Hope Academy Powered By Hosanna House

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

Description: Age and Training

Noncompliance Area: Staff person #1 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring (6/6/26). Documentation of updated Pediatric first aid and CPR training is not 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #2 contained a current State Police clearances dated 4/24/26 that was obtained after staff #2 start date. The file for staff #2 contained a current Child Abuse clearances dated 4/16/26 that was obtained after staff #2 start date. The file for staff #2 contained a current FBI clearances dated 4/20/26 that was obtained after staff #2 start date. The file for staff #2 contained a current NSOR clearances dated 4/17/26 that was obtained after staff #2 start date. The file for staff #3 contained a current NSOR clearances dated 6/11/26 that was obtained after staff #3 start date.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on the investigation, staff statements and footage reviewed staff #1 was observed lifting from under the arms child # 1 from the ground.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Based on, staff statements and footage reviewed staff #1 was observed lifting from under the arms child # 1 from the ground while yelling and making the statement " I'm not nice like the other teacher's, I'm not going to let you do whatever you want".

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Based on staff statements staff #1 was yelling at child #1 so hard that child # 1 wet himself. Staff # 1 told child #1." I'm not nice like the other teacher's, I'm not going to let you do whatever you want"

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #1 lacked a PA State Police clearance, an FBI clearance and an NSOR clearance. Facility person #1 has direct contact and routine interaction with children in 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 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 #1 may not work in a child care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were a broken bookshelf and broken clear bin in room 101. There was a broken garbage can in the girl's bathroom in the school age area. There was a cracked lid in the OT toddler room. There was a cracked blue lid in room 321. The was a damage green bench wall with exposed splinters in room 104.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator thermometer in room 321 was not operable.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #2 lacked work addresses and telephone numbers of the enrolling parent on the emergency contact form.

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 files for child # 1 and 4 lacked the 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, on the Emergency contact form.

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 # 3 lacked the health insurance policy number on the emergency contact form.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child # 7 a preschooler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the immunizations. The child start date was 11/8/24.

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

Regulation: 3270.131(b)(2)/3270.131(e)(3)

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

Noncompliance Area: The file for child # 2 a preschooler lacked an updated health report. The previous report was dated 7/31/24. The file for child # 8 a preschooler lacked an updated health report. The previous report was dated 5/14/24.

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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings)..Child # 2 and 8 must be dismissed from care by close of business 11/13/25 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma lacked the Child Maltreatment statement.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff # 1 contained a current health assessment dated11/7/25 It was not obtained within 24 months of the previous assessment dated 10/13/23. The file for staff # 2 contained a current health assessment dated 6/7/24. It was not obtained within 24 months of the previous assessment dated 3/17/22. . The file for staff # 4 lacked an updated health report. The previous heath report was dated 10/11/23. The file for staff # 11 contained a current health assessment dated 11/12/25. It was not obtained within 24 months of the previous assessment dated 6/29/23. The file for staff # 12 contained a current health assessment dated 6/8/24. It was not obtained within 24 months of the previous assessment dated 5/18/22.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility did not notify the local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare 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: 3270.192(2)(iii)/3270.192(2)(iv)

Description: Exp, educ., training at facility/Transcript, diploma and letters

Noncompliance Area: The files for staff # 7,8 and 10 lacked proof of education and verification of childcare experience.

Correction Required: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff # 5,7,8,9,10 and 11 lacked two written, nonfamily 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)(6)

Description: Emergency plan

Noncompliance Area: The facility lacked an annual emergency drill log.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: A copy of the facility emergency plan was not sent to the local municipality and the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

Description: Age and Training

Noncompliance Area: Staff person #-3 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 8/16/23. Current Pediatric first aid and CPR training is dated 11/11/25.

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

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

Noncompliance Area: The file for staff # 3 contained a current mandated reporter training certificate dated 11/11/25 that was not obtained within 60 months of the previous certificate dated 8/16/23. The file for staff # 6 contained a current mandated reporter training certificate dated 11/2/25 that was not obtained within 60 months of the previous certificate dated 7/27/20. Staff # 13 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/16/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #13 will have until 11/28/25 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #13 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 #13, staff person #13 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff # 4 contains a current State Police clearance dated 3/18/25.That was not renewed within 60 months of the prior State Police clearance dated 2/19/20. The file for staff # 10 lacked FBI clearance and the application.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was a power strip with 4 uncovered outlets in room 320 accessible to children 5 years of age or younger.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a hand sanitizer on top of a table by the entry door label " Keep out of reach of children" accessible to children. There was a hand sanitizer in room 319 label " Keep out of reach of children" accessible to children. There was a bag of wipes on top of the cubbies in room 308 label " Keep out of reach of children" accessible to children. There was a shea butter curling cream, Hyland's Kids cough & mucus, Vitamin A&D ointment, round lip moisturizer, an Epinephrine and an Albuterol in the cubbies in room 314 label " Keep out of reach of children" accessible to children.

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

Regulation: 3270.66(a)/3270.66(d)

Description: Locked or inaccessible/Toxic plants not permitted

Noncompliance Area: There were 4 trees of Euonymus alatus plants also known as burning bush consider toxic at the playground accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: There were 2 cleaners' bottles on top of the counter in the kitchen food preparation area in the school age kitchen.

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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was an unlidded garbage can that contains used plates, oranges, milk cartons, contaminated by human secretions on the hallway.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: Room 319 lacked a first aid kit.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit in room 102 was on top of a table accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in room 320 lacked scissors.

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: There was a damage ceiling tyle and broken floor tyle that creates a tripping hazard in the girl's bathroom in the school age area. There was an uncovers heater box in room 101.

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: The door in room 101 had peeling paint. There was peeling paint on the green countertop on the girl's bathroom sink in the school age area.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): · Get Started with Center-Based Care: Building Blocks for Quality (10 hours)

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 3 cracked bins in room 106 the Make a Space room. There were 2 cracked bins in room 101 the SA room. There was a cracked bin lid and a cracked bin in room 306 the kindergarten room. There was a cracked lid in room 308 the Pres k 3 room. There was a cracked bin in room 312 the Perk 2 room. There were 2 cracked bins and foam blocks with teeth marks in room 313 the OT room. There was a cracked bin in room 319 the Preschool room. There was a cracked bin and a cracked tray in room 320 the Pre k 1 room. There was a playground equipment rusted with rough, sharp metal edges.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The temperature in the room 319 the Preschool room refrigerator was 48 degrees.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for children # 1,2,3,4 and 5 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: Room 306 the kindergarten room lacked the emergency transportation plan.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child # 3 a preschooler contained a current health report dated 10/18/24 that was provided after 60 days. The child was in care longer that 60 days without initial health report. The child start date was 7/15/24.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child # 1 a preschooler contained a current health report dated 10/9/24. The report was obtained after 12 months from the previous report dated 8/21/23.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: There was a Neoprene and a Benadryl medication in the first -Aid kit in room 306 the kindergarten room that lacked the name of the child for whom the medication is intended.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: The Albuterol Sulfate medication for child # 8 was expired. The medication expiration date was 4/24.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: The operator was not maintaining a medication log for prescription medication, Albuterol HFA Ventolin for child #6. The operator was not maintaining a medication log for a prescription medication, Albuterol Sulfate for child # 7.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment lacked the child maltreatment statement.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff #6 contained a current health assessment dated 4/26/23. It was not obtained within 24 months of the previous assessment dated 2/3/21.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: There was a yogurt and a sandwich with lunch meat on top of the counter in room 306 the kindergarten room.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The file for staff # 7 lacked proof of education.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for staff # 2 and 3 lacked two written, nonfamily 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)(6)

Description: Emergency plan

Noncompliance Area: The facility emergency plan lacked documentation of the emergency drill.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The facility emergency plan was not reviewed within a year from the previous review. The review dates were 1/20/23-6/3/24.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for staff #1 and 5 lacked 12 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff # 4 contained a current State Police clearance dated 10/14/24 that was not renewed within 60 months of the prior State Police clearance dated 8/2/19.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was a multiplug with 3 uncovered electrical outlets in room 306 the kindergarten room accessible to children 5 years of age or younger. There was a multiplug with 2 uncovered electrical outlets in room 312 the PreK 2 room accessible to children 5 years of age or younger. There was one uncovered electrical outlet by the microwave in room 319 the Preschool room accessible to children 5 years of age or younger.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a Desitin diaper rash cream and an Aquaphor cream in the cubbies accessible to children in room 313 the OT 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(c)

Description: No insects or rodents

Noncompliance Area: There were gnats' insects in the OT room entrance and in the bathroom.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first - aid kit in room 308 the Pre K3 lacked tweezer.

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: The countertop in the after-school program boy's bathroom is damaged and exposing splinters.

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: There was peeling paint on the blue wall in the OT room. There was peeling paint on the playground equipment.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The after-school program girls bathroom lacked a washing hand signs.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *Based on a self-reported noncompliance and staff statements, on 7/31/24, 5-year-old child #1, was left unsupervised, on a nap mat in Room #10, for approximately 45 minutes. Staff #1, who was responsible for supervising child #1, did not see the child asleep on a mat, when she left the room with the other children to go to the outdoor play space. Another staff saw child #1 standing in the hallway unsupervised. The staff returned child #1 to staff #1 in the outdoor play space.

Correction Required: *The legal entity will schedule and participate in onsite technical assistance regarding supervision, including supervision during transitions. The technical assistance will be provided by ELRC 5. The Director and all staff will participate. Documentation of the completed technical assistance will be provided to the OCDEL-DHS representative by email upon completion.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on a self-reported noncompliance and staff statements, on 7/31/24, 5-year-old child #1, was left unsupervised, on a nap mat in Room #10, for approximately 45 minutes. Staff #1, who was responsible for supervising child #1, did not see the child asleep on a mat, when she left the room with the other children to go to the outdoor play space. Another staff saw child #1 standing in the hallway unsupervised. The staff returned child #1 to staff #1 in the outdoor play space.

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: Based on a self-reported noncompliance and staff statements, on 7/31/24, 5-year-old child #1, was left unsupervised, on a nap mat in Room #10, for approximately 45 minutes. Staff #1, who was responsible for supervising child #1, did not see the child asleep on a mat, when she left the room with the other children to go to the outdoor play space. Another staff saw child #1 standing in the hallway unsupervised. The staff returned child #1 to staff #1 in the outdoor play space.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: Based on a self-reported noncompliance and staff statements, on 7/31/24, 5-year-old child #1, was left unsupervised, on a nap mat in Room #10, for approximately 45 minutes. Staff #1, who was responsible for supervising child #1, did not see the child asleep on a mat, when she left the room with the other children to go to the outdoor play space. Another staff saw child #1 standing in the hallway unsupervised. The staff returned child #1 to staff #1 in the outdoor play space.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: *On 7/25/24 at approximately 9:00 am, staff #1 was supervising 11 preschool aged children at the restroom, located outside of the classroom. Staff #1 was in the hallway directly outside of the restroom while 6 of the children were in the restroom and the other 5 children were waiting in the hallway.

Correction Required: *The legal entity will require all staff persons at the facility to attend, a minimum 2 hour training regarding supervision and ratio, within 1 month of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Documentation of the completed training will be provided to the OCDEL-DHS representative by email upon completion. The training may count towards the mandatory 12 training hours required by the Department.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 7/25/24 at approximately 9:00 am, staff #1 took a group of 11 preschoolers to the bathroom. CR observed staff #1 on the hallway waiting outside the restroom with 5 preschoolers and the other 6 children were in the restroom. CR asked staff #1 if she was alone caring for the 11 children and staff #1 confirmed.

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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: It was self-reported and verified through staff interviews that staff person #1 used physical punishment when they struck child #1 on the back side while providing care in the Toddler 2 room on 11/22/2023.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a broken garbage can lid, on the gray, Rubbermaid trash container, located in the playground area, created a scraping/cutting hazard for children in care. There were several green and red sections, of the playground surface, that were deteriorated/peeling/unsecured/peeling, which created tripping and choking hazards for children in care. There was a cracked clear bin in Pre k 3 room.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in Preschool 1 room lacked a thermometer. The refrigerator in the toddler two room contained sticky yellow and pink spots.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.108(c)

Description: No styrofoam

Noncompliance Area: There was a bag of styrofoam cups in the Pre k 3 cabinet.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Around 8:35am on 11/15/23, 3 children were observed to be unsupervised in the hallway between the Preschool 1 room and the bathroom. Staff # 8 was in the bathroom with a group of 7 preschoolers, unaware of the 3 children sent from the preschool room. Staff # 9 sent the 3 children alone to the bathroom and the children stay in the hallway playing together, until Staff # 8 was notified by the certification representative, that the children were playing in the hallway unsupervised. CR also, asked staff # 9 to not sent children to the bathroom unsupervised.

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: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: The file for child # 2 lacked the emergency contact information, who shall be contacted in an emergency on the Emergency contact form.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for children # 1,2,3 and 4 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form. The files for children # 5 lacked the work telephone numbers of the enrolling parent on the emergency contact form.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The files for child # 1, 2,3 and 5 are missing a dose of the influenza vaccine.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child # 1,2,3 and 5 must be dismissed from care by close of business 11/14/23 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: There was a yogurt in a backpack in the Pre k 3 room.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff #7 contained a current Emergency Plan training dated 8/16/23, that was updated after a year from the previous Emergency Plan training dated 6/6/22.

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(f)

Description: Health and Safety Training

Noncompliance Area: The files for staff # 5 contained a current Pediatric First Aid and Pediatric CPR certificate that was taken after 90 day of initial employment. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. The certificates for staff # 5 is date 8/16/22.. The files for staff # 7 contained a current Pediatric First Aid and Pediatric CPR certificate that was taken after 90 day of initial employment. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. The certificates for staff # 7 is date 1/27/22.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

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

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

Noncompliance Area: The file for staff # 1 contained a current mandated reporter training certificate dated 2/27/20 that was not obtained within 60 months of the previous certificate dated 1/5/15. The file for staff # 2 contained a current mandated reporter training certificate dated 3/20/23 that was not obtained within 60 months of the previous certificate dated 2/19/18. The file for staff # 4 contained a current mandated reporter training certificate dated 8/21/22 that was not obtained within 60 months of the previous certificate dated 6/5/17.

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 childcare 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 # 6 contained a current State Police clearance dated 6/22/21. Staff #6 began employment prior to 6/22/21. The file for staff # 6 contained a current Child Abuse clearance dated 7/21/21. Staff #6 began employment prior to 7/21/21. The file for staff # 6 contained a current FBI clearance dated 10/25/21. Staff #6 began employment prior to 10/25//21. The file for staff # 6 contained a current NSOR clearance dated 6/23/21. Staff #6 began employment prior to 6/23/21. The file for staff # 7 contained a current State Police clearance dated 9/2/21. Staff #6 began employment prior to 9/2/21. The file for staff # 7 contained a current Child Abuse clearance dated 9/7/21. Staff # 7 began employment prior to 9/7/21. The file for staff # 7 contained a current NSOR clearance dated 9/10/21. Staff # 7 began employment prior to 9/10/21.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There were 2 uncovered outlets in Preschool 1 room, 1 uncovered outlet in Pre k 3 room, a large, black outlet, in room 104, on the wall under the pool table cue sticks that did not contain a protective cover, 5 uncovered outlets between the hanging, wall monitors, and 1 uncovered outlet in room 15 accessible to children 5 years of age or younger.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a backpack in a toddler two-room cubby that contained a Diaper Rash Ointment cream label " keep out of reach of children " accessible to children. There was a backpack in a cubby in the Pre-K 3 room that contained Tylenol and Benadryl accessible to children. There was a Lysol Disinfectant can, located on a metal storage cart in room 104, labeled "Keep out of reach of children," accessible to children. The unlocked office, in the Makers' Space Room, contained: Dynaflex Sealant, 10.1. fl. Oz., Clorox Cleaner Bleach, 24 oz., Pine-Sol, 28 oz. Gorilla Wood Glue, 18 fl. Oz. , Dawn Dishwashing Liquid, 7 fl. oz. label "Keep out of reach of children," and were accessible to children in care. The unlocked storage room, in the Makers' Space Room, contained (6) gallon cans of paint labeled, "Keep out of reach of children," and were accessible to children in care. An open cardboard box with nine (9) paint containers of varying sizes, labeled, "Keep out of reach of children," and were accessible to children in care.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water in the Pre k 4 room sink exceeded 110° F, the water temperature was 113.9° F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit, in Room 101, lacked scissors and soap. The first-aid kit, in Room 104, lacked rubber gloves.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The toilet handle in the toddler 2 room bathroom was damaged creating a sharp edge. The pipes under the sink in the toddler 2 room bathroom appeared to be corroded.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 8/17/23 to 9/18/23 and 9/18/23 to 10/27/23..

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.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: There were two Albuterol Sulfate inhalers that were not label with the names of the children whom the medication was intended for. The medication was intended for child # 2 and 3.

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(7)

Description: Medication log

Noncompliance Area: The operator was not maintaining a medication log for the prescription medications, Epinephrine 0.3 and Albuterol Sulfate inhalers for children #1, 2, and 3.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff # 1 lacked a Child Abuse clearance. The prior Child Abuse clearance was dated 7/9/18.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: One clear plastic storage bin and lid containing markers and dry erasers were observed to be cracked in the PreK-3 room exposing the children to 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: The diaper changing pad was observed to be torn exposing the children to foam interior and poses a choking hazard to the children in the room who are still placing objects in their mouths in the Toddler 1 room.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The rest equipment in the Toddler 2 room and PreK-5 room was observed to lack labels with the names of specific children in care.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the PreK-5 room was observed to lack an operating thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for children #1, #2, #3, #5, #6, #7, #8 and #9 lacked the enrolling parent's work address. The emergency contact form on file for children #1, #2, #3, #4, #5, #6, #7, #8 and #9 lacked the enrolling parent's work telephone number.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact forms on file for child #1, #2, #3, #4, #5, #6, #7, #8 and #9 lacked information of the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed for an emergency.

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: 3270.131(a)

Description: Health information

Noncompliance Area: The files for children #2 and #3 lacked an initial health report within 60 days following the first day of attendance at the facility.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Soiled diapers were observed to be discarded in a trash can that was not a plastic-lined, hands-free covered can in the Toddler 2's bathroom.

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 emergency plan for the facility lacked requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster).

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 person #1 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification. The health assessments on file for staff #1 are dated 10/16/20 and 10/17/22.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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(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 #6 lacked documentation of a health assessment conducted within 12 months prior to providing initial service in a child care setting.

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.