Future Focus Childcare Llc

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: CONTINUED NON-COMPLIANCE. Previously Cited on 6/25/2026: On the left side of the Pre-K room, a wooden glider was observed to have a cracked seat. The cracked area was splintered, creating sharp edges.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: CONTINUED NON-COMPLIANCE. Previously Cited on 6/25/2026: In the cubbies located at the entrance of the facility, an Albuterol inhaler was observed to be stored in an open cubby within reach of children. The container did not include a label with the name of the individual for whom it was intended, nor the physician's instructions for use.

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(4)

Description: Locked

Noncompliance Area: CONTINUED NON-COMPLIANCE. Previously Cited on 6/25/2026: In the cubbies located at the entrance of the facility, an Albuterol inhaler was observed to be stored in an open cubby within reach of children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: CONTINUED NON-COMPLIANCE. Previously Cited on 6/25/2026: In the Boys' Bathroom, a closet was observed to be unlocked. This closet contained cleaning supplies, including: two containers of Spectracide, Zep cleaning solution, Clorox Disinfectant Sprays. These items are marked "Keep Out of Reach of Children," but were accessible to children in the bathroom due to the unlocked door.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: CONTINUED NON-COMPLIANCE. Previously Cited on 6/25/2026: Stained ceiling tiles were observed in the following areas: in the girls' bathroom, above the toilet on the left; in the boys' bathroom, above the toilet on the right. In the Indoor Play Space, wall trim was observed to be separating from the wall in the back right corner, creating areas of visible dirt and debris, as well as a potential pinch point for children at play. Another section of separating trim was observed on the right wall, revealing a three-inch section of broken plaster.

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: CONTINUED NON-COMPLIANCE. Previously Cited on 6/25/2026: In the Toddler Room, damaged plaster was observed above the shapes wall hanging. Another area of damaged plaster was observed to the left of the gate. In the Preschool Room, plaster was observed to be cracking and separating on the bottom corner windowsill at the far right end of the windows. In the Indoor Play Space on the right wall, a three-inch section of broken chunks of plaster was observed behind a piece of trim that had come loose from the wall.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Pre-K Room, a clear plastic bin containing a variety of toys was observed on the shelf with the blue-sequined top. The bin was cracked, creating a sharp edge. On the art shelf in the Preschool Room, a red bin containing felt craft pieces was observed to be cracked, creating a sharp edge.

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: On the left side of the Pre-K room, a wooden glider was observed to have a cracked seat. The cracked area was splintered, creating sharp edges.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent Child Service Report on file for Child #1 was dated 3/26/2026; however, there was not a report completed six months prior. The two most recent Child Service Reports on file for Child #2 are dated 5/6/2023 and 3/30/2026, which is more than six months apart. The most recent Child Service Report on file for Child #3 was dated 3/30/2026; however, there was not a report completed six months prior. There are no completed Child Service Reports on file for Child #4.

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 for Child #1 lacked the address of the child's source of medical care.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form for Child #1 lacked the address and telephone number for the designated 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: The facility's written plan identifying the means of transporting a child to emergency care was not posted in the following childcare spaces: Toddler Room, Pre-K Room and Indoor Playspace.

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: An initial health report completed within 60 days of enrollment could not be located in the file for Child #1.

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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: In the Toddler room, a bottle of Airborne Immune Essentials was observed on a shelf to the left of the sink on the left side of the room. The bottle was not labeled with any individual's name. In the cubbies located at the entrance of the facility, an Albuterol inhaler was observed to be stored in an open cubby within reach of children. The container did not include a label with the name of the individual for whom it was intended, nor the physician's instructions for use

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(4)

Description: Locked

Noncompliance Area: In the cubbies located at the entrance of the facility, an Albuterol inhaler was observed to be stored in an open cubby within reach of children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.151(a)

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

Noncompliance Area: The two most recent health assessments on file for Staff Person #1 were dated more than 24 months apart (8/4/2023 - 3/26/2026). The two most recent health assessments on file for Staff Person #21 were dated more than 24 months apart 6/16/2023-1/7/2026). At the time of hire (SEE LIS CODE SHEET), Staff Person #4 had an outdated health assessment, conducted on 10/18/2022. Staff Person #4 did not receive an updated health assessment until 4/8/2026.

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.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: The Disclosure Statement on file for Staff Person #6 was on an outdated form not used since prior to January 2025.

Correction Required: 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: 3270.21

Description: General Health and Safety

Noncompliance Area: In the Preschool Room, the following items were observed on top of a shelf containing art supplies: a pair of black-handled adult scissors in a cup that also contained child-safe scissors; a staple remover with sharp edges; several loose safety pins. All of these items were within reach of children.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The facility's emergency plan was not posted in a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff Person #5 completed training in pediatric first and and CPR on 7/9/2025, which was more than 90 days after their date of hire (SEE LIS CODE SHEET).

Correction Required: Staff persons shall complete professional development in the topic of 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 following clearances on file for Staff Person #1 were obtained more than 60 months apart: State Police 5/18/2017-6/2/2022; PA Child Abuse 5/24/2017-6/22/2022; FBI 5/26/2017-6/17/2022.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent annual evaluations on file for Staff Person #3 were conducted more than 12 months apart (8/1/2024 - 12/20/2025).

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(b)

Description: Original container

Noncompliance Area: In the Toddler Room, an unmarked spray bottle containing a purple liquid was observed above the sink on the right side of the room. In the Pre-K room, an unmarked spray bottle containing a purple liquid was observed on a shelf above the First Aid Kit. Per staff, the purple liquid is a cleaning spray. In the Preschool room, several loose packages of Purell wipes marked "Keep Out of Reach of Children" were observed on top of the art shelf, mixed in with various art supplies. These wipes were within reach of children. In the Boys' Bathroom, a closet was observed to be unlocked. This closet contained cleaning supplies, including: two containers of Spectracide, Zep cleaning solution, Clorox Disinfectant Sprays. These items are marked "Keep Out of Reach of Children," but were accessible to children in the bathroom due to the unlocked door.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: In the art supply cabinet in the Toddler Room, two cans of Gillette shaving cream marked "Keep Out of Reach of Children" were observed. Per staff, this is used for crafts. On the art shelf in the Preschool Room, a can of Barbasol shaving cream marked "Keep Out of Reach of Children" was observed. Again, this was identified as a craft material.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Stained ceiling tiles were observed in the following areas: in the girls' bathroom, above the toilet on the left; in the boys' bathroom, above the toilet on the right. In the Indoor Play Space, wall trim was observed to be separating from the wall in the back right corner, creating areas of visible dirt and debris, as well as a potential pinch point for children at play. Another section of separating trim was observed on the right wall, revealing a three-inch section of broken plaster.

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: In the Toddler Room, damaged plaster was observed above the shapes wall hanging. Another area of damaged plaster was observed to the left of the gate. In the Preschool Room, plaster was observed to be cracking and separating on the bottom corner windowsill at the far right end of the windows. In the Indoor Play Space on the right wall, a three-inch section of broken chunks of plaster was observed behind a piece of trim that had come loose from the wall.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The hallway across from the Preschool Room serves as a means of egress to an emergency exit for the facility. This hallway was observed to be piled with numerous items, including but not limited to: three vacuums, bottles of cleaning supplies, packages of paper towels, three fans, large plastic bins containing various items, an open bag of "chicken starter grower," a Swiffer Wet Jet, an open bottle of Swiffer Wet Jet cleaning liquid, a carpet scrubber, several bags of garbage, a table, a wagon, a rolled up area rug and several empty boxes. These items were stacked up and laid across the hallway, obstructing the way to the emergency exit door.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility's log documented testing of the fire detection system for the following periods: 2/27/2026-4/20/2026 and 4/20/2026-5/27/2026. These tests were conducted 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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The two most recent Pediatric First Aid and Pediatric CPR Trainings for Staff Person #1 were dated more than 24 months apart (1/29/2022 - 6/8/2024).

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At the time of inspection, Staff Person #1 had not completed the following pre-service training within 90 days of their date of hire (SEE LIS CODE SHEET): Pediatric First Aid/CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1 staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The floors in both childcare spaces in use during the unannounced monitoring visit (Room #1 and Room #2), as well as the hallway/common area, were littered with dirt and debris that appeared to have been accumulated over a period of time. In several places, the dirt buildup was such that the certification representative's shoes were sticking to the floor.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The facility's fire drill log included the following testing periods which were greater than 60 days: 7/1/2025 -- 9/2/2025 (63 days) and 9/2/2025 -- 11/2/2025 (61 days).

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(b)/3270.95(b)

Description: Director or designated staff person ensure compliance/Director or designated staff person ensure compliance

Noncompliance Area: The facility's fire detection testing log included the following testing periods which were greater than 30 days: 7/29/2025 -- 9/2/2025 (35 days) and 10/1/2025 -- 11/2/2025 (32 days).

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. 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: In Room #1 two toy magnetic tiles were observed to be broken causing rough edges and sharp corners. In Room #1 a rubber popper toy was observed to be torn and missing pieces. In Room #1 a plastic bin holding toy dinosaurs was observed to be broken causing rough edges and sharp corners.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for child #2 lacked emergency contact information and a financial agreement that was updated 6 months from the previous update. The updates in the file were dated 2/2023 and 2/2025.

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 #1 lacked a child health report that was completed 12 months from the previous child health report. The child health reports in the file were dated 5/6/24 and 6/2/25.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #3 was observed to be caring for children unsupervised. Staff person #3 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 5/31/23.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person #3 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 #3, staff person #3 may not work in a child care position at the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff person #2 lacked an initial health assessment. The file for staff person #7 lacked a health assessment that was completed within 12 months prior to initial service in a child care setting (See LIS Code Sheet). The health assessment in the file was dated 1/19/24.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for staff persons #3 , #4, and #5 lacked emergency plan training that was completed 12 months from the previous emergency plan training. The emergency plan training in the file for staff person #3 was dated 7/24/23 and 6/25/25. The emergency plan training in the file for staff person #4 was dated 10/10/23 and 6/25/25. The emergency plan training in the file for staff person #5 was dated 1/8/24 and 6/25/25.

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: The files for staff persons #3, #4, and #5 lacked firesafety training that was completed 12 months from the previous firesafety training. The firesafety training in the file for staff person #3 was dated 6/8/23. The firesafety training in the file for staff person #4 was dated 6/13/24. The firesafety training in the file for staff person #5 was dated 11/17/22 and 6/13/25.

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 file for staff person #1 who was hired as the director on (See LIS Code Sheet) lacked an NSOR verification certificate that was completed 60 months from the previous NSOR verification certificate. The NSOR verification certificates in the file are dated 2/7/20 and 4/6/25.

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: The file for staff person #8 lacked a high school diploma and 2 years experience with children.

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: 3270.37(b)(1)/3270.192(2)(ii)

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

Noncompliance Area: The file for staff person #6 lacked a high school diploma.

Correction Required: An aide shall have a high school diploma or a general educational development certificate. 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: In the gross motor room 3 protective receptacle covers were observed to be missing from two outlets on the wall to the left and one outlet on the wall to the right.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The Fire Drill and Fire Detection Log was observed for the 60 day fire drill. There were 61 days between 8/1/24 and 10/1/24 and 62 days between 10/1/24 and 12/2/24.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The Fire Drill and Fire Detection Log was observed for the 30 day smoke detector checks. There were 31 days between 10/4/24 and 11/4/24, 32 days between 12/2/24 and 1/3/25, 31 days between 1/3/25 and 2/3/25, 31 days between 3/3/25 and 4/3/25, 32 days between 5/1/25 and 6/2/25.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At Approximately 8:00AM, staff #1 came to the lobby entrance of the facility to open the door for the certification representative leaving 17 children alone in room 1; 8 school age children, 6 preschoolers, and 3 older toddlers.

Correction Required: TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all staff to participate in 2 hours of online or in-person training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training which may be counted toward the required 12 hours of annual training. The operator shall provide a date for when the training will be completed.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At Approximately 8:00AM, staff #1 came to the door of the facility to open the door for the certification representative leaving 17 children alone in room 1; 8 school age children, 6 preschoolers, and 3 older toddlers.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: At Approximately 8:00AM, staff #1 came to the door of the facility to open the door for the certification rep representative leaving 17 children alone in room 1; 8 school age children, 6 preschoolers, and 3 older toddlers. At 8:10AM an additional preschooler arrived and entered room 1. From 8:00 to 8:15, staff #1 was the only staff person present at the facility. At 8:15, staff #2 and an additional older toddler arrived and entered room 1. At 8:20 AM, staff #1 exited the building with 8 school age children to go to the bus stop. Staff #2 remained in room 1 supervising 11 children; 7 preschoolers and 4 older toddlers.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: At Approximately 8:00AM, staff #1 was observed caring for 17 children alone in room 1; 8 school age children, 6 preschoolers, and 3 older toddlers. At 8:10AM an additional preschooler arrived and entered room 1. From 8:00 to 8:15, staff #1 was observed to be the only facility person present at the facility.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff person #1 was observed to have left the room when 7 preschool aged children were left on their cots leaving 7 children unsupervised. According to interviews staff person #1 left the room due to a bathroom emergency when the children were resting on their cots.

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: Staff person #1 was observed to have left the room when 7 preschool aged children were left on their cots leaving 7 children unsupervised. According to interviews staff person #1 left the room due to a bathroom emergency when the children were resting on their cots.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff person #1 (exp 11/2024) and Staff person #2 (exp 3/19) were lacking updated CPR training.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #2 did not have an updated CPR training when she was rehired at the facility.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Staff person #1 was observed to have left the room when 7 preschool aged children were left on their cots leaving the room at a 0:7 staff child ratio. According to interviews and statements by staff person #1, they left the room to use the restroom while the children were on their cots because it was an emergency.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cracked plastic bin in room 9 with sharp edges that could cause injury.

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: There were small buttons, sensory bead, and Styrofoam bead dough that were all less than 1 inch in diameter in room 1, the 1- and 2-year-old room where children are still putting 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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #2, #3, and #5 observed not to contain a child service report.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The fee agreement on file for child #1 did not contain departure and arrival times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The fee agreement on file for child #1 did not specify release persons.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #4 does not include the complete address for the child's pediatrician or source of medical care. The emergency contact form on file for Child #5 does not include the complete phone number for the child's pediatrician or source of medical care.

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)(4)/3270.182(3)

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

Noncompliance Area: The file for child #4 and #5 did not include signed consent for emergency medical care for the child which is required prior to admission.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #4 does not include the health insurance coverage and policy number for the medical insurance policy

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #2, #4, and #5 does not include a complete address for all listed 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan on site does not include continuity of operations, required as of 7/1/22, as per Announcement C-22-04. The file for staff person #6 had a mandated reporter training dated 1/9/2019-5/4/2024 which is more than 5 years apart. The file for staff persons #1 and #5 did not include emergency plan training.

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

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The current health assessment on file for Staff #3 indicates that the health assessment was conducted by an RN, not a physician, physician's assistant, or CRNP

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: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The initial health assessments on file for Staff person #4 was dated after their start date.

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: Staff person #2 had a current health assessment that stated that they were not free from communicable diseases with no additional information given.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The financial agreement on file for child #2 and #3 were dated 2/23-2/24, which is 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.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The file for child #4 and #5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff, which is required prior to admission.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: The record for child #4 did not contain signed parental consent for transportation, walking excursions, swimming or wading, and the facility stated they take field trips off of the premises which would involve transportation or walking excursions.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #1, #3 and #4 do not include 2 written non-family references attesting to the staff person's suitability to work in childcare.

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

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

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

Noncompliance Area: The file for staff person #4 had an expired CPR dated 1/29/22.

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 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 state police on file for staff person #2 was lacking a dissemination date. The file for staff person #3 was observed not to contain documentation of application of a PA Criminal History clearance prior to date of hire required for provisional hiring under the CPS. The disclosure statement on file for staff person #2, #3, and #4 was missing a date and signature of a witness. The file for staff person #4 was observed not to contain a valid NSOR certificate within 45 days of hire required for provisional hiring under the CPSL.

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

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The file for staff persons #2 and #3 were lacking verification of previous experience working with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: Multiple toxic cleaning products were observed on a shelf above diapers in Room 1, which could cause contamination to the diapers below if leaking occurred.

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: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: There were cans of Barbisol shaving cream, labeled "Keep out of the reach of children", used for arts and crafts projects, in Room 8.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint/plaster was present on the wall below the light switch, in the gross motor room, which was accessible to children in care.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement form on file for Child #1 was not signed by the operator.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement form on file for Child #1 lacked the child's arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement form on file for Child #1 lacked the persons designated by the parent to whom the child may be released.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement form on file for Child #1 lacked the date of the child's admission.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency form on file for Child #2 lacked the health insurance 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 form on file for Child #1 lacked the addresses of the individuals designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: In Room 1, emergency contact information for Child #1 was not present where the child was receiving care. In Room 9, emergency contact information was not present where children were receiving care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan does not include a plan for continuity of operations.

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: Facility Person #1 has not had a health assessment within the last 24 months. The most recent documentation of a health assessment on file for Facility Person #1 was dated 7/24/20.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The provider did not have verification of notifying local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The emergency form on file for Child #2 was observed to be lacking parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Facility Person #2 was observed to be lacking two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for Facility Person #4 was observed to be lacking one written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility did not have documentation of conducting an emergency drill within the last year. The most recent emergency drill on file was dated 1/1/22.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Facility Person #3 has not had emergency plan training within the last year. The most recent emergency plan training on file is dated 10/17/19.

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: The file for Facility Person #3 has not had fire safety training within the last year. The most recent documentation of fire safety training on file was dated 8/12/20.

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: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The files for Facility Persons #2 and #4 lacked documentation of education and experience to qualify them in a position in the facility.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Facility Person #3 lacked a written staff evaluation completed by the Director within the last 12 months. The most recent written staff evaluation on file for Facility Person #3 was dated 5/11/22.

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(b)

Description: Original container

Noncompliance Area: Cleaning materials that included disinfectant spray and Clorox wipes were observed stored on a counter next to food in the kitchen. Two unlabeled spray bottles that the director identified contained disinfectant spray were observed stored on the counter next to food in the kitchen.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in Room 1 was observed to lack tape. The first-aid kit in the Gross Motor room was observed to lack 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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In Room 9, several ceiling tiles were observed to be damaged from a water leak and one ceiling tile was observed to be missing.

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: In Room 8, areas of peeling paint were observed on the back wall near the window.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility's documentation of testing the fire detection system exceeded 30 days from 8/1/22 to 10/3/22, 10/3/22 to 12/6/22, and 12/6/22 to 2/15/23.

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.