Kids At Heart Learning Center Llc

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The Agreement, in the files, for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, and Child #7, did not specify the persons designated by a parent to whom the child may be released.

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

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 Health Assessment, in the file for Child #6, a preschool child, exceeded 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff #2 (see IS Code Sheet) contained documentation of a Health Assessment and Tuberculin Test, after providing initial service with children. The file for Staff #6 (see IS Code Sheet) contained documentation of a Health Assessment and Tuberculin Test, after providing initial service with children.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 contained NSOR Certificates dated 9.14.20 and 12.26.25, which exceeded the 60-month renewal requirement. The file for Staff #3 contained Mandated Reporter training on 7.10.20 and 1.23.26, which exceeded the 60-month renewal requirement. The file for Staff #5 contained Mandated Reporter training on 6.9.20 and 8.1.25, which exceeded the 60-month renewal requirement. The file for Staff #7 contained NSOR Certificates dated 5.27.20 and 1.23.26, which exceeded the 60-month renewal requirement. The file for Staff #7 contained Mandated Reporter training on 8.11.20 and 1.21.26, which exceeded the 60-month renewal requirement.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #4 contained documentation of written evaluations on 7.30.24 and 3.13.26, which exceeded the 12-month requirement.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Toddler Room, three (3) climbing mats/cubes of various dimensions, were previously torn and repaired, but the repair was failing, and they were not in good condition. In the Preschool Room, the contact paper, on top of the play table which was supporting the plastic doll house, was torn and repaired, but the repair was pulled away, and it was not in good condition.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 (see IS Code Sheet) did not contain a Child Abuse Clearance or an NSOR Certificate.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 may not work in a child care position 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: The file for Staff #2 did not contain proof of education, so it was unable to be determined if Staff #2 qualified as an aide.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Pre-K Room, four (4) protective receptacle covers were missing from the surge protector, which was on the floor under the black, Care Group Wall.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Preschool Room, magnatiles were observed to be broken and 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(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: In the Toddler Room, torn vinyl on foam climbers was observed being less than 1 inch in diameter and was accessible to 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 two most recent child service reports on file for Child #4 are dated 11/15/23 and 11/29/24, more than 6 months apart.

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

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

Noncompliance Area: The file for Child #1 (Young Toddler at the time) contained two health assessments dated 10/12/23 and 7/25/24, more than 6 months apart. The file for Child #2 (Young Toddler at the time) contained two health assessments dated 3/27/24 and 11/12/24, 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 #3 (Preschool Age) are dated 10/5/23 and 4/2/25, more than 12 months 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 immunization record for Child #1 (Older Toddler) lacked the following immunizations: 1 dose of Hepatitis A without a Letter of Exemption in the file. Child #1 must be dismissed from care by close of business on 4/25/25 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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: In the left closet of the Preschool Room, a bottle of Mucinex cough medicine was not labeled with the name of whom the medication is intended for.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #9 and Staff #12 were observed to be caring for children unsupervised. Staff #9 and Staff #12 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, Staff #9 and Staff #12 must be supervised when interacting with children, by an Assistant Group Supervisor who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff #9 and Staff #12, Staff #9 and Staff #12 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The initial health assessment on file for Staff #8 is dated 9/16/23, more than 1 year prior to Staff #8's date of hire (SEE IS CODE SHEET). The initial health assessment on file for Staff #11 is dated 11/28/23, more than 1 year prior to Staff #11's date of hire (SEE IS CODE SHEET). The two most recent health assessments on file for Staff #1 (8/8/22 & 3/27/25), Staff #3 (6/8/22 & 3/26/25), Staff #7 (5/8/22 & 1/15/25) are dated more than 24 months apart.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The two most recent fire safety trainings on file for Staff #1 are dated 2/26/24 and 3/24/25, more than 12 months apart.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. The training was completed on 2/17/25.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #8 contained a disclosure statement dated 2/10/25, which lacked a witness signature.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The two most recent NSOR certificates on file for Staff #1 (12/23/19 & 1/27/25), Staff #2 (12/13/19 & 1/27/25), Staff #4 (1/14/20 & 1/27/20), Staff #5 (12/23/19 & 1/27/25) are dated more than 60 months apart. The two most recent State Police clearances on file for Staff #4 (10/7/19 & 1/10/25) and Staff #5 (4/8/19 & 4/9/24) are dated more than 60 months apart. The two most recent FBI clearances on file for Staff #5 (4/9/19 & 4/10/24) and Staff #10 (3/11/20 & 3/14/25) are dated more than 60 months apart. The files for Staff #9 and Staff #12, who were provisionally hired after 2/1/25 (SEE IS CODE SHEET), did not contain an NSOR certificate at time of hire, as required by Announcement C-25-01. Staff #9's NSOR is dated 3/3/25 (SEE IS CODE SHEET) and Staff #12 does not have an NSOR certificate. Staff #12 may not work in a child care position at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #12 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 #12 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations on file for Staff #4 are dated 5/17/23 and 7/30/24, 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A utility cart containing multiple gallons of paint were observed to be accessible in an unlocked bathroom in the Gym.

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: A trash can in the outside play space was observed with garbage from days prior.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On the Playground, standing water was observed on a tarp covering a sandbox and was accessible to children on the playground.

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: 3270.76/3270.103

Description: Building Surfaces/Small Toys and Objects

Noncompliance Area: The playground surfacing in the outdoor play space was observed to be lifting, torn, and crumbling in multiple areas, in a space used by Toddlers, who are still placing objects in their mouths.

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. 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The two most recent annual fire inspection reports on file at the facility are dated 12/14/23 and 3/19/25, more than 12 months 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.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The plastic cabinet, with clear drawers, located in the Transitional K/SA Room, was cracked apart on the front side of a drawer, creating a scraping/cutting hazard for children in care.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 contained Child Abuse Clearances dated 1.28.19 and 2.23.24, which exceeded the 60-month renewal requirement.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #2 contained evaluations dated 5.19.22 and 9.11.23, which exceeded the 12-month requirement.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the School Age room, there were cracked plastic chairs with pinch points that could cause injury and foam blocks with teeth marks and missing pieces that were not in good repair. In the Preschool room, there was a cracked toy bin and a cracked plastic chair, both with pinch points, that could cause injury. In the Introductory Preschool room, there were multiple pieces of decorative wood fruit that were cracked with pinch points and a box toy that was not in good repair with ripped paper pieces exposed in a room with toddlers that could be a choking 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There was a box toy that was not in good repair with ripped paper pieces exposed in a room with toddlers, that were less than 1 inch in diameter, located in the Introductory Preschool room.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #4 includes a child service report on 2/19/21, which is more than 6 months after enrollment (SEE LIS CODE SHEET). Child #4 file had documentation of child service reports dated 10/10/21 and 5/11/22, which are more than 6 months apart. The file for Child #5 has documentation of child service reports that were more than six months apart (10/26/21-5/16/22 & 11/23/2022-6/6/23).

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: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The agreement on file for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, and Child #7 was the original and not a copy.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #1, does not include a complete address for all listed release persons.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The health assessments on file for Child #2 dated 8/6/20 and 3/5/2021, were more than six months apart for a child under the age of 2. The health assessments on file for Child #4 dated 7/16/20, 5/21/21 and 6/3/2022, were more than six months apart for a child under the age of 2.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent influenza vaccination on file for Child #4, who is 3 years old, was 10/29/21, more than a year ago, as is recommended annually by the ACIP. The written and signed exemption letter from the parent, dated 10/29/22, was regarding the 2022 flu shot and had not been updated. Child #4 must be dismissed from care by close of business on 7/18/23, and may only return to care when the immunization record is updated or when a parent provides a written and 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan on site does not include provisions regarding the facility's continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

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 file for staff person #4 had a negative chest x-ray on file without documentation of a positive Tuberculosis screening. The Tuberculosis screening on file for staff person #1 was dated 3/5/21, which was over 12 months at 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)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The 2 most recent health assessments on file for Staff person #3 were dated 1/6/21 and 5/10/23, more than 24 months apart.

Correction Required: An adult health assessment must include a physical examination. 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: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: There was no specific documentation maintained by the operator that included the dates of each review and update of the emergency plan.

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.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility does not have documentation verifying that the most recent emergency plan was submitted to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(e)(2)(ii)

Description: Child dev, ECE & special educ

Noncompliance Area: The two most recent fire safety trainings on file for Staff #6 were dated 6/2/2021 and 7/7/2022, more than 12 months apart.

Correction Required: Child development, early childhood education and special education are acceptable training topics.

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

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

Noncompliance Area: Staff person #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. The training was completed on 11/10/2022.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The 2 most recent staff evaluations on file for Staff number #2 were dated 4/16/22 and 5/17/23, more than 12 months apart. The file for Staff person #5 was observed not to contain a staff evaluation within 12 months of hire (SEE LIS CODE SHEET)

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

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: Multiple toxic cleaning products were observed on a shelf above food in the PreK room, which could cause contamination of the food below if leaking occurred. There was sunscreen, anti-itch cream, and deodorant, labeled "Keep out of the reach of children", that were accessible to children, in the School Age classroom.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: A first aid kit in a backpack was observed unattended on a picnic table in the outdoor play space, accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On the playground, a ground level window air conditioning unit was braced on the exterior wall. The metal brace had exposed sharp metal edges that were the same height of the toddlers in the space and accessible to all other 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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The exit in the back corner of the gym had multiple large objects obstructing the hallway to double door exit to the outside.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill 60-day test log includes test dates 4/11/23-6/26/23 (77), which are more than 60 days apart.

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 least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 10/17/22-11/21/22 (36), 12/16/22-1/19/23 (34), 2/15/23-3/29/23 (42), 4/11/23-5/24/23 (43) , 5/21/23-6/26/23 (33), which are 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.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: An infant was observed sleeping on their belly in a crib in the Infant Room. Staff reported the infant was placed in that way into the crib.

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

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: The file for Child #3 contained an emergency contact form which did not include contact address information for the contact persons.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for Child #2 and #3 contained emergency contact forms which lacked the full addresses for release persons.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for Child #4 contained a most recent health report dated 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: 3270.133(5)

Description: Original label

Noncompliance Area: An expired Motrin, two Tylenols and one acetaminophen were observed in the medication box in the office.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Written parental consent for administration was not available for a Tylenol labeled for Child #5 and a Tylenol labeled for Child #6.

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

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: The observed Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment policy was observed to not address the prevention and identification of child maltreatment.

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.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Perishable food was observed in lunch boxes in the Transitional Kind/SA Room, not refrigerated.

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

Regulation: 3270.181(c)/3270.181(d)

Description: Emergency info/agreement updated 6 mos/Dated signature affixed

Noncompliance Area: The file for Child #1 contained updates to the emergency contact form dated more than six months apart.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: According to operator report, updates to the emergency plan were sent to the local municipality but not to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

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

Noncompliance Area: The file for Staff #9 lacked documentation of the 12 hours of required annual child care training between 12/19/20 and 12/19/21. The file for Staff #10 contained documentation of 2 of the 12 hours of required annual child care training between 12/19/20 and 12/19/21.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.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: Staff person #1,#2, #3, #5, #6, #7, #8, #9, #10 and #11 had acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer had not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #1-and #2-- must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

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

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

Noncompliance Area: The files for Staff #9 and #10 contained consecutive child abuse mandated reporter trainings dated more than 60 months apart.

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 and #3 contained NSOR clearances dated after the first days of employment and lacked applications for NSOR clearances. The file for Facility Person #4 (volunteer) contained a DOE FBI clearance and lacked an NSOR clearance and application for NSOR clearance. Facility Person #4 was observed in a classroom with children on the day of the inspection. The file for Staff #9 contained consecutive child abuse and FBI clearances dated more than 60 months apart.

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 #4(volunteer)-- may not work at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An electrical outlet was observed to be uncovered in the electrical strip by the phone in the Toddler Room.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first-aid kit in the Pre-K Room was observed to be accessible to children in an unlocked closet.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the Infant Room was observed to lack tweezers and scissors.

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(i)

Description: Lidded waste receptacles

Noncompliance Area: The female bathroom on the second floor was observed to lack a lidded waste receptacle.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The side exit door from the Gym to the outdoors was observed to not be able to be opened. One of the exit doors in the Pre-K Room to the hall was observed to be obstructed with stacked toy blocks.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The proof or purchase for the observed interconnected fire detection system was not available at the time of inspection.

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.