KINDERCARE LEARNING CENTER 301716

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: The self-report of non-compliance indicated that an unsecured dresser furniture fell on a child causing injury.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 included a Child Abuse Clearance which was not updated within 60 months of the previous clearance; the most recent Child Abuse Clearance was dated 09/11/20020 with no subsequent clearance on file.

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Observed staff person #1 was directing children in the Preschool classroom to clean up the room. A child was running in the room playing instead of cleaning up. Staff person #1 grabbed the child by the wrist and held their wrist while walking around the room picking up toys, leading the child with them wherever they went. When Certification Representative stated for staff person #1 to let go of the child, staff person #1 stated they had to hold onto the child or they will keep running around the room. The child had been playing and running in various areas of the classroom but was not causing harm to themself or others while doing so.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

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

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

Noncompliance Area: During naptime, observed staff person #2 did not know the names of the children in their assigned group in the Preschool classroom. There was a total of 17 preschool age children in the room and staff person #3 named 6 of the children in their assigned group. Continued noncompliance previously cited on 07/17/2025, On 07/17/2025, observed staff person #3 did not know the names of the 4 older toddlers in their assigned group in the DPS 2 classroom. On 07/18/2025, observed staff person #1 sitting inside the bathroom located in the DPS 2 classroom to assist a child being changed before lunch. Staff person #1 was unable to see, hear, direct and assess the remaining 5 older toddlers in the classroom from their position in the bathroom. The mirror in the classroom to assist with supervision does not allow staff to see the right side of the classroom next to the cubbies and the small area around the corner near the gate that enters into the classroom. While staff person #1 was in the bathroom, children were observed playing in the area where staff was unable to supervise the children.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #1 did not include a child service report with information about the child's growth and development within 6 months of enrollment (see LIS code sheet) and at least every 6 months thereafter. The file did not include documentation of any child service reports. The file for child #2 and #3 did not include a child service report with information about the child's growth and development within 6 months of enrollment (see LIS code sheet). The file did not include documentation of any child service reports. Continued noncompliance previously cited on 07/18/2025, the file for child #3 and #9 did not include a child service report with information about the child's growth and development within 6 months of enrollment (see LIS code sheet). The file did not include documentation of any child service reports. The file for child #6 did not include a child service report with information about the child's growth and development within 6 months of enrollment (see LIS code sheet) and at least every 6 months thereafter. The file did not include documentation of any child service reports.

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: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The file for staff person #1 included a health report which did not include a statement that the individual is free from communicable diseases. The health report did not include the physician's or CRNP's assessment of the person's suitability to provide child care. Continued noncompliance previously cited on 07/17/2025.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.165

Description: Menus

Noncompliance Area: A current menu was not posted conspicuously at the facility; the menu that was posted was for the week of 09/08 - 09/12/2025 in lieu of a menu for the current week (09/22 - 09/26/2025 and following week (09/29 - 10/03/2025). Continued noncompliance, previously cited on 07/17/2025. A current menu was not posted in a conspicuous location at the facility and/or was not provided to each family at least 1 week in advance.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: Observed the hot water temperatures of the sinks used by the children throughout the building exceeded 110° F. The sink on the left in the Discovery Preschool 2 classroom reached a temperature of 111° F. The sink on the left in the Preschool classroom reached a temperature of 113° F. The sink on the left in the PreK classroom reached a temperature of 114° F. The sink in the Preschool/Young school-age bathroom on the left reached a temperature of 111° F. The sink in the school-age bathrooms on the right and left reached a temperature of 112° F. Continued noncompliance previously cited on 07/17/2025. Observed the hot water temperatures of the sinks used by the children throughout the building exceeded 110° F. The school-age classroom sink reached 122° F. The sink in the school age bathroom on the left reached 122° F. The sink in the school age bathroom on the right reached 120° F. The preschool/young school age classroom sink reached 124° F. The preschool/young school age bathroom on the left reached 122° F. The preschool/young school age bathroom on the right reached 120° F. The PreK Counts 1 classroom sink on the left reached 124° F and the one on the right reached 125° F. The PreK Counts 2 classroom sink on the left reached 117° F. The sinks in the DPS 1 & DPS 2 classrooms reached 118 - 120° F. The sink located in the Preschool classroom on the left reached 125° F and the one on the right reached 128° F. The sink located in the PreK classroom on the left reached 133° F and the one on the right reached 128° F.

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

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: Observed the sink in the infant 1 and infant 2 classrooms were not at a proper height for young toddlers to easily approach the sink; the classrooms do not have a platform or steps for the young toddlers to reach the sink for hand washing. Staff in both classrooms state they hold the children at the sink to wash their hands. Continued noncompliance previously cited on 07/17/2025. Observed the sink in the infant classroom was not at a proper height for young toddlers to easily approach the sink; the classroom does not have a platform or steps for the young toddlers to reach the sink for hand washing

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

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

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

Noncompliance Area: On 07/17/2025, observed staff person #3 did not know the names of the 4 older toddlers in their assigned group in the DPS 2 classroom. On 07/18/2025, observed staff person #1 sitting inside the bathroom located in the DPS 2 classroom to assist a child being changed before lunch. Staff person #1 was unable to see, hear, direct and assess the remaining 5 older toddlers in the classroom from their position in the bathroom. The mirror in the classroom to assist with supervision does not allow staff to see the right side of the classroom next to the cubbies and the small area around the corner near the gate that enters into the classroom. While staff person #1 was in the bathroom, children were observed playing in the area where staff was unable to supervise the children.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement for child #1 and #2 was not signed by the operator.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #3 and #9 did not include a child service report with information about the child's growth and development within 6 months of enrollment (see LIS code sheet). The file did not include documentation of any child service reports. The file for child #6 did not include a child service report with information about the child's growth and development within 6 months of enrollment (see LIS code sheet) and at least every 6 months thereafter. The file did not include documentation of any child service reports.

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: The emergency contact information for child #1 and #5 did not include the address of the child's physician or source of medical care. The emergency contact information for child #4 did not include the work address of the enrolling parent.

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(c)

Description: Each child care space

Noncompliance Area: On 07/18/2025, the school-age classroom was in the PreK Counts 1 classroom watching a movie during quiet time. Emergency contact information was not present in the classroom for child #7 and #8 while receiving care in the space.

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(f)/3270.181(c)

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

Noncompliance Area: The emergency contact information and financial agreement for child #3 & #6 were not reviewed by a parent at least once every 6 months. The most recent review of the emergency contact form for child #3 was documented on 06/17/2025 with the previous review documented on 08/27/2024. The most recent review of the financial agreement for child #3 was documented on 06/14/2025 with the /previous review documented on 08/19/2024. There were no additional reviews documented between 08/2024 - 06/2025. The most recent review of the emergency contact form for child #6 was documented on 06/4/2025 with the previous review documented on 06/25/2024. The most recent review of the financial agreement for child #6 was documented on 06/4/2025 with the previous review documented on 06/24/2024. There were no additional reviews documented between 06/2024 - 06/2025.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child #6 included a health report which was not updated at least every 12 months for an older toddler or preschool child (see LIS code sheet). The current health report on file was dated 09/04/2024 with the previous form dated 08/05/2022.

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(c)

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

Noncompliance Area: The health report on file for child #6 was a copy of an after-visit summary which 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)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report on file for child #5 was a progress note printed 05/07/2025 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. The health report on file for child #6 was an after-visit summary 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.

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.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: On 07/17/2025, observed (in the older infant/young toddler classroom) staff person #2 did not ensure their hands and the children's hands were washed before lunch and after diaper changes.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 07/17/2025, staff person #2 was observed to be caring for children unsupervised. Staff person #2 does not have documentation of completing the following pre- service training required prior to caring for children unsupervised: Mandated 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 trainings are completed, staff person #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 #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff person #6 did not include an updated health assessment within 24 months of the previous assessment; the most recent health assessment on file was dated 12/06/2022 with no subsequent assessment on file.

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

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The file for staff person #1 included a health report which did not include a statement that the individual is free from communicable diseases. The health report did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.165

Description: Menus

Noncompliance Area: A current menu was not posted in a conspicuous location at the facility and/or was not provided to each family at least 1 week in advance.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: An emergency drill was not conducted within 12 months of the previous drill; the most recent drill was conducted on 04/26/2024 with no subsequent drill completed following this date.

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: Emergency Plan Training for staff person #8 was not updated within 12 months of the previous training; the current training was completed on 02/17/2025 with the previous training dated 01/02/2024.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The operator does not provide a letter explaining the emergency procedures to the parent of each child enrolled at the facility. The operator did not provide to the parent of each enrolled child a letter explaining recent updates to the emergency plan dated 05/05/2025. The operator was unable to find a copy of a letter to the parents which explains the emergency procedures described in subsection (a).

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: The most recent update to the emergency plan dated 05/05/2025, which included revisions was not sent to the local municipality and to the county emergency management agency.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for staff person #4 and #9 did not have documentation of an annual minimum of 12 clock hours of child care training; the files each included documentation of 8 hours between 12/2023 - 12/2024.

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

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

Description: Age and Training

Noncompliance Area: The file for staff person #8 included Pediatric First Aid & CPR which was not updated prior to the expiration of the previous certification. The current training was completed on 03/12/2025, with the previous training valid from 02/20/2023 - 02/2025.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff person #4 included fire safety training which was not updated within 12 months of the previous training. The current training was dated 05/06/2025 with the previous training dated 04/02/2024. The file for staff person #9 included fire safety training which was not updated within 12 months of the previous training. The current training was dated 09/25/2024 with the previous training dated 07/11/2023.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 did not have documentation of completing the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care-Revised or Health and Safety Update 2022 (Part 1 & Part 2). The file included the upper portion of a Certificate for the Get Started with Center-Based Care-Revised with the date of completion missing from the Certificate.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #2 did not have documentation of completing mandated reporter training within 90 days of their date of hire (see LIS code sheet). The file included a payment receipt for the training in lieu of a certificate of completion. The file for staff person #4 included an NSOR clearance which was not updated within 60 months of the previous clearance; the current NSOR on file was dated 05/09/2025 with the previous clearance dated 12/09/2019. The file for staff person #5 included an NSOR clearance which was not updated within 60 months of the previous clearance; the current NSOR on file was dated 01/16/2025 with the previous clearance dated 11/06/2019. The file for staff person #6 did not include documentation of a current NSOR certificate; the most recent NSOR on file was dated 12/09/2019. The file for staff person #7 included an NSOR clearance which was not updated within 60 months of the previous clearance; the current NSOR on file was dated 02/03/2025 with the previous clearance dated 12/09/2019.

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 #6 may not work in a child care position at the facility. Until such time as the required training has been completed, staff person #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 #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: On 07/17/2025, observed the hot water temperatures of the sinks used by the children throughout the building exceeded 110° F. The school-age classroom sink reached 122° F. The sink in the school age bathroom on the left reached 122° F. The sink in the school age bathroom on the right reached 120° F. The preschool/young school age classroom sink reached 124° F. The preschool/young school age bathroom on the left reached 122° F. The preschool/young school age bathroom on the right reached 120° F. The PreK Counts 1 classroom sink on the left reached 124° F and the one on the right reached 125° F. The PreK Counts 2 classroom sink on the left reached 117° F. The sinks in the DPS 1 & DPS 2 classrooms reached 118 - 120° F. The sink located in the Preschool classroom on the left reached 125° F and the one on the right reached 128° F. The sink located in the PreK classroom on the left reached 133° F and the one on the right reached 128° F.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit located in the Preschool/younger school age classroom and the older school age classroom did not contain soap.

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

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: Observed the sink in the infant classroom was not at a proper height for young toddlers to easily approach the sink; the classroom does not have a platform or steps for the young toddlers to reach the sink for hand washing

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed over the counter medications (acetaminophen and Mucinext) in the area the medication for children is stored which was not labeled with the name of the child for whom the medication was intended.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff 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 & CPR training in a PQAS approved curriculum by a PQAS approved trainer.

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 training has been completed, staff person #1 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, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.193(a)

Description: Confidential; stored in locked cabinet

Noncompliance Area: Observed the cabinet in the reception area in the lobby of the facility which contains the staff files was unlocked.

Correction Required: Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum by a PQAS approved trainer.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #1 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, 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: The file for staff person #1 did not include the results of the NSOR clearance requested on 11/01/2024 within 45 days of hire (see LIS code sheet). The final results of the NSOR clearance was not on file on the date of the inspection. The file for staff person #2 did not include a signed disclosure statement at the time of initial hire.

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

Regulation: 3270.34(a)(3)

Description: Responsible designee

Noncompliance Area: The facility did not have a designated person in charge on the date of the inspection. The facility does not currently have a director and the assistant director was out of the office on the date of the inspection. An individual from another facility who was the designated person in charge in the assistant's absence was not present at the facility.

Correction Required: A director is responsible for designating a staff person who is responsible for compliance with this chapter in the Director's absence.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed an outlet on the wall in the preschool/kindergarten classroom which did not have a protective receptacle cover while preschool age children under 5 years of age were receiving care. Observed the electrical outlet under the water refill station in the PreK Counts classroom did not have a protective receptacle cover after needing to unplug the fountain due to a water leak from the fountain into the receptacle.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a broken and bowed step on the gazebo in the preschool play area. At the time of the inspection, the water bottle refill station located in the PreK Counts classroom leaked water into the outlet below the fountain. The fountain was unplugged, and the outlet was not covered with protective covers.

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: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The director or designated staff person did not ensure a manual test of the fire detection system was tested at least once every 30 days. Tests exceed 30 days on the following dates: 10/10/2024 - 11/14/2024 - 12/24/2024 - 02/14/2024.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 included a PA Department of Education FBI Clearance dated 06/08/2024 in lieu of a Department of Human Services FBI Clearance. Documentation of a request for an DHS FBI clearance was not on file prior to working in a child care position at the facility (see LIS code sheet). Staff person #1 was observed working alone with children in the school age classroom at the time of the inspection. Staff person #1, acting as the director, did not have complete acceptable clearances on file on the first day working at the facility.

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

Regulation: 3270.55(a)/3270.55(b)

Description: Toddler and preschool children/Other staff on premises

Noncompliance Area: Continued non-compliance, provider failing to follow plans of correction regarding same violations from inspection(s) of 10/02/2024 & 08/28/2024. Provider's plans of correction submitted on 10/08/2024 stated, "Management will maintain enrollment of 5:1 or 10:2 in all classrooms on younger side of the building until staffing is sufficient to keep younger toddlers out of older toddler classroom at all times. Management will ensure that classrooms are temporarily closed if a teacher calls-off, instead of moving a younger toddler into an older toddler classroom unless that room is utilizing the younger toddler ratios. Management will not allow a family to drop-off their child if that child puts the classroom out of ratio. Management will ensure ratios are being upheld at all times, even when in a classroom, by ensuring all staff members know state ratios and understand how to abide by this plan of correction." Provider's plans of correction submitted on 10/01/2024 stated, "During naptime, staff will remain in the child care portion of the facility premises to maintain ratios unless management is out of a room and available to cover in case of emergency. Center will maintain the ratios specified at §3270.51 and §3270.52." On 10/28/2024 during naptime, the staff not providing child care during naptime did not remain in the child care portion of the facility premises. At 1:15 pm, there was a total of 9 staff in the facility with 3 infants, 7 young toddlers, 10 older toddlers, 52 preschool and 7 school age children. A minimum of 10 staff were needed to maintain the ratios specified at §3270.51 and §3270.52. The Infant 1 classroom had 1 staff:3 infants and 1 young toddler. The Toddler 1 classroom had 1 staff: 6 young toddlers and 4 older toddlers. The Discovery Preschool 2 classroom had 1 staff:6 older toddlers. The Preschool 1 classroom had 1 staff : 18 preschoolers. The PreK Counts 1 classroom had 1 staff : 17 preschoolers. The PreK Counts 2 classroom had 2 staff: 17 Preschoolers. The school age classroom had 1 staff : 7 younger school age children. There was one additional staff person taking a break in the staff lounge. 1 staff person left the building to transport a child to school and returned at 1:30 pm. There were 2 staff taking a break which were not in the child care portion of the facility premises. 1 was observed sitting in their vehicle in the parking lot and returned to the facility at approximately 1:35 pm and another was observed returning to the facility at approximately 2:00 pm.

Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. Staff persons who are on duty but are not providing child care during naptime shall remain in the child care portion of the facility premises.

Regulation: 3270.55(a)

Description: Toddler and preschool children

Noncompliance Area: Continued non-compliance, previously cited on 08/28/2024. Observed a mixed group of 1 young and 11 older toddlers napping in the Discovery Preschool 2 classroom with one staff person. The staff to child ratio for young toddlers is 1:10 while napping.

Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Continued noncompliance, previously cited on 07/24/2024. During naptime, staff person #3 was unable to identify the children napping in the Preschool 1 classroom. Staff person #3 was responsible for 10 preschool age children and was only able to identify 2 children by their first name and 1 child by their last name.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Continued noncompliance, previously cited on 07/24/2024. The files for child #1 included emergency contact and/or financial agreements that were not updated at least once every 6 months. The financial agreement for child #1 has not been updated within 6 months of the previous update which was completed on 06/22/2023.

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: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Continued noncompliance, previously cited on 07/24/2024. The file for staff person #4 included verification of child care experience which was not signed by a representative of the experiential entity; the verification of experience was verified by phone in lieu of in writing.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Continued noncompliance, previously cited on 07/24/2024. Emergency plan training for staff person #1 was not completed within 12 months of the previous training; the most recent training was completed on 05/16/2023, with no subsequent training on file.

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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Continued noncompliance previously cited on 07/24/2024. The file for staff person #2 included fire safety training which was not updated within 12 months of the previous training' the most recent training was completed on 07/11/2023.

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: 3270.55(a)/3270.55(b)

Description: Toddler and preschool children/Other staff on premises

Noncompliance Area: During naptime, the staff not providing child care during naptime did not remain in the child care portion of the facility premises. At 1:30 pm, there was a total of 11 staff in the facility with 3 infants, 9 young toddlers, 10 older toddlers, 62 preschool and 6 school age children. A minimum of 12 staff were needed to maintain the ratios specified at §3270.51 and §3270.52. The Infant 1 classroom had 1 staff:3 infants. The Toddler 1 classroom had 1 staff: 8 young toddlers. The Discovery Preschool 2 classroom had 2 staff:1 young toddler and 10 older toddlers. The Preschool 1 classroom had 1 staff : 10 preschoolers. The PreK 1 classroom had 1 staff : 17 preschoolers. The PreK Counts 1 classroom had 2 staff : 19 preschoolers. The PreK Counts 2 classroom had 1 staff: 16 Preschoolers. The school age classroom had 1 staff : 4 younger school age children. There was one additional staff person taking a break in the staff lounge with 2 related older school age children. 1 staff person left the building to transport a child to school and returned at 2:15 pm. There were 3 staff taking a break which were not in the child care portion of the facility premises. 1 returned at 2:00 pm, another at 2:10 and the 3rd returned at 2:30 pm

Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. Staff persons who are on duty but are not providing child care during naptime shall remain in the child care portion of the facility premises.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Continued noncompliance, previously cited on 07/24/2024. Observed a power cord for the A/C wall unit in the infant classroom was lying across the floor in front of the unit and was accessible to infants and toddlers in care. Observed dead insects and debris in the Infant 2 (Tweenies) classroom.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Continued noncompliance, previously cited on 07/24/2024. Observed an exposed bolt missing a cap at the base of the toilet located in the DPS 2 classroom.

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

Regulation: 3270.101(a)

Description: Age appropriate

Noncompliance Area: Observed 4 bottles of Crayola Washable paint labeled for use by children 3+ years old in the young toddler classroom.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement form for child #3 did not specify the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information for child #8 was not present in the Preschool/Kindergarten classroom while receiving care in the space.

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(f)/3270.181(c)

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

Noncompliance Area: The files for children #2, #4, #5, #6 and #7 included emergency contact and/or financial agreements that were not updated at least once every 6 months. The financial agreement for child #2 was not updated within 6 months of the previous update which was completed on 06/22/2023. The emergency contact information for child #4 was reviewed on 03/06/2024 with the previous review dated 07/11/2023. The financial agreement for child #4 was reviewed on 06/17/2024 with the previous review completed on 11/30/2023. The emergency contact information for child #5 was reviewed on 04/14/2024 with the previous review completed on 06/26/2023. The financial agreement for child #5 was last reviewed on 06/29/2023 with no subsequent reviews documented. The emergency contact information for child #6 was reviewed on 03/07/2024 with the previous review completed on 06/23/2023. The financial agreement for child #6 was reviewed on 06/24/2024 with the previous review completed on 08/21/2023. The emergency contact information for child #7 was reviewed on 07/03/2024 with the previous review completed on 08/15/2023. The financial agreement for child #7 was completed on 06/27/2024 with the previous review completed on 08/21/2023.

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 #6 included an initial health report which was not received within 60 days of the first day of attendance (see LIS code sheet); the initial health report was dated 08/21/2023.

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: The file for child #4 and #5 included a health report which was not updated every 12 months for an older toddler or preschool child. The most recent health report on file for child #4 was dated 06/27/2023 with no subsequent health reports on file. The most recent health report on file for child #5 was dated 06/29/2023 with no subsequent health reports on file.

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)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1 (see LIS code sheet) included a record of the child's immunization status which lacked a 3rd dose of DTap, a 3rd dose of PCV13, and a 3rd dose of Polio immunization.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: The file for staff person #1 and #3 did not include verification of education prior to service at the facility. The file for staff person #2 included verification of child care experience which was not signed by a representative of the experiential entity; the verification of experience was verified by phone in lieu of in writing.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Emergency plan training for staff person #6 was not completed within 12 months of the previous training; the most recent training was completed on 05/16/2023, with no subsequent training on file.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter provided to the parent of each enrolled child explaining the emergency procedures did not include information regarding accommodations will be made for infants, toddlers, children with disabilities and children with chronic medical conditions or a statement that emergency drills will be conducted annually.

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)(4)(i)

Description: Age and Training

Noncompliance Area: The file for staff person #4 and #5 included pediatric first-aid and CPR which was not updated before the expiration of the previous certification; the current training was completed on 06/25/2024 with the previous training completed on 05/26/2022 which expired on 05/2024.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff person #5 included fire safety training which was not updated within 12 months of the previous training' the most recent training was completed on 07/09/2024 with the previous training completed on 05/08/2023. The file for staff person #9 included fire safety training which was not updated within 12 months of the previous training' the most recent training was completed on 07/11/2023.

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: 3270.51/3270.113(a)(1)

Description: Similar Age Level/Staff assigned to specific children

Noncompliance Area: While outside on the playground with a group of 19 preschool age children, staff person #7 and #8 struggled to identify the children in their assigned groups. Staff person #8 identified 8 of the children in their group and stated that staff person #7 had the remaining 11 children in her group. Staff person #7 identified 11 children. The ratio for preschool age children is 1:10.

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. 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: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit located in the Preschool classroom did not include soap; hand sanitizer was included in the kit in lieu of soap.

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: Observed a power cord for the A/C wall unit in the infant classroom was lying across the floor in front of the unit while in use and was accessible to infants and toddlers in care. Observed a gap at the bottom of the exit door in the infant classroom causing the door to not seal correctly. Observed trim peeling away from the wall next to the exit door in the infant classroom. Observed dead insects and debris in the Infant 2 (Tweenies) classroom and in the Toddler 2 classroom.

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: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: Observed the sink in the Infant 1 and Toddler 2 classrooms did not have a means for the young toddlers receiving care to easily approach the sink for handwashing with a platform or steps. Staff in the rooms needed to lift the children for them to reach the running water.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Observed an exposed bolt missing a cap at the base of the toilet located in the DPS 2 classroom.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 02/22/2024, the Toddler A and Preschool classrooms were out of ratio with a mixed age group during the following times: Toddler A classroom -- There was 1 staff person with a group of 2 young toddlers and 9 older toddlers between 12:21 - 1:06 pm & 1:12 - 2:14 pm, while staff person #1 or #2 was taking a break during naptime. Preschool classroom -- There were 2 staff persons (staff person #3 and #4) with a mixed group of 3 older toddlers and 15 preschoolers from 9:15 am - 12:58 pm. There was 1 staff person (staff person #3) with a mixed group of 3 older toddlers and 17 preschool age children between 12:58 - 2:00 pm while staff person #4 was taking a break during naptime. There were 2 staff persons (staff person #3 and #4) with a mixed group of 2 - 3 older toddlers and 15 - 17 preschool age children between 2:00 - 3:44 pm. There were 2 staff persons (staff person #3 and #4) with a mixed group of 1 older toddler and 16 - 18 preschool age children between 4:31 -- 4:50 pm. There was 1 staff person (staff person #4) with a mixed group of 1 older toddler and 6 - 9 preschool age children from 5:17 - 5:30 pm.

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 required staff:child ratios must be maintained at all times.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: **On 02/22/2024, the Toddler A and Preschool classrooms were out of ratio with a mixed age group during the following times: Toddler A classroom -- There was 1 staff person with a group of 2 young toddlers and 9 older toddlers between 12:21 - 1:06 pm & 1:12 - 2:14 pm, while staff person #1 or #2 was taking a break during naptime. Preschool classroom -- There were 2 staff persons (staff person #3 and #4) with a mixed group of 3 older toddlers and 15 preschoolers from 9:15 am - 12:58 pm. There was 1 staff person (staff person #3) with a mixed group of 3 older toddlers and 17 preschool age children between 12:58 - 2:00 pm while staff person #4 was taking a break during naptime. There were 2 staff persons (staff person #3 and #4) with a mixed group of 2 - 3 older toddlers and 15 - 17 preschool age children between 2:00 - 3:44 pm. There were 2 staff persons (staff person #3 and #4) with a mixed group of 1 older toddler and 16 - 18 preschool age children between 4:31 -- 4:50 pm. There was 1 staff person (staff person #4) with a mixed group of 1 older toddler and 6 - 9 preschool age children from 5:17 - 5:30 pm.

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 required staff:child ratios must be maintained at all times. The facility director and assistant director will be required to attend the in person Central Region Existing Provider Orientation to be conducted on 04/11/2024. The director shall contact the Central Regional Office to schedule the training. Documentation of completed training must be submitted to the Regional Office and be kept in the facility person's file. The facility director and assistant director will be required to complete the 2 hour online self-learning module on Better Kid Care: Balancing Child-Staff Ratios (for center directors). Documentation of completed training must be submitted to the Regional Office and be kept in the facility person'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: On 09/21/2023, child #1 fell while running on the playground. At pick-up, the child had a red mark above her eye and on her cheek. An incident report was not completed or provided to the parent on the day of the incident.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: Continued noncompliance, previously cited on 07/11/2023. The Toddler 2 and DPS 2 classrooms did not have a written plan of daily activities posted in the group space.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Continued noncompliance, previously cited on 07/11/2023. Observed emergency contact information for the children that were transitioned from another classroom was not present in in the Toddler 1, DPS 2, and Preschool 1 classrooms while receiving care in the child care space.

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: 3270.133(4)

Description: Locked

Noncompliance Area: Continued noncompliance, previously cited on 07/11/2023. Observed diaper creams, labeled Keep out of Reach of Children, which were being stored in plastic bins located in the DPS 1 bathroom and were accessible to the older toddler and preschool age children in care.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: Observed staff person #1, supervising a group of 15 Preschool and 2 younger school age children during naptime. The 2 younger school age children were sitting at a table engaging in quiet activities in lieu of napping. When one or more children are up and not napping, nap ratios do not apply.

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. 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a blue tricycle located on the school/age playground with a missing pedal.

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: Observed a cot chart in the Toddler 1 classroom used to label the rest equipment in which the cots being used were not numbered to coordinate with the chart.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The Toddler 2 and DPS 2 classrooms did not have a written plan of daily activities posted in the group space.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement form for child #3 and #4 did not include the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement form for child #5 did not include the child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #7 did not include the complete address of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #7 did not include the complete work address of the enrolling parent. The emergency contact information for child #8 did not include the work address of the enrolling parent.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #1, #2, #3, #4, #5, #6, #7 and #8 did not include the complete address of the individuals designated by the parent to whom the child may be released. The emergency contact information for child #10 did not include the address of the individuals designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Observed emergency contact information for the children that were transitioned from another classroom was not present in in the Toddler 1, DPS 1, DPS 2, and Preschool 1 classrooms while receiving care in the child care space.

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(f)/3270.181(c)

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

Noncompliance Area: The emergency contact information and/or financial agreement for child #2, #3, #4, #5, #8, #9 and #10 was not reviewed and updated at least once every 6-months. The financial agreement for child #2 has not been reviewed since the child's initial enrollment (see LIS code sheet). The emergency contact information for child #3 was reviewed on 06/26/2023 with the previous review completed on 09/23/2022; the financial agreement was reviewed on 06/29/2023 with the previous review completed on 09/19/2022. The emergency contact information and financial agreement for child #4 was last reviewed on 08/19/2022. The emergency contact and financial agreement for child #5 has not been reviewed since the child's initial enrollment (see LIS code sheet). The emergency contact and financial agreement for child #8 was reviewed on 06/20/2023 with the previous review on 08/30/2022. The emergency contact information for child #9 was reviewed on 06/09/2023 with the previous review completed on 08/19/2022; the financial agreement was last reviewed on 08/19/2023. The emergency contact information for child #10 was reviewed on 06/09/2023 with the previous review completed on 08/19/2022; the financial agreement was reviewed on 06/26/2023 with the previous review completed on 08/19/2022.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The health report for child #8 was not updated at least once every 12 months for an older toddler or preschool child (see LIS code sheet); the current health report was dated 10/31/2022 with the previous dated 08/27/2021.

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)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #3 (see LIS code sheet) included a record of the child's immunization status which lacked a 4th dose of DTap, The file for child #5 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza immunization. The file for child #7 and #8 (see LIS code sheet) included a record of the child's immunization status which lacked a current influenza immunization.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: Observed diaper creams, labeled Keep out of Reach of Children, which were being stored in plastic bins located in the DPS 1 bathroom and were accessible to the older toddler and preschool age children in care.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Observed prescription medication for child #11, with a medication log indicating the medication was administered, which was not signed by a parent with written consent to administer medication. Observed prescription medication for child #12 in the DPS 2 classroom without written consent for the administration of the medication by a parent. The staff in the classroom was unsure where the medication log is kept.

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: Staff person #1 who completed the previous health and safety pre-service training modules prior to October 4, 2022, has not completed the 1-hour "Pennsylvania Health and Safety Update 2022" which was required by December 30, 2022.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessment for staff person #6 was not updated within 24 months of the previous health assessment. The current health assessment was completed on 12/06/2022 with the previous one dated 08/03/2020.

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)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health assessment on file for staff person #2 was a copy of a "Well Adult Exam" report and did not include a statement that an examination for communicable diseases was completed or the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #7, #8, #9 and #10 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The references on file for staff person #7, #9 and #10 were verbal references. The file for staff person #8 did not include any references.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Fire safety training for staff person #3, #4, #5 and #6 was not completed annually. Fire safety training for staff person #3 was last documented on 05/24/2022. Fire safety training for staff person #4 was last documented on 08/04/2022 with the previous training completed on 07/15/2021. Fire safety training for staff person #5 was last documented on 08/17/2021. Fire safety training for staff person #6 was last documented on 07/09/2023 with the previous training completed on 05/27/2022.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #11 included an PDE FBI clearance result dated 06/07/2019. The FBI clearance required by the Pennsylvania Department of Education (PDE) is not an acceptable clearance for child care employment. The mandated reporter training for staff person #2 was not completed within 60 months of the previous training. The current training was completed on 08/29/2022 with the previous training dated 06/04/20217.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Observed the first aid kit located in the DPS 1 classroom did not include sterile gauze pads or tape.

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.