Kindercare Learning Center/penn Hills

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: There were several naptime mats that were not at least 2 feet of space required on three sides of the mats in the preschool room.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 7/23/26 at approximately 12:10 pm there were 7 OT and 2 staff in the Discovery Preschool room. Staff #1 and Staff #2 did not assign the responsibility for supervision of specific children in the classroom. Staff #1 was unable to identify child #1.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was an open garbage can that has been contaminated by human secretions in the Discovery Preschool room.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.182(7)

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

Noncompliance Area: Base on the previous plan of correction, "A child's record will contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report will be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.", the operator did not comply with giving the parent the copy for their child incident report on the date of the incident. During 6/24/26 visit CR observed incident reports that contained the parent unsigned copy.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Per investigation, it was determined that staff have used harsh language in the presence of children.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.61(c)

Description: 40 square feet wall-to-wall

Noncompliance Area: Per staff statements, children have been taken to the office to receive care when children exhibit challenging behaviors. The office is not a measured child care space.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Per investigation and staff statements, staff #1 has been observed smacking children on the buttock and grabbing children roughly by the arms.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Per investigation and staff statements, staff #1 has been heard speaking to the children aggressively and telling children to shut-up.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

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

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

Noncompliance Area: The file for staff #2 lacked a health report and TB test. Staff #2 was observed working and entering the different classrooms at the facility during the investigation.

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: 3270.182(7)

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

Noncompliance Area: An accident report was not written nor given to the parents of Child #1 regarding an injury that occurred while receiving care in March 2026.

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

Regulation: 3270.182(7)

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

Noncompliance Area: An incident report was not located in child #1's file or in the facility accident file for an injury received by child #1 on 4/23/2026. In addition, according to staff interviews, an incident report was not provided to the child's parent on the day of the injury.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 4.16.26, at approximately 9:50 AM, Child #1, who was to be supervised by Staff #1, was left alone in Room 5 when the class went to the playground, with staff unaware the child was missing. Child #1 was found and returned to the group by Staff #3.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 4.16.26, at approximately 9:50 AM, Child #1, who was to be supervised by Staff #1, was left alone in Room 5 when the class went to the playground, with staff unaware the child was missing. Child #1 was found and returned to the group by Staff #3.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 4.16.26, while to be supervising children, Staff #2 left the line of children in the hall to retrieve a blanket. During that time, Staff #1 was alone supervising preschool children. Based on staff statements, there were approximately 13-15 preschool children in the group with one (1) staff, which exceeded the staff:child ratio of 1:10.

Correction Required: Tier 1 - When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. This portion of the plan shall have an immediate correction date. Tier 2 - Ratio postings and the definitions of each age group are to be clearly visible in each classroom. The operator shall provide a date for when this will be completed. Tier 3 - The legal entity will conduct mandatory staff meetings at least once per month for a period of 3 months following the approval of this plan of correction. At each staff meeting, ratio requirements and the previous two (2) years of citations, will be reviewed and discussed with staff. The agenda for each of those three (3) staff meetings will be sent to the regional office/certification representative prior to each meeting. All staff will sign an attendance sheet, and a copy will be sent to the regional office/certification representative following each meeting. A copy shall be kept on file at the facility. The correction date for this portion of the plan shall be a minimum of 3 months from the date the regional office/certification representative approves this plan of correction.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Per a facility self-report and staff statements, on 4/10/26 in the Pre-K room during nap time, Staff #1 was observed laying down between two children. Staff #1 was asleep while the staff was responsible for supervising the children in the room.

Correction Required: TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all childcare staff persons at the facility to complete an Active Supervision Training. The training must be offered by ELRC 5, in-person and a minimum of 2 hours. The training must be completed within 3 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete. 3. The legal entity will require all childcare staff to participate in technical assistance visits provided by the ELRC regarding classroom supervision/ratio and managing challenging behaviors in the classroom. The legal entity will complete a minimum of 3, in-person technical assistance visits provided by ELRC 5. The technical assistance visits must be completed within 4 months of the approval of this plan of correction. Upon completion of the visits, documentation will be provided to the OCDEL-DHS representative by email. The operator shall provide a date for when this training will be complete.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Per staff statements, on 4/9/26, at approximately 9:00 a.m., Staff #3 was working alone in the Pre-K Room with 17 children, consisting of Preschoolers, through School Aged. Staff # 2 and Staff #4 were working in the Young Toddler Room with 14 children, consisting of Young and Older Toddlers.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was water damaged mark on the SA room ceiling.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were two cracked clear bins in the infant B room. There was a cracked bin in the toddler room. There were two cracked bins in the SA room. There was a broken paper towel holder in the second bathroom to the left in the pre-k room. There were two bins filled with dirty water and a blue broken bin in the toddler 's playground.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The sleeping cots in the pre-k room were not labeled for the use of a specific child and used only by the specified child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During naptime there were four cots with less than 2 feet of space on three sides of the cots while the equipment was in use, three in the pre-k and one in the toddler room.

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

Regulation: 3270.106(h)

Description: Soiled bedding cleaned

Noncompliance Area: There were two cribs with soiled sheets in the infant B room. CR observed a child sleeping in one of the soiled cribs.

Correction Required: Soiled bedding shall be cleaned before it is reused.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: On 3/25/26 at approximately 10:29 am, Staff #5 was heard yelling "Sit Down!" in the Toddler Room. The Certification Representative looked into the Toddler Room and observed Staff #5 yelling directly into the face of Child #8. The child was holding a toy and the staff hit the toy in the child's hand twice while continuing to yell.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: On 3/25/26 at approximately 10:29 am, Staff #5 was heard yelling "Sit Down!" in the Toddler Room. The Certification Representative looked into the Toddler Room and observed Staff #5 yelling directly into the face of Child #8. The child was holding a toy and the staff hit the toy in the child's hand twice while continuing to yell.

Correction Required: TIERED LIS: 1. A facility person may not use harsh, demeaning or abusive language in the presence of children. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to complete a training regarding managing challenging behaviors in the classroom. The training must be offered by ELRC 5, in-person and a minimum of 2 hours. The training must be completed within 3 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete.

Regulation: 3270.114

Description: Outdoor Activity

Noncompliance Area: On 3/25/26 CR observed that children were not taken outdoors, weather was above 25-degree and there was no precipitation. Per staff statement children have not been going outside daily due to been cold outside.

Correction Required: Weather permitting, children shall be taken out doors daily.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The file for child # 1lacked the amount of the fee to be charged per day or per week. on the agreement form.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The file for child #1 lacked the date on which the fee is to be paid on the agreement form.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #3 lacked the information about the child's growth and development in the context of the services being provided.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child # 5 lacked the name and telephone number of the child's physician or source of medical care on the emergency contact form.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #2 lacked the work address of the enrolling parent on the emergency contact form. The files for children # 4,5, lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

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

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

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

Noncompliance Area: The files for children #4,5,6 and 7 lacked written consent signed by a parent for emergency medical care on the emergency contact form.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for child #5 lacked the information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the Emergency contact form.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The files for children # 1,3,4,5,6 and 7 lacked the health insurance policy number on the emergency contact form.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for children #1,4,5 and 7 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact form for child #4 was not present in the pre-k room where the child was receiving care.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The infant room A lacked emergency transportation plan.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for child #3 contained an emergency contact form that has not been reviewed. The last reviewed is dated 8/18/25. The file contained an agreement form dated 2/18/26 that was reviewed pass the 6 months prior from the previous review dated 4/14/25. The files for children #4, and #7 contained an emergency contact and agreement form that were not updated in a 6 month period.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child #1, an infant, contained a current health report dated 2/12/26. The file lacked an initial health report within 60 days of the first day of attendance. The file for child # 4, a preschooler, contained a current health report dated 10/30/25. The file lacked an initial health report within 60 days of the first day of attendance.

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

Regulation: 3270.131(a)(4)

Description: Initial health report for school age; accordance with school attendance

Noncompliance Area: The file for child #7 a school age lacked an initial health report. The child was in care longer that 60 days without initial health report.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child #3, a preschooler contained a current health report dated 4/3/25. The report was obtained more than 12 months from the prior report dated 3/13/24.

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

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: Staff # 7 did not wash the child's hands after diapering. Staff #7 did not wash her hands after diapering a child.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Staff #7 kept a soiled diaper on the changing table until the staff was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff #1 contained a current health report dated 2/23/26 that was not obtained withing 24 months of the previous health report dated 6/15/23. The file for staff #2 contained a current health report dated 8/1/25 that was obtained after providing initial service in a childcare setting. The file for staff #3 contained a current health report dated 10/6/25 that was obtained after providing initial service in a childcare setting. The file for staff #4 contained a current health report dated 7/29/25 that was obtained after providing initial service in a childcare setting. The file for staff #6 contained a current health report dated 3/28/25 that was obtained after providing initial service in a childcare setting. The file for staff #9 contained a current health report dated 2/5/26 that was obtained after providing initial service in a childcare setting. The file for staff #10 contained a current health report dated 6/25/25 that was not obtained within 24 months from the previous health report dated 4/5/23.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The file for staff #4 contained a health report that lacked an examination for communicable diseases and the results of that examination.

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

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: At approximately 10:36 am 6 cups with milk were observed on top of the counter in the toddler room and 2 cups of milk in the pre-k room.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not 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 childcare 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: 3270.182(5)

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

Noncompliance Area: The files for children# 4,5,6 and 7 lacked signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The files for staff #1 and #8 lacked verification of childcare experience.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: The file for staff #1 lacked verification of education.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for staff #1 and #8 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: There were mobile infants and young toddlers in Infant B room. There was a drill, screws, pieces of wood and a tool box on the floor of Infant A room. The door between the two rooms was open. There was a cylinder shaped foam play roller, approximately 2 feet by 2 feet, propping open the door. The Infant A room was accessible to children.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility emergency plan lacked accommodations for infants, toddlers.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The facility emergency plan last reviewed was dated 2/10/25.

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(d)

Description: Plan posted

Noncompliance Area: The operator did not post the emergency plan in the facility at a conspicuous location.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The operator did not provide the parents of each enrolled child a letter explaining the emergency procedures.

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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: A copy of the facility emergency plan was not sent to the local municipality and 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained a current NSOR clearance dated 2/12/26, that was obtained after staff #1 start date working with children. The file for staff #2 contained a current NSOR clearance dated 8/13/25, that was obtained after staff #2 start date working with children. The file for staff #3 contained a current NSOR clearance dated 10/7/25, that was obtained after staff #3 start date working with children. The file for staff #6 contained a current FBI clearance dated 4/8/25 that was obtained after staff #6 start date working 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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff #11 contained a current evaluation dated 12/15/25, the file lacked documentation of the previous evaluation.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was an uncovered electrical outlet in the SA room, the room was being used by the Preschool /Pre-K children. The electrical outlet was accessible to children 5 years of age or younger. There was an uncovered electrical outlet by the fire alarm box above the cribs in the infant B room accessible to children 5 years of age or younger.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There were 3 bottles of Elmer's Rubber Cement labeled, "keep out of reach of children," in the art /crafts cart i the Discovery preschool room, in the OT area accessible to children. There was a bottle of Febreze spray labeled, "keep out of reach of children", in the unlocked cabinet above the sink in the SA room accessible to children. There was a Desiline diaper rash cream and sanitizer wipes labeled, "keep out of reach of children", in a backpack that was laying on the floor in pre- K room. accessible to children.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: The following rooms had trash contaminated by human secretions located in trash receptacles that lacked a plastic liner: 2 receptacles in Infant A; Toddler; and 2 receptacles in the Preschool bathrooms.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the infant A room lacked tape and soap. The first-aid kit in the toddler room lacked soap. The first-aid kit in the SA room lacked bandages.

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

Description: Building Surfaces

Noncompliance Area: There was rubber baseboard pulling of the wall close to the exit door in the infant B room. The right-side of the sink attached to the changing table is deteriorated and peeling away, leaving a gap between the sink and the wall in the toddler room. There was a damaged metal wall detaching and creating a sharp edge in the toddler room. There was a metal spring about 12" long coming off the paper towel holder and a broken water shut-off valve by the toilet creating sharp edges in the first preschool bathroom. There was spilled trash in the preschool, and the toddlers' playgrounds. When CR asked how often the trash is removed from the facility ground staff were unable to respond.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling paint on the buggy wheel in the toddler's playground.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The sink faucet in the infant B classroom bathroom was leaking; both toilets were dirty with yellow and brown stains in the toilet bowl. The pipes under the sink in both discovery preschool room on the toddler side bathrooms were rusted. There was a hole on the wall under the sink between the rusted pipes, there were three lose metal pipe connections and the sink was stained and dirty. The first bathroom to the left in the pre-k room contained a leaking sink and a non-operable toilet. The sink was filled with wet paper towels, and the toilets bowl was soiled. The second bathroom to the left in the pre-k room toilet is leaking from under the toilet bowl. There was urine in the bowl. The pipes under the sink in the pre-k room bathroom were rusted. The pipes under the sink in both SA room bathrooms are rusted and corroded.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The second bathroom to the left in the pre-K room lacked washing hand sign above the toilet.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The second bathroom to the left in the PreK-room lacked a lidded waste receptacle. The SA bathroom lacked 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: There were stacked cots obstructing the doorway. The cots were stored in an unstable manner, creating potential tripping hazard and impede safe entry or exit during an emergency. The cots were in the toddler's playground.

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: According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 9/19/25-11/19/25 and 2/10/26 to 3/25/26.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 7/28/25 at 9:02 am, Child #1 and Child #2, preschoolers, were sitting on a bench in the hallway outside of the kitchen. The children were not being supervised by a staff. The children were waiting for Staff #6 to take them to their room. Staff #6 left the hallway to go into an office before returning to take the children to their rooms.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 7/28/25 at 9:02 am, Child #1 and Child #2, preschoolers, were sitting on a bench in the hallway outside of the kitchen. The children were not being supervised by a staff. The children were waiting for Staff #6 to take them to their room. Staff #6 left the hallway to go into an office before returning to take the children to their rooms. On 7/28/25 at 9:15 am in the Pre-K Room, Staff #7 and Staff #8 were supervising 13 children. When asked which children were in each staff's supervision group, the staff named 19 children, then named 14 children. Staff #7 could not correctly identify the children assigned to their supervision group.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Per staff statements and a facility self-report, on 7/10/25, Staff #1 used their arm to roughly stop and trip Child #1, an older toddler. Staff #1 then asked the child, "What the hell is your problem?" Child #1 was trying to run across the room to their parent at pick up.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Per staff statements and a facility self-report, on 7/10/25, Staff #1 used their arm to roughly stop and trip Child #1, an older toddler. Staff #1 then asked the child, "What the hell is your problem?" Child #1 was trying to run across the room to their parent at pick up.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children. 1. A facility person may not use harsh, demeaning or abusive language in the presence of children. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff to attend a mandatory staff meeting to review the supervision regulations including; 3270.113(b), 3270.113(c) and 3270.113(d). The meeting agenda must be approved by the Department prior to the meeting. Documentation of each staff's attendance at the meeting will be provided to the OCDEL-DHS representative by email. The operator shall provide a date for when this training will be complete.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person # 6 was observed to be caring for children unsupervised. Staff person # 6 has not completed the following pre- service training required prior to caring for children unsupervised: Mandate Reporter 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 the required pre- service training is completed, staff person #6 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 #6, staff person #6 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: The file for staff #1 lacked the TB test read date on the health report. The file for staff #2 lacked a health report. The file for staff #3 lacked a health report. The file for staff # 4 contained a health report that was obtained after staff #4 start date. The file for staff #5 lacked a health report. The file for staff #6 lacked a health report.

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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The file for staff # 4 contained a health report that lacked an examination for communicable diseases and the results of that examination.

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

Regulation: 3270.151(c)(4)

Description: Information re: medical problems

Noncompliance Area: The file for staff #4 contained a health report that lacked information regarding medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff #2 lacked proof of education and verification of childcare experience. The file for staff # 6 lacked proof of education and verification of childcare experience. The file for staff #8 lacked proof of education and verification of childcare experience.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff # 2, 3 and 6 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff # 1, #2, #3, #4 & #6 lacked an NSOR clearance. The file for staff # 5 Lacked an FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons # 1,2,3,4,5 and 6 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons# 1,2,3,4,5, and 6 may not work in a child care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 7/28/25 at 9:02 am, Child #1 and Child #2, preschoolers, were sitting on a bench in the hallway outside of the kitchen. The children were not being supervised by a staff. The children were waiting for Staff #6 to take them to their room. Staff #6 left the hallway to go into an office before returning to take the children to their rooms.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR 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: mandated reporter training and health and safety topics.

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 #1 & #2 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 #1 & #2, staff person #1 & #2 may not work in a child-care position at the facility.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff # 2 lacked verification of child care experience, education and training prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff # 2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #2 lacked the FBI clearance and the application to obtain the clearance.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a broken clear bin in the Pre-k room. There was a cracked white bin in the TK room. There was cracked green bin in the infant/toddler's playground. The was a rusted cracked metal on the Preschool playground equipment step. There was a broken garbage can in the 2nd TK bathroom.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The rest equipment in the OT, Discovery Preschool, Preschool and Pre-K room was not labeled for the use of a specific child and used only by the specified child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The file for child # 5 lacked the parent's signature on the agreement form.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file for child # 5 lacked the date of the child's date of admission on the agreement form.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child # 4 lacked the name of the child's physician or source of medical care on the emergency contact form. The file for child # 4 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for children # 2 and 4 lacked the work addresses of the enrolling parent on the emergency contact form. The files for children # 2,3 and 4 lacked the work telephone numbers of the enrolling parent on the emergency contact form.

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

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

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

Noncompliance Area: The file for child # 5 lacked written consent signed by a parent for emergency medical care on the emergency contact form.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The files for child # 2 and 3 lacked the information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the Emergency contact form.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child # 5 lacked the health insurance policy number on the emergency contact form.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #2 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. The file for child #4 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact form for child #6 was not present in the infant B room where the child was receiving care. The emergency contact form for child #7 was not present in the pre-k room where the child was receiving care.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child # 5 a preschooler contained a current health report dated 8/19/24. The report was not updated within 12 months. The previous report was dated. 9/22/22.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff # 3 did not wash the child's hands after diapering.

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

Regulation: 3270.134(c)

Description: Paper towels discarded

Noncompliance Area: The bathroom in the preschool room lacked paper towels.

Correction Required: Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

Regulation: 3270.134(d)

Description: Liquid or powdered soap

Noncompliance Area: The bathroom in the TK room lacked soap.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

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