and keep it in their possession, making it accessible to children in care.

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

Regulation: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: An infant was observed sleeping in their crib in the Seal room while there was a stuffed toy attached to the pacifier in the crib with the child.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: There was no written daily activity schedule in the Seal room.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #6, who has an admission date of 5.1.23, has a child service report dated 12.18.24, more than 6 months after admission. Child #7, who has an admission date of 2.27.23, has a child service report dated 12.18.24, more than 6 months after admission. Child #8, who has an admission date of 8.1.23, has a child service report dated 11.21.24, more than 6 months after admission. Child #9 who has an admission date of 4.17.23, has a child service report dated 11.21.24, more than 6 months after admission.

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 agreement on file for Child #10 does not include the child's arrival and departure times.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #7 does not include the telephone number for the child's pediatrician/source for medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #5 does not include the address and telephone number for the enrolling parent's employment.

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

Regulation: 3270.124(b)(4)/3270.182(3)

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

Noncompliance Area: The file for Child #9, #10 does not include written parental permission for the facility to obtain emergency medical care.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #4 does not include the policy number for the child's health care benefits.

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 on file for Child #2, #3, #8 does not include a complete address for all listed release persons. The emergency contact form on file for Child #4, #9 does not include a complete address and telephone number for all listed 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(c)

Description: Each child care space

Noncompliance Area: While the Giraffe class was outside on the playground there was a child observed whose emergency contact form was not present.

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 most recent 6-month review signature for the agreement on file for Child #1 is dated more than 6 months after the previous 6-month review signature. The most recent 6-month review signature for the emergency contact form and agreement on file for Child #2 #6, #7, #8, #9, and #10 is dated more than 6 months after the previous 6-month review signature.

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)(1)/3270.182(1)

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

Noncompliance Area: The most recent health assessments on file for Child #1, who is an infant, is dated 6.26.24, more than 6 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

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 two most recent health assessments on file for Child #8, who is a preschool age child, are dated 6.13.23 and 3.4.25, more than 12 months apart.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: An Albuterol inhaler in the Penguin room had expired on 1.31.2024 and was therefore not in accordance with the manufacturer's original label.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A diaper change was observed in the Seal and Turtle classrooms and the staff person was observed placing the soiled diaper on the changing table after removing it from the child, rather than immediately disposing of the diaper into a plastic-lined hands-free can.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #11 were dated 10.17.22 and 12.4.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #12 were dated 1.30.23 and 2.13.25, 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. 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: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: A four-month-old infant was observed in the Seal room being fed a bottle without being held by the staff person.

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility does not have verification of an annual traffic safety letter notifying local traffic authorities of the facility location and vehicular and pedestrian routes around the facility.

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: 3270.182(5)

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

Noncompliance Area: The file for Child #9, #10 does not include written parental permission for the facility to administer minor first aid procedures.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to the parents of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.31(e)(1)(ii)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #9, includes verification of 4.5 of the required 12 hours of annual training between 7.2023-7.2024; an additional 8 hours of training from 2.5.25 and 2.18.25 are borrowed to meet the requirement.

Correction Required: Training conducted by an entity that is licensed or certified professionally competent in the training topic is acceptable and may count toward the annual requirement for 12 clock hours of child care training. 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(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for Staff person #3 includes verification of First Aid/CPR training dated 10.13.24, after the expiration date of the previous training, 8.31.24.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff person #4 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification, which expired 2.28.25

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The two most recent fire safety trainings on file for Staff person #4 are dated 3.16.23 and 3.1.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #7 are dated 11.7.23 and 2.18.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #11 are dated 2.20.24 and 3.1.25, more than 12 months apart.

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. 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 #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet): Pediatric First Aid/CPR. Staff person #10 did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet): Pediatric First Aid/CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff person #5, #10 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, #10, staff person #5, #10 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet): Get Started with Center-Based Care; Building Blocks for Quality and Pediatric First Aid/CPR; Get Started in Center-based Care was completed on 3.11.25 and Pediatric First Aid/CPR was completed 2.18.25. Staff person #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet): Get Started with Center-Based Care; Building Blocks for Quality and Pediatric First Aid/CPR; Get Started in Center-based Care was completed on 2.10.25 and Pediatric First Aid/CPR was completed 2.18.25. Staff person #13 did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet): Pediatric First Aid/CPR; Pediatric First Aid/CPR was completed 10.31.24.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person/facility person #4 has not completed mandated reporter training within the last 60 months; the previously documented mandated reporter training on file is dated 2.6.20. Staff person #7 completed their current mandated reporter training on 2.18.25, more than 60 months after the previous training dated 1.23.20. Staff person #13 completed their current mandated reporter training on 3.8.25, more than 60 months after the previous training dated 1.28.20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person#4, staff person #4 may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 does not contain a valid DHS FBI clearance or an NSOR certificate within 45 days of hire (See IS CODE SHEET); the NSOR on file is dated 3.5.25. The file for staff person #2 does not contain a valid DHS FBI clearance or an NSOR certificate within 45 days of hire (See IS CODE SHEET). The file for Staff person #4 includes FBI clearances dated 9.24.19 and 12.26.24, and NSOR clearances dated 12.17.24 and 3.6.25, more than 60 months apart; and a child abuse clearance dated 9.26.19 more than 60 months ago. The file for staff person #5 does not contain a valid NSOR certificate within 45 days of hire (See IS CODE SHEET). The file for staff person #6 does not contain an NSOR certificate within 45 days of hire (See IS CODE SHEET); the NSOR on file is dated 10.29.24. The file for Staff person #8 includes NSOR clearances dated 11.6.19 and 11.20.24, more than 60 months apart. The file for Staff person #9 includes NSOR clearances dated 11.6.19 and 11.21.24, more than 60 months apart. The file for Staff person #13 includes NSOR clearances dated 11.6.19 and 11.22.24, more than 60 months apart.

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, #2, #4, #5 may not work in a childcare position at the facility.

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

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

Noncompliance Area: The file for Staff person #3, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The two most recent annual fire detection system inspection reports are dated 11.15.22 and 6.10.24, more than 1 year apart and is required annually as the provider is unable to test the alarm every 30 days.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 and Staff person #2 were observed to be in the same classroom caring for children with no staff in the classroom who had completed all preservice training supervising. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR; Get Started with Center-based Care: Building Blocks for Quality; and Mandated Reporter training. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

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, #2 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 person(s) available to supervise staff person #1, #2, staff person #1, #2 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Until such time as the required training has been completed, staff person #2- must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #1, #2, #3 lacked a DHS approved assessment. The assessment tool that was used was not approved by DHS.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The TB test on file for staff #8 exceeded 12 months at the time of hire. It is not acceptable.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff #10 and #12 updated their emergency plan training late. The training was due 1/2024 and obtained 2/2024.

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: 3270.31(e)(4)(i)/3270.31(f)

Description: Age and Training/Health and Safety Training

Noncompliance Area: The files for the following staff obtain first aid and cpr late. Staff #2 and #3 completed training 8/2021 and 11/2023 (it was due 8/2023). Staff persons #5 and #6 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): first aid and cpr. Both staff were due to complete the training 8/2023 and completed it 11/2023.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.31(e)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for staff #1 contains 12 hours of annual child care training, however, 8 of the 12 hours were obtained outside of the annual window. The training was obtained 2/2024 and was to be completed between 12/2022 and 12/2023.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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 #9 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour health and safety training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #9 will have until 4/23/24 to complete the required training. Until such time as the required training has been completed, staff person #9 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #9, staff person #9 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files for staff #2 and #11 contain health and safety trainings that were obtained late. The health and safety update for staff #2 was due 12/2022 and obtained 2/2024. The health and safety training for staff #11 was due 7/2023 and completed 8/2023.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff #4 contains mandated reporter training that was renewed late. It was due 1/2024 and obtained 2/2024.

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 files for staff #6 contain clearances that were obtained late. Staff #6: NSOR due 9/2023 and obtained 3/2024. Staff #7 NSOR due 3/4/23 and obtained 3/8/23; criminal clearance due 1/2024 and obtained 2/2024.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety basics

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 4/13/24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a sharp corner where the rubber coating has worn off of that area on the climber in the outside play space.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The health assessment for staff #1 lacks a statement attesting to the staff's suitability to provide child care.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff #1 lacks a tuberculosis screening by the Mantoux method.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff #5 contains mandated reporter training that was renewed late. The training was due 12/22/22 and obtained 4/28/23.

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: Staff #6 was not properly provisionally hired. The criminal clearance was not on file prior to the provisional hire.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #5 contains a child abuse clearance that was renewed late. The clearance was due 11/8/22 and obtained 5/2/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #2 contains a disclosure statement that was signed 4/2023 but was due 2/2023.

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 files for staff #2 and #6 lack NSOR clearances. Staff 2's clearance was due 3/21/23 and staff #6's was due 2/6/23 due to an incorrect provisional hire procedure.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #1 and #6 may not work in a child care position at the facility until valid clearances are on file. 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #3 contains an NSOR clearance that was obtained late. It was due 3/21/23 and obtained 4/24/23.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The operator did not have proof of the installation date of the fire detection system.

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.