Evangel Heights Childcare Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The corner of a green bin containing dinosaurs was broken off creating rough edges in Room 402b. Room 402f contained a cracked and broken bin with miscellaneous toys.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In Room 402b, several foam blocks with visible teeth marks were found on a shelf accessible to the toddlers in care who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: An unstable white shelf in Room 207. measuring approximately 4 feet tall and used to store board games, posed a tipping hazard.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the refrigerator located in Room 402b read 50° F and it was determined the thermometer was broken.

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 financial agreement of Child #6 was not signed by the operator.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The approved Child Service Reports for Child #5 were dated more than 6 months apart. The file of Child #6, enrolled for more than 6 months (see LIS code sheet), did not contain documentation of a Child Service Report. The file of Child #9 contained a Child Service report dated 8/20/2025 but did not contain any within the last 6 months. The file of Child #10 enrolled for more than 6 months (see LIS code sheet) did not contain documentation of any Child Service Reports.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #2 did not contain the telephone number 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)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #3 did not include the enrolling parents work address and work telephone number.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for Child #11 did not contain the name and policy number of the health insurance coverage 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: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The file of Child #5 and Child #10, both identified as preschool age (see LIS code sheet), contained consecutive health assessments exceeding 12 months. (Child #5 - 7/31/2024 and 8/22/2025 / Child #10 - 4/8/2024 and 6/4/2025)

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.

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The file of child #11, enrolled for more than 60 days (see LIS code sheet), did not contain documentation of any immunizations or documentation of an acceptable parent or medical exemption.

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. Child #11 must be dismissed from care by close of business 5/6/2026 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health assessment for Child #8 did not state they were free from contagious or communicable disease and able 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: 3270.133(6)

Description: Written consent

Noncompliance Area: Written parental consent was not on file for Motrin in Room 402g labeled for Child #1.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The trash can at the changing table in Room 402b was not 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file of Staff #8, #10 and #17 contained consecutive health assessments which were dated more than 24 months apart. (Staff #8 - 1/26/2023 and 3/31/2025 / Staff #10 - 8/15/2023 and 9/17/2025 / Staff #17 - 12/7/2023 and 1/8/2026)

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(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The health assessment for Staff #3 contained the name but not the professional title of the person that signed the assessment.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: String cheese, labeled keep refrigerated, was in a child's lunch bag located on the counter in Room 402a.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.181(c)/3270.181(d)

Description: Emergency info/agreement updated 6 mos/Dated signature affixed

Noncompliance Area: Consecutive financial agreements for Child #3, #5 and #10 were signed and dated by the parent more than 6 months apart. Consecutive emergency contact forms and financial agreements for Child #4, #6, #7, #8, and #9 were signed and dated by the parent more than 6 months apart.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of Staff #12 did not contain 2 written nonfamily reference attesting to the individual's suitability to be a staff 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: 3270.21

Description: General Health and Safety

Noncompliance Area: Due to a broken lock on cabinet, 2 pairs of adult scissors were accessible to children. In Room 304, and a sharp knife was accessible to children in Room 402g in a drawer with a broken lock.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file of Staff #4, employed for more than 90 days (see LIS code sheet), did not contain 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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Documentation of consecutive annual fire safety trainings for Staff #10 were dated more than 12 months apart.

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(e)/3270.192(2)(iii)

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

Noncompliance Area: The file of Staff #9 contained one training hour during their annual training year between 12/2024 and 12/2025.

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 file of Staff #1 contained documentation of the health and safety topics trainings dated 11/30/2025 and 12/4/2025 and Staff #11's were dated 3/24/2026 and 3/27/2026, more than 90 days from their hire date 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(2)(iii)

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

Noncompliance Area: The file of Staff #1 contained mandated reporter training dated 11/14/2025, more than 90 days from their hire date at the facility (see LIS code sheet). The file of Staff #7, #22 and #24 contained consecutive mandated reporter trainings dated more than 60 months apart. (Staff #7 - 6/15/2020 and 9/12/2025 / #22 - 8/11/2020 and 9/14/2025 / Staff #24 - 9/7/2019 and 11/10/2024)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #1 contained a signed disclosure statement which was not on the current form dated 1/1/2025. The file of Staff #2 contained an NSOR verification certificate dated 11/14/2025, after their start date at the facility (see LIS code sheet) and an incomplete PA criminal history as it did not include the second page of the rap sheet. Additionally, the disclosure statement for Staff #2 was signed and dated on 9/13/2023, more than 6 months prior to their employment at the facility (see LIS code sheet). The file of Staff #4 contained an NSOR verification certificate dated 3/27/2026, after their start date at the facility (see LIS code sheet) and their signed disclosure statement was not on the current form dated 1/1/2025. The consecutive PA criminal history clearances for Staff #5 were dated more than 60 months apart (3/16/2021 and 3/27/2026). The file of Staff #6 contained consecutive NSOR verification certificates (11/14/2020 and 12/4/2025) dated more than 60 months apart. The file of Staff #7 contained consecutive child abuse clearances (11/13/2020 and 12/5/2025), PA criminal history clearances (11/2/2020 and 12/3/2025), FBI clearances (11/13/2020 and 11/14/2025) and NSOR verification certificates (6/18/2020 and 9/18/2025) all dated more than 60 months apart. The file of Staff #11 contained consecutive FBI clearances (11/7/2020 and 2/24/2026) dated more than 60 months apart. The file of Staff #12 contained an NSOR verification certificate dated 6/5/2025, after their start date at the facility (see LIS code sheet) and a signed disclosure statement which was not on the current form dated 1/1/2025.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Dated documentation of consecutive written evaluations for Staff #7, #8, #9, #10, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, and #23 were more than 12 months apart.

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

Description: Assistant Group Supervisor qualifications/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff #12, identified as an assistant group supervisor, did not contain documentation of education.

Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An electrical outlet in the gym, accessible to children under 5 years old, did not have a protective receptacle cover.

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: The unlocked door to the small hallway kitchen provided children access to bleach on the counter, Lysol Disinfectant Wipes, Comet and Clorox Clean-Up Spray in the unlocked cabinet below the sink. The unlocked door to the large kitchen off the gym provided children access to bleach stored under the sink and Lysol spray in an unlocked cabinet. All of the cleaning products were labeled "keep out of the reach of children." A broken drawer lock in Room 402g allowed children access to Liquid White Out and lavender spray, both labeled "keep out of reach of children."

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: 3270.71

Description: Heat Source

Noncompliance Area: The unlocked doors to the small kitchen in the hallway and the large kitchen off of the gym provided children access to the stoves in each area.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The wall to the left of a door in the gym had a hole with rough edges approximately the size of a golf ball which could fit a small hand. Also in the gym, the carpet was torn from the wall exposing plywood beneath. Newly constructed bathroom walls off Room 202 remained unpainted, leaving cracking and chipping joint compound which was observed on the floor accessible to children. The underlying drywall mesh was also exposed in various areas of the walls. The corner of the carpet with the planets in Room 301 was curling creating a tripping hazard.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed on the ledge of the wall by the pink couch in Room 305.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted at the sink in Room 302.

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: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: Room 202 contained 2 portable space heaters that were not in use; however, staff confirmed these are used during cooler months to maintain classroom temperatures when there was a heating problem. The child care office also contained a portable space heater which was said to be used because the office did not have heat.

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on documentation on the fire drill log, consecutive fire drills were conducted on 10/9/2025 and 12/17/2025, more than 60 days apart.

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

Regulation: 3270.94(a)(2)

Description: Different times of day

Noncompliance Area: Based on documentation on the fire drill log, all fire drills conducted in the past 12 months occurred in the morning, between 9:00am and 11:15am and none occurred in afternoon while children were in care.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at different times of the day or night, or both, if applicable.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on documentation on the fire drill log, consecutive testing of the fire detection system occurred on 6/20/2025 and 9/10/2025, more than 30 days apart.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were conducted on 3/14/2025 and 6/20/2025, which was more than 60 days apart; and the most recent fire drill was conducted on 6/20/2025, which was more than 60 days ago.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system was tested on 3/14/2025 and 6/20/2025, which was more than 30 days apart.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A plastic basket, which contained play instruments, in the All-Day Preschool classroom (room 303) was cracked. A plastic bin on a shelf in the Little Explorers classroom (room 402b) was cracked in the corner.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: A shelf, which contained multiple bins of toys, was not stable and would sway to the right or left when touched in the 3 Day All Day classroom (room 201).

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the School-Age classroom (room 202) did not contain a thermometer.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A daily schedule was not posted in the School-Age classroom (room 404).

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file of child #1, #3, #4, #5 and #9, all enrolled for more than 12 months, contained current Child Service Reports which provide information to the family about the child's growth and development but did not contain the prior reports which were to be completed 6 months prior. Based on a conversation with staff #32, it is believed they were not completed due to changing assessment tools.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form of child #6 did not contain the work addresses and work telephone numbers of the enrolling parents.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form of child #2 and #6 did not contain an address of a release person.

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(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in a conspicuous location in room 402a.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The health assessment of child #6 was dated 11/21/2024, more than 60 days from their start date at the facility (see LIS code sheet).

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The health assessments of the following children, identified as young toddlers at the time of the assessments (see LIS code sheet), were dated more than 6 months apart: child #3 (5/8/2023 and 4/15/2025), child #4 (3/15/2024 and 1/15/2025) and child #9 (3/19/2024 and 11/19/2024)

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: In the Tiny Tots classroom (room 402g), The medication called "Genexa" was not labeled with the name of the child 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: 3270.133(5)

Description: Original label

Noncompliance Area: The Little Critters classroom (room 402a) contained medication (labeled for specific children) which have expired: Tylenol (expiration 8/2024), Tylenol (expiration 3/2025), Tylenol (expiration 4/2025), Parent's Choice Pain Reliever (expiration 12/2024) and Motrin (expiration 11/2024). The Friends First B classroom (room 402e) contained expired Tylenol (expiration10/2024).

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: The 4-Year-Old Preschool classroom (room 305) contained a bottle of Tylenol labeled with the name of a child but did not contain written consent from the parent.

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

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 of the following staff contained health assessments which were updated more than 24 months from the prior: staff #2 (6/1/2022 & 3/9/2025), staff #7 (8/7/2022 & 11/26/2024), staff #11 (4/4/2022 & 12/26/2024), staff #12 (9/30/2022 & 3/9/2025), staff #15 (10/29/2021 & 11/8/2023), staff #21 (12/16/2022 & 3/21/2025) and staff #23 (3/31/2022 & 4/4/2024). The file of staff #27 was dated 3/12/2025, which was after their start date at the facility (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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Documentation of the review and/or update of the emergency contact forms, and financial agreements exceeded 6 months for child #1, #3, #4, #5, #7, #8 and #9.

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 of staff #31 contained a reference which, based on the content of the reference, was written by their aunt

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A drawer in the small kitchen contained 2 sharp knives in an unlocked drawer. Due to the door of the kitchen being open, they were accessible to children in the facility. Outside in toddler play space, a child was seen playing in standing water in sink of the play kitchen.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: Documentation of a review and/or update to the facility emergency plan was dated 3/5/2025, but the facility lacked documentation of the previous review making it unable to determine if the current review and/or update was within 12 months of the prior.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files of the following staff contained documentation of emergency plan dated 1/2/2024 and updated on 4/25/2025, more than 12 months from the prior: staff #1 through staff #10, staff #12 through staff #26 and staff #30. The file of staff #11 contained documentation of emergency plan training dated 1/2/2024 but did not have verification of updated training within 12 months.

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: Pediatric first aid and pediatric CPR of staff #6 was renewed on 4/29/2025, which was after the 2/2025 expiration of the prior 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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Documentation of fire safety training of the following staff exceeded 12 months: staff #2 (1/17/2024 & 3/3/2025), staff #8 (1/26/2024 & 3/31/2025), staff #10 (1/31/2024 & 4/30/2025), staff #11 (1/4/2024 & 2/21/2025), staff #13 (1/19/2024 & 3/31/2025) and staff #16 (2/1/2024 & 3/1/2025)

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files of the following staff contained clearances and/or verification certificates which were renewed after the expiration date of the previous clearance/certificate: staff #1's PA criminal history clearance (9/9/2019 & 12/31/2024), staff #5's NSOR verification certificate (11/6/2019 & 12/3/2024), staff #7's PA criminal history clearance (11/18/2018 & 11/30/2023) and child abuse clearance (12/3/2018 & 12/8/2023), staff #12's child abuse clearance (6/10/2019 & 7/6/2024), staff #14's child abuse clearance (7/18/2019 & 7/26/2024), FBI clearance (7/16/2019 & 7/25/2024) and NSOR verification certificate (11/6/2019 & 11/27/2024), staff #21's NSOR verification certificate (11/6/2019 & 4/8/2025), staff #23's NSOR verification certificate (1/16/2020 & 1/30/2025), staff #24's NSOR verification certificate (11/6/2019 & 12/3/2024), staff #26's child abuse clearance (11/28/2019 & 12/6/2024), staff #28's NSOR verification certificate (2/3/2020 & 3/19/2025) The PA criminal history clearance of staff #5 was incomplete, lacking a dissemination date. The file of staff #15 contained a PA criminal history clearance (1/6/2019), child abuse clearance (8/20/2019), FBI clearance (8/29/2019) and NSOR verification certificate (11/6/2019) and the file of staff #16 contained a PA criminal history clearance (11/4/2019) and child abuse clearance (11/22/2019) but did not contain documentation of being renewed within the last 60 months. The NSOR verification certificate of staff #27 was dated 3/18/2025, after their start date with children (See LIS code sheet). The FBI clearance of staff #29 was dated 3/21/2025 more than 45 days from their state date with children (see LIS code sheet). The PA criminal history clearance of staff #31 was dated 5/1/2025 after their start date with children (see LIS code sheet) and did not contain documentation of submission.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #15 and #16 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #15 and #16 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file of staff #10 contained consecutive annual evaluations dated 12/20/2023 & 3/17/2025, staff #15's were dated 12/11/2023 & 3/21/2025 and staff #21 dated 12/1/2023 & 3/14/2025, all exceeding 12 months. The file of staff #16, employed for more than 12 months (see LIS code sheet), did not contain an annual evaluation.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Hand sanitizer was on a refrigerator and disinfecting wipes, labeled "keep out of the reach of children," were in an unlocked drawer in the School-Age classroom (room 404) accessible to children. Hand sanitizer, labeled "keep out of the reach of children," was stored in a drawer with a broken lock making it accessible to children in the Little Explorers classroom (room 402b). The open door to the small kitchen contained Lysol, disinfecting spray and additional cleaning products labeled "keep out of the reach of children" in the unlocked cupboard below the sink accessible to children. Desitin diaper cream, labeled "keep out of the reach of children," was stored in a drawer with a broken lock making it accessible to children in room 402c.

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: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: In the storage cupboard of the 3 Day All Day classroom (room 201), shaving cream labeled "keep out of the reach of children," was said to be used for art.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: The door to the small kitchen was left open making the stove accessible to children.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted at the changing table in the Adventurers classroom (room 402c).

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on documentation, testing the fire detection system exceeded 30 days by one day with testing be conducted on 2/7/2025 and again on 3/10/2025.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the infant room, an infant was observed to be sleeping in a crib which was placed against the wall and against another crib not allowing for 2 feet on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file of staff #1 contained training on the health and safety training topics listed in subsections (f)1-9 dated 4/23/2024, more than 90 days from their start date at the facility (see LIS code sheet). The file of staff #2, employed since 2018 (see LIS code sheet), contained training on the health and safety training topics listed in subsections (f)1-9 dated 10/23/2018 but did not include the 1-hour update (due by 12/30/2022), but completed the revised training which was dated 12/5/2023.

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(2)(iii)

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

Noncompliance Area: The file of staff #3 contained mandated reporter training dated 11/3/2019, more than 60 months prior to the date of the inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). . A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: Based on documentation and a conversation with staff #4, though the last documented fire drill was conducted on 4/24/2024, they did conduct fire drills, however, they forgot to document them on the fire drill log.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation of testing the fire detection system exceeded 30 days when tested on 6/12/2024 and 7/17/2024. Documentation of the most recent test of the system was dated 9/24/2024, which was more than 30 days prior to the date of the inspection.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A padded mat on the far wall of the gym was observed to have peeling vinyl on the surface. An orange bin in room 201 was cracked with sharp edges. A blue bin containing lacing toys and a gray bin containing toy food in room 301 were observed to be cracked, creating sharp edges.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Foam blocks with teeth marks were observed in rooms 201and 402b where children are putting things in their mouths. Foam shapes with teeth marks were observed in room (203) where children are putting things in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In room 402(d), rest equipment was observed for four children and six children were in care. Staff stated that cribs are shared and children do not nap at the same time. Individual rest equipment must be provided for each child.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: In room 203, there was no thermometer present in the refrigerator.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: A child was observed in a room working with a therapist without a staff member present. There was no written permission from the parent for the child to attend therapy without staff present.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: A child was observed in a room working with a therapist without a staff member present. There was no written permission from the parent for the child to attend therapy without staff present.

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

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: In child files #1-10 The facility had retained the original agreement and was giving the parents a copy of the agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: There were no emergency contact forms for one child receiving care in room 402d, and one child receiving care in room 201.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent 6 month review signature for the emergency contact form on file for Child #6, #9, and #10 is dated more than 6 months after the previous 6 month review signature. Child #6 dates 8/29/23-4/2/24, Child #9 dates 8/14/23-3/22/24, and Child #10 dates 1/10/23-3/21/24. The file for Child #6, #9, and #10, included parental review signatures that were dated more than 6 months apart for the 6 month review signature for the agreement. Dates for child #6 8/29/23-4/2/24, Dates for child #9 8/14/23-3/22/24, Dates for Child #10 8/31/23-3/21/24.

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

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The file for Child #2 contained health reports in an interval greater than 12 months. Health Reports were dated 5/23/22-7/21/23(SEE LIS CODE SHEET)

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.131(c)/3270.182(1)

Description: Completed or signed by physician, PA, or CRNP/Initial and subsequent health reports

Noncompliance Area: The initial and only health report in child #1's file was not signed and dated by a medical professional.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: In room 202, children woke up from nap and went directly to snack without proper handwashing.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility did not have written policies to address the following: Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, Strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The initial health assessments for Staff #1, Staff #8, and Staff #11were dated after the dates of hire/dates of caring for children. (See LIS code sheet) Health assessment for staff #1 dated 11/13/23, Staff #8 dated 11/10/23, Staff #11 dated 7/27/23. The current health assessment for Staff #4 and Staff #5 is dated more than 24 months from the previous health assessment. Staff #4's previous assessment is dated 1/20/22, current assessment is dated 2/28/24. Staff #5's previous assessment is dated 10/19/21 and current assessment is dated 12/11/23.

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 Mantoux tuberculosis screening dates for Staff #1, Staff #5, Staff #8, and Staff #11 are after the date of hire/date of caring for children. (See LIS code sheet) Staff #1 test dated 11/12/23, Staff #5 Test dated 10/19/21, Staff #8 test dated 11/10/23, Staff #11 test dated 7/27/23. The Mantoux tuberculosis test for Staff #2 is greater than one year prior to date of hire.(See LIS code sheet) TB Test is dated 12/31/18.

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: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: The child files were observed to be in assistant director's office in a file cabinet that did not lock.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The Emergency Plan parent letter lacked plans for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

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

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

Description: Age and Training

Noncompliance Area: Staff #6 did not renew their certification in pediatric first aid and pediatric CPR on or before the expiration of the most current certification. Previous date 6/9/21, current pediatric first aid and pediatric CPR date 12/15/23 which was after the previous one expired.

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)

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

Noncompliance Area: Staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet):Pediatric first-aid/CPR Staff #3 completed it on 10/11/23. Staff person # 9, #10 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training Staff #9 completed on 1/26/24, Staff #10 completed on 3/26/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The disclosure statements for Staff #2 and Staff #11 are dated after the date they began caring for children. (see LIS code sheet). Staff #2's disclosure is dated 4/5/22 and Staff #11's disclosure is dated 6/29/23. The following clearances for Staff #11 were all dated after the date of hire/date of caring for children (see LIS code sheet): State Police 1/24/24, Child Abuse 7/5/23, DHS FBI 7/27/23, and NSOR 12/13/23. The State Police clearance for Staff #7 is dated more than 45 days from date of hire. (see LIS code sheet): State Police Clearance 3/27/23

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #2 contained a staff evaluation that was greater than one year from date of hire. (see LIS code sheet) The file for Staff #6 did not contain a written evaluation for more than 12 months of employment. The current evaluation is dated 2/5/24 no other evaluations in file.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: A child was observed in a room working with a therapist without a staff member present. There was no written permission from the parent for the child to attend therapy without staff present.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An outlet next to the diaper changing table in room 402a was accessible to children and lacked a protective receptacle cover. An outlet on the right side of door 11 was accessible to children and lacked a protective receptacle cover.

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: A drawer under the diapering table in room 402a was unlocked and contained toxics (diaper cream) accessible to children. Swiffer mop (with cleaning solution) was leaning against wall by the bathroom and accessible to children in room 402c. A Glade Plug-In air freshener was observed in the preschool-area girls' restroom and accessible to children. Hand sanitizer was observed on stand in a hallway accessible to children. In room 207, a bottle labeled "Pure Bright Bleach" was observed on a shelf (with black top) accessible to children.

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: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: Doll clothes accessible to children in room 203 were wet and staff confirmed that they had been sprayed with disinfecting spray.

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: 3270.71

Description: Heat Source

Noncompliance Area: A kitchen with a stove was accessible to children from the gym because the door was unlocked.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.