Kidz Paradise

Regulation: 3270.101(a)

Description: Age appropriate

Noncompliance Area: During a renewal inspection on 2/18/26 Cert rep observed Magna-tiles in Room 3 on an accessible shelf. Older toddlers were present in this room. The recommended age for Magna-tiles is 3 years of age and older.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: During a renewal inspection on 2/18/26 Cert rep observed baby wipes in a bag labeled "Keep bag away from children" on an accessible shelf in Room 3 where older toddlers who may still be placing objects in their mouth were present. Cert rep also observed plastic trash bags and boxes of gloves on an accessible shelf in the bathroom next to the director's office. This bathroom is used by older toddlers who may still be placing objects in their mouths.

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)(5)/3270.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: During a renewal inspection on 2/18/26 Child 1's fee agreement did not note the persons the child may be released to, and Child 2's fee agreement did not note the child's date of admission.

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

Regulation: 3270.123(a)/3270.123(a)(1)

Description: Signed /Amount of fee

Noncompliance Area: During a renewal inspection on 2/18/26 Children 3 & 4's fee agreements were not signed by the operator and Children 2 & 4's fee agreement did not specify the fee amount to be paid.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the amount of the fee to be charged per day or per week.

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

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

Noncompliance Area: During a renewal inspection on 2/18/26 Child 3's emergency contact form did not list the release person addresses, and Child 4's emergency contact form did not include the work address and work phone numbers for their parents.

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

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: During a renewal inspection on 2/18/26 Child 1's health report dated 5/5/25 was not signed by a physician, physician's assistant or a CRNP.

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

Regulation: 3270.131(d)(7)/3270.131(d)(8)

Description: Free from contagious/communicable disease/Age appropriate screenings complete

Noncompliance Area: During a renewal inspection on 2/18/26 Preschool Child 3's health report dated 8/29/25 was a school physical which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease nor a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section. (See LIS Code sheet for DOB).

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 health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: During a renewal inspection on 2/18/26 Cert rep observed a Child's Destin (exp. 2/2025) in Room 3 and a Child's Aquaphor (exp. 11/20/25) in Room 4).

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection on 2/18/26 Staff person 2 was observed to be caring for children unsupervised on two separate occasions. On 2/18/26 Staff person 7 was observed to be caring for children unsupervised on one occasion. Staff person 2 and 7 have not completed the following pre- service training required prior to caring for children unsupervised: PA Required Health and Safety for Centers-Group Child Care Part 1 or completed an acceptable previous version of the Health and Safety 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. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as PA Required Health and Safety for Centers-Group Child Care Part 1 (Requisitos de Salud y Seguridad para Centros-Grupos de Cuidado Infantil en PA Parte 1) (3 hours) is completed, staff person 2 and 7 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person 2 and 7, staff person 2 and 7 may not work in a child-care position at the facility. Once all preservice trainings are completed, staff person 2 and 7 may only care for children unsupervised if they have all qualifications on file to qualify as an AGS or higher.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection 2/18/26 the facility did not have a written policy which addressed recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and 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. Conditions at the facility may not pose a threat to the health or safety of the children. Announcement C-22-03: Updates to Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements states To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; Strategies for coping with a crying, fussing, or distraught child; and Address the prevention and identification of child maltreatment.

Regulation: 3270.151(a)

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

Noncompliance Area: During a renewal inspection on 2/18/26 Staff 3 and 4 had more than 24 months between health assessments. This was evidenced by health assessments for Staff 3 dated 8/15/23 and 1/27/26, and health assessments for Staff 4 dated 5/9/22, and 1/22/25 in the respective staff's files. It was reported Staff 3 & 4 worked as staff between the expiration of their previous health assessment and the receipt of the current health assessment.

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

Regulation: 3270.175(c)

Description: Manufacturer's instructions used

Noncompliance Area: During a renewal inspection on 2/18/26 Cert rep observed Cosco brand and Graco brand booster seats in the facility van that is used for transportation, but did not see the manufacturer instructions for these booster seats in the vehicle. It was reported that the facility did not have the manufacture instructions for these booster seats.

Correction Required: Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection on 2/18/26 Child 1's fee agreement was most recently reviewed with the parents on 7/15/25. Child 4's Emergency contact form was most recently reviewed with the parents on 12/20/24. Both of these dates are more than 6 months ago.

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

Regulation: 3270.24(f)

Description: Director ID

Noncompliance Area: During a renewal inspection on 2/18/26 certification rep observed Staff 1's photo ID was expired (see Staff details in LIS code sheet) and therefore is not valid. Staff 1 is the director responsible for compliance with Chapter 3270.

Correction Required: A valid photo identification of the director or designated staff person who is responsible to compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

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

Description: Age and Training

Noncompliance Area: During a renewal inspection on 2/18/26 Staff 6 did not complete Pediatric first aid and CPR training on or before expiration of the previous certification. This is evidenced by documentation which shows the current certification for Pediatric first aid and CPR was completed on 10/17/25 and the previously documented Pediatric first aid and CPR training on file expired 7/31/25. Staff 6 was reported to have worked as staff between 8/1/25 and 10/17/25.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During a renewal inspection on 2/18/26 Staff 2 and Staff 7 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2 or an acceptable previous version of Health and Safety Training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as PA Required Health and Safety for Centers-Group Child Care Part 1 (Requisitos de Salud y Seguridad para Centros-Grupos de Cuidado Infantil en PA Parte 1) (3 hours) and PA Required Health and Safety for Centers-Group Child Care Part 2 (Requisitos de Salud y Seguridad para Centros-Grupos de Cuidado Infantil en PA Parte 2) (3 hours) are completed, staff person 2 and 7 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person 2 and 7, staff person 2 and 7 may not work in a child-care position at the facility. Once all preservice trainings are completed, staff person 2 and 7 may only care for children unsupervised if they have all qualifications on file to qualify as an AGS or higher.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During a renewal inspection on 2/18/26 Staff 4 did not complete mandated reporter training within 60 months of the previous training date. This is evidenced by the previously documented mandated reporter training on file being dated 8/16/19, and current mandated reporter training dated 12/2/25. It was reported that Staff 4 worked as Staff between 8/16/24 and 12/2/25

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection on 2/18/26 Staff 2 did not have the CPSL required clearances for employment on filed on or before their first day with children(See LIS code sheet). Staff 2 had a Child abuse clearance dated 12/8/25, which is after their first day with children. Staff 2 had a PSP clearance with the purpose of volunteer dated 5/6/25. Staff 2 had a PSP clearance request with the purpose of employment dated 10/31/25, which is after their first day with children. Staff 2 was able to obtain a PSP clearance with a dissemination date of 11/6/25, however this was obtained after Staff 2 was observed to be providing care to children on 2/18/26. It has been more than 45 days since Staff 2 first day with children.

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. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (related to protective Services. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a checklist for staff and facility persons files that addresses all necessary staff and facility persons file paperwork and time frames for renewals of paperwork as appropriate. The staff and facility persons file paperwork that must be addressed in this checklist includes but is not limited to PA clearances, Out of State clearances and trainings as required by the CPSL and all documents required for staff and facility persons to be hired. The checklist must be submitted to the Regional Office for approval. Once approved this checklist shall be used by the person responsible for hiring and maintaining facility persons records. The provider shall provide a date for when this portion of the plan shall be completed.

Regulation: 3270.35(b)

Description: Group sup qualifications

Noncompliance Area: During a renewal inspection on 2/18/26 Staff 5 had a high school diploma and 5207 hours of child care experience documented in the file. It was reported that Staff 5 did not obtain an associates degree or bachelors degree. Staff 6 had a high school diploma, a Child Development Associate(CDA), and 2256 hours of child care experience documented in the file. It was reported that Staff 5 and 6 did not obtain associate's degrees or bachelor's degrees. Staff 5 and 6 have been working as group supervisors.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4).

Regulation: 3270.36(b)(2)/3270.36(b)(5)

Description: HS/GED + 600 hrs training/HS/GED + 2 yrs

Noncompliance Area: During a renewal inspection on 2/18/26 Staff 2 had a high school diploma and 0 hours of child care experience documented in the file. Staff 7 had a high school diploma and information that a secondary training program in early childhood education was completed, however there was no information to support that the training meets the requirements of 600 hours of training as described in §3270.31(c). Staff 7 had no experience with children documented on file. Both Staff 2 and 7 have been working as Assistant group supervisors.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, including 600 or more hours of secondary training described in §3270.31(c) (relating to age and training). An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During a renewal inspection on 2/18/26 Cert rep observed the first aid kit in room 3 did not have tape, gauze, or band aids.

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: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: During a renewal inspection 2/18/26 Cert rep observed Frayed carpets(not in good repair) in the following locations: Room 1 (the Roads carpet, the Red carpet, and Numbers carpet); Room 3 (the Alphabet carpet and the paw patrol carpet, and Room 5 (the Alphabet carpet). Cert rep also observed tears the following equipment in Room 4: both diaper changing mats, the color squares mat, the purple toy foam block, the mattress by the lion wall picture, the mattress by the giraffe wall picture, the mattress by the sink, and the mattress below the large heart on the window. These tears prevented proper sanitation of the equipment and resulted in the equipment not being in good repair.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. 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: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: During a renewal inspection on 2/18/26 Cert rep noted the hypothetical location of the fire was the same for consecutive fire drills on three separate occasions: 2/7/25 & 3/6/25 (Kitchen); 6/8/25 & 7/8/25(Hallway); and 9/10/25 and 10/27/25(Pre K).

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During a renewal inspection on 2/18/26 the most recent fire detection testing was 1/6/26, which is more than 30 days ago. There was also more than 30 days between testing on 5 additional occasions: 3/6/25-4/25/25, 5/5/25-6/8/25, 7/8/25-8/13/25, 9/10/25-10/27/25, and 11/4/25-12/19/25.

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

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During a renewal inspection on 2/24/25 Cert rep observed embedded equipment with a fall height of 4 ft in the Outdoor toddler play space. The facility reported having protective surface covering that was ASTM tested, but did not have this documentation available for Cert rep review. Facility is unable to demonstrate that surface covering meets the recommendations of the CPSC.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During a renewal inspection on 2/24/25 Cert rep observed embedded equipment with a fall height of 4 ft in the Outdoor toddler play space. The facility reported having protective surface covering that was ASTM tested, but did not have this documentation available for Cert rep review. Facility is unable to demonstrate that surface covering meets the recommendations of the CPSC.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. Directed Plan: The embedded equipment must be made inaccessible to children until such time as proof that the surfacing material meets CPSC recommendations is on file.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During a renewal inspection on 2/24/25 cert rep observed the daily schedule for room 5 was not posted in the room.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: During a renewal inspection on 2/24/25 cert rep noted the facility was not providing the following information in writing to the parents: daily schedule, and supervision policies.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During a renewal inspection 2/24/25-3/3/25 Child 5's most recent Child Service assessment was dated 6/10/24. This is more than 6 months since the previous assessment.

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)/3270.124(b)(3)

Description: Physician name, address, phone/Parent home/work address, phone

Noncompliance Area: During a renewal inspection 2/24/25-3/3/25 Child 4's emergency contact form did not have the name of the child's physician/medical care. Child 5's emergency contact form did not have the address for the child's physician/medical care. Children 3-6's emergency contact information did not have work addresses for the parents. Child 1-6's emergency contact information did not have work phone numbers for the parents.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During a renewal inspection on 2/24/25 cert rep observed that Rooms 1-5 did not have the emergency medical transportation plan post in the child care space. Cert rep observed the emergency medical transportation plan was not in the bags taken on excursions from the facility. Staff reported the emergency medical transportation plan is not taken with staff when leaving the facility with the children.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: During a renewal inspection on 2/24/25 Cert rep observed expired medications, Child 7's Epipen (expiration 11/2024), Child 8's albuterol inhaler (expiration 9/2024) in Room 2, and expired Destin cream (expiration 10/24) in Room 5.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection on 2/24/25 Staff person 2 was observed to be caring for children unsupervised. Staff person 2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First aid and CPR from a PQAs approved trainer in a PQAs approved curriculum.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person 2 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person 2, staff person 2 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: During a renewal inspection 2/24/25-3/3/25 Staff 8 did not have an initial health assessment or TB test on file. Staff 9's Health assessment was dated 1/14/24. This is more than 12 months prior to dates of hire (DOH). Staff 10's health assessment was dated 4/5/24. This is after her DOH. See code sheet for all DOH

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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.176(f)

Description: Prohibition using an 11-15 passenger vans

Noncompliance Area: During a renewal inspection on 2/24/25 Cert rep observed the facility was using a 12-passenger van to transport children as evident by the Manufacture's Tire and Loading information sticker which indicated a Total seating capacity of 12

Correction Required: In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van.

Regulation: 3270.27(a)(5)/3270.27(e)

Description: Emergency plan/Letter to parents

Noncompliance Area: During a renewal inspection on 2/24/25 Cert rep observed the facility emergency plan did not address the accommodations for infants and toddlers. Cert rep noted the emergency plan letter did not address the method to contact the parents and the method to notify the parents the emergency has ended.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During a renewal inspection on 2/24/25 the documentation of the annual emergency drills for the past two years was not available for Cert rep review.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During a renewal inspection 2/24/25-3/3/25 the following staff received initial emergency plan training on the noted date This is more than 90 days from their date of hire. (See code sheet for DOH): Staff 1 (1/22/25), Staff 2(1/22/25), Staff 10 (8/2/24). Documentation was not available for review that Staff 7 completed emergency plan training within the past 12 months.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During a renewal inspection 2/24/25-3/3/25 Staff 7 had 11 hours of training during the 12/23-12/24 training year.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff 7 must complete 1 hour of childcare training during the current training year to be applied to the 12/2023-12/2024 training year. Hours being applied to the 12/2023-12/2024 training year cannot count towards to any other training year.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During a renewal inspection 2/24/25-3/3/25 Staff 3, 5, 11, and 12 completed Fire Safety Training on 2/6/25. Documentation was not available to show Fire safety training was completed since 2023 for these staff. This is more than 1 years since their previous fire safety training.

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: During a renewal inspection 2/24/25-3/3/25 Staff 2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First aid and CPR from a PQAs approved trainer in a PQAs approved curriculum. Staff 2 had a First aid and CPR dated 11/7/24 that is not a PQAs approved curriculum.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection 2/24/25-3/3/25 Cert rep noted the following violations of the CPSL. See code sheet for all DOH: Staff 1 had a NSOR request dated 2/21/24, but did not have the NSOR clearance certificate on file. Staff 1 is outside her provisional hire window. Staff 2 was hire provisionally and had a NSOR request dated 10/8/24 This was after DOH which is violation of provisional hire requirements. Staff 3 Staff 3 did not have NJ Child Abuse clearance request or certificate on file. Staff reported residing outside of PA in the past 60 months. Staff 5 had a DHS FBI clearance dated 7/12/19. This is more than 60 months since the previous clearance and is expired. Staff 6 had State Police clearances dated 10/3/19 and 12/12/24, and child abuse clearances dated 10/10/29 and 12/18/24. These were more than 60 months since the previous clearance. Staff 9 did not have a valid signed, dated, and witnessed disclosure statement on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff 1, 3 and 5 may not work in a childcare position or have direct contact with children at the facility until the PA and out of state clearances related to this violation are obtained and on file at the facility. Staff 9 may not work in a childcare position or have direct contact with children at the facility until the disclosure statement is signed, dated, and witnessed.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection 2/24/25-3/3/25 Staff 5 had a staff evaluation dated 1/6/25. Staff 5 had no staff evaluation available for review from 2023-2025. This is more than 12 months since the previous staff evaluation. Staff 7 had no staff evaluations on file for review.

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: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: During a renewal inspection 2/24/25-3/3/25 Staff 3 had 2 years of childcare experience on file but had no information to support that Staff 3 obtained a high school diploma or equivalent on file. Staff 8 had a high school diploma and 1.25 years of child care experience on file. Staff 9 had a general educational development certificate and 0 years of child care experience on file. Staff 3, 8 and 9 have been working as assistant group supervisors.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During a renewal inspection on 2/24/25 cert rep observed water temperatures of 118° F (first sink from the door) and 120° F (second sink from the door) from the accessible sinks in the girl's bathroom that is used by the children at the facility.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: During a renewal inspection on 2/24/25 Cert rep observed first aid kits in the following accessible locations: 1. The floor of the unlocked closet in Room 4 2. The floor of the unlocked closet in Room 2

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

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: During a renewal inspection on 2/24/25 Cert rep observed a curl in the carpet by the bookcase in Room 1(tripping hazard). Cert rep observed tears in the edges of the cardboard play blocks in Room 2 and 3 (not in good repair). Cert rep observed tears in the changing mat kept in the boy's bathroom that is used by the children at the facility (not in good repair). Cert rep observed large cracks in the protective surface covering in the toddler playspace (tripping hazard and not in good repair).

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. 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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A Self reported non-compliance investigation on 1/3/25 confirmed that on 12/30/24, child 1 was alone and unsupervised in the fenced outdoor play area from 11:35:09 AM until 11:35:49 AM. Staff person #1 was assigned primary supervision of child #1 and brought her group inside without child #1. Staff #2 was in the outdoor play area with her assigned supervision group and entered the building with her group leaving child #1 outside alone and unsupervised.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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. Children must be supervised at all times. Operator will update the facility supervision policy to include procedures for transitioning children and staff, and to include name to face supervision checks. This updated supervision policy will be reviewed with all staff. Staff will sign acknowledgement of the policy. Signed staffed acknowledgement of the policy will remain in staff files.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A Self reported non-compliance investigation on 1/3/25 confirmed that on 12/30/24, child 1 was alone and unsupervised in the fenced outdoor play area from 11:35:09 AM until 11:35:49 AM. Staff person #1 was assigned primary supervision of child #1 and brought her group inside without child #1. Staff #2 was in the outdoor play area with her assigned supervision group and entered the building with her group leaving child #1 outside alone and unsupervised.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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. Children must be supervised at all times.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During an unannounced inspection on 1/3/25 Staff person 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR. Staff 3 completed pediatric first aid/CPR on 10/18/22 which expired on 10/31/2024. Staff person 1 received PA required Health and Safety training on 6/26/24. This was more than 90 days since her date of hire(see LIS code sheet). Staff person 4 received pediatric first aid/CPR training on 7/16/24. This was more than 90 days since her date of hire(see LIS code sheet).

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons 1 and 3 will complete Pediatric first aid and CPR. Until such time as the required training has been completed, Staff persons 1 and 3 must be supervised, when interacting with children, by an AGS, group supervisor or director who has completed the required training related to this citation. If there are no staff available to supervise Staff persons 1 and 3, Staff persons 1 and 3 may not work in a child-care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the renewal inspection on 2/28/24, the play rug in the young toddler room was dirty and worn.

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: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection on 2/28/24, the thermometer in the refrigerator in the kitchen read 58 degrees.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: As of the renewal inspection on 2/28/24, the emergency contact information for child #1 did not include the health insurance policy number.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: As of the renewal inspection on 2/28/24, the only health assessment on file for child #1 was dated 1/3/23 which was greater than 60 days from start date (see code sheet for start date). The initial health assessment on file for child #2 was dated 2/3/23 which was greater than 60 days from start date (see code sheet for start date).

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: As of the renewal inspection on 2/28/24, the most recent health assessment for child #1 was dated 1/3/23.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: During the renewal inspection on 2/28/24, there was Triamcinolone cream in the classroom for child #3 with no parental consent for the medication.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the renewal inspection on 2/28/24, there was no continuity of operations plan as required by 45 CFR 98.41(a)(1)(vii).

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: 3270.192(5)

Description: Two written references

Noncompliance Area: As of the renewal inspection on 2/8/24, there was only 1 written reference on file for staff #2 and no references for staff #3.

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(e)

Description: Letter to parents

Noncompliance Area: As of the renewal inspection on 2/28/24, the letter to parents did not include information about the lockdown procedures or accommodations for infants, toddlers, children with special needs or 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: As of the renewal inspection on 2/28/24, staff #1 did not have 12 clock hours of child care training for the inspection dates of 12/19/22 to 12/19/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: As of the renewal inspection on 2/28/24, staff #1 had a volunteer child abuse clearance. Staff #1 must be removed from care until appropriate clearance is on file (see code sheet for hire date).

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 #1 may not work in a child care position at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During a complaint investigation on 9/20/23, the toddler room had 14 children ages 16 months through 2 1/2 years old with 2 staff present. This amount of children this age would require 3 staff.

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). The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding maintaining proper ratios. This training must be completed as a live training or in-person. The training does not count towards annual hours. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During a complaint investigation on 9/20/23, the toddler room had 14 children ages 16 months through 2 1/2 years old with 2 staff present. This amount of children this age would require 3 staff.

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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: The program reported that on 8/18/23 a toddler was left unsupervised on the play ground for several minutes.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. 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. The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding supervision of children. This training must be completed as a live training or in-person. The training does not count towards annual hours. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: The program reported that on 8/18/23 a toddler was left unsupervised on the play ground for several minutes.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During an unannounced inspection on 8/28/23, staff #1 (see code sheet for hire date) had not completed the update to the health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During an unannounced inspection on 8/28/23, the most recent fire drill logged was 6/20/23.

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: During an unannounced inspection on 8/28/23, the most recent fire alarm check was logged on 6/20/23, greater than the required 30 days.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: As of the renewal inspection on 2/14/23, the emergency contact information for child #3 did not include the health insurance coverage and policy number.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the renewal inspection on 2/14/23, Staff #6 was outside with a group of children from the young and older toddler room (Room 3) with the emergency contacts leaving the rest of the children in the classroom with no emergency contacts.

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

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: As of the renewal inspection on 2/14/23, the health assessment and immunization record for child #2 was dated 1/3/23 (see code sheet for start date). The health assessment and immunization record for child #4 was dated 1/13/23 (see code sheet for start date).

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: As of the renewal inspection on 2/14/23, the most recent health assessment for child #1 was dated 4/4/22 (see code sheet for date of birth).

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the renewal inspection on 2/14/23, there was no policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required by 45 CFR 98.41(a)(1)(vi).

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(c)(3)

Description: Exam communicable disease

Noncompliance Area: As of the renewal inspection on 2/14/23, the health assessment for staff #4 did not include the physician's statement that there were no communicable diseases.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: As of the renewal inspection on 2/14/23, the operator had not notified 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.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: As of the renewal inspection on 2/14/23, Staff #1 was working in the classroom and did not have the required 12 clock of hours of training.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: As of 2/14/23, Staff #1, #3, and #5 did not have fire safety training in the previous year.

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: As of the renewal inspection on 2/14/23, Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety topics and Pediatric First Aid and Pediatric CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 3/2/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 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: As of the renewal inspection on 2/14/23, Staff #1 did not have a current Child Abuse Clearance, NSOR, or Mandated Reporter training. Staff #2 had an FBI clearance dated 2/4/17, more than 60 months old.

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 #1 and #2 may not work in a child care position at the facility until all clearances are on file.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During the renewal inspection on 2/14/23, Staff #6 was outside with a group of children from the young and older toddler room (Room 3) with the 1st aid kit leaving the rest of the children in the classroom with no 1st aid kit.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 2/14/23, there was trash in the playground, and there was a rug in Rooms 1, 2, and 3 that were frayed and in poor condition.

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: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: On 2/23/22 during the renewal inspection, the health assessments for staff #1, #3, #4, #7, and #8 did not include the physician's assessment of the person's suitability to provide child care. On 3/2/22 an acceptable plan of correction was submitted with a correction date of 3/18/22. During an unannounced follow up visit, Staff #1,#3, #4, #7 and #8 still did not have a health assessment that included the physician's assessment of their suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: On 2/23/22 during the renewal inspection, Staff #1 (hire date 11/3/21) did not have pediatric first aid and CPR training. On 3/2/22 an acceptable plan of correction was received with a correction date of 3/18/22 given. On 3/24/22 during an unannounced follow up visit, Staff #1 had not yet completed pediatric first aid and CPR.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 2/23/22 during the renewal inspection, the bottom of the changing table in the toddler room was damaged.

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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 2/23/22 during the renewal inspection, the emergency contact information for child #2 did not include the health insurance information.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: On 2/23/22 during the renewal inspection, there was no health report on file for child #2 (start date 11/8/21).

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: On 2/23/22 during the renewal inspection, the most recent health report for child #3 (DOB 9/25/19) was dated 2/3/21.

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

Regulation: 3270.131(e)/3270.131(e)(1)

Description: ACIP recommended immunization record /Exemption documentation from parent/guardian

Noncompliance Area: On 2/23/22 during the renewal inspection, there was no documentation of influenza vaccine for child #1 and child #3. The most recent influenza vaccine on file for child #4 was dated 10/11/20.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: On 2/23/22 during the renewal inspection, the health assessments for staff #1, #3, #4, #6, #7, and #8 did not include the physician's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: On 2/23/22 during the renewal inspection, Staff #1 (hire date 11/3/21) did not have pediatric first aid and CPR training.

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

Regulation: 3270.31(g)

Description: Professional development certificate

Noncompliance Area: On 2/23/22 during the renewal inspection, the required CCDBG Health and Safety training for Staff #2 was dated 9/22/16 and must be taken after 9/30/16.

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 2/23/22 during the renewal inspection, Staff #5 (hire date 10/25/21) lived in NJ in the past 5 years and did not have clearances from that state. Staff #5 must be removed from care. Staff #8 (hire date 1/6/22) lived in VA in the previous 5 years and did not have clearances from that state. Staff #8 must be removed from care. Staff #7 (hire date 11/23/21) did not have NSOR and must be removed from care.

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 #5, #7, #8 may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: On 2/23/22 during the renewal inspection, Staff #5 and #7, both identified as an Assistant Group Supervisors, did not have documentation of 2 years of experience to qualify for the position.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 2/23/22 during the renewal inspection, the most recent fire drill was dated 12/6/21, more than 60 days.

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: On 2/23/22 during the renewal inspection, there was no documentation of monthly testing of the smoke alarms as required.

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.