Erie First Early Education Center

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: Two refrigerators in the Orange Room lacked thermometers.

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 fee agreements in the files for Child #1, 2, 3, 4 and 6 were not signed by the operator. The fee agreements in the files for Child #1, 2 and 6 were not signed by the parent.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The fee agreements in the files for Child #1, 2, 3 and 4 did not include 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 #1, 2, 3, 6 and 7, who have been enrolled for more than 6 months, did not contain a Child Service Report. The files for Child #4, 5 and 8 did not contain a Child Service Report conducted within the past 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).

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The fee agreements for all eight child files reviewed do not contain the names of the release persons.

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

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: The fee agreements in the files for Child #1, 2, 3, 4 and 6 do not include the services which are considered extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact forms in the files for Child #2, 3 and 5 did not include health insurance coverage and policy numbers.

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

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

Noncompliance Area: The file for Child #2, a Young Toddler, did not contain an updated health report conducted within the past 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. 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 files for Child #5 and 7, Preschool children, did not contain an updated health report conducted within the past 12 months. The most recent updated health reports in the file for Child #8, a Preschool child, exceeded 12 months between reports.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most recent health assessments in the file for Staff Person #3 exceeded 24 months between 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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact forms in the files for Child #3 and 4 have not been updated by the parents in the past 6 months. The fee agreements in the files for Child #1, 2, 3, 4 and 6 have not been updated by the parent in the past 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: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed adult scissors, which were accessible to children, in an art bin in the Pink Room.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The most recent fire safety trainings in the files for Staff Person #1, 2, 3, 5 and 9 exceeded 12 months between trainings. The files for Staff Person #6, 7 and 10 do not include fire safety trainings conducted within the past 12 months. The initial fire safety training in the file for Staff Person #8 was conducted more than 12 months after the staff person's first day working in childcare at the facility (See LIS Code Sheet).

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The Health and Safety Training in the file for Staff Person #4 was conducted more than 90 days after the staff person's date of hire at the facility (See LIS Code Sheet).

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: Clearances in the files for the following staff persons exceeded 60 months between clearances: Staff Person #1: State Police, Child Abuse. Staff Person #2: FBI. Staff Person #3: State Police. Staff Person #5: State Police, Child Abuse. Staff Person #7: State Police. The file for Staff Person #7 does not contain an NSOR dated within the past 60 months.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff Person #6 does not include documentation of a written evaluation conducted within the past 12 months. The first written evaluation in the file for Staff Person #8 was conducted more than 12 months after the staff person's first day working in childcare at the facility (See LIS Code Sheet).

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed two electrical outlets, which lacked protective receptacle covers, on an extension cord in the Purple Room. Observed three electrical outlets, which lacked protective receptacle covers, on an extension cord in the Orange Room.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed white-out and super glue, which were accessible to children, in a drawer of which the childproof lock was not working, in the Purple Room.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kits in the Purple Room and the Pink Room lacked gloves.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling paint and/or flaking plaster in the following areas: Green Room under telephone. Two holes in the shark mural in the indoor playland. Surrounding one outlet plate in the gym.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care 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 initial health assessment in the file for Staff Person #1 was conducted after the staff person's first day working in child care (See LIS Code Sheet).

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: The file for Staff Person #2 contained only one letter of referrence.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The State Police Clearance in the file for Staff Person #1 was applied for and acquired after the staff person's first day working in child care. The disclosure statement in the file for Staff Person #2 was signed/dated after the staff person's first day working in child care (See LIS Code Sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire drill/fire system test log documents two times when fire system checks exceeded 30 days between checks: 11/4-12/11 and 1/8-2/9.

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(e)

Description: Written emergency plan posted

Noncompliance Area: The emergency transportation plan was not posted in the gym.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health reports in the files for Child #2 and #4 were conducted more than 60 days after the child's first day of attendance.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent immunization record in the file for Child #3 did not contain documentation of 5th DTAP, 2nd MMR and 2nd Varicella, as recommended by the ACIP for the child's age or a letter of exemption from the parent or physician.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 must be dismissed from care by close of business 5/1/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #6 was observed to be caring for children unsupervised. Staff person #6 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/9/18.

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 #6 must be supervised, when interacting with children, at a minimum by, an AGS or higher 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 #6, staff person #6 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 most recent health assessments in the file for Staff Person #1 exceeded 24 months between 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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The fee agreement in the file for Child #1, who has been enrolled for more than six months, has not been updated by the parent.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #6 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/9/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required pre- service trainings are completed, staff person #6 must be supervised, when interacting with children, at a minimum by, an AGS or higher 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 #6, staff person #6 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent Mandated Reporter Trainings in the file for Staff Person #2 exceeded 60 months between trainings.

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 State Police Clearance in the file for Staff Person #4 was for Volunteer Purposes and not valid for working in a childcare position.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The first written evaluations in the files for Staff Person #2, 3, 4 and 5 were conducted more than 123 months after the staff persons' first day working in childcare (See LIS Code Sheet).

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed one protruding bolt on the entrance gate and three fence ties, which were disconnected, on the fence in the outdoor play space. Observed protruding bolts on the bases of the toilets in the gym bathrooms.

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: 3270.81

Description: Glass

Noncompliance Area: A visual strip or other visual identification was not placed on the glass doors located between the outdoor play area and the lobby.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster) to maintain compliance with 45 CFR § 98.41(a)(1)(vii).

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff Person #1, who has been working at the facility for more than 90 days, did not include the one-hour health and safety update.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR in an approved curriculum from a certified PQAS Instructor. Mandated Reporter Training.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The initial health assessments in the files for Staff Person #1 and #3 were conducted after the staff persons' first day working in child care (See LIS Code Sheet).

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: The files for Staff Person #1, #2 and #3 lacked two written non-family reference letters.

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, #4 and #5 have not completed the following required pre-service training within 90 days of their date of hire: Staff #1: Pediatric First Aid/CPR in an approved curriculum from a certified PQAS Instructor. Staff Person #4: Pediatric First Aid/CPR in an approved curriculum from a certified PQAS Instructor and Health and Safety Training. Staff Person #5 Health and Safety Training. (see LIS code sheet):

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 and #4 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #4, staff person #1 and #4 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 and #4 have 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 child protective services). Until such time as the required training has been completed, staff person #1 and #4 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1 and #4, staff person #1 and #4 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 State Police Clearance and NSOR Certificates in the file for Staff Person #1 were conducted after the staff person's first day caring for children and the file lacked applications for these clearances to verify a valid provisional hire. The files for Staff Person #1, #2 and #3 did not include disclosure statements. The file for Staff Person #4 did not include a Child Abuse Clearance.

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 #4 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 Person #1, #2, #3 and #4 did not include documentation of education and experience prior to working at the facility.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed ceiling tiles, discolored from water damage, in the left corner of the Pink Room. Two zip ties, which cover the buffer pad for the sliding area in the playroom, had been cut, which created sharp edges.

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/fire system test log documents two times when fire drills exceeded 60 days between drills: 5/10/24-7/24/24 and 7/24/24-9/25/24. The most recent documented fire drill was conducted on 12/20/24, which was more than 60 days prior to the date of the inspection: 2/24/25.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire drill/fire system test log documents three times when fire system tests exceeded 30 days between testing: 5/10/24-7/24/24, 7/24/24-9/25/24, and 10/23/24-11/27/24. The most recent fire system test was conducted on 1/17/25, which was more than 30 days prior to the date of the inspection: 2/24/25.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: ORIGINALLY CITED 5/2/24; SECOND CITATION: The file for staff person #1 is lacking 1 written non-family references.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed the netting on the side of the climbing equipment in the indoor play space to be torn.

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: Observed lunch boxes containing perishable foods including yogurt, cheese and pepperoni to be stored on a cabinet and not in a refrigerator where a temperature of 45 degrees could be maintained.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for child #2 contains emergency contact and financial agreement that has not been reviewed or updated during the previous 12-month period.

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(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for child #1 contains a health report that is lacking a physician's statements regarding communicable disease and suitability to participate in child care.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for staff person #8 is lacking documentation of the Pennsylvania Health and Safety Update 2022 that was required to be completed by 12/30/2022.

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 files for staff persons #2 and #7 are lacking initial health assessments obtained at the time of initial hire. The files do contain current health assessments. The file for staff person #5 contains a current health assessment that was completed more than 24 months after the previous health assessment. The file is now current. The file for staff person #10 is lacking health assessment completed during the previous 24-month period. The file for facility person #9 is lacking 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)

Description: Mantoux TB

Noncompliance Area: The file for staff person #2 is lacking documentation of TB test results at the time of initial employment. The file does contain current test results. The file for facility person #9 is lacing documentation of TB test results.

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.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The file for staff person #1 contains a health assessment that lacks a physician's statement regarding suitability to provide childcare.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: Facility person #9, serving as a volunteer, is lacking an individual record.

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

Regulation: 3270.192(2)(i)

Description: Age

Noncompliance Area: There is no documentation for facility person #9 to verify their age.

Correction Required: A facility person's record shall include verification of age.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for staff persons #1, #2, #3 and #8 and facility person #9 are lacking 2 written non-family references.

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 facility person #9, start date (see IS code sheet) is lacking facility emergency plan training as required at initial service with the facility.

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

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

Description: Age and Training

Noncompliance Area: The file for staff person #6 contains current Pediatric First Aid and Pediatric CPR training that was completed after the previous training expired. The training is now current.

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)/3270.192(2)(iii)

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

Noncompliance Area: The file for staff person #7 contains only 9 of the required 12 hours of annual child care training during the year 8/26/22 to 8/26/2023. The file for staff person #8 is lacking any of the required 12 hours of annual child care training during the year 9/1/2022 to 9/1/2023.

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: The files for staff persons #1, #2, #3 and #4 contain Pediatric First Aid and Pediatric CPR training that was completed more than 90 days after the hire date. The training is now current.

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 staff person #1, DOH (see IS code sheet), contains an FBI clearance obtained through the Department of Education which is not accepted for employment in child care facility. The file for staff person #2, DOH (see IS code sheet), is lacking a state police clearance as required for employment in child care under the CPSL. The file for staff person #3, DOH (see IS code sheet), is lacking a state police clearance and an NSOR verification at the time of initial hire as required under CPSL. The file does contain a current state police clearance and current NSOR. The file for staff person #4, DOH (see IS code sheet), is lacking an NSOR verification as required for employment in child care under CPSL. The file for facility person #9, start date in the facility as a volunteer (see IS code sheet), is lacking a signed disclosure statement, a child abuse clearance, a state police clearance, an FBI clearance and an NSOR verification as required to serve in a child care facility under CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1, #2, #4 and #9 may not serve 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 file for staff person #1, serving as an aide, is lacking documentation of education and / experience to serve as an aide. The file for staff person #2, serving as an assistant group supervisor, is lacking documentation of education to serve as an AGS.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for staff persons #6 and #7 are lacking annual employment evaluations completed during the previous 12-month period.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Observed 3 toilets in the Gym girl's bathroom and 2 toilets in the Gym boy's bathroom to have exposed and protruding bolts at the base of the toilet.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The Gym Girl's and Boy's bathrooms are lacking lidded waste receptacles.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

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

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

Noncompliance Area: Observed the files for child #1, older toddler, and child #2, preschooler, to be lacking a health report completed during the previous 12 month period.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #3 contains an immunization report that includes only 4 of 5 required DTAP, 3 of 4 required polio, 1 of 2 MMR and varicella, 0 of 2 Hepatitis A and no influenza vaccine during the current or previous year.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). The operator shall obtain a letter from the parent excluding the child from immunizations, to be maintained in the file, or obtain documentation that the child has come into compliance with the ACIP vaccination schedule. If neither of the above are obtained, the child must be excluded.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: Observed the files for child #1 and #2, who have been in attendance for greater than 60 days, to be lacking an immunization report. Children #1 and #2 must be removed from care until a current immunization report is received.

Correction Required: 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #6 completed the Pennsylvania Health and Safety Update 2022 after the required date of 12/30/2022. The training is now complete.

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 person #3 is lacking a current health assessment completed during the previous 24 month period. The file for staff person #4 contains a current health assessment completed greater than 24 months after the previous health assessment. Staff #4 is now current.

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: The files for staff persons #8 and #9 are lacking two written references.

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(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff persons #1, 2, 3, 4 and 7 renewed their PFA/PCPR certification after the expiration of the previous certification. The training is now current.

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(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 did not complete training in the health and safety topics #1-#9 within 90 days of hire. The training is now current.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety topics #1-#9.

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 #8 will have until 5/10/2023 to complete the required training. Until such time as the required training has been completed, staff person #8 must be supervised, when interacting with children, by a director, GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #8, staff person #8 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #7 completed mandated reporter training greater than 60 months after the most recent mandated reporter training. The training is now current.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/9/2018.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2 will have until 5/10/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS, GS or director who has completed the required training related to this citation. 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2 contains a state police clearance that expired on 5/15/2020 and a status check report dated 5/1/2020 but is lacking a completed updated clearance. The file for staff person #3 contains a current child abuse clearance dated greater than 60 months following the most recent child abuse clearance. The clearance is now current. The file for staff person #4 contains current state police, child abuse and FBI clearances that are dated greater than 60 months after the most recent clearance. The file is now current. The file for staff person #8, hire date (see LIS code sheet) contains a volunteer state police clearance which is not valid for employment in child care in Pennsylvania. The file is also lacking a child abuse clearance. The file for staff person #9, hire date (see LIS code sheet) is lacking a child abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #2, #8 and #9 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 file for staff person #9, serving as AGS, is lacking documentation of child care experience and / or education to qualify for the position in which she is serving.

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: 3270.51/3270.113(a)(1)

Description: Similar Age Level/Staff assigned to specific children

Noncompliance Area: Observed an Intermediate Unit employee take 2 preschool aged children from the Purple classroom into the Yellow classroom for testing. The facility staff persons #6 and #7 who were responsible for the supervision of the children remained in the Purple classroom. There were no facility staff persons present in the Yellow room leaving the children unsupervised.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Observed the toilet in the Orange classroom bathroom to have exposed and protruding bolts at the base.

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

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 persons #1 and #2 are lacking health assessments / TB tests conducted prior to the start date in a child care position. The files do contain current health assessments / TB tests.

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: 2nd citation; previously cited 4/21/2022: The file for staff person #7, aide, contains only one of required two written, non-family references attesting to the person's suitability to serve in child care.

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: 2nd citation; previously cited 4/21/2022: The files for staff persons #1 and #4 are lacking verification of completion of training in the first 9 of the Health and Safety topics and have exceeded 90 days since hire date. The assistant director will serve as director until staff #1 completes the training and can return.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: 2nd citation; previously cited 4/21/2022: The file for staff person #7, date of hire (see IS code sheet), is lacking a child abuse clearance and contains a criminal history status check document which is not accepted as a clearance.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed in the Yellow Room 2 tall sterelite cabinets not anchored for stability posing a possible hazard that the cabinet could fall.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Observed in the Green Room a pack and play and a crib being used as rest equipment and not labeled with the name of a child for individual use.

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: 3270.131(a)/3270.182(8)

Description: Health information/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The file for child #1 is lacking an initial health report and has exceeded 60 days since enrollment.

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 a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #2, older toddler, is lacking verification of a flu vaccine during the previous year as required by the ACIP.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed in a drawer in the Orange Room a bottle of Ibuprofen not labeled with the name of the individual for whom it was 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: 3270.151(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 person #4, observed serving as an AGS, is lacking a health assessment at the time of initial hire. The file does contain a current health report. The file for facility person #8, observed serving as a classroom volunteer, is lacking a health report conducted during the previous 24 month period.

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 file for staff person #1 contains a current health assessment with a physician statement that the individual has a communicable disease but is lacking information regarding its effect on the ability to provide child care.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for staff person #7, aide, and facility person #8, volunteer, are lacking two written, non-family references attesting to the person's suitability to serve in child care.

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(f)

Description: Emergency plan

Noncompliance Area: The operator self-reported that the emergency plan had not been sent to the local municipality.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for staff person #6 contains PFA / PCPR training that expired 1/20/2022 and has not renewed the training.

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(f)(10)/3270.31(g)

Description: Health and Safety Training - Pediatric First Aid and CPR/Professional development certificate

Noncompliance Area: The files for staff persons #4 and #5 are lacking documentation of training in pediatric first aid and pediatric CPR and have exceeded 90 days since hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.31(f)/3270.31(g)

Description: Health and Safety Training/Professional development certificate

Noncompliance Area: The files for staff persons #1,#4 and #5 are lacking verification of completion of training in the first 9 of the Health and Safety topics and have exceeded 90 days since hire date.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.