First Presbyterian Church Preschool And Extended C

Regulation: 3270.151(a)

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

Noncompliance Area: An allocated unannounced inspection was conducted 2/27/26. At that time, the file was reviewed for the new staff. The most recent health report on file for Staff Person #1 was dated 6/30/20, more than one year prior to their start date at the facility.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, exposed bolts were observed along the inside perimeter of the outdoor playground fencing. A ripped slipcover was observed on an armchair in room A1.

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: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, only seven inches of wood mulch was at the end of the slide on the outdoor playground. Embedded outdoor equipment is required to have at least nine inches of wood mulch underneath.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, the child files were reviewed. The financial agreements of Child #1, Child #2, and Child #3 did not include 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)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, the child files were reviewed. None of the financial agreements included the date of child's admission.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, the emergency transportation plan could not be located in room F3/F4.

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: 3270.133(1)

Description: Original container

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, the epi-pen for Child #4 was not in its original container.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, the trash can used for diapering in room A1 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, the facility's policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the prevention and identification of child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Beginning April 29, 2022, all child care facilities must have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, the staff files were reviewed. The file for Staff Person #5 did not include two written nonfamily letters of reference.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, the preservice training was reviewed for all staff. The mandated reporter training for Staff Person #4 was not updated within 60 months. This is evidenced by the mandated reporter trainings on file being dated 6/12/20 and 7/5/25.

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: A renewal inspection was conducted 10/21/25. At that time, the staff files were reviewed. Clearances for Staff Person #1, Staff Person #2, Staff Person #3, and Staff Person #4 were not updated within 60 months. This is evidenced by the dates of the clearances. Staff Person #1: PA state police clearance 3/23/20 and 7/9/25, PA child abuse clearance 5/14/20 and 7/12/25, and NSOR 5/14/20 and 7/15/25. Staff Person #2: PA state police clearance 3/23/20 and 7/10/25, PA child abuse clearance 5/13/20 and 8/12/25, and NSOR 5/22/20 and 8/7/25. Staff Person #3: PA state police clearance 3/30/20 and 6/24/25. Staff Person #4: PA state police clearance 3/23/20 and 7/3/25, PA child abuse clearance 6/2/20 and 7/17/25, FBI Clearance 7/6/20 and 7/17/25, and NSOR 5/28/20 and 7/18/25. Director confirmed that these staff worked for at least a period of the time that these clearances were expired. Other clearances were older than 60 months but director confirmed Staff Person#1, Staff Person #2, and Staff Person #3 were not working in child care during that time.

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

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

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, the staff files were reviewed. The file for Staff Person #5 included high school education, but did not include verification of two years' experience to qualify them as an assistant group supervisor.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, two uncovered outlets were observed in the bathroom used for diaper older toddlers. The uncovered outlets were accessible to the older toddlers.

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 renewal inspection was conducted 10/21/25. At that time, Clorox wipes were observed on a floor level shelf inside an unlocked cabinet in the D1/D2 Room. The Clorox wipes were accessible to the children in the room and were 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: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, amaryllis and paper whites were observed on a windowsill in the D1/D2 room where they were accessible to the children. Amaryllis and paper whites contain lycorine, a toxic alkaloid, that is poisonous to both humans and pets.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, emergency phone numbers were not posted near the phone in the bathroom area used for diapering in room A1.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted 10/21/25. At that time, water-stained ceiling tiles were observed in room A1, D1/D2, D3/D4, and F3/F4.

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: A renewal inspection was conducted 10/21/25. At that time, peeling paint was observed on the door jamb of the church shed on the children's outdoor playground.

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 renewal inspection was conducted 10/21/25. At that time, no handwashing sign was present in the bathroom area of A1 used for diapering the older toddlers.

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: A renewal inspection was conducted 10/21/25. At that time, the thirty day testing log was reviewed. The dates the fire detection system were tested were: 3/28/25, 5/22/25, 6/23/25, 8/14/25, 9/12/25, and 10/2/25, showing that the system had not been tested within 30 days on three occasions.

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 renewal inspection was conducted 10/4/24. At that time, exposed bolts were observed along the playground fence.

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: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: A renewal inspection was conducted 10/4/24. At that time, the outdoor playground used by the toddler children contains an area with wood mulch.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. The legal entity must create a playground policy in order to maintain proper supervision on the playground when toddlers are present. The policy should include that toddlers should not have access to the mulched area of the playground and how staff will adhere to the policy. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the playground policy.

Regulation: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: A renewal inspection was conducted 10/4/24. At that time, the outdoor playground used by the toddler children contains an area with wood mulch.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 10/4/24. At that time, plastic bags were observed on the floor of the unlocked storage room where the toddlers diapers are changed. There was nothing preventing the toddlers access to the storage room.

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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A renewal inspection was conducted 10/4/24. At that time, staff were supervising all children in their classrooms. Staff were not assigned specific children for supervision.

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. Children must be supervised at all times. 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. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A renewal inspection was conducted 10/4/24. At that time, staff were supervising all children in their classrooms. Staff were not assigned specific children for supervision.

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. Children must be supervised at all times. 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 10/4/24. At that time, the child files were reviewed. The emergency contact form for Child #2 did not include the business name, address, and phone number of the parents. The emergency contact form for Child #3 did not include the business address and phone number of the mother. The emergency contact form for Child #4 did not include the business name, address, and phone number of the parents. The emergency contact form for Child #5 did not include the business name, address, and phone number of the mother. The emergency contact form for Child #6 did not include the business phone number of the parents. The emergency contact form for Child #7 did not include the business name, address, and phone number of the parents.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A renewal inspection was conducted 10/4/24. At that time, the emergency transportation plan was not posted in each child care space or included in the emergency backpacks brought to the playground.

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(b)(2)

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

Noncompliance Area: A renewal inspection was conducted on 10/4/24. At that time, the child files were reviewed. The most recent health report on file for Child #1, a preschool child, was dated 5/31/23. The most recent health report on file for Child #7, a preschool child, was dated 7/27/23.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection was conducted 10/4/24. At that time, the preservice training for all staff was reviewed. Staff Person #1 completed Get Started with Home-Based Care for family child care homes, but did not have documentation showing Get Started With Center-Based Care for child care centers had been completed.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #1 will have until 10/25/24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, then staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 10/4/24. At that time, none of the staff had a signed disclosure statement on file.

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

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

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

Noncompliance Area: A renewal inspection was conducted 10/4/24. At that time, the file for Staff Person #4 did not include documentation of education and experience to qualify them as a group supervisor.

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

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

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

Noncompliance Area: A renewal inspection was conducted 10/4/24. At that time, the file for Staff Person #2 did not include documentation of education and experience to qualify them as an assistant group supervisor. The file for Staff Person #3 did not include documentation of experience to qualify them as an assistant group supervisor.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: A renewal inspection was conducted 10/4/24. At that time, there was no lidded trash can in the bathroom area of the following classrooms: A1, F1/F2, D1/D2, and D3/D4.

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

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: A renewal inspection was conducted 10/4/24. At that time, the staff in the toddler room (A1 Room) stated that they changed the children's diapers on a mat on the floor in the storage room where there was no source of running water. Staff would then walk children back into the toddler room and across the room where the sink was located for handwashing.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The following children have not had their fee agreements updated in over 6 months since March 2023: Child # 1,2,3,4 & 5.

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: 3270.111(a)

Description: Written plan

Noncompliance Area: There is no daily schedule posted in the Pre K (F1) Classroom.

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

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: The following children did not have fee agreements completed at time of enrollment: child # 1,2,3,4,5,6,7,8,9,&10.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Child # 3 and # 7 do not have proof of the influenza vaccination or a written note from a parent or guardian for not having the vaccination due to strong personal objections.

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(5)

Description: Original label

Noncompliance Area: There is an epi pen that expired in June 2022 in the Extended Care classroom (Rooms C3 & C4) for child # 11.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility does not have policy at facility to identify the prevention of shaken baby syndrome, abusive head trauma and child maltreatment that was required to be developed by April 29, 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)

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

Noncompliance Area: The following facility staff employed and working at facility did not have a health assessment on file at time of hire: Facility staff # 1, 2,3 & 4. Facility staff # 5 did not have a health assessment completed in more than 24 months from 8/13/20 to 9/9/22.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The following children did not have emergency contact forms reviewed in over 6 months in child files and emergency classroom binders: Child # 3,4 6,8 & 12..

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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The following facility staff employed and working at facility do not have disclosure statements on file: Facility staff #1, 2, 3,4 & 6. Facility staff # 1 hired and working did not have state police, child abuse, FBI or NSOR clearance on file at time of hire. Facility staff # 2 hired and working at facility did not have a NSOR or child abuse clearance on file at time of hire. Facility staff # 2 does not have an FBI clearance on file. Facility staff # 3 hired and working at facility did not have an NSOR clearance on file at time of hire. Facility staff # 4 hired and working at facility did not have a child abuse clearance, FBI clearance or state police clearance or proof of application on file at time of hire. Facility staff # 6 hired and working at facility does not have an FBI clearance on file or proof their fingerprints were taken at time of hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 2 & # 6 may not work in a childcare position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There is toxic hand sanitizer in the older 3's classroom (B3/B4) sink that is accessible to the children. All the children in the Two year old classroom (A1) rubbed hand sanitizer on their hands before snack administered by facility staff. Facility does not have permission from the children's parents.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There is no hand washing sign in the Pre-K classroom bathroom the children use. (F1)

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: 3270.94(a)(1)/3270.95(a)

Description: Every 60 days/Devices must be compliant

Noncompliance Area: Facility did not test the fire alarm system in over 30 days from 9/2/22 to 10/6/22.

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. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Facility did not conduct fire drills in over 60 days from 9/28/21 to 1/24/22. A fire drill was conducted.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There was a bin of toy cars with wheels that are less than an inch in diameter in the toddler classroom,

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: 3270.123(a)(5)/3270.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: The financial agreements on file for children 1-10 do not have release person or the date of admission.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for child # 2 does not have the health insurance policy number. The emergency contact from on file for child # 4 does not have the health insurance name or policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms on file for children # 1, 3, 4, and 5 do not have addresses for each release person provided.

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: 3270.151(a)

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

Noncompliance Area: Staff person # 1 was hired on 9/1/21. The health assessment on file is dated 10/25/21 and not conducted within 12 months prior to initial employment

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health form on file for staff person # 2 does not state they are suitable to provide child care.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The state police clearance on file for staff person # 1 is for a volunteer, therefore is not valid. The NSOR clearance for staff person # 1, hired 9/30/21, is dated 10/20/21. The facility does not have a provisional hire waiver. The FBI clearances on file for staff persons # 2 and 3 are for the Department of Education, therefore are not valid.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons # 1, 2, and 3 may not work in a child care position at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The last documented fire drill was held at the facility on 9/28/21. More than 60 days has passed since this fire drill.

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.