Jewish Community Center

Regulation: 3270.79

Description: Firearms

Noncompliance Area: Based on the facility's self-report, on 8/13/26, Staff Person #1 accidentally left their handbag unattended outside of Room P. When staff observed the unattended handbag, they notified Security, who immediately removed the handbag from the child care center. Upon inspection of the handbag, they discovered a firearm belonging to Staff Person #1.

Correction Required: Weapons, firearms and ammunition are prohibited in a child care center.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In Room H, children's rest mats were not labeled for the use of a specific child. The rest mats were identified only by numbers and did not contain a list or chart assigning each numbered mat to a specific child.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form in the file for child #1 did not contain the parent's work telephone number. The emergency contact form in the file for child #8 did not contain the 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present in Room F for eight children observed to be receiving care.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The emergency contact and financial agreement forms in the files for children #1, #2, #3, #4, #5, #6, #7, #8, and #9 have not been reviewed or updated by the parent within the last 6 months.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child #3 contained an initial health report dated 12/19/25 but was not within 60 days following the child's first day of attendance.

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)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The file child #10, who is infant age, did not contain a health report within the last 6 months. The most recent health report on file was dated 12/17/25.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: In the children's restroom in Room G, a soiled pull-up was observed in a plastic-lined waste receptacle that was not equipped with a lid or hands-free.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff Person #7 contained health assessments dated more than 24 months apart (7/5/23 and 11/15/25).

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #8 contained documentation of emergency plan training on 6/16/26 but was not at the time of initial employment.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #7 lacked 4 of their 12 hours of child care training in their respective training year.

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

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

Description: Age and Training

Noncompliance Area: Staff person #3 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 6/30/26. The file for Staff Person #11 contained pediatric first aid/CPR training that was not renewed before the expiration date of the most current certification (10/10/23 and 1/23/26). The file for Staff Person #13 contained pediatric first aid/CPR training that was not renewed before the expiration date of the most current certification (8/17/23 and 10/15/25).

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff Persons #1, #2, #3, #12 and #13 contained fire safety trainings dated more than 12 months apart.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff Person #10 contained pediatric first aid/CPR training dated 4/3/26 but did not complete within 90 days of hire.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #9 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR and PA Required Health and Safety for Child Care Centers-Groups Part 1 and Part 2.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required trainings have been completed, Staff Person #9 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 #9, Staff Person #9 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #5 contained FBI clearance results and Mandated Reporter training that were not renewed prior to the expiration date of the most current certification. FBI clearance results: 7/29/20 and 8/6/25. Mandated Reporter training: 5/11/20 and 8/15/25. The file for Staff Person #6 contained Mandated Reporter training that was not renewed prior to the expiration date of the most current certification (5/29/20 and 9/2/25).

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff Person #1 contained a written evaluation dated 11/19/25 but was not within one year of their date of hire. The files for Staff Persons #3 and #4 contained a written evaluation dated 11/20/25 but was not within one year of their date of hire. The file for Staff Person #5 contained written evaluations dated more than 12 months apart (1/3/24 and 11/20/25). The file for Staff Person #12 contained a written evaluation dated 11/24/25 but was not within one year of their date of hire.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed an exposed and protruding bolt on the door to a child's cubby in the hallway outside of Room H.

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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The children's restroom between Room J and Room K was not equipped with a lidded waste receptacle.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Facility files contained documentation of conducting fire drills that exceeded 60 days between drills from 12/3/25 to 2/11/26 and 2/11/26 to 6/4/26.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Facility files contained documentation of testing the fire detection system that exceeded 30 days between testing from 3/4/26 to 4/5/26 and 5/4/26 to 6/8/26.

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(b)

Description: No physical punishment

Noncompliance Area: Based on staff statements and a review of video footage, Staff Person #1 demonstrated aggressive behavior by grabbing and pulling children by their arms to gain their attention. At approximately 12:20 p.m. on March 13, 2026, video footage shows Staff Person #1 holding Child #1 and throwing the child onto a mat, resulting in the child hitting a foot against a storage shelf. It was also observed that Staff Person #1 began to roughly pat the child on the back while the child was screaming and crying, used physical force to reposition the child, including placing an arm across the child's body, and continued repositioning, including turning the child onto a side.

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Based on staff statements and a review of video footage, Staff Person #1 demonstrated aggressive behavior by grabbing and pulling children by their arms to gain their attention. At approximately 12:20 p.m. on March 13, 2026, video footage shows Staff Person #1 holding Child #1 and throwing the child onto a mat, resulting in the child hitting a foot against a storage shelf. It was also observed that Staff Person #1 began to roughly pat the child on the back while the child was screaming and crying, used physical force to reposition the child, including placing an arm across the child's body, and continued repositioning, including turning the child onto a side.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On February 9, 2026, at approximately 9:50 a.m., 3 staff persons and 8 children (4 infants, 4 young toddlers) were observed in Room Q-Infants. When asked to identify their assigned group of children to supervise, Staff Person #15 identified 4 children (2 infants and 2 young toddlers), Staff Person #7 identified 2 children (2 young toddlers), and Staff Person #4 stated they were not assigned a group of children to supervise. As a result, 2 children (both infants) were not accounted for.

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: 3270.133(1)

Description: Original container

Noncompliance Area: The first aid bag located in Room N contained an albuterol inhaler and an EpiPen prescribed for Child #1; however, neither medication was stored in its original container. The first aid bag located in Room J contained an EpiPen prescribed for Child #2; however, the medication was not stored in its original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: An albuterol inhaler prescribed for Child #3 was observed in the first aid bag in Room M; the medication had expired in 08/2025.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #14 was observed to be caring for children unsupervised. Staff person #14 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first aid/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 training is completed, Staff Person#14 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 persons available to supervise Staff Person #14, Staff Person #14 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff Person #3 contained a health assessment dated 9/2/25 but was after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #6 contained a health assessment, dated 1/4/26 with no name on the form; therefore, a determination could not be made that Staff Person #6 had a health assessment conducted at initial employment.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #8 contained one written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for Staff Persons #3, #9, and #11 did not contain emergency plan training at initial employment.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

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

Description: Age and Training

Noncompliance Area: Staff Person #14 does not have current pediatric first aid/CPR training. This is evidence by the previously documented pediatric first aid/CPR training expiration date of 10/31/25.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff Persons #1, #5, #7, #12, #13 have not completed the following required pre-service training within 90 days of their date of hire (See LIS Code Sheet): Pediatric first aid/CPR. The file for Staff Person #4 contained pediatric first aid/CPR training dated 2/3/26 but was not completed within 90 days of their date of hire (See LIS Code Sheet). The files for Staff Persons #7 and #12 contained documentation of completing the PA Required Health and Safety for Centers-Group Part 2 training but the training was not completed within 90 days of 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files for Staff Persons #2 and #9 contained signed Disclosure Statements but were dated after the staff person's first day working in a child care setting (See LIS Code Sheet). The files for Staff Persons #10 and #11 contained signed Disclosure Statements but were dated more than 180 days prior to the staff person's first day working in a child care setting (See LIS Code Sheet).

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 lived in Maryland during the previous 5 years of employment, lacked the out of state's Child Abuse and Sex Offender clearances as required under CPSL prior to working in a child care setting (See LIS Code Sheet). The file for Staff Person #3, who lived in New Jersey and Georgia during the previous 5 years of employment, lacked the out of state's Child Abuse and Sex Offender clearances as required under CPSL prior to working in a child care setting (See LIS Code Sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #1, #3 may not work in a child care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Two electrical outlets in the Gym that were accessible to children 5 years of age or younger lacked protective receptacle covers.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Facility files did not contain documentation of conducting a fire drill within the last 60 days. The most recent documented fire drill was on 12/3/25.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Facility files did not contain documentation that the fire detection system has been tested every 30 days.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In Room Q-Infant, two cribs that were observed to be in use lacked at least 2 feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

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

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

Noncompliance Area: *SECOND VIOLATION The file for Staff Person #1 (identified as an Aide) contained documentation of a foreign transcript that has not been translated and evaluated to determine the staff person's qualifications. Previously cited on SIN-00269387 on 7/16/25. The files for Staff Persons #2 and #3 are now current.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The diapering pads in Rooms G and P were observed to be ripped, exposing the interior. The foam climbing blocks in Room Q were observed ripped on the corners, exposing the interior. The folding mat in the Gym was observed to be ripped around the edges, exposing the interior. As a result, the diapering pads, climbing blocks, and folding mat were not in good repair.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In Room Q, several cribs and resting mats that were observed to be in use were not labeled with the child's name and used only by the specified child.

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: 3270.115(a)(5)

Description: Staff:child ratios while swimming

Noncompliance Area: At approximately 10:20 AM, 4 staff persons and 14 children were observed at the indoor swimming pool. When asked to identify their assigned group of children to supervise in the swimming pool, Staff Person #3 identified 6 preschool aged children and Staff Person #5 identified 8 preschool age children, resulting in Staff Persons #3 and #5 not in the required staff to child ratio.

Correction Required: The staff-child ratios while children are swimming are Infant 1:1; Young or older toddler 1:2; Preschool 1:5; Young school-age 1:6; Older school-age1:8.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The emergency contact forms and the financial agreement forms in the files for children #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 have not been reviewed and updated by the parent within the last 6 months.

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

Regulation: 3270.151(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 #9 contained documentation of a health assessment dated 8/15/24 but was after the staff person's date of hire (See IS Code Sheet). The two most recent health assessments in the file for Staff Person #13 are dated more than 24 months apart: 4/6/23 and 6/24/25. The files for Staff Persons #10 and #12 did not contain documentation of a health assessment conducted within the last 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. 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 file for Staff Person #9 contained documentation of TB screening dated 8/15/24 but was after the staff person's date of hire (See IS Code Sheet).

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #8 did not contain documentation of emergency plan training within the last 12 months. The file for Staff Person #16 contained documentation of emergency plan training dated 6/30/25 but was not within 90 days of hire (See IS Code Sheet).

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The parent letter explaining the emergency procedures did not contain information on emergency procedures for shelter in place, lockdown, method to contact families when an emergency has ended, and accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

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

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

Description: Age and Training

Noncompliance Area: The files for Staff Persons #7 and #11 contained documentation of pediatric first aid/CPR training that was not renewed before the expiration date of the most current certification. Staff Person #17 does not have current pediatric first aid/CPR training. This is evidenced by the previously documented pediatric first aid/CPR training expiration date of 1/31/2025.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff Persons #7 and #10 did not contain documentation of fire safety training within the last 12 months. The file for Staff Person #17 contained documentation of fire safety training dated 8/13/24 but was not within 12 months of their date of hire (See IS Code Sheet).

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(e)(4)(iv)/3270.115(a)(8)

Description: Water safety/Included in ratio/annual training

Noncompliance Area: Staff Persons #3, #5, #6, and #10 have not had water safety training within the last 12 months and were observed at the indoor pool counted in the staff-child ratio.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff Person #5 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file at the time of inspection being dated 5/29/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been 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 persons available to supervise Staff Person #5, Staff Person #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #6 contained documentation of NSOR clearance results that was not renewed before the expiration date of the most current certification: 6/22/20 and 6/30/25. The file for Staff Person #9 contained documentation of clearance results for the state of North Carolina, where the staff person resided within 5 years prior to employment, dated 8/13/24 which was after the staff persons date of hire (See IS Code Sheet). The file for Staff Person #14 contained documentation of PA State Police clearance results that was not renewed before the expiration date of the most current certification: 5/20/19 and 4/9/25.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #6 was observed to contain documentation of mandated reporter training being completed more than 60 months apart: 5/28/20 and 6/26/25.

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 #4 does not contain documentation of current NSOR clearance results. The NSOR clearance results on file for Staff Person #4 was observed to have expired on 7/9/25. The file for Staff Person #15 does not contain documentation of FBI and NSOR clearances results. The documents in the file were not readable to determine the individual's name and the results of each clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #4 and #15 may not work in a child care position at the facility.

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

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

Noncompliance Area: The files for Staff Persons #1 and #2 (identified as Aides) and Staff Person #9 (identified as an Assistant Group Supervisor) contained documentation of foreign transcripts that have not been translated and evaluated to determine the staff person's qualifications.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for Staff Persons #8, #10, and #17 did not contain documentation of a written evaluation within the last 12 months.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In Room Q, handwashing signs were not posted near the diapering area and sink.

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: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The facility's fire drill log contained documentation of conducting fire drills 4/15/25, 5/29/25, and 6/27/25 but the hypothetical location of the fire was not rotated around the facility.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility's documentation of testing the fire detection system exceeded 30 days between testings from 4/15/25 to 5/29/25.

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

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: According to staff statements, in August of 2023 there was an incident between child #1 and child #2 in the three-year-old room. Staff reported the incident to staff person #1, who is the supervisor, that gave instructions not to complete an incident report form to give to the parents of child #1 and child #2 because it would ruin rapport with the families.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the Infant room, two cribs in use were observed not to have at least 2 feet of space between them.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 7/16/24 at approximately 1:45pm, staff persons #2, #7 and #8 were observed caring for 13 children in the infant room during nap time. Staff person #2 was observed sitting on the floor positioned with their back towards two infant children observed sleeping in their cribs and was unable to properly supervise the children. Staff person #7 was observed positioned on the floor, and their vision was blocked by a wall which resulted in staff person #7 not being able to properly supervise the same two children in their cribs. At approximately 1:55pm, staff person #2 was observed changing an infant's diaper with their back turned away from two children observed on the floor and was unable to properly supervise the children in their assigned group.

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(f)/3270.181(c)

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

Noncompliance Area: The emergency contact form in the file for child #2 has not been reviewed by the parent within the last 6 months.

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

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

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

Noncompliance Area: The two most recent health reports on file for child #1 and #2, who are preschool aged, are dated more than 12 months apart. Child #1: 10/28/22 and 6/17/24. Child #2: 2/10/23 and 4/17/24.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not include a plan for Continuity of Operations in an emergency.

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 two most recent health assessments on file for staff person #1 are dated more than 24 months apart: 11/11/21 and 12/29/23.

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)(1)

Description: Physical examination

Noncompliance Area: The health assessment on file for staff person #3 did not include a physical examination.

Correction Required: An adult health assessment must include a physical examination.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment on file for staff person #1 did not include an examination for communicable diseases 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: 3270.21

Description: General Health and Safety

Noncompliance Area: In the Infant room, loose crib sheets were observed in cribs in which infants were sleeping in.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The two most recent emergency plan trainings in the file for staff person #4 are dated more than 12 months apart. Staff person #4: 3/31/23 and 6/11/24.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 completed the following required pre-service trainings but were not completed within 90 days of their date of hire (see LIS code sheet): Health & Safety (7/3/24) and Pediatric First Aid/CPR (6/23/24).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 has not completed the following required pre-service trainings within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR and Health & Safety.

Correction Required: Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2 will have until 8/31/24 to complete the required trainings. Until such time as the required trainings have been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required trainings related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations in the file for staff person #4 are dated more than 12 months apart. Staff person #4: 9/27/21 and 6/17/24. The file for staff person #6 has documentation of an evaluation completed on 6/17/24 but was not within 12 months of hire.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Infant room did not contain soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement forms on file for children #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 lacked an Operator's signature

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement forms on file for children #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 lacked the fee amount to be paid.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement forms on file for children #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 lacked the date of admission for the child.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: The emergency contact form for Child #8 lacked the telephone number for the emergency contact person listed.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for Child #6, preschool age child, lacked an updated health report that had been completed within the last 12 months. The most recent health assessment on file for Child #6 was dated 7.7.21.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The files for Children #6 and #8 lacked verification that the child had received an annual influenza vaccination as recommended by the ACIP. The last documented influenza vaccination for Child #6 was dated 9.24.20 and the last documented influenza vaccination for Child #8 was dated 10.29.21.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.133(6)/3270.133(7)

Description: Written consent/Medication log

Noncompliance Area: The facility was observed to have an Epi-pen medication for child #12, but no written consent, or medication log for administration was present in Child 12's file.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.133(8)

Description: Special diet - parent's instructions

Noncompliance Area: The facility was observed to have postings, and packets relative to a special thickened liquid diet for child #11, but no written instructions or written consent from the parent was observed to be present in child # 11's file.

Correction Required: If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for Staff Persons #1, #5 and #14 lacked completion of the required health and safety training within 90 days of starting at the facility (refer to LIS Code Sheet).

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 health assessment on file for Staff Person #8 lacked a date of examination to verify that the examination had been completed within 12 months prior to starting at the facility. The file for Staff Person #11 lacked an updated health assessment that had been completed within the last 24 months. The most recent health assessment on file for Staff Person #11 was dated 7.22.21.

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: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The health assessment on file for Staff Person #6 lacked a signature that included the individual's professional title.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The updates to the emergency contact forms for Children #1, #2, #3, #4, #5, #6, #7 and #8 exceeded 6 months between updates occurring in August 2022 and August 2023. The files for Children #1, #2, #3, #5, #6 and #8 only contained a recent agreement from August 2023. Prior agreements were not on file to verify that they had been updated at least once in the prior 6 months. The agreement forms on file for Children #4, #7 and #10 lacked a date to verify when the form had been completed.

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

Regulation: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: The facility was observed to be storing child files in an open, unlocked or restricted area of the facility.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #6 lacked one of their two written, nonfamily reference letters.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan does not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.27(d)

Description: Plan posted

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

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for Staff Person's #3, #4, #7 and #13 lacked 7.5 of their 12 hours of child care training in their respective training year (12.19.21-12.18.22).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The Disclosure Statements on file for Staff Person #2 and #12 lacked a date. The file for Staff Person #2 also lacked page 1 of the Disclosure Statement. The file for Staff Person #15 lacked a signed Disclosure Statement.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff Person #9, #10 and #11 lacked a written staff evaluation and the Staff have exceeded 12 months at the facility (refer to LIS Code Sheet). The file for Staff Person #13 lacked a written staff evaluation that had been completed within the last 12 months. The most recent assessment was labeled "Year End 2020", but no date was on the evaluation to verify when it was completed.

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: The Facility was observed to have two spray bottles that contained a clear liquid but failed to possess a label or otherwise identify the contents. A blue and white spray bottle was observed in the Q room, and a clear with black combs and scissors design spray bottle was observed in the F room.

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

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: The facility was observed to have 2 toxic plants. A Monstera plant was observed in Room P, and a rubber plant was observed in room J.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.81

Description: Glass

Noncompliance Area: Every childcare space in the facility was observed to have a door with glass located in the traffic area that failed to have a visual strip or other visual identification.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The facility was observed to have a toilet in their K room that failed to have a hand washing sign posted at the toilet.

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)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 12:05 p.m. in the toddler room on 4/5/23, staff persons #4 and 5 were supervising 9 older toddlers. Staff # 4 stated they were supervising 5 older toddlers. Staff #5 stated they did not know whom they responsible for because another unknown staff person left the room and did not transfer the supervision cards to help establish the group.

Correction Required: ****The Director shall conduct monthly meetings for a period of 4 months. All staff persons at the facility will be in attendance. The director will discuss prior noncompliance, supervision, ratio and hand free systems to ensure compliance with supervision. Staff meeting dates, agenda, and name of staff in attendance shall be documented. The documentation shall be maintained on file at the facility for review by Certification Representative.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 12:05 p.m. in the toddler room on 4/5/23, staff persons #4 and 5 were supervising 9 older toddlers. Staff # 4 stated they were supervising 5 older toddlers. Staff #5 stated they did not know whom they were responsible for because another unknown staff person left the room and did not transfer the supervision cards to help establish the group.

Correction Required: *****The Legal Entity must develop a site-specific supervision policy. The policy shall specifically address how supervision will be maintained in all groups in child care classroom, play spaces and when children move during transition periods. This policy will be discussed in detail with all permanent and temporary staff. All staff will sign and date an attestation that they understand this supervision policy and that the policy is in effect immediately. The policy will be posted conspicuously in all child care rooms of the facility. The documentation will be sent to certification representative for approval within 1 month of the approval of this plan of correction.