Gwens Day Care

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A hole was observed on a stuffed teddy bear in the PS room leaving the inner foam filling exposed and accessible.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #4 did not contain documentation of an approved child service report shared with the parents. A record of anecdotal observations was on file however, this is not an approved assessment tool. The files for children #1, 2, 3, and 5 contained child service reports completed and shared with parents at intervals greater than 6 months but are now current.

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 information for child #1 did not include the address and telephone number of the child's physician 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)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact information for child #1 and child #4 did not include information on the child's special needs or disability.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #1 did not include a health insurance policy number for the child.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #4 did not include complete addresses for the individuals designated by the parent to whom the child may be released. Only the city and state were listed.

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

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

Noncompliance Area: The files for children #2 and #3 contained consecutive health reports dated more than 12 months apart but are now current.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: While changing a diaper, staff #2 placed the soiled diaper in a plastic bag instead of immediately placing it into a hands free can. The plastic bag was positioned upright and open in a basket near the changing surface prior to starting the change.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff #2 contained a health assessment dated 2/10/25 which is after their first day in a child care position. (SEE LIS CODE SHEET) The health assessment and TB test results on file for staff #4 were dated more than 12 months prior to providing initial service in a food preparation position.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for facility person #5 lacked written references.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A stapler was accessible to children in the main floor PS room in a teacher supply area.

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

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for staff #6 did not contain documentation of participating in emergency plan training within the last 12 months. The last documented training occurred 10/09/24.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The file for staff #6 did not contain documentation of completing fire safety training within the last 12 months.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(e)/3270.192(2)(iii)

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

Noncompliance Area: The file for staff #6 contained documentation of completing 5.5 of the required 12 hours of annual training between the dates of 8/26/24 and 8/26/25. 6.5 more hours are required.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(2)(iii)

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

Noncompliance Area: The file for facility person #5, a volunteer, contained a mandated reporter training that is not approved for child care.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained a state police and child abuse clearance obtained for the purpose of volunteering. The state police clearance was dated 6/09/25 and the child abuse clearance was dated 6/13/25. (SEE LIS CODE SHEET) The file for staff #3 contained an FBI clearance applied for after their first day in a child care position. The application and completed clearance were dated 9/24/25. (SEE LIS CODE SHEET) The file for staff #4 contained an invalid previous version of the disclosure statement. The file for facility person #5, a volunteer, did not include an FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #1 may not work in a child care position at the facility. Facility person #5 may not volunteer with children at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff #6 did not include an evaluation completed within the last 12 months.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Liquid disinfectant, disinfectant wipes, and toilet bowl cleaner were accessible to children in a cabinet in the YT room. The magnetic lock was not functioning as intended. Two AA batteries were accessible to children in the PS room as part of an activity designed to teach children how to install batteries in a small flashlight.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Protruding bolts on 3 toilet bases in the OT/PS room restrooms lacked caps.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed on the wood trim on the partial wall in the outdoor play space along the fence line.

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: One cracked magnatile was observed in the preschool room. A broken blue plastic child size chair was observed in the outdoor play space.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #3 contained consecutive service reports shared with the parents more than 6 months apart. The reports on file were dated 1/30/23 and 11/13/24. The most recent report is current.

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 agreement for child #2 did not specify the child's arrival and departure times.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for child #1 did not include the address of the individual 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: Emergency contact information was not present in the activity room where preschool children were observed in 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: 3270.131(b)(2)/3270.182(1)

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

Noncompliance Area: The file for child #3 contained consecutive health reports dated more than 12 months apart; 9/15/22 and 2/06/24. The most recent health report on file is now current.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff #2 and #6 contained consecutive heath assessments dated more than 24 months apart. The most recent health assessments on file are now current.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The emergency contact form for child #4 did not include signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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: 3270.31(e)(4)(i)/3270.192(2)(iii)

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

Noncompliance Area: The following staff did not renew their certification in pediatric first aid and pediatric CPR on or before the expiration; staff #4, #7, #8, #9, and #10. The previous training was completed 5/11/22 and was renewed on 7/12/24; Current training is now on file.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(2)(iii)

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

Noncompliance Area: Staff #3 did not update mandated reporter training within 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6/17/19 and the most recent training being dated 10/09/24. Current training is now 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 verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained an NSOR certificate dated after their first day in a child care position. An application was not on file. (SEE LIS CODE SHEET)

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

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

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

Noncompliance Area: The file for staff #5, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualifications required for the position. The file lacked verified child care experience.

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: 3270.101(a)

Description: Age appropriate

Noncompliance Area: Four pairs of Colorations brand blue blunt tip scissors were accessible to older toddlers and preschoolers in the OT/PS room on the lower level. Based on the manufacturers product description on the Discount School Supply website, the scissors are intended for children Ages 5+ / Grades K+. One pair of adult scissors were accessible to children on a desk in the preschool room on the upper level.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A cracked green plastic storage bin was observed in the preschool room on the upper level.

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: Two storage tubs containing Excellerations Pipe Tubes were accessible to older toddlers on low shelves in the OT/PS room. The manufacturer's label indicated the materials were intended for ages 3+.

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)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 9:10AM, staff #1 and staff #2 were observed in the toddler room with 8 children, When asked to identify the children they were responsible for supervising, staff #1 named 3 older toddlers, but could not name the 4th child. Staff #2 named 4 children; 2OTs and 2 YTs. Again, staff #1 was asked to identify the children they were responsible for supervising, but could not. Staff #1 and #2 then discussed the children and organized paperwork. When staff #1 was asked a third time, they successfully named all four children they were assigned to supervise.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for child #3 did not specify the amount of the fee to be charged.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreements for child #1, #3, and #4 did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #2 and #5 lacked current child service reports. The file for child #2 contained a report dated 12/19/22. The file for child #5, enrolled for over 6 months, did not contain a 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The files for children #4 and #5 contained initial health reports dated more than 60 days after the first day of attendance at the facility. Both files now contain current health reports.

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

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

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

Noncompliance Area: The file for child #2 contained health reports dated more than 12 months apart. The most recent health report on file is now current.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff #6 lacked a current health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter for parents explaining the emergency procedures did not include details regarding accommodations for toddlers. The facility currently does not care for infants.

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

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The following staff completed training in fire safety more than 12 months apart; staff #6, #7, #8, #9, and #10. Current training is now on file.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)/3270.192(2)(iii)

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

Noncompliance Area: Staff #3 did not complete training in health and safety topics 1-9 within 90 days. The training is now complete and dated 12/21/23.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #3 contained an incomplete state police clearance. The clearance was requested on 12/14/22, but indicated it was still under review and lacked a dissemination date. The file also contained an invalid version of the disclosure statement dated for 9/4/17. The file for staff #5 contained an incomplete state police clearance. The clearance was requested on 8/29/23, but indicated it was still under review and lacked a dissemination date. (SEE LIS CODE SHEET)

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 9 AM, staff #3 and #4 were observed with 18 children in the OT/PS room on the lower level. The group consisted of 12 preschool children and 6 older toddlers. When asked to identify the children they were responsible for supervising, staff #3 identified 6 PS children and staff #4 identified 6 OTs. Though staff #3 and #4 were supervising the remaining 6 children, staff #3 stated those 6 PS children were in staff #8's group. Staff #8 was observed in the adjoining toddler room. Staff #8 stated they were in the toddler room to cover while staff #1 went upstairs to the restroom. Staff #8 identified 4 older toddlers as children she was currently supervising. Two additional staff who were not in ratio were observed upstairs and were available to cover the room during the restroom break.

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: 3270.66(b)

Description: Original container

Noncompliance Area: A reusable spray bottle containing bleach was not labeled with the contents. The bottle was observed on a shelf near the diapering area in the toddler room.

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: Three cans of Equate/Equaline shaving cream, labeled keep out of reach of children, were observed in a storage area on the lower level of the facility. Based on statements made by staff, the shaving cream is used with the children for art projects.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: An air vent in the preschool room on the upper level was not secured to the wall. One screw appeared to be stripped and was no longer holding the metal cover in place.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility was not testing the fire alarm system every 30 days as required. The facility previously demonstrated the ability to test their own system every 30 days.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #1, enrolled for more than 6 months, did not 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #1 contained emergency contact information which did not include the work address or work phone number of the enrolling parent.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #3, enrolled for over 60 days, did not include a health report.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The files for children #1, #2, #3,and #4 contained immunization records which lacked documentation of receiving the influenza vaccine in 2022. Written exemptions were not on file.

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).

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: An expired inhaler, intended for child #5, was observed in the medication box in the office. The medication expired November 2021.

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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: An inhaler, which was not labeled for a specific child was observed in the medication box in the office.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: An inhaler lacking the original packaging and label was observed in the medication box in the office.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During a diaper change, Staff #4 was observed opening the lid to the trash can with her hand while disposing of the soiled diaper. The pedal to open the hands free can could not be used due to being on the other side of a half wall.

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: The files for staff #1, and staff #3 through #13 contained documentation of completing the 1 hour training titled Pennsylvania Health and Safety Update 2022 after the 12/30/22 deadline as set forth in Announcement C-22-06. Current training is now on file.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff #2 contained an initial health assessment completed after their first day in a child care position. The health report on file is now current.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessments on file for facility persons #9 and #10 did not include the results of an examination for communicable disease.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for facility persons #9 and #10 did not include written references.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities, or children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff #1 lacked documentation of completing emergency plan training within the first 90 days of employment. Current training is now on file.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for facility persons #9 and #10, both volunteers, did not include completed NSOR clearances or completed disclosure statements. Facility persons #9 and #10 have not completed mandated reporter training from an approved source.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #9 and #10 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Based on documentation at the facility, staff evaluations are not currently conducted by the director. Staff currently complete self assessments.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Multiple cans of paint, labeled keep out of reach of children, were accessible to children in the activity room.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Tissues believed to be contaminated with human secretions were observed in an unlidded trash can in the OT/YPS room downstairs.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: Emergency phone numbers were not posted on or near a wireless phone observed in the OT/YPS room downstairs.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The toilet seat in the young toddler room was not securely attached to the toilet due to a broken connecting piece.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted in the diapering area in the young toddler room.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A collapsed shade canopy was observed in the sandy outdoor play space.

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: 3270.151(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 #3 did not contain a health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for staff #1, #2, and #3 did not contain written references.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 did not contain an application for or a completed child abuse clearance. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #1 may not work in a child care position at the facility.

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

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

Noncompliance Area: The files for staff #1 and #3, designated by the director as aides, did not contain high school diplomas or general educational development certificates.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was blue bin with dinosaurs by the infant room door that is cracked creating a pinching hazard. A blue bin holding connector toys had a broken lid creating a pinch point in the preschool room accessible to children. The sand table outside of the infant room had a broken edge creating a pinch point. There was a blue chair in the preschool room that has a missing screw in the seat creating a pinching hazard.

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(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #3 contained an emergency contact form that lacked the parents work address

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for child # 6 contained an emergency contact form that lacked Information on the child's special needs.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child # 2 contained an emergency contact form that lacked the 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(c)

Description: Each child care space

Noncompliance Area: The emergency contact forms for child #6, 7 and 8 were not present in the child care space where the children was 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: 3270.131(e)/3270.131(e)(1)

Description: ACIP recommended immunization record /Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #3 and 4 lacks documentation of a current influenza immunization as recommended by the ACIP.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.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: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Description: Age and Training

Noncompliance Area: The File for staff #1 has a current pediatric first aid and pediatric CPR that exceeded the renewal period of 60 months. Prior certificate was dated 1/7/17-1/7/19 and the current certificate is dated 1/30/21.

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

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The files for staff #1, #2, #3 and # 4 contained fire safety training that exceeded the one year renewal requirement: Staff #1-12/28/20 and 7/26/21; staff #2-most recent 12/21/20; Staff #3 most recent 1/7/21; and Staff #4- most recent date is 12/29/30

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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #2, contained a current FBI clearance. The previous FBI clearance on file is more than 60 months old. Prior is dated 12/1/15 and current is dated 1/31/21.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a toxic accessible to children in the preschool room on top of the microwave- hand sanitizer ultra-defense Sani-smart. The item stated 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: 3270.76

Description: Building Surfaces

Noncompliance Area: The rubber wall baseboard was loose and coming off the wall in two areas by the laundry door and the white shelf in the preschool 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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log exceed 60 days . 10/22/21-1222/21.

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 operator was not maintaining a written log for testing the fire detection system every 30 days.

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.