Hugs Away From Home Ii

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #1 did not include enrolling parent's work address and telephone number.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health assessment for child #2 is incomplete, lacking developmental screenings, title of medical practitioner, and date. The initial health assessment for child #4 is dated 4/25/25, which is more than 60 days after their date of enrollment (see LIS code sheet)

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 current health assessment for child #3 is dated 4/8/25, which is more than 12 months ago. The current health assessment for child #4 is dated 4/25/25, which is more than 12 months ago. (see LIS code sheet)

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: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for child #2, enrolled for more than 60 days (see LIS code sheet), does not include documentation of immunizations or an exemption letter. The file for child #3, enrolled for more than 60 days (see LIS code sheet), did not include either documentation of immunizations or an exemption letter. The file for child #4 included documentation of immunizations dated 4/25/25, which is more than 60 days after their date of enrollment (see LIS code sheet).

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.

Regulation: 3270.151(a)

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

Noncompliance Area: The current health assessment for staff #1 is dated 4/1/24, which is more than 24 months ago. The health assessment for staff #5 is dated 5/22/26, which is after the date they began working with children (see LIS code sheet). The health assessment for staff #7 is dated 2/8/24, which is more than 12 months prior to their date of hire (see LIS code sheet). The current health assessment for staff #8 is dated 6/3/26, which is more than 24 months after the previous one that is dated 5/20/24. The current health assessment for staff #11 is dated 8/21/23, which is more than 24 months ago.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The tuberculosis test for staff #5 is dated 5/22/26, which is after the date they began working with children (see LIS code sheet). The tuberculosis test for staff #7 is dated 2/8/24, which is more than 12 months prior to their date of hire (see LIS code sheet). The tuberculosis test for staff #11 is dated 4/12/08, which is more than 12 months prior to their date of hire.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Kitchen scissors were in the top drawer of sink cabinet accessible to children in Room 4.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Health and safety training for staff #6 is dated 3/27/26, which is more than 90 days after their date of hire (see LIS code sheet)

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Pediatric first aid and CPR for staff #6 is dated 5/29/26, which is more than 90 days after their date of hire (see LIS code sheet)

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The current PA State Police clearance for staff #1 is dated 8/5/25, which is more than 60 months after the previous clearance that is dated 7/22/20. The current DHS FBI clearance for staff #1 is dated 7/22/25, which is more than 60 months after the previous clearance that is dated 6/22/20. The current NSOR certificate for staff #1 is dated 1/27/25, which is more than 60 months after the previous certificate that is dated 1/13/20. The current PA State Police clearance for staff #2 is dated 8/6/24, which is more than 60 months after the previous clearance that is dated 8/1/19. The current Child Abuse clearance for staff #2 is dated 8/6/24, which is more than 60 months after the previous clearance that is dated 8/1/19. The current DHS FBI clearance for staff #2 is dated 9/3/24, which is more than 60 months after the previous clearance that is dated 8/27/19. The current Child Abuse clearance for staff #3 is dated 5/26/26, which is more than 60 months after the previous clearance that is dated 1/12/21. The current Child Abuse clearance for staff #4 is dated 7/31/25, which is more than 60 months after the previous clearance that is dated 7/23/20. The current NSOR certificate for staff #4 is dated 1/27/25, which is more than 60 months after the previous clearance that is dated 1/4/20. The current DHS FBI clearance for staff #8 is dated 5/27/26, which is more than 60 months after the previous DHS FBI clearance that is dated 5/4/21. The current NSOR certificate for staff #8 is dated 1/29/25, which is more than 60 months after the previous certificate that is dated 1/15/20. The current PA State Police clearance for staff #9 is dated 5/22/26, which is more than 60 months after the previous clearance that is dated 7/9/20. The current Child Abuse clearance for staff #9 is dated 7/15/25, which is more than 60 months after the previous clearance that is dated 7/10/20. The current DHS FBI clearance for staff #9 is dated 7/22/25, which is more than 60 months after the previous clearance that is dated 7/2/20. The current NSOR certificate for staff #10 is dated 4/5/21, which is more than 60 months age. The current mandated reporter training for staff #2 is dated 2/17/26, which is more than 60 months after the previous training that is dated 2/15/21. The current mandated reporter training for staff #4 is dated 11/29/25, which is more than 60 months after the previous training that is dated 11/28/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons #10 may not work in a childcare position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: NSOR clearances for three staff persons were obtained more than 60 months after the previous NSOR clearances were obtained. The dates for NSOR clearances for staff person #1 are 1/13/20 and 1/27/25. The dates for NSOR clearances for staff person #2 are 1/15/20 and 1/29/25. The dates for NSOR clearances for staff person #3 are 1/14/20 and 1/27/25.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: Child #1 had an initial health assessment dated 5/17/23, which is more than 60 days after the child's date of enrollment (see LIS code sheet).

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(e)

Description: ACIP recommended immunization record

Noncompliance Area: Written verification of immunizations for child #1 was dated 5/17/23, which is more than 60 days after the child's date of enrollment (see LIS code sheet).

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.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Staff person #1 did not have documentation of a tuberculosis screening at initial employment.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 did not include a disclosure statement. Staff person #1 had DHS FBI clearance dated 5/27/25, which is after their date of hire (see LIS code sheet). They had a Department of Education FBI clearance dated 9/4/24. Staff person #2 had current mandated reporter training dated 1/21/24, which is more than 60 months after the previous training dated 12/7/18.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The health report for Child #1 is dated more than six months past the initial health report. The records for Child #2 and Child #3 do not include health reports within 6 months of their initial reports.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The initial health assessment for Child #4 is not signed by a physician, physician's assistant, or CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The health report for Child #2 did not contain 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. The health report for Child #4 contains documentation for only one dose of the Hepatitis A 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).

Regulation: 3270.161(e)

Description: Fresh fruit/vegetables refrigerated

Noncompliance Area: Fresh fruit delivered the day prior to inspection was unrefrigerated in pre-k childcare space.

Correction Required: Fresh fruits and vegetables that are not used on the day of purchase shall be refrigerated.

Regulation: 3270.31(f)(10)

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

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): Pediatric First Aid and CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Exposed bolts were observed around the inside of the gate on the fence surrounding the outdoor play space that contains embedded equipment.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file of Child #1 and Child #2, enrolled more than 60 days at the facility, did not contain documentation of the second dose of HepA vaccination, as required based on the child's age as per the ACIP recommended schedule.

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 and Child #2 must be dismissed from care by the close of business 3/8/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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

Description: Age and Training

Noncompliance Area: 2nd citation: The last acceptable first-aid/CPR training in the file for staff person #2 was dated 2/28/21. Previously cited on 6/10/23.

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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The last health report in the file for child #1, a young toddler was dated 8/5/22.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The list of vaccinations in the file for child #1, a 16 month-old, was missing 1 of 2 Hep B, 1 of 2 DTAP, 1 of 2 HIB, 2 of 3 PCV and 1 of 2 polio and did not include a flu shot.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: In the plastic toy box in the outdoor infant gross motor space, there was a small bee hive with a live bee in it.

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

Regulation: 3270.24(f)

Description: Director ID

Noncompliance Area: The photo identification for staff person #3, the direcor, had expired 6/12/23.

Correction Required: A valid photo identification of the director or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

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

Description: Age and Training

Noncompliance Area: The last first-aid/CPR training in the file for staff person #2 was dated 2/28/21.

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(f)

Description: Health and Safety Training

Noncompliance Area: The 10-hour health and safety training in the file for staff person #2, hired on (SEE LIS CODE SHEET), was dated 2/25/23, which was beyond the first 90 days working with children.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The last two evaluations in the file for staff person #1 were dated 4/10/22 and 4/26/23.

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: In an unlocked cabinet near the television in the young preschool room, there was a can of Glade air freshener, which inluded instructions to keep out of the reach of children.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: In an unlocked cabinet near the television in the young preschool room, there was a spray bottle containing clear liquid mis-labeled "Odor eliminator," as that was not the name of the product.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the school-age building did not contain tweezers.

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 wall at which the door opens in the older infant room had a small hole from where the doorknob hits the wall, with a small screw protruding out.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 12:30 pm, one child in the older two's room had a blanket covering their face while they slept and 2 children in the young three's room that had a blanket covering their faces while they slept.

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: 3270.166(6)

Description: Infant/toddler - no bottle in mouth to sleep

Noncompliance Area: In the older infant room, an empty bottle was lying next to a young toddler who was sleeping. Based on conversation with staff, the child lied down on the mat for nap time with the bottle.

Correction Required: Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There were foam letters on a low shelf in the younger 2's room, making them accessible to the toddlers in the room. There were foam blocks on a low shelf in the older 2's room, making them accessible to the toddlers in the room.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: 2nd citation: At approximately noon on 1/6/23, staff person #6 was observed in the older 2 year-old room with 6 children, who were lying on rest equipment. The staff person was sitting on the floor with their back to the wall and their eyes were closed. This certification representative checked on the staff person 4 more times and their eyes remained closed and the individual hadn't moved at all. The director was in ratio so this certification representative went back to the oldder toddler room and when the room's gate was opened, staff person #6 opened their eyes. Previously cited on 11/10/22.

Correction Required: **The director will conduct and record random assessments of all classrooms at nap time, at least 3 times per week, for the next 4 months. The director will document all assessments in a log that includes the date, time, classroom, staff person's name(s), number and ages of the children. During the assessment, the operator will ask staff persons in each classroom to identify children for whom they are responsible and their ages. The log will be submitted to the Department for approval prior to implementation. The log will be made available to OCDEL-DHS representatives upon request.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: 2nd citation: At approximately noon on 1/6/23, staff person #6 was observed in the older 2 year-old room with 6 children, who were lying on rest equipment. The staff person was sitting on the floor with their back to the wall and their eyes were closed. This certification representative checked on the staff person 4 more times and their eyes remained closed and the individual hadn't moved at all. The director was in ratio so this certification representative went back to the oldder toddler room and when the room's gate was opened, staff person #6 opened their eyes. Previously cited on 11/10/22.

Correction Required: *** The legal entity will arrange for all staff persons to receive a minimum of 2 hours of online supervision training. The legal entity will be required to receive approval of the supervision training from OCDEL prior to scheduling the training. The legal entity shall send proof of the completion of the training to the certification representative within 7 days of completion. The training may count towards the mandatory 12 hours of annual training required by the Department.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: 2nd citation: At approximately noon on 1/6/23, staff person #6 was observed in the older 2 year-old room with 6 children, who were lying on rest equipment. The staff person was sitting on the floor with their back to the wall and their eyes were closed. This certification representative checked on the staff person 4 more times and their eyes remained closed and the individual hadn't moved at all. The director was in ratio so this certification representative went back to the oldder toddler room and when the room's gate was opened, staff person #6 opened their eyes. Previously cited on 11/10/22.

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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information in the file for child #1 did not include an address for one of the release persons.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The vaccinations in the file for child #1, a 9 month old, did not include evidence of a flu shot. The last flu shot documented in the file for child #2, a 20 month old, and child #3, a 28 month old, was dated in 2021. None of the files included written exemption statements by a parent.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not include information regarding continuity of operations.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The health assessment in the file for staff person #2 and #6 was dated after the individual began working with children. The last two health assessments in the file for staff person #3 were dated 6/28/18 and 12/3/21. The most recent health assessment in the file for staff person #7 did not include a date, so timeliness could not be assessed. The previous health assessment was dated 9/18/20. The last 2 health assessments in the file for staff person #8 were 7/3/18 and 1/14/22. The last two health assessments in the file for staff person #10 were dated 1/30/20 and 3/30/22.

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(c)(2)

Description: Mantoux TB

Noncompliance Area: The TB screening in the file for staff person #2 was dated after the individual began working with children.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The most recent health assessment in the file for staff person #7 did not include an examination for communicable disease and the results of that examination.

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The most recent health assessment in the file for staff person #7 did not include the physician or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: The following classrooms had flat screen televisions that were not anchored and within reach of the children, posing a potential tipping hazard: Older 1's, older 2's, younger 3's, the front preschool room and schoolage room. There was a pair of adult scissors observed in an unlcoked drawer at the first sink in the older 2's room, making them accessible to the children in the room.. There was a pair of adult scissors observed in an unlocked drawer at the middle sink in the younger 3's room, making them accessible to the children in the room.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The first emergency drill documented at the facility was 11/18/22.

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

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The last two fire safety trainings in the file for staff person #9 were dated October 2020 and October 2022. The individual was on leave from 7/1/21 to 1/31/22.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.31(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: Health and Safety training. The First-aid/CPR training in the file for staff person #1 was dated 10/4/22, which is more than 90 days after they began working with children. The health and safety training in the file for staff person #6 was date more than 90 days after they began working with children. The only acceptable first-aid/CPR training in the file for staff person #8, hired prior to 12/19/20, was dated 10/4/22.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #-1 will have until 2/15/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #-1may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The mandated reporter training in the file for staff person #1 was dated more than 90 days after they began working with children.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1, who was working with children more than 45 days, did not include a copy of an NSOR certificate. The last state police clearance in the file for staff person #9 was dated 7/14/16. There was proof of application for a new state police clearance dated 1/11/22, but no results.

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 and #9 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The last two evaluations in the file for staff person #9 were dated July 2020 and July 2022. The individual was on leave from 7/1/21 to 1/31/22.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: In the young infant room, there was a spray bottle containing clear liquid that was unlabeled. The staff person stated it was bleach water. In the school-age room, there was a spray bottle containing a blue liquid that was unlabeled.

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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: One of the trash cans in the men's bathroom in the school-age building was unlined and contained discarded paper towels.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was no handwashing sign at the toilet in the first staff of the men's bathroom in the schoolage building.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There were current testing reports for building 1 and 2, but there was no testing report for building #3.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately noon, staff person #1 and #2 were observed in the PreK classroom with 16 preschoolers, all lying on rest equipment. Because one child was partially lying behind furniture, neither staff person could see the child's face from where they were sitting. A few minutes later in the young 3's room, staff person #3 was present with 7 preschoolers who were all lying on their rest equipment. The staff person was standing at the front of the room, while at the same time, two children were lying on their rest equipment behind furniture at the back of the room and the staff person could not see either child's face.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: In the PreK classroom, in which 16 children were napping, there was a child sleeping in front of each of the two classroom doors.

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

Regulation: 3270.106(a)/3270.119

Description: Clean, age appropriate/Infant sleep position

Noncompliance Area: At approximately noon in the infant room, where staff person #4 was present with 3 infants, a 2 month-old was sleeping in a bouncy seat and a 4 month old was sleeping in a swing. The staff person stated that the 2 month old was asleep for appeoximately 2 minutes and the 4 month-old was asleep for approximately 10 minutes.

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. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 through #12 were observed to be caring for children unsupervised. Staff person #1 through #12 have not completed the following pre-service training required prior to caring for children unsupervised: FA/CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 though #12 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 #1 through staff person #12 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 through #12 has not completed the following required pre-service training within 90 days of their date of hire: FA/CPR training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 through #12 will have until 11-24-22 to complete the required training. Until such time as the required training has been completed, staff person #1 through #12 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 through #12, staff person #1 through #12 may not work in a child-care position at the facility.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The cots that were reported be used for the children in classroom #7 were observed to be unlabeled.

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: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The original agreements were observed to be on file for Children #1, #2, #3, #4 and #5.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #3 lacked the address of the child's physician.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Facility Person #2 lacked an updated health assessment that had been completed within the past 24 months.

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: 3270.163(a)(1)

Description: Dairy

Noncompliance Area: The children in classrooms #3 and #4 were not offered or provided a dairy with their lunch.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The file for Facility Person #3 lacked verification of child care experience completed by the experiential entity.

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: 3270.27(a)(1)/3270.27(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: The emergency plan on file lacked information related to lock down procedures and 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 shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.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(f)(10)

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

Noncompliance Area: The first aid and CPR on file for Facility Person #2 lacked verification that they had completed Pediatric first aid and CPR with an in-person training entity.

Correction Required: Pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The updates to their State Police and Child Abuse Clearance for Facility Person #1 exceeded 60 months.

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

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

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

Noncompliance Area: The updates to the Mandated Reporter Training for Facility Person #1 exceeded 60 months.

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: 3270.66(b)

Description: Original container

Noncompliance Area: In Classroom #9 an unlabeled spray bottle containing a cleaning solution was observed.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On the gate doors on the outdoor fenced in play spaces exposed bolts going into the play space were observed.

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 lacked proof of purchase of the interconnected fire detection system.

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.