Endless Potential Nonprofit Inc Learning Academy

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Room 2-PS, two plastic bins containing children's toys were observed to be cracked resulting in sharp edges and were not maintained in good repair. In Room 4-Toddler, the diapering pad was observed to be ripped and not maintained in good repair.

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: In Room 2-PS, children's resting cots were not labeled with the names of three children assigned to them.

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

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: The financial agreement form in the file for Child #1 did not contain the fee to be charged per day or per week, and did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form in the file for Child #3 did not contain the address of the child's physician.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form in the file for Child #2 did not contain the addresses and telephone numbers for the individuals designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was present for 3 of the 5 children observed receiving care in Room 1-SA and for 4 of the 5 children observed receiving care in Room 2-PS.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff Person #3 was observed to be caring for children unsupervised. Staff Person #3 has not completed the following pre-service trainings required prior to caring for children unsupervised: Pediatric first aid/CPR and Health and Safety.

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 #3 must be supervised, when interacting with children, by an AGS who has completed the required trainings related to this citation. If there are no staff persons available to supervise Staff Person #3, Staff Person #3 may not work in a child care position at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff Person #2 contained documentation of a health assessment conducted on 3/30/26 but was after the staff persons first day working in a child care setting. The file for Staff Person #3 contained documentation of a health assessment conducted on 6/11/26 but was after the staff persons first day working in a child care setting. The file for Staff Person #4 contained documentation of health assessments dated more than 24 months apart (4/3/24 and 6/11/26). The file for Staff Person #5 contained a health assessment conducted on 6/15/26 but was after the staff persons first day working in a child care setting.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #1 contained documentation of emergency plan trainings that were 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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for Staff Person #4 contained documentation of pediatric first aid/CPR training that was not renewed prior to the expiration date of the most current certification (3/14/24 and 6/8/26).

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)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff Persons #1, #2, and #4 contained documentation of fire safety training; however, the training was not completed within one year of their date of hire (See LIS Code Sheet). Staff Person #1: Fire safety training completed on 6/7/26. Staff Persons #2 and #4: Fire safety training completed on 6/8/26.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #2 contained documentation of FBI clearance results dated 5/22/25 but were after the staff person's first day working in a child care setting. The file is now current.

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 #5 contained an incomplete State Police clearance, as the clearance results did not include the dissemination date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #5 may not work in a child care 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 files for Staff Persons #3 and #5, identified as assistant group supervisors, lacked qualification documents for the position in which the staff persons are performing.

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: 3270.66(a)/3270.66(b)

Description: Locked or inaccessible/Original container

Noncompliance Area: Two unlabeled spray bottles, identified by Staff Person #4 as containing a bleach-and-water solution, were observed stored on a windowsill in Room 1-SA that were 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. 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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted near the toilet in the children's restroom located down the second hallway.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: *SECOND VIOLATION Observed a gray plastic bin in Room 2 that was cracked creating a pinching hazard to the children in care. Previously cited on SIN-00282505 on 2/3/26.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: *SECOND VIOLATION The file for Child #5 lacked a child service form that provides information to the family about the child's growth and development in the context of the services being provided. Previously cited on SIN-00282505 on 2/3/26. The file for child #6 is now current.

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: *SECOND VIOLATION The file for Child #3 contained an Agreement which did not specify the child's arrival and departure times. Previously cited on SIN-00282505 on 2/3/26. The file for child #1 is now current.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: *SECOND VIOLATION The Agreements for Children #1 and #5 lacked the names of the persons designated by a parent to whom the child may be released. Previously cited on SIN-00282505 on 2/3/26.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: *SECOND VIOLATION The Agreements for Children #1, #3, and #5 lacked the date of the child's admission. Previously cited on SIN-00282505 on 2/3/26. The files for children #2 and #4 are now current.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: *SECOND VIOLATION The Emergency Contact Form for Child #2 lacked the name of the child's physician. Previously cited on SIN-00282505 on 2/3/26.

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: *SECOND VIOLATION The Emergency Contact Form for Child #1 and #3 lacked the health insurance policy number for the child. Previously cited on SIN-00282505 on 2/3/26.

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: *SECOND VIOLATION The Emergency Contact Form for Child #1, #3, and #5 lacked the complete address of the individual designated by the parent to whom the child may be released. Previously cited on SIN-00282505 on 2/3/26. The file for child #2 is now current.

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: *SECOND VIOLATION The file for Child #5 contained an Emergency Contact Form that has not been updated within the last 6 months. Previously cited on SIN-00282505 on 2/3/26. The file for child #6 is now current.

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

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: *SECOND VIOLATION The files for Child #1, #3, #4, #5, and #6 lacked an initial health report and immunization record. Previously cited on SIN-00282505 on 2/3/26. The file for child #2 is now current.

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

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: *SECOND VIOLATION On 1/29/26 and 4/8/26, the files for Child #1, #3, #4, and #5, all enrolled for more than 60 days at the facility, lacked immunization records. Staff #1, acting as the Legal Entity designee, was notified on 1/29/26 that Child #1, #3, #4, and #5 could not be in care the next day without proof of immunizations or acceptable exemption letters. On 2/3/26, Child #5 was present at the facility. Documentation of up-to-date immunizations and/ or exemption letters for Child #5 were unable to be produced. Previously cited on SIN-00282505 on 2/3/26. The file for child #2 is now current.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: In Room 2, a soiled pull-up was observed in a lidded trash receptacle that was not plastic-lined nor hands-free.

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: 3270.165

Description: Menus

Noncompliance Area: *SECOND VIOLATION On 4/8/26, staff was observed to prepare and serve dinner to children receiving care. When asked, staff stated that the food served was the children's dinner and that sometimes they provide food for the children and at times, the children pack. A menu was not posted or able to be produced for review. Previously cited on SIN-00282505 on 2/3/26.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: *SECOND VIOLATION Observed the facility did not have written notification of safe routes posted by the operator in a conspicuous location in the childcare facility. Previously cited on SIN-00282505 on 2/3/26.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: *SECOND VIOLATION The file for Child #5 contained an Agreement Form that had not been updated within the last 6 months. Previously cited on SIN-00282505 on 2/3/26. The file for child #6 is now current.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: In the children's restroom down the second hallway, trash contaminated with human secretions (used tissues, food wrappers) was observed in a lidded receptacle that was not plastic lined.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: *SECOND VIOLATION Observed a water mark on the ceiling tiles above the alphabet in Room 2 and in the room where food is prepared which prevented the ceiling tiles from being in good and clean repair. Previously cited on SIN-00282505 on 2/3/26. On 4/8/26, the wooden baseboard register covers in Rooms 1, 2, and 3 were observed to be detached from the walls and improperly secured, resulting in damage to the walls.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: *SECOND VIOLATION In the first children's restroom the handle on the left side (hot water) leaked water when the handle was turned on. Previously cited on SIN-00282505.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a red and gray plastic bin in Room 2 that were cracked and created a pinching hazard to the children in care.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator located in the room where food is prepared lacked an operating thermometer. The refrigerator contained food crumbs, debris, and spilled sauce, and, as a result, is deemed to be unclean.

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: 3270.123(a)

Description: Signed

Noncompliance Area: The Agreements in the files for Child #1, #2, #3, #4, and #5 lacked the operator's signature. The Agreement in the file for Child #5 lacked the parent's signature.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The Agreements for Child #1, #2, 3, #4, and #5 lacked the amount of the fee to be charged.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The Agreements for Child #1, #3, #4, and #5 lacked the date on which 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 files for Child #5 and #6 lacked a child service form that provides information to the family about the child's growth and development in the context of the services being provided.

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 files for Child #1 and #3 contained Agreements which did not specify the child's arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The Agreement for Child #1 and #5 lacked the names of 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: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The Agreements for Child #1, # 2, #3, #4, and #5 lacked the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact Form for Child #2 lacked the name of the child's physician.

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 #1and #3 lacked the health insurance policy number for the child.

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 Child #1, #2, #3, and #5 lacked the complete address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The Emergency Contact information was not present in Room 2 for Child # 5 who was present and receiving care in the room on 2/3/26.

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 files for Child #5 and #6 contained a Emergency Contact Forms that had not been updated within the last 6 months.

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

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The files for Child #1, #3, #4, #5, and #6 lacked an initial health report and immunization record. The file for Child #2 lacked 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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: On 1/29/26, the files for Child #1, #3, #4, and #5, all enrolled for more than 60 days at the facility, lacked immunization records. The file for Child #2, enrolled for more than 60 days at the facility, lacked documentation of a 4th dose of the DTAP vaccination, 2nd and 3rd dose of the HIB vaccination, and a 2nd, 3rd, and 4th dose of the Pneumococcal vaccination, as required based on the child's age as per the ACIP recommended schedule. Staff #1, acting as the Legal Entity designee, was notified on 1/29/26 that Child #1, #2, #3, #4, and #5 could not be in care the next day without proof of immunizations or acceptable exemption letters. On 2/3/26, Child #5 was present at the facility. Documentation of up-to-date immunizations and/ or exemption letters for Child #5 were unable to be produced.

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 childcare group settings). Child #1, #2, #3, #4, and Child #5 must be dismissed from care by close of business 1/29/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff #1 did not ensure that the children's hands were washed before dinner and prior to giving the child a banana (snack).

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: 3270.134(c)

Description: Paper towels discarded

Noncompliance Area: The restroom in the hallway closest to the kitchen lacked paper towels or other means of drying hands after washing on 2/3/26.

Correction Required: Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Volunteer #3 lacked documentation of emergency plan 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.

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 file for Staff #2 and Volunteer #3 lacked 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: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Volunteer #3 did not contain the results of a tuberculin skin test, x-ray or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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: 3270.152

Description: Adult Hygiene

Noncompliance Area: Staff #1 did not wash their hands before dinner or giving the child a banana (snack).

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.161(b)

Description: Food

Noncompliance Area: Frozen chicken nuggets were observed to be prepared using an air fryer. In addition, a microwave and an electric skillet encrusted with food debris was observed on the counter in the room space where food is prepared. The facility lacks a food service permit.

Correction Required: Food handling practices shall conform to the requirements of the Department of Health or the Department of Environmental Resources or its delegate agency where the child care facility is located.

Regulation: 3270.163(a)(1)

Description: Dairy

Noncompliance Area: Observed the dinner prepared at the facility for a school aged child lacked at least one dairy product.

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

Regulation: 3270.163(a)(3)

Description: Fruit/vegetable

Noncompliance Area: Observed dinner prepared at the facility for a school aged child lacked at least one fruit or vegetable.

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

Regulation: 3270.163(a)(4)

Description: Grain

Noncompliance Area: Observed dinner prepared at the facility for a school aged child lacked at least one grain.

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

Regulation: 3270.165

Description: Menus

Noncompliance Area: Staff was observed to prepare and serve dinner to a child receiving care. When asked, staff stated that sometimes they provide food for the children and at times, the children pack. A menu was not posted or able to be produced for review.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Observed the facility did not have written notification of safe routes posted by the operator in a conspicuous location in the childcare facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: Comprehensive general liability insurance was requested on 1/29/26 and unable to be provided. The comprehensive general liability insurance to cover the persons who are on the premises was provided at the 2/3/26 visit and the policy had expired on 2/2/26.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The files for Child #5 and #6 contained Agreement Forms that had not been updated 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Volunteer #3, lacked two written, nonfamily references from individuals attesting to the 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #2 lacked documentation of emergency plan training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 had not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Basics training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Volunteer #3 lacked an FBI clearance, National Sex Offender Certificate, and a disclosure statement.

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 #3 may not work in a childcare position at the facility.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: Due to children's schedules described as being inconsistent due to weather and other factors, it is unable to be determined if the facility is providing care for more than 30 hours weekly. The director was not present at either inspection day during the scheduled time frames on 1/29/26 and 2/3/26, despite stating that the schedule had not changed. The Director and staff provided vague answers for when children were in care and hours of operation and when asked directly, provided responses such as "well, they could come" or "it just depends" and similar comments. Therefore, it is unable to be determined that the director's is present at the facility a minimum of 30 hours per week.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.64/3270.91(a)

Description: Outside Walkways/Stairs, exits, etc. unobstructed

Noncompliance Area: Outdoor emergency exit including a stairway to the outside was snow covered preventing the door from being able to open.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards. Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: Baby wipes label "Keep out of reach of children" were observed being stored right next to Ramen Noodles.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A plastic grocery bag containing trash, including paper plates with food debris, was observed to be hanging on the doorknob of the food preparation area.

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

Regulation: 3270.70(a)

Description: 65º F minimum

Noncompliance Area: The indoor temperature in the childcare spaces did not maintain a minimum of 65 degrees. Room 1 at the facility measured 55 degrees, Room 2 measured at 64 degrees, and Room 4 measured 52 degrees during Renewal Inspection on 1/29/26. The indoor temperature in Room 1 at the facility measured 61 degrees, Room 2 measured 63 degrees, and Room 4 measured 62 degrees during the Renewal Inspection on 2/3/26. The thermostat in Room 2 read 64 degrees, fluctuating to 65 degrees only when interior doors were closed and remain closed.

Correction Required: The indoor temperature shall be at least 65° F.

Regulation: 3270.73

Description: Telephone

Noncompliance Area: It was observed that the published telephone number for the facility is a cell phone that was not present at the facility on the day of the inspection.

Correction Required: A facility shall have an operable telephone and a published telephone number.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit located in Room 4 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: 3270.76

Description: Building Surfaces

Noncompliance Area: In Room 4, the tall cabinet doors on the shelving unit on the left side wall would not completely close, posing a pinching hazard to the children in care. Observed a water mark on the ceiling tiles above the alphabet in Room 2 and the room where food is prepared which prevented the ceiling tiles from being in good and clean repair.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: In the first children's restroom the handle on the left side (hot water) leaked water when the handle was turned on.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Fire detection testing documentation showed that testing had occurred on 11/4/24 and 12/22/25, exceeding the annual requirement.

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: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: SECOND CITATION: At approximately 10:50 AM on 8/15/25 there was one staff present with two children at the facility. Previously cited 7/18/25.

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. TIERED LIS: 1. At least two facility persons shall be present in the facility when two or more children are in care. 2. The facility director will attend in-person Existing Provider Training on Oct 22, 2025. 3. For a minimum of 12 consecutive weeks, the director will submit a weekly facility schedule indicating the following: A) First and last names of all staff, their titles and their scheduled shift(s), B) First and last names of children on days of expected attendance and expected start/ end times. The schedules must be submitted via email to the Certification Representative by close of business on Fridays prior to the next week and shall be kept on file at the facility. The 12-week requirement is effective upon the acceptance of the plans of correction on this inspection.

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

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

Noncompliance Area: SECOND CITATION: The Emergency Contact Form in the file for Child #1 lacked written consent signed by a parent for emergency medical care. Previously cited 5/20/25.

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(e)

Description: Written emergency plan posted

Noncompliance Area: SECOND CITATION: Room 1, 2, 3, and 4 lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency. Previously cited 5/20/25.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: On 7/17/25 a soiled pull up was observed in the first children's restroom in an unlidded trash 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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: SECOND CITATION: The facility lacked documentation that the local traffic authorities have been notified this year in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility. Previously cited 5/20/25.

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: SECOND CITATION: The Emergency Contact form for Child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff. Previously cited 5/20/25.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: SECOND CITATION: The file for Staff #1 did not contain verification of childcare experience, education, and training prior to service at the facility. Previously cited 5/20/25.

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(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: SECOND CITATION: Due to lack of date of hire and/or first day caring for children not being notated in the files for Staff #1, #2, #4, and #6, it could not be determined which trainings would be required at outset of service at the facility. Previously cited 5/20/25.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: SECOND CITATION: The operator lacked verification that a letter or other means of providing information regarding the emergency procedures was provided to parents of enrolled children. Previously cited 5/20/25.

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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: SECOND CITATION: Previously cited 5/20/25. The facility lacked documentation that the operator sent a copy of the emergency plan to the local or county municipalities. Previously cited 5/20/25.

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: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: SECOND CITATION: On 6/6/25, Staff #1 was observed performing the duties of an Assistant Group Supervisor in Room 2, including supervising children alone. The file for Staff #1 contained a high school diploma but lacked verification of childcare experience to qualify Staff #1 as an AGS. Previously cited 5/20/25.

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.

Regulation: 3270.52/3270.53(a)

Description: Mixed Age Level/Counted in staff:child ratio

Noncompliance Area: At approximately 12:00 PM, Staff #2 was observed alone in Room 1 caring for a group of mixed age levels of 11 children: including 7 school aged children, 3 preschool aged children, and 1 older toddler. Two of the 11 children were related to the operator and 9 were unrelated to the operator; therefore, ratio at this time was 1:11. Ratio for older toddlers is 1:6 therefore ratio was exceeded by 5 children.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child The related or foster children of an operator and the children or foster children of a staff person shall be counted in the staff:child ratio requirements.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: On 7/18/25 at approximately 12:00 PM during an unannounced visit, one staff was present at the facility with 9 unrelated children and 2 related children.

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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: SECOND CITATION: On 7/17/25 a soiled pull up was observed in the first children's restroom and a juice box was observed in the second restroom in an unlidded trash can. Previously cited 5/20/25.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The Agreement for Child #1 lacked the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

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

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

Noncompliance Area: The Emergency Contact Form in the file for Child #1 lacked written consent signed by a parent for emergency medical care.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: Room 1, 2, 3, and 4 lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #1 did not contain documentation of a 3rd dose of the Hep B, 3rd and 4th dose of the DTAP vaccination, 2nd and 3rd dose of the HIB vaccination, and 2nd, 3rd, and 4th dose of the Pneumococcal vaccination as required based on the child's age as per the ACIP recommended schedule.

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 childcare group settings). Child #1 must be dismissed from care by close of business 6/9/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.134(c)

Description: Paper towels discarded

Noncompliance Area: Both the children's restrooms lacked paper towels or other means of drying hands after washing.

Correction Required: Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During inspection on 6/3/25, Staff # 2 was observed with Staff #4 a volunteer, to be caring for 4 preschool aged children. Staff person #2 was observed to be caring for children unsupervised. 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 #2 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 #2, staff person #2 may not work in a child-care position at the facility.

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 files for Staff #1 and #4 lacked health assessments.

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 files for Staff #4 and #6 lacked documentation of TB 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.