Jack & Jill Nursery

Regulation: 3280.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for Child # 4 did not include an immunization record or a letter of exemption.

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: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: Facility records did not include an Annual Emergency Drill Log as required.

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

Regulation: 3280.33(a)

Description: Each staff person meets quals

Noncompliance Area: The file for Staff #1 did not contain documentation to verify the staff person's childcare work experience amount met the requirements for the position in which staff person #1 was performing. At the time of inspection, Staff #1's file contained verification of 2,440 hours of childcare work experience and this staff was working as a primary staff person.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Regulation: 3280.95(b)

Description: Staff responsibility

Noncompliance Area: Fire detection device log indicated a test was conducted on 10/17/25 and that the next test was conducted 12/14/25. Fire detective device testing was not completed timely.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: During the time of inspection, it was observed that there were multiple ceiling tiles with water marks on them around the light in the back room.

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

Regulation: 3280.95(b)

Description: Staff responsibility

Noncompliance Area: Documentation of the alarm testing on file showed that the alarm was tested on September 17, 2025 but not in October.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3280.105(j)

Description: Prohibit items in crib

Noncompliance Area: During the time of inspection, it was observed that there was a pacifier attached to a clip in a crib while an infant was sleeping. The clip was removed during the inspection.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Regulation: 3280.123(b)/3280.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: Documentation of the original agreement was on file for child 1 and child 2. This was corrected during the inspection.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Documentation of the emergency contact information on file for child 2 did not include the phone number of the child's physician or source of medical care.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Documentation of the emergency contact information on file for child 1, did not include the health insurance policy number.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Documentation of the emergency evacuation plan on file did not include a Continuity of Care Plan. This was corrected during the inspection.

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: 3280.166(4)

Description: Bottles labeled

Noncompliance Area: During the time of inspection, it was observed that bottles weren't labeled with the child's name. This was corrected during the inspection.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: Documentation of the emergency evacuation plan of file did not include accommodations for infants. This was corrected during the inspection.

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

Regulation: 3280.123(b)/3280.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The original agreement was on file for child 2.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: Documentation of the emergency contact information on file for child 1 was updated more than 6 months of the original date. Documentation of the agreement on file for child 1 was not updated within the last 6 months of the original date.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3280.131(b)(2)/3280.182(1)

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

Noncompliance Area: Documentation on file for child 2 did not include an updated health report. The most recent health report on file was dated 5/9/23.

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. A child's record must contain initial and subsequent health reports.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: Documentation on file for staff member (volunteer) 3 did not include a health assessment or TB test.

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: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: Documentation of the training regarding the emergency plan was not on file for staff member 1, staff member 2 and staff member 3. This was corrected during the inspection.

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.

Regulation: 3280.26(e)

Description: Letter to parents

Noncompliance Area: The facility did not have the parent letter that explains the emergency procedures on file.

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

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: Documentation of the first aid/CPR certificate on file for staff member 1 was renewed after the expiration of the most current certification. Current certificate expired 1/23/24 and was renewed on 2/10/24.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Documentation on file for staff member 3 did not include a signed disclosure statement.

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: 3280.76

Description: Building Surfaces

Noncompliance Area: During the time of inspection, it was observed that a ceiling tile toward the front of the facility and another ceiling tile towards the rear of the facility that had water marks on them.

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: 3280.123(b)/3280.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The original agreement was on file for child 1, child 2, child 3, child 4 and child 5.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3280.131(d)(5)/3280.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: Documentation of the influenza vaccine was not on file for child 2, child 3, child 4 and child 5.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Documentation of the emergency evacuation plan on file didn't include the continuity of operations plan. The continuity of operations plan was added to the emergency evacuation plan during the inspection.

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: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact information and financial agreement on file for child 2 and child 3 did not include a 6-month review.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the time of inspection, it was observed that instructions for contacting the appropriate regional child care office was not available for parents. Contact information for the appropriate regional child care office was posted during the inspection.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: Documentation of completing an annual emergency drill was not on file.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Documentation of the child abuse clearance on file for staff member 1 was not completed within the 45 day provisional hire period. Documentation of the mandated reporter training on file for staff member 1 was not completed within the first 90 days of hire. Documentation of the disclosure statement on file for staff member 1 was not signed by a witness. The disclosure statement for staff member 1 was signed by the primary staff member during the inspection.

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: 3280.74

Description: Emergency Numbers Posted

Noncompliance Area: During the time of inspection, it was observed that the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted by each telephone in the facility.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency Contact form for child number 2 and 3 did not contain a complete parent work and home address.

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

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact form for child number 1, 2, and 3 did not have a complete address for persons to whom the child may be released.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person number 1 had a previous state police clearance dated 4/12/17 and updated on 7/20/22, which is greater than 60 months. Staff person number 2 had a disclosure statement did not contain a date of signature or a witness signature.

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: 3280.76

Description: Building Surfaces

Noncompliance Area: The green shelf in the play area across from the play kitchen was observed to be dusty. On the outdoor playground., the green and black rubber mat was observed to be sticking up, causing a tripping hazard in a walkway. On the outdoor playground, the bottom row of the retaining fence was observed to be in bad repair.

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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: Fire detection testing was not completed within 30 days on multiple occasions. Tested on 9/14/21 and again 10/27/21. Tested 11/2/21 and again on 12/29/21. Tested 1/10/22 and again on 2/18/22. Tested 3/8/22 and again on 4/19/22. Tested on 5/5/22 and again on 6/27/22

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.