Forever Friends Child Care LLC

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At the time of the inspection, staff person #1 did not complete Pediatric First Aid/CPR training within 90 days of hire. This is evidenced by the Pediatric First Aid/CPR training on file dated 10/27/25 (see LIS code sheet for date of hire).

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of the inspection on 12/5/25, the last documented fire drill being conducted was on 9/11/25 and not every 60 days as required.

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: 3270.63/3270.76

Description: Unsafe Areas in Outdoor Space/Building Surfaces

Noncompliance Area: At the time of the inspection, the gross motor space was not being utilized due to a previous fire in an adjacent building. The fire left numerous fall hazards, as the previous fencing that was used to separate the gross motor space and the building, was destroyed.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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. Tiered LIS: 1.) The facility will restrict access to the outdoor play space where the fencing, separating the building with fire damage, was previously in place. This portion of the plan requires an immediate correction date. 2.) The operator will come into compliance by ensuring fencing or natural barriers is put into place to restrict children from those unsafe areas or conditions located by the fire damaged building. This date of correction will be when the fencing is restored, and the entire measured play space is able to be utilized again.

Regulation: 3270.124(b)(3)/3270.124(b)(6)

Description: Parent home/work address, phone/Insurance coverage information

Noncompliance Area: During the inspection, the emergency contact form on file for child #2, child #3 and child #4 did not include the work address of the enrolling parent. The emergency contact form for child #4 did not include the health insurance policy number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During the inspection, child #2's immunization record was not in compliance with the recommendations of the ACIP and missing the following vaccinations: HEP A#2.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 must be dismissed from care by close of business 10/7/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: During the inspection, there was no parental written consent for the Hyland's Cold medicine for child #6.

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

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: During the inspection on 10/7/24, the health assessment and TB test on file for volunteer #7 was dated 7/17/23 and not within 12 months of initial service in the childcare facility (see LIS code sheet for date of volunteering).

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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: During the inspection, the health assessment dated 9/25/23 for staff person #2 stated "yes" to communicable diseases but no additional documentation was provided as required.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the inspection, the emergency drill was not conducted annually as required. This is evidenced by the current emergency drill date of 9/23/24 and the previous drill date of 4/5/23.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

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

Description: Age and Training

Noncompliance Area: During the inspection on 10/7/24, staff person #4 and staff person #5 did not have current PQAS approved Pediatric First Aid/CPR on file. This is evidenced by the training on file dated 8/8/22.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff person #4, staff person #5 will have until 11/6/24 to complete PQAS approved Pediatric First Aid/CPR training. Until such time as the required training has been completed, staff person #4 and staff person #5 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 person(s) available to supervise staff person #4 and staff person #5, staff person #4 and staff person #5 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: During the inspection on 10/7/24, staff person #3 did not update the PA State Police clearance every 60 months as required. This is evidenced by the current PA State Police clearance on file dated 8/20/24 and the previous clearance dated 8/13/19.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the inspection, the manual monthly monitoring of the fire detection system was not conducted every 30 days as required. This is evidenced by the manual monthly monitoring log dates of 9/25/24 and 8/23/24.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a water-stained ceiling tile in the Preschool room, a broken ceiling tile above the circle area in the Pre-K room, and 2 water stained ceiling tiles in the Toddler room.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: STAFF # 1 (see code sheet for start date) did not have verification of facility emergency plan training. It is past the 90 day period to complete pre-service 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During renewal inspection on 10/14/21 cert rep reviewed several children's files. CHILD # 1 emergency contact form did not include the child's health insurance policy number. CHILD # 4 and 5 emergency contact form did not include the child's health insurance coverage 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: During renewal inspection on 10/14/21 cert rep reviewed several children's files. CHILD # 1, 2, 3, 4, 5, 6 emergency contact form did not include addresses for release persons.

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: 3270.133(5)

Description: Original label

Noncompliance Area: During renewal inspection on 10/14/21 cert rep checked children's medications that were kept at the facility. CHILD # 1 had an Epi-pen with an expiration date of 3/2021 and Diphenhydramine with an expiration of 8/25/21.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During renewal inspection on 10/14/21 cert rep reviewed several staff files. STAFF # 1 and STAFF # 2 last evaluation was dated 8/28/20. These were completed approximately 14 months ago.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: During renewal inspection on 10/14/21 cert rep checked each first aid kit. The first aid kit in the YSA room did not have tape or soap.

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