Jubilee Daycare/preschool

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file for Child #1 contained an Agreement form that was lacking the child's enrollment date.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for Child #2 contained an emergency contact form that was lacking the child's 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: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #2, who is a Older Toddler Age Child contained an immunization record that is lacking 2 doses of the Hepatitis A vaccine.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility did not provide the parent of each enrolled child with information on how to access the regulations electronically.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: Continued Noncompliance: At approximately 11am on 4/29/25 it was observed that the preschool class was outside in the fenced in play space. While conducting ratio and supervision checks there was one teacher outside with 12 preschool age children. Previously cited on 3/18/25 and 4/8/25

Correction Required: TIERED LIS; 1. When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 2. The Legal Entity will require all staff at the facility to attend a 2-hour minimum, in person training regarding maintaining proper ratio of children to staff presented by ELRC 1. The training may count towards the mandatory 12 training hours required by the Department. Documentation of training for each staff will be submitted to the department within 5 days of the completion of the training.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: Staff person #2 was functioning as an Aide without having the applicable qualifications documented.

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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: Staff person # 2 was walking children alone from one room to another without been supervised by a staff person qualified at minimum as an assistant group supervisor.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 4/8/25 approximately at 8:40 am staff #1 was alone caring for 11 preschool age children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In room 6 the block bin was cracked causing a pinching hazard.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In Room 6 there was a tall brown cabinet that was unstable when touched that was not attached to the wall. Outside room 6 was tall children's cubbies that were not attached to the wall. In room 8 the cubbies were not attached to the wall.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in refrigerator in room 3 was not working properly.

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

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: In room 7 there was no written daily schedule posted.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: Child #1's file did not contain a signed financial agreement.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Child #3's file did not contain the telephone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #3's file did not contain the work address and telephone number of the enrolling parent.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Child #3's file did not contain information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #2's file did not contain the health insurance policy number for a child under a family policy or Medical Assistance benefits.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #3's file did not contain the telephone numbers for 2 individuals designated by the parent to whom the child may be released.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The two most recent 6-month review signatures for the emergency contact form on file for child #1 are 7/1/24 and 2/14/25 which are more than 6 months apart.

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)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The two most recent health assessments on file for Child #2, who is an infant age child(See LIS Code Sheet), are dated 5/14/24 and 1/29/25, more than 6 months apart.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The initial health assessment on file for staff #1 is dated 2/12/25 which is after staff #1's date of hire(See LIS Code Sheet). The initial health assessment on file for staff #3 is dated 11/18/24 which is after staff #3's date of hire(See LIS Code Sheet). The initial health assessment on file for staff #5 is dated 10/2/24 which is after staff #5's date of hire(See LIS Code Sheet).

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)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Staff #1 initial TB test was dated 2/14/25 which is after staff # 1's date of hire(See LIS Code Sheet). Staff #3's initial TB test was dated 11/18/24 which is after staff #3's date of hire(See LIS Code Sheet). Staff #5's initial TB test was dated 10/2/24 which is after staff #5's date of hire(See LIS Code Sheet). Staff #6's file did not contain a TB test.

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. 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)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment on file for Staff person #2 does not include the physician or health care professional'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: 3270.31(b)

Description: Staff person - 18 yrs.

Noncompliance Area: Staff person #3, 5 and 7 that were classified as aides were not 18 years of age or older, nor have they completed or are enrolled in an approved training curriculum.

Correction Required: A staff person shall be 18 years of age or older.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file for staff person #3, was observed not to have completed pre-service training: Pediatric CPR/First Aid within 90 days of hire (See LIS CODE SHEET). The pre-service training on file for staff person #3 was dated 2/6/25. The file for staff person #7, was observed not to have completed pre-service training: Pediatric First Aid/CPR within 90 days of hire (See LIS CODE SHEET). The pre-service training on file for staff person #7 was dated 12/17/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #3 was observed to contain a Child Abuse Clearance date 12/3/24 which was after date of hire(See LIS Code Sheet), and a NSOR Certificate dated 1/3/25 which was more than 45 days after date of hire(Se LIS Code Sheet). The file for staff #4 was observed to contain an NSOR Certificate dated 11/21/24 which was more than 45 days after date of hire(See LIS Code Sheet). The file for staff #5 was observed to contain an NSOR Certificate dated 11/21/24 which was more than 45 days after date of hire(See LIS Code Sheet). The file for staff #7 was observed to contain a DHS FBI clearance dated 2/27/25 which was more than 45 days after date of hire(See LIS Code Sheet).

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

Regulation: 3270.36(b)(3)/3270.192(2)(ii)

Description: HS/GED, 15 credits + 1 yr/Exp, educ., training prior to facility

Noncompliance Area: Staff #1 and 6's files did not contain verification of child care experience.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.37(b)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: Staff person #4's file did not have proof of at least a minimum of an 8th grade education and 2 years of experience with children.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: In room #3 at approximately 10am there were 5 Older Toddlers and 4 Young Toddlers in care. Both staff members named the entire group as being the group they were in charge of. One staff member qualified as an AGS and the other staff member, staff #5, only qualified as a volunteer. Due to staff #5 not being able to count in ratio this put them out of ratio.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In room 8 two protective outlet covers were missing by the rocking chair and one was missing by the large wooden cube.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In room 4 the cabinet under the diaper table was not locked and accessible to children. The cabinet contained Window cleaner, Aquaphor Diaper Rash Paste, and Boudreaux's Butt Paste which state keep out of reach of children.

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

Regulation: 3270.67(a)

Description: Trash removed once a day

Noncompliance Area: The trash in rooms 6 and 7 were not removed daily per discussion with operator.

Correction Required: Trash shall be removed from the facility at least once per day.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in room 6 was missing tape. The first aid kit in room 4 was missing gloves.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Handwashing signs were missing in the women's bathroom near 2 toilets and the men's bathroom near the urinal.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In Room 4, observed an unlabeled pack n play for child #6.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At nap time on 3/27/24, observed staff #4 with four toddlers. Three of the toddlers were on one side of the room and one toddler was on the other side of them lying beside a toy shelf. The area where the three toddlers were laying had enough light coming in through a window and could be appropriately supervised. The area where the one toddler was lying was too dark and the child's face could not be seen from where staff was sitting in the room. Additionally, based on a conversation with staff #4, this child has a hard time sleeping so she usually goes over to the child and can see her because she sits directly beside her while she rubs her back to put her to sleep. Based on the review of the room set-up, staff #4 would not then be able to appropriately supervise the other three children.

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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for Child #1 does not include release persons.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreements on file for Children #2, #3, and #5 do not include the child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms on file for Children #1, #2, and #4 do not include enrolling parent's work address or phone number.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact forms on file for Children #1, #2, and #5 do not include information on disability.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan lacked a continuity of operations plan for the aftermath of a disaster .

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The health assessment on file for Staff #1 is dated 2/3/24, which is after their start date. SEE IS CODE SHEET>

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Observed that the Pre-K children bring ice packs in their lunches but they are not refrigerated. Observed six lunch bags which included yogurts and cottage cheese.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: In the Infant Room, observed bottles for children #7 and 8 which lack the child's name.

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

Regulation: 3270.182(8)

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

Noncompliance Area: There was no agreement on file for Child #3.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #3 did not include two written nonfamily references.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the outside toddler/PS play space, observed an area of standing water in the back corner of the play space which was approximately 10 ft x 5 ft and approximately 2-3 inches deep posing a threat to the health and safety of the children.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility lacked a parent letter which explained shelter and lockdown, evacuation, method to contact parents when it is reasonably possible when an emergency situation arises, method to inform parents that the emergency has ended and instruction for how to safely be reunited with their children, 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The clearances on file for Staff #1 are dated: 6/21/23 (State Police); 6/29/23 (Child Abuse); 7/13/23 (DHS FBI); 6/23/23 (NSOR). All of the dates are after the date of hire/first date of caring for children. (See IS code sheet) The FBI clearance on file for staff #2 was for Department of Education, not DHS and the NSOR certificate for Staff #2 is dated 2/14/23, which is after their first day of caring for children. (See IS code sheet) The NSOR certificate for Staff #3 is dated 1/17/24, which is after their first day of caring for children. (See IS code sheet)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Room 8 lacked sterile gauze pads.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There were more than 30 days between manual checks of the fire detection system; Dates are as follows: 5/14/23 and 6/28/23, 7/18/23 and 8/22/23, 10/19/23, 11/21/23, 12/22/23 and 1/31/24.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the outside play space, which is located directly outside the door of the facility, observed exposed bolts on the fence which were facing the inside of the play space. In the new outside play space, observed exposed bolts which were facing the inside of the play space. In the new outside play space, observed a children's play house with a cracked green roof causing a pinch point. In Room 6 observed a gray toy bin which had a crack on the right side.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In room 5, observed a bin of foam blocks. One of the green foam blocks had teeth marks.

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: On 3/16/23, during nap time in the toddler room, observed that staff #11 was unable to see and assess two of the children from where staff was sitting and where the children were positioned for nap.

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: 3270.123(a)/3270.123(a)(6)

Description: Signed /Admission date

Noncompliance Area: The most current fee agreements on file for children #2, 3, 5, 7 and 8 were not signed by the operator. The most current fee agreements on file for children #1, 2, 4, 7 and 8 lacked the child's date of admission.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The most current fee agreements on file for children #1, 3, 4, 5, 7 and 8 were the originals. Therefore, the parent did not receive the original agreements.

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

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: The most current emergency contact information on file for child #2 lacks the phone number of the child's physician or source of medical care. The most current emergency contact information on file for child #6 lacks a health insurance policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: The most current emergency contact information on file for child #1 lacks the enrolling parents work address and work phone and the address of all individuals to whom the child may be released. The most current emergency contact information on file for child #8 lacks the address of all individuals to whom the child may be released.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The most current emergency contact information on file for child #6 lacks written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: There was more than six months between the most current six month reviews/updates of the fee agreements and emergency contact information on file for children #1, 2, 3, 4, 5, 6 and 7. There are now current reviews/updates on file.

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)(1)/3270.182(1)

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

Noncompliance Area: The files for children #2, 5 and 8, al who are young toddlers, lack verification of a health assessment which was completed within the past six months. There was more than six months between health assessments on file for child #4, who was a young toddler when the health assessment was due. There is now a current health assessment on file for child #4.

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

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

Noncompliance Area: The file for child #3, who is of preschool age, lacks a health assessment which has been completed within the past 12 months.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The files for children #1, 3, 7 and 8 lack verification of a flu shot within the past year as in accordance with the schedule recommended by the ACIP. The file for child #5 contains 3 of the 4 DTAP and Pneumococcal immunizations and lacks a flu shot within the past 12 months as in accordance with the schedule recommended by the ACIP.

Correction Required: Child(ren) # 1, 3, 5, 7 and 8 must be dismissed from care by close of business of provider notification and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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(5)

Description: Original label

Noncompliance Area: Observed All Day Allergy medication for child #9 which expired 2/2023 and Benadryl for child #6 which expired 3/2023.

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 #6 was observed to be caring for children unsupervised. Staff person #6 has not completed the following pre-service training required prior to caring for children unsupervised: 6 hour health and safety training dated 8/30/16 thru 6/30 18. 6 hour training on file is dated 8/20/16.

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 #6 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 #6, staff person #6 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for staff #1, 2, 3, 4, 5, 8, 11 and 12 lacked the one hour health and safety update that was to be completed by 12/30/22. The one hour health and safety update is now on file for staff #1, 2, 3, 4, 5, 8, 11 and 12. Dates are as follows; Staff #1 - 3/18/23, #2 - 3/22/23, #3 - 3/20/23, #4 - 4/2/23, #5 - 3/20/23, #8 - 3/13/23, #11 - 3/20/23, #12 - 3/20/23.

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: There was more than 24 months between the previous and the most current and updated health assessments on file for staff #1. The files for staff #7 and 12 lacked a health assessment that was completed 12 months prior to providing initial service in a child care setting. There are now a current health assessments on file on file for staff #7 and 12.

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)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff #7 lacks a TB test at initial hire. The file for staff #12 lacked a TB test at initial hire. There is now a TB test on file for staff #12.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The file for child #6 lacks signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

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

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

Noncompliance Area: The file for staff #2 lacked initial emergency plan training within 90 days of hire. SEE LIS CODE SHEET. There is now training on file and dated 10/18/22. There was more than 12 months between the previous and most current emergency plan trainings on file for staff #4. Dates are as follows; 2/13/20 and 10/18/22.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

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

Noncompliance Area: There was more than 12 months between the previous and most current fire safety training on file for staff #4. Dates are as follows; 2/13/20 and 10/18/22.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files for staff #1, 3, 4, 5, 6, 8, 9, 10 and 11 lacked documentation of Pediatric CPR/FA from a PQUA certified instructor by 4/29/22. There are now current CPR/FA training from a PQUA certified instructor and all dated 5/9/22.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #7, who was a provisional hire, contained applications for an FBI and NSOR clearance on or before start date in a child care position. However, a State Police clearance was not on file on or before start date in a child care position. SEE LIS CODE SHEET. There is now a State Police clearance on file and dated 3/2/23. There are no FBI or NSOR clearances on file. The file for staff #12 lacked a Child Abuse clearance on or before initial start date in a child care position. There is now a Child Abuse clearance on file and dated 10/11/22. SEE LIS CODE SHEET.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #7 -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL..

Regulation: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: At the hallway entrance of the facility, observed a portable space heater

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There was more than 30 days between checks of the fire detection system which are dated 1/18/23 and 2/24/23. The facility file lacked documentation of the proof of purchase of the fire detection system. There is a proof of purchase on file of the pull station. However, a pull down station was replaced in 2020 and proof of puchase is not on file.

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: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The files for Child #4 and #5 contained emergency contact forms that did not include written parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for Child #1, an infant, contained a health assessment that was completed more than six months ago.

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(b)(2)

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

Noncompliance Area: The file for Child #3, a Preschool-aged child, contained a health assessment that was completed more than 12 months ago.

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)

Description: Immunization record

Noncompliance Area: The file for Child #1 contained an immunization record that, based upon the recommendations of the ACIP, did not include documentation of the following immunizations: * Second Dtap * Second HIB * Second IPV * Second PCV 13

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.151(a)

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

Noncompliance Area: Although the file for Staff #3 contained a current health assessment, the previously administered health assessment was dated as conducted more than 24 months prior. The file for Staff #4 contained a health assessment that was completed after her first date in a child care position.

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

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The files for Child #2, #4, and #5 contained emergency contact forms that did not include written parental consent for the administration of minor first-aid procedures by facility staff members.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Although the file for Staff #1 contained documentation of the completion of emergency plan training in the past 12 months, the previously complete emergency plan training was more than 12 months prior to the completion date of her current training.

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)/3270.192(2)(iii)

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

Noncompliance Area: The file for Staff #5, who has been employed in a child care position for more than 90 days, did not include documentation of the completion of Health and Safety Basics training. The file for Staff #4 contained documentation of the completion of Health and Safety Basics training; however, said training was completed more than 90 days after first date in a child care position.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

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

Noncompliance Area: Although the file for Staff #2 contained documentation of the current completion of mandated reporter training, the previous training was complete more than 60 months prior.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #2 contained a DHS Child Abuse Clearance that was completed more than 60 months ago. Staff #2 cannot work at the child care facility until an updated clearance is obtained and placed on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include 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 # 2 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Although the file for Staff #1 contained a staff evaluation completed in the past 12 months, the evaluation prior to the current evaluation was completed more than 12 months prior.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: A roughly 12"x2" area of peeling paint was observed in an area accessible to children in care in the child care space on the right side of the hallway at the end of building farthest from the office.

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

Noncompliance Area: A wooden coffee table in the School Age room, in an area accessible to children in care, was observed to have a protruding screw on the underside of the table where the table leg connected to the top. In Room #6, in an area accessible to children, a wall-mounted dry erase board was observed to have a sharp edge along the end of the metal marker holder. In the Toddler room, accessible to children, was an approximately 6"x6" plastic toy bin with a cracked, jagged edge. A child-sized chair use by children in care was observed to have an exposed bolt on the side. In the outside play space, accessible to children, a plastic, bi-fold pedestrian sign, approximately 30" high, was observed to have a cracked, jagged edge. Each noted concern presents the potential to cause laceration and/or puncture injury.

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.

Noncompliance Area: The file for Child #2 contained an Emergency Contact form that did not include the name and birthdate of the child.

Correction Required: Emergency contact information must include the name and birth date of the child.

Noncompliance Area: The file for Child #2 contained an emergency contact form that did not include the home/work addresses or telephone numbers of the enrolling parent.

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

Noncompliance Area: The file for Child #3 contained an Emergency Contact form that did not include an address or phone number for one of the persons to whom the child can 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.

Noncompliance Area: Written plans identifying the means of transporting a child to emergency care were not posted in the School Age or Extra Toddler rooms.

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

Noncompliance Area: The file for Child #3, a young toddler, did not contain a current health assessment, which was due prior to the suspension of regulations resulting from the Covid-19 pandemic.

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

Noncompliance Area: The files for Child # 1, #2, and #3 contained documentation of immunizations; however, each child's immunization record did not include all of the immunizations as recommended by the ACIP based upon their ages.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: The files for Staff #1 and #9 contained health assessments dated after their start dates in child care positions. The file for Staff #4 contained a health assessment that completed 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.

Noncompliance Area: In an unsecured cabinet near the office, in an area accessible to children in care, a pair of adult scissors with sharp, pointed ends were observed.

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

Noncompliance Area: The files for Staff #3, #5, #6, and #9 did not contain documentation of the initial emergency plan training within seven days of start date in a child care position.

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.

Noncompliance Area: Although containing a current FBI clearance, The file for Staff #1, whose first date in a child care position was 02/07/2020, contained documentation that she had been fingerprinted for her FBI Clearance on 02/13/2020. Said file also contained a disclosure statement that was signed on 02/13/2020. The file for Staff #2 contained current PA State Police and DHS Child Abuse clearances; however, the previous clearances had been completed more than five years prior. The files for Staff #2, #4 and #8 contained documentation of the completion of Mandated Reporter training; however, each were completed more than five years ago. The file for Staff #3, whose first date in a child care position was 05/15/2019, contained a current FBI Clearance dated 05/28/2019, and did not contain documentation of the date that she was fingerprinted. The file for Staff #3 contained a disclosure statement signed 05/17/2019. The file for Staff #6 contained a disclosure statement that was signed after her first date in a child care position. The file for Staff #7 contained a current DHS Child Abuse clearance; however, the previous clearance was completed more than five years ago. The file for Staff #9, whose first date in a child care position was 08/29/2018, contained a DHS Child Abuse clearance and FBI clearance dated 09/04/2018 and 08/31/2018 respectively, and did not contain documentation that said clearances had been applied for on or prior to noted start date. The file for Staff #9 contained current DHS Child Abuse and FBI clearances.

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.

Noncompliance Area: The following rooms were observed to have unused, unprotected electrical outlets in areas accessible to children under the age of six: Infant (1), School-Age (2), Room #6 (2), Toddler room (1).

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