Kiddie Castle

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 11:15 AM on 12/17/25 in the middle area of the Main Room, Staff #1 named and identified their supervision group which included 1 infant, 2 young toddlers, and 3 older toddlers.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During an observed diaper change, Staff #1 did not wash the child's hands after diapering.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: SECOND CITATION During an observed diaper change on 11/24/25, Staff #1 did not clean or sanitize the changing pad after diapering. Previously cited on 10/7/25: At the time of inspection, multiple drops of a yellow liquid were observed on the upstairs changing table and did not appear to be sanitized after each use.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: During an observed diaper change, Staff #1 did not wash their hands after diapering.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 11:20 on 11/24/25, Staff #2 was observed in the Preschool Room with 11 preschool aged 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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: SECOND CITATION Staff #3 submitted the fire alarm test log as a correction, which contained testing dates 10/7/25 & 11/14/25, more than 30 days apart. Previously Cited on 10/7/25: The fire alarm 30-day test log includes test dates 7/9/25-9/5/25, more than 30 days apart. The most recent fire alarm 30-day testing was 9/5/25, more than 30 days prior.

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 front area of the Main Room, a table was observed with detached corner trim and exposed particle board, which could be harmful to children. A trampoline in the outdoor play space was observed with torn netting and fabric covering and was 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: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: In the Outside Play Area, pieces of rubber and wood mulch less than 1 inch in diameter were observed on the ground in an area used by children who are still placing objects in their mouths.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A package of baby wipes observed in the bottom of the cubbies in the Infant area labeled 'Keep out of reach of children' were observed accessible to children who are still placing objects in their mouths which could cause suffocation.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #1 lacked a complete address for 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)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #3 lacked complete addresses on the front and back for all persons listed to whom the child may be released to.

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: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: At the time of inspection, multiple drops of a yellow liquid were observed on the upstairs changing table and did not appear to be sanitized after each use.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan lacked continuity of operations procedures. Staff #2 was observed to be caring for children unsupervised. Staff #2 had not completed the following pre-service training required prior to caring for children unsupervised: Acceptable Pediatric First Aid/CPR training

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. Until such time as the required pre-service trainings are completed, Staff #2 must be supervised, when interacting with children at a minimum by an Assistant Group Supervisor who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff persons available to supervise staff #2, then staff #2 may not work in a child care position at the facility. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment on file for Staff person #2 dated 9/12/24, 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: 3270.18(a)

Description: On file at facility

Noncompliance Area: The most recent liability insurance documented on file at the facility contained policy effective dates 11/28/23-11/28/24, making it invalid.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #4 contained 2 written nonfamily reference letters completed by the same person, making 1 of the letters invalid.

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(d)

Description: Plan posted

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

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 file for Staff Person #2 contained 9.5 of 12 annual childcare training hours within the training timeframe of 6/7/24-6/7/25.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #2 and Staff #3 completed BLS First Aid/CPR training on 9/28/25, after the previous training's expiration of 7/2025, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum and the training has not provided documentation that they are PQAS-certified in that training curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required pre-service trainings are completed, Staff #2 and Staff #3 must be supervised, when interacting with children at a minimum by an Assistant Group Supervisor who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff persons available to supervise Staff #2 and Staff #3, then Staff #2 and Staff #3 may not work in a child care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The two most recent State Police clearances (3/19/20 & 5/27/25), FBI clearances (3/25/20 & 6/3/25), and NSOR certificates (3/24/20 & 6/3/25) on file for Staff #1are dated more than 60 months apart. The most recent Child Abuse clearance on file for Staff #1 is dated 3/28/20, more than 60 months prior. The most recent State Police clearance (4/30/20), Child Abuse clearance (4/27/20), FBI clearance (4/6/20), and NSOR certificate (4/28/20) on file for Staff #3 are dated more than 60 months prior.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 and 2 may not work in a child care position at the facility until all clearances have been updated. 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. Staff #1 and 2 may not work in a child care position at the facility until all clearances have been updated.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: A director is not employed and present at the facility a minimum of 30 hours per week.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: An unlabeled spray bottle containing cleaning products was observed in the cabinet in the Kitchen. Two cans of spray paint and a package of Lysol disinfectant wipes labeled "Keep out of reach of children" were observed in the front corner of the Main room and were accessible to children.

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

Regulation: 3270.67(a)

Description: Trash removed once a day

Noncompliance Area: Multiple pieces of garbage were observed on the ground of the outdoor play space and were not removed from the space daily.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Peeling flooring was observed in the front area of the Main Room. Carpets in the Toddler area and Front area of the Main Room were observed to be unsecured and with curled corners causing a tripping hazard. A light plate in the first bathroom in the basement was observed with a gap above it and could be harmful to children. The fence gate in the outdoor play space was observed to have exposed bolts and damaged wire fencing that was pulled away from the metal gate, which could be harmful to children.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: The interior doorframe in the basement bathrooms contained rough edges and unfinished plaster. Exposed unfinished plaster was observed on the baseboard area outside the first bathroom door in the basement.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A training chair in the upstairs bathroom lacked a handwashing sign at the time of inspection.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 7/9/25-9/5/25, more than 30 days apart. The most recent fire alarm 30-day testing was 9/5/25, more than 30 days prior. Fire extinguishers in the Basement, Kitchen, and Main Room were observed with an expiration date of January 2025.

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: Exposed fence bolts were observed in the Outside Play Area. A trampoline in the Outside Play Area was observed to have a broken safety net and a damaged support pole. A toy basketball hoop with a cracked hoop was observed in the Outside Play Area.

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: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: In the Outside Play Area, pieces of rubber mulch less than 1 inch in diameter were observed on the ground in an area used by children who are still placing objects in their mouths.

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. 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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #2 contained child service reports dated 1/6/23 and 16/6/24, more than 6 months apart. The only child service report on file for Child #3 is dated 7/2/24 and the child has been enrolled for more than 6 months (SEE IS CODE SHEET).

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact form for Child #2 and Child #4 lacked a complete address and telephone number for 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: The Emergency Contact forms for Child #2 and Child #4 lacked the enrolling parent's work address and work phone number.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent 6-month parent update for the Financial Agreement and Emergency Contact forms on file for Child #1 are 4/30/24, more than 6 months prior.

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 two recent health assessments on file for Child #2 (Younger Toddler at the time) are dated 9/14/21 and 5/19/23, 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. 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 two most recent health assessments on file for Child #2 (Preschool) are dated 8/17/22 and 5/17/24, more than 1 year apart

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 file for Child #2 (Young Toddler) lacked updated written verification of ongoing administered vaccines: 3 of 4 DTAP, 3 of 4 HiB, 3 of 4 Pneumococcal with no Letter of Exemption in the file. The file for Child #3 (Preschool) lacked updated written verification of ongoing administered vaccines: 3 of 4 DTAP with no Letter of Exemption in the file. Child #2 and Child #3 must be dismissed from care by close of business on 11/7/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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: 3270.131(d)(7)/3270.182(1)

Description: Free from contagious/communicable disease/Initial and subsequent health reports

Noncompliance Area: The health assessment on file for Child #1 does not indicate if the child is free from contagious disease and may participate in child care.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: An Epi Pen for Child #1 and an Albuterol inhaler for Child #5 were in the kitchen and did not include written parental permission to administer.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility's annual traffic letter lacked the date of when it was sent to local traffic safety authorities.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility's Emergency Plan Parent Letter lacked accommodations for infants, toddlers, children with special needs, 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)

Description: Age and Training

Noncompliance Area: The file for Staff #1 contained 9 of 12 annual training hours within the training period of 12/19/22-12/19/23.

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: The two most recent Pediatric First Aid/CPR trainings on file for Staff #1 were dated 3/7/21 and 7/2/23, more than 24 months apart.

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 two most recent fire safety trainings on file for Staff #1 (1/6/21 & 7/2/23) and Staff #3 (2/22/23 and 6/2/24) are dated more than 12 months apart. The most recent fire safety training on file for Staff #2 is dated 7/2/23, more than 12 months prior.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent evaluations on file for Staff #1 are dated 8/17/20 and 2/1/24, more than 12 months apart.

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: 3270.71

Description: Heat Source

Noncompliance Area: In the Main Room, a door leading to the facility's furnace was unlocked and accessible to children. In the basement, the screens on the heat vent covering were ripped which made the heat vent accessible to children.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the basement, the vinyl flooring was lifting and peeling in front of each bathroom and on the left step going to the cubby. A hole in the floor was observed on the stair in front of the bathrooms in the basement. On the heater vent covering in the basement, two metal brackets were observed bent and lifting away from the wall, which could be hazardous to children. In the Outside Play Area, loose wires on the side of the building were observed and could cause strangulation. A large tree trunk was observed in the Outside Play Area and was not secured in the ground, which could be hazardous to children. A grassy area behind the facility was observed to be accessible by an open fence gate and contained a large plastic pipe and a pallet with splintered wood, which could be harmful to children. In the back left corner of the Outside Play Area, a metal pole that was only attached to the fence at the top was observed on the ground and accessible to children. A bookcase in the Main Room was observed with broken pieces of compressed wood and accessible to children.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the basement, peeling paint and plaster was observed along the baseboards, next to the bookshelf, and next to the stairs. Broken plaster with large gaps was observed along the baseboard of the support beam in the front of the basement and along the back right wall. Peeling paint was observed along the baseboard in the Infant Area.

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

Regulation: 3270.94(a)(2)

Description: Different times of day

Noncompliance Area: The facility's fire drill contained dates 3/8/24, 4/8/24, and 5/7/24 which lacked the time the drill was conducted.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at different times of the day or night, or both, if applicable.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 9/1/23-11/30/23, 12/8/23-1/8/24, 3/8/24-4/28/24, 5/7/24-6/7/24, and 8/1/24-9/3/24, more than 30 days apart.

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.

Noncompliance Area: The pack n plays for use by the infants were not labeled with the individuals child's name for a specific child and used only by that 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.

Noncompliance Area: During the renewal inspection, the infants and young toddlers in care were in in bouncer seats, low chairs with straps and pack n plays, the infants and young toddlers were not being provided stimulation in any form.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Noncompliance Area: At approximately 12:45 PM, staff #6 identified 3 infants and 2 young toddlers in her group, staff #1 identified 10 preschool and 2 young school age children in her group. There were 2 preschool children, 5 young school age children and 1 older school age child not identified in either group.

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.

Noncompliance Area: Child files #1, #2, #4 and #5 lacked the fee amount and the date in which the fees were to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: All child files reviewed lacked child service reports completed every six months as required, CSR's were due for these children prior to suspended regulations due to COVID-19 shutdown.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: Child files #1, #2, #4 and #5 contained 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.

Noncompliance Area: Child file #4 contained an emergency contact form with the child's DOB incorrect.

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

Noncompliance Area: Child files #1, #4 and #5 lacked the health insurance coverage and policy number for the child on the emergency contact form.

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

Noncompliance Area: Child files #1 and #4 lacked the names and addresses and phone numbers of the persons for whom the child may be released to on the emergency contact form.

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: Child files #4 and #5 lacked reviews and updates every 6 months on the emergency contact form and the agreement forms in the child's file, updates were due prior to suspended regulations due to COVID-19 shutdown.

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 informationA 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.

Noncompliance Area: Child file #1, DOA 12/2/19, lacked an initial health report in the file to date, which is 60 days after first day of attendance at the facility.

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

Noncompliance Area: Child file #2, DOB 3/15/19, lacked copies of updated health reports every 6 months as required for an infant and young toddler and was due for this child prior to suspended regulations due to COVID-19 shutdown.

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: Child file #3 lacked an updated health report every 12 months as required for preschool children that included documentation of updated influenza vaccination and was due for this child prior to suspended regulations due to COVID-19 shutdown.

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

Noncompliance Area: The children's bathrooms downstairs lacked soap for hand washing.

Correction Required: Liquid or powdered soap shall be used for handwashing.

Noncompliance Area: The diapering area had a hands-free covered can that did not operate 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.

Noncompliance Area: Staff file #5, DOH 6/10/19, contained a health assessment dated 6/25/19 which was conducted after initial hire at the facility. Staff file #6, DOH 6/10/20, lacked a health assessment in the file.

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: Staff file #4, DOH 8/3/20, lacked documentation of results of the TB screening in the file. Staff file #6, DOH 6/10/20 lacked documentation of results of the TB screening in the file.

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.

Noncompliance Area: Staff file #4, DOH 8/3/20, contained a health assessment that did not have the question for communicable diseases with results noted by the physician.

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

Noncompliance Area: The facility lacked copies of menus for current week and next week posted at the facility or provided to families.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: The facility lacked copies of written notification to the local traffic safety authorities notifying them of the location of the facility and routes used around the facility and was due prior to suspended regulations due to COVID-19 shutdown.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: Staff file #6 lacked two copies of written, non family references attesting to her suitability to serve as a facility person, the file contained only one reference.

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

Noncompliance Area: On 8/14/2020, the provider did not demonstrate or document that the fire detection system was operable because the detectors on the first floor were not accessible. The smoke detectors in the basement were not operable the alarm batteries were missing and the batteries were dead. This condition at the facility poses a threat to the health or safety of children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Demonstration of Compliance with 34 Pa. Code 403.23 is required. If the provider is not able to demonstrate or document an operable fire detection system a complaint will not be filed until it is determined that the fire detection system is inoperable. If determined inoperable the agent of the Department will file a complaint with the appropriate municipal office to request an additional fire safety inspection by the appropriate agency to verify compliance with 34 Pa. Code 403.23 and per Chapter 20.35(c). The provider will demonstrate an operable fire detection system to an agent of the department via FaceTime.

Noncompliance Area: The emergency plan was last reviewed and updated with prior director on 6/18/2019, the plan has not been reviewed or updated annually and when there were changes made that were included in the emergency plan. Subsequently, the emergency plan was not updated or sent to the county emergency management agency.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.The operator shall send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Noncompliance Area: All staff files reviewed lacked documentation of emergency plan training both at initial hire and when the plan was to be reviewed and updated annually.

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.

Noncompliance Area: Staff files #2 and #5, lacked annual training in fire safety by a fire protection professional.

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.

Noncompliance Area: *Staff file #1, DOH 3/11/20, lacked a signed disclosure statement in the file. Staff file #2, DOH 3/1/00, contained PA State Criminal clearances dated 11/11/14 and 3/19/20; Child Abuse Clearances dated 11/25/14 and 3/28/20; and DHS FBI Clearances dated 11/17/14 and 3/25/20 and Mandated Reporter training dated 5/8/15; all clearances in the file were expired and staff #2 continued to work in child care without valid clearances from 11/11/14. Staff file #3, DOH 9/6/2012, contained PA State Criminal clearances dated 11/11/14 and 4/6/20; Child Abuse Clearances dated 11/25/14 and 4/27/20; and DHS FBI Clearances dated 11/17/14 and 4/6/20; all clearances in the file were expired and staff #3 continued to work in child care without valid clearances from 11/11/14. Staff file #4, DOH 8/3/20, lacked copies of requests for the PA State Criminal clearance and the NSOR Verification certificate in the staff file prior to hire, the file did not contain a valid PA State Criminal Clearance or valid NSOR Verification certificate. Staff file #5, DOH 6/10/19, lacked copy of receipt of FBI fingerprinting prior to hire, the DHS FBI was dated 7/11/19 after hire; the file lacked copy of NSOR request prior to 7/1/20 and a valid NSOR Verification certificate. Staff file #6, DOH 6/10/20, lacked a signed disclosure statement, contained an invalid PDE FBI clearance and lacked copy of request for NSOR Verification certificate prior to hire and the file did not contain a valid NSOR Verification certificate. The facility did not apply for or receive the Provisional Hire Waiver from DHS to hire staff provisionally.

Correction Required: *The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4, #5 and #6 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4, #5 and #6 may not work in a child care position at the facility.

Noncompliance Area: Staff file #5 lacked a written staff evaluation completed by the director every 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.

Noncompliance Area: At approximately 12:45 PM, staff #6 identified 3 infants and 2 young toddlers in her group, staff #1 identified 10 preschool and 2 young school age children in her group. There were 2 preschool children, 5 young school age children and 1 older school age child not identified in either group.

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).

Noncompliance Area: Staff #4 and Staff #5 who were on break left the facility during nap time, leaving two staff with 25 children including infants, young toddlers, older toddlers, preschool, young school age and older school age children.

Correction Required: Staff persons who are on duty but are not providing child care during naptime shall remain in the child care portion of the facility premises.

Noncompliance Area: Outlets next to the TV, the dramatic play area and on the column did not have protective covers in the preschool room downstairs that were accessible to the children in care.

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

Noncompliance Area: There was liquid cleanser that had the warning keep out of reach of children on the label, under the sink in the bathroom downstairs that was accessible to the children in care.

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

Noncompliance Area: The bathrooms downstairs lacked hand washing signs above the toilets in both bathrooms.

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.

Noncompliance Area: The facility lacked documentation of fire drills conducted every 60 days, the last fire drill was conducted on 6/18/19.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: In the main room upstairs, there were yellow plastic chairs that had cracks in them posing pinch points to the children who sat on them. There were wooden chairs that were loose and posed pinch points to the children in care.

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

Noncompliance Area: Previously cited on 6/24/19, again on 8/12/19, there was pea gravel lining the outside wall of child care accessible to children in care while they were playing in the outside play space.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: Child files #3, #4, and #5 lacked the amount of the fee to be charged and dates fees are to be paid on the agreement form.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: Child files #1 and #4 lacked documentation of child service reports completed every 6 months as required.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: Child files #3, #4, and #5 lacked arrival and departure times and designated release persons on the agreement forms.

Correction Required: An agreement shall specify the child's arrival and departure times.An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: Child files #1 and #2 lacked the child's admission date on the agreement form.

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.

Noncompliance Area: All child files reviewed contained the original agreement forms in the file. Parents were not given original agreement forms for the children enrolled in the facility.

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.

Noncompliance Area: Child files #1 and #5 lacked health insurance coverage and policy number for a child under a family policy on the emergency contact form.

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

Noncompliance Area: Child files #1, #2 and #4 lacked review and updates by parents every 6 months as required.

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 informationA 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.

Noncompliance Area: Child file #4 lacked copy of updated health reports every 12 months as required for preschool children.

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.

Noncompliance Area: Child files #1 and #4 lacked documentation of updated vaccinations administered in accordance with the ACIP schedule.

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.

Noncompliance Area: The facility lacked written parental consent for the prescription cream for child #6 to be administered to the child.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: The diapering surface was not sanitized after a young toddler's diaper was changed and the child's hands were not washed after being diapered.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: Previously cited on 6/24/19, and on 7/18/19, the hands-free diaper can in the diapering area was inoperable as hands-free, staff #2 was observed lifting the lid of the can to dispose of a soiled diaper.

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.

Noncompliance Area: The infants in care were sleeping in pack n plays with loose fitting sheets that pose a suffocation hazard.

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

Noncompliance Area: Staff file #1 lacked documentation of completion of fire safety training annually.

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.

Noncompliance Area: Previously cited on 6/24/19, and on 7/18/19, the A/C unit located in the outdoor play space was accessible to the children in care. There were wires hanging on the outside of the building that were accessible to the children in care.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: Cleaning materials were in a bottle not labeled with the contents on the white shelf in the preschool room downstairs.

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.