Elizabethtown Child Care Center

Regulation: 3270.123(a)(3)/3270.124(f)

Description: Services proceeded/Updated every 6 months

Noncompliance Area: The operator did not complete and update the Department's approved form every 6 months 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) for child #4. This is evidenced by the most recent Department's approved form being dated 6/2/2025, which exceeds 6 months. The operator did not complete and update the Department's approved form every 6 months 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) for child #5. This is evidenced by the most recent Department's approved form being dated 6/3/2025, which exceeds 6 months.

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). 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.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement for child #3 does not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for child #2 does not include the work telephone number of the enrolling parent.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The operator did not require the parent of child #6 (DOB see LIS code sheet) to provide an updated health report at least every 6 months for an infant or young toddler. This is evidenced by the most recent health report included in the record for child #6 being dated 4/14/2025, which exceeds 6 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: It was observed on 6/22/2026 in the Chipmunks (preschool) classroom there is an E pi-pen present for child #8 without the original container that includes the prescription label.

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(6)

Description: Written consent

Noncompliance Area: It was observed on 6/22/2026 in the Little Rascals (school-age) classroom there is an Epi-pen present for child #7; however, the parent has not provided written consent for administration of the medication.

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: It was observed on 6/22/2026 during a diaper change in the Inchworms classroom, a soiled disposable diaper was placed in a plastic bag , tied off and then placed into an open top plastic-lined trash can that is kept inside a cabinet underneath the changing station.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The provider's written policy regarding the Prevention of Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment does not address 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: 3270.24(f)

Description: Director ID

Noncompliance Area: The photo identification of staff person #1 that was provided to the agent of the Department at the time of inspection expired on 2/9/2026. Documentation of being renewed on 6/20/2026 was presented at time of inspection; however, a valid photo identification has not yet been obtained.

Correction Required: A valid photo identification of the director or designated staff person who is responsible to compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The operator did not assure staff person #5 received training regarding the emergency plan on an annual basis. This is evidenced by documentation of the most recent emergency plan training dated 4/29/2025.

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)

Description: Age and Training

Noncompliance Area: Staff person #4 did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This is evidenced by the training certificate dated 3/12/2024, with an expiration date of 3/12/2026. An updated training was completed on 4/3/2026, however, it was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The record for staff person #2 (DOH see LIS code sheet) contains a child abuse clearance dated 5/4/2022 for the purpose of volunteer, which is not in compliance with the CPSL. (CORRECTED ON SITE) Staff person #3 (DOH see LIS code sheet) did not update their mandated reporter training in a timely manner. This is evidenced by mandated reporter training documents dated 11/2/2020 and 12/17/2025, which exceeds 60 months and therefore is not in compliance with the CPSL. Staff person #5 (DOH see LIS code sheet) did not update their NSOR verification in a timely manner. This is evidenced by NSOR certificates dated 2/12/2021 and 3/24/2026, which exceeds 60 months and therefore not in compliance with the CPSL. Staff person #7 (DOH see LIS code sheet) did not update there PSP and child abuse clearances in a timely manner. This is evidenced by PSP clearances dated 10/9/2020 and 3/25/2026 and child abuse clearances dated 10/15/2020 and 5/17/2026, which exceeds 60 months and is therefore not in compliance with the CPSL.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The director did not complete a written evaluation of staff person #2 (DOH see LIS code sheet) on a regular basis, a minimum of one evaluation every 12 months. This is evidenced by the most recent staff evaluation included in staff person #2's record being dated 11/22/2024. The director did not complete a written evaluation of staff person #3 (DOH see LIS code sheet) on a regular basis, a minimum of one evaluation every 12 months. This is evidenced by the most recent staff evaluation included in staff person #3's record being dated 11/27/2024. The director did not complete a written evaluation of staff person #5 (DOH see LIS code sheet) on a regular basis, a minimum of one evaluation every 12 months. This is evidenced by the most recent staff evaluation included in staff person #5's record being dated 11/27/2024. The director did not complete a written evaluation of staff person #6 (DOH see LIS code sheet) on a regular basis, a minimum of one evaluation every 12 months. This is evidenced by the most recent staff evaluation included in staff person #6's record being dated 11/27/2024. The director did not complete a written evaluation of staff person #7 (DOH see LIS code sheet) on a regular basis, a minimum of one evaluation every 12 months. This is evidenced by the most recent staff evaluation included in staff person #7's record being dated 11/27/2024.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed on 6/22/2026 in the Pre-K Cubs classroom a protective receptacle covers was not placed in an electrical outlet accessible to children 5 years of age or younger. (CORRECTED ON SITE)

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: It was observed on 6/22/2026 in the Inchworm (infant) classroom a Magic Eraser is not being stored in an original labeled container or in a container that specifies the content.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed on 6/22/2026 in the Ladybugs (young toddler) classroom the first-aid kit does not contain soap, gauze pads, tweezers, tape and scissors. (CORRECTED ON SITE)

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Documentation shows that fire drills were not completed every 60 days. The last fire drill was completed on 8/18/25.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation shows that the fire detection system was not tested every 30 days. The last fire detection system test was 9/19/25.

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: 3270.131(d)(1)

Description: Child's health history

Noncompliance Area: Child #1 had a health assessment that did not include the child's health history on file.

Correction Required: A health report shall include a review of the child's health history.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Continued non- compliance- Fire detection system was last tested 6/25/25. Fire detection systems must be tested at least once 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #4 did not have a zip code for their release person on their emergency contact form. Child #1 did not have an address for their release person on their emergency contact form. Child #2 did not have an address or phone number for their release person on their emergency contact form.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The emergency contact and the financial agreement forms were not updated every 6 months for child #3. The financial agreement form was not updated every 6 months for child #5 and child #6.

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)

Description: Infant: updated health report every 6 months

Noncompliance Area: Child #4 had a health assessment dated 11/17/24 on file and did not have an updated one 6 months later.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: It was observed that the Cubs classroom that there was not a medication log nor action plan for a child with an epi-pen.

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

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

Description: Physical examination/Health assessment, TB test

Noncompliance Area: Staff persons #3's and #15's health assessment did not specifically state that they were free from communicable disease and suited to provide child care.

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: 3270.163(a)(4)

Description: Grain

Noncompliance Area: It was observed that lunch had a protein, fruit, vegetable, and dairy, but no grains.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one grain.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: It was observed in the infant classroom that individual bottles were not labeled with the child's name.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person #3 had only one nonfamily reference on file.

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: 3270.21/3270.31(f)(10)

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

Noncompliance Area: Staff person #5 had emergency plan training on 4/29/25, which is outside of the regulatory 90- day pre-service training period. Staff persons #7 and #12 did not have record of emergency plan training on file, which is outside of the regulatory 90- day pre-service training period.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff person #2 had emergency plan training on 9/20/22 and 8/27/24. Staff person #8 had emergency plan training on 9/20/22 and 8/27/24. Staff person #10 had emergency plan training on 1/2/23 and 6/24/25. Staff person #13 had emergency plan training on 4/23/24 and 6/24/25.

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)(10)

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

Noncompliance Area: Staff person #8's pediatric first- aid and cpr on file expired on 6/1/25. Staff person #10 had pediatric first aid and cpr dated 4/12/23 and 5/13/25.

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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #8 had fire safety training on 5/23/23 and 8/27/24 Staff person #10's fire safety training on file was dated 4/30/24.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #4 had mandated reporter training on 12/11/19 and 6/18/25. Staff person #6 had mandated reporter training on 12/27/19 and 2/8/25. CPSL requirements must be completed at least every 60 months.

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 person #1 did not have record of out of state clearances (Arizona child abuse, and Texas State Police) on file before their first day caring for children. Staff person #5 did not have a signed disclosure statement before their first day caring for children. Staff person #7 did not have record of clearances on file before their first day caring for children. Staff person #9 had a DOE FBI clearance on file, rather than the regulatory DHS FBI clearance. Staff person #15 did not have an FBI clearance on file within the first 45 day provisional hire period.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and 9 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff person #2 had staff evaluations on file from 10/26/23 and 11/27/24. Staff person #14 had staff evaluations on file 10/28/21 and 11/1/23.

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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: Staff person #16 was with children unsupervised by a qualified staff person.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed that there was an outlet not covered in the Hives classroom. This was corrected on site.

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

Regulation: 3270.67(a)/3270.67(d)

Description: Trash removed once a day/Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: It was observed that in the bathroom with two sinks that the trashcan for diapers was overfilled and the trashcan was not lined.

Correction Required: Trash shall be removed from the facility at least once per day. Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: It was observed that hand washing signs were not present in the bathroom that the school- aged children use.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Fire detection systems must be tested at least every 30 days per regulation. The fire detection system was tested 7/12/24 and 8/12/24; 12/6/24 and 1/23/25; 2/3/25 and 3/24/25; 5/1/25 and 6/2/25. These time periods are longer than 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: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Documentation of the fire alarm tested showed that the fire alarm was tested on February 3, 2025 and not tested in March.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Documentation on file for staff member 2 included a doctor visit summary and did not include a health assessment.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Documentation on file for staff member 2, did not include two written, nonfamily references from individuals 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 --- has completed Pediatric first aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #1--- 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 # 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: Documentation of the disclosure statement on file for staff member 3 and staff member 4 did not include the date that the disclosure statement was signed. This was corrected during the inspection. Documentation on file for staff member 3 did not include the results of the state police clearance. Documentation of the child abuse clearance on file for staff member 2 and the results of the state police clearance or the FBI clearance were obtained after the staff members first day working with children.

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

Description: Bachelor's, 30 credits + 1 yrs/Exp, educ., training prior to facility

Noncompliance Area: Documentation on file for staff member 2 included a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field but did not include documentation of 1 year experience working with children.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

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

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

Noncompliance Area: Documentation on file for staff member 3, did not include documentation of education or 2 years experience working with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: It was observed at the time of inspection that staff #1, hired on 6-25-24, was working as a provisional hire and their child abuse registry clearance was not in their file. (Corrected at inspection)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility. . 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed at the time of inspection the area behind the toddler play area had overgrown grass and discarded toys. The toddler play area had a toy lawnmower with cracked plastic.

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: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: It was observed at the time of the inspection the second floor windows were not constructed, modified or adapted to limit the opening to six or fewer 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: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: It was observed at the time of inspection that a pacifier with a string of beads and a clip was in the crib with a sleeping infant.

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

Regulation: 3270.77(a)/3270.102(e)

Description: No peeling paint or plaster/Infant/toddler - no material less than 1 inch

Noncompliance Area: It was observed at the time of inspection that the paint on the fencing and railing in the toddler play area was peeling.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.