KINDERCARE LEARNING CENTER 754

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: Documentation of an accident report was not on file for child 1 from an accident that occurred on July 8, 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: 3270.119

Description: Infant sleep position

Noncompliance Area: A teacher was observed to place an infant on their stomach in a crib. Corrected on site immediately by repositioning the child on their back after prompting from the assistant director.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Information about a child's disability was not available on the emergency contact form for child #5. Corrected on site by updating 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: Medical provider and insurance policy information was not available on the emergency contact form for child #4.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: Infant feeding schedules were observed to have been obtained verbally for children #1, #2, and #3. This information was then written by staff on the children's info cards posted on the refrigerator.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: Emergency phone number list was not available in the DPS A classroom. Corrected on site by hanging the emergency phone numbers in the room.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: Documentation that staff was free from communicable diseases was not available for staff #1 and #2. Documentation of the suitability to provide child care was not available for staff #1 and #2.

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: Two written, non-family references were not available for staff #1.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation showed a fire detection system test conducted on 12/5/25 and again on 1/6/26, which exceeds the requirement that the fire system be tested at least every 30 days.

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

Regulation: 3270.101(c)/3270.101(c)(2)

Description: Include 6 categories of development/Cognitive development

Noncompliance Area: An adequate number of books was not available in the DPS 1 classroom. Corrected on site by adding more books to the bookshelf.

Correction Required: Play equipment and materials shall include the items specified at §3270.101(c)(1) - (6). Play equipment and materials shall include toys and materials for cognitive development.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The Lego table in the preschool classroom was observed to be soiled with remnants of what appeared to be playdough, dust, and dirt/crumbs.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Documentation of enrolling parent's work address and phone number was not available for child #5.

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: Documentation of written consent for emergency medical care at the time of enrollment was not available for child #3, child #4, and child #5.

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(c)

Description: Each child care space

Noncompliance Area: Emergency contact forms for 3 children were not available in the infant room. Corrected on site by adding the forms to the classroom.

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: Documentation that emergency contact forms had been updated within 6 months was not available for child #2 and child #5. Documentation that financial agreements had been updated within 6 months was not available for child #1, child #2, and child #5.

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)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: Initial health assessment documentation was not available for child #1 (first health assessment dated 5/2/24) and child #4 (first health assessment dated 3/12/25) - See LIS for dates of enrollment.

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

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

Description: Infant: updated health report every 6 months/ACIP recommended immunization record

Noncompliance Area: Updated health assessment and immunization records were not available for child # 1. The child's last health assessment on file is dated 5/2/24 - the child's 18-month check-up.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Documentation that the child is free from communicable diseases and able to participate in child care was not available for child# 3.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. According to CR observations and reports by the program, staff person #1 had not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR. Training completed 10/1/25, see LIS for Date of Hire.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Documentation showed staff #3 had a health assessment dated 9/22/25, which was greater than 24 months from the previous heath assessment dated 4/20/23. Documentation showed staff #4 had a health assessment dated 9/22/25, which was greater than 24 months from the previous heath assessment dated 8/23/23. Documentation showed staff #5 had a health assessment dated 8/20/24, which was greater than 24 months from the previous heath assessment dated 4/13/21.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: Up-to-date emergency contact forms were not available for 3 children in the toddler room. Up-to-date emergency contact forms were not available for 7 children in the pre-K room

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.182(5)

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

Noncompliance Area: Written consent for minor first aid was not available for child #2, child #3, child #4, and child #5.

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: 3270.31(f)(10)

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

Noncompliance Area: Staff person #2 had not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet for DOH): Pediatric first aid/CPR. CPR completed 10/1/25.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Documentation of a completed NSOR clearance at the time of initial employment was not available for Staff #2. NSOR clearance was obtained 9/26/25. Staff #2 is an aide and did not work alone 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. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.64/3270.91(a)

Description: Outside Walkways/Stairs, exits, etc. unobstructed

Noncompliance Area: During a fire drill, a hose was observed to be laid across the sidewalk directly outside of the emergency exit door. Approximately 5 portions of hose created a hinderance to the evacuation of the cribs. Corrected on site by moving the hose to the grass.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards. Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Tweezers were not available in the first aid kit in the transitional kindergarten emergency bag. Corrected on site by adding tweezers to the first aid kit.

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: A portion of the window frame was missing from the window in transitional kindergarten room. Sharp surfaces were observed due to the missing frame. Corrected on site by covering the sharp area with several layers of tape. The windowsill in the transitional kindergarten was observed to have dust and a dead bug in the corners. Corrected on site by wiping the windowsill.

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: 3270.182(7)

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

Noncompliance Area: Documentation of an incident between two children was not available in the child files. Evidence that an incident report was provided to both parents at the time of the incident was not available.

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: 3270.183(b)

Description: No information disclosed

Noncompliance Area: An allergy list was observed to be posted on an outer cabinet door, making it visible to all. Corrected on site by moving it to the inside of the cabinet door.

Correction Required: A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Outlet covers were observed to be missing from the outlets in the transitional kindergarten room. Corrected on site by installing outlet covers.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: Trashcan lids were observed to be broken in the transitional kindergarten room and the preschool classroom.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Provider reported that staff #1 was missing the NSOR clearance.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 was noted to be working with children without complete out-of-state (FL & GA) background clearance checks on file. COS by removing staff from ratio.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation available at the time of the visit showed fire detection systems testing had occurred on 3/4/25 and again on 4/24/25, exceeding the requirement that fire system testing occur every 30 days.

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

Regulation: 3270.111(c)/3270.113(a)

Description: Promote development/Supervised at all times

Noncompliance Area: During the observation and previous observations, children were observed climbing on shelves and tables, running around the classroom, throwing and dumping toys, while teachers swept the floor, changed diapers, and cleaned up after the children. Staff were not directing the activities of the children.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. 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. Provider agrees to participate in technical assistance and support provided by the ELRC for a minimum of four visits. The topics for the technical assistance must include child supervision and engagement, classroom management, age-appropriate child development activities, and any other topics deemed appropriate by the ELRC staff during onsite observations.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Staff #1 had a degree on file not recognized by the department. Foreign degree for staff #1 must be evaluated to determine the level of education staff #1 has completed.

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(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: The full written emergency plan was missing information on how parents will be contacted in the event an emergency situation arises, that an emergency has ended, and instructions for how to safely reunite with their children. The emergency plan parent letter was missing information on how to inform parents will be contacted in the event an emergency situation arises, that an emergency has ended, and instructions for how to safely reunite with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of inspection, documentation that an emergency drill had occurred in the last 12 months was not available.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: At the time of inspection, documentation showing that the emergency plan had been sent to the local municipality and to the county emergency management agency was not availalbe.

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: 3270.35(d)/3270.35(e)

Description: Director only 45 children enrolled/46 or more children- additional group sups

Noncompliance Area: After file review, it was determined that the facility has 1 group supervisor and a director, but is missing a second group supervisor as is required based on enrollment.

Correction Required: A director may not function as a group supervisor in a facility in which more than 45 children are enrolled. In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the inspection, the door to the staff bathroom, located in a child bathroom was open. Cleaning sprays, perfume, and other cleaning products were accessible to children. CORRECTED ON SITE.

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: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: During the inspection, a snake plant (Sansevieria) was observed in the infant room. This plant is toxic to children. CORRECTED ON SITE

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: At the time of the inspection, it was observed that a working lidded trash can was not available in the child bathroom in the lobby area. CORRECTED ON SITE.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the DPS room, a red bean bag was observed to be peeling and in disrepair.

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

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: In the Preschool room, a written plan of daily activities was observed to be missing.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #1 did not have a dated child service report on file. Child #3 was enrolled on 4/22/22 and had a child service report dated 10/17/24. Child #5 was enrolled on 6/12/22 and had a child service report dated 9/26/24 Child #8 was enrolled on 7/6/21 and had a child service report dated 9/25/24. All Child Service Reports listed above were not updated within 6 months.

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)(4)/3270.182(3)

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

Noncompliance Area: Signed parental consent for emergency medical care was not on file for child #2 and #7

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(f)/3270.181(c)

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

Noncompliance Area: Emergency contact form for child #1 was dated 4/9/24 and there was no update on file. Emergency contact form for child #3 was updated on 4/22/24 and again on 11/13/24, which is greater than 6 months. Emergency contact form for child #5 was updated on 4/17/24 and again on 11/12/24, which is greater than 6 months.

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)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: Child #3 was enrolled on 4/22/22 and the earliest health assessment on file was dated 1/5/23.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Child #1 had a health assessment dated 7/18/23 and updated on 4/23/24, which is greater than 6 months.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: Child #3 had a health assessment dated 1/5/23 and updated 8/5/24

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: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: Child #3 was enrolled on 4/22/22 and did not have record of immunizations until 1/5/23.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: In the DPS room, staff #2 was observed to change a child's diaper and did not wash the child's hands after the diaper was changed.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff #3 had a health assessment dated 11/1/24, which was not updated within 24 months.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: Health assessment for staff #9 did not indicate results of any communicable diseases.

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

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: In the infant room, staff #1 was observed to give an infant a bottle prior to the staff washing their hands. Staff #1 did not wash hands before or after giving a bottle to the infant. In the DPS room, staff #2 was observed to change a child's diaper and did not wash their hands after the diaper was changed.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Agreement form for child #1 was dated 10/10/23 and updated 11/12/24, which is greater than 6 months. Child #3 was enrolled on 4/22/22 and the agreement was updated on 11/13/24 Agreement form for child #5 was updated on 4/17/24 and again on 11/12/24, which is greater than 6 months. Agreement form for child #8 was previously updated on 12/27/23 and updated again on 11/12/24, which is greater than 6 months.

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

Regulation: 3270.182(5)

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

Noncompliance Area: Child #2, #4, and #7 were missing signed parental consent to administer minor first aid procedures.

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: Staff #3, #4, #5, and #6 did not have hours of experience documented.

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)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Staff #1 had a degree on file not recognized by the department. Degree for staff #1 must be evaluated to determine the level of education staff #1 has completed. Staff #3 did not have record of education on file.

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(a)(2)

Description: Emergency plan

Noncompliance Area: The facilities full written emergency plan did not include written details on the plan to evacuate to an alternate location

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.27(a)(3)

Description: Contact when arises

Noncompliance Area: The full written emergency plan and the emergency plan parent letter was missing information on how parents will be contacted in the event an emergency situation arises.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: The full written emergency plan and the emergency plan parent letter was missing information on how to inform parents that an emergency has ended.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: There was no documentation on file showing that an emergency drill was conducted within the past 12 months.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: Emergency plan on file was not updated to include location specific information. Emergency plan on file contained a template for specific locations to fill in location specific details, which were not completed in the written emergency plan on file.

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(c)

Description: Training regarding plan

Noncompliance Area: Staff #5, #7, #8, and #9 did not receive emergency plan training within 12 months of the previous training.

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(f)

Description: Emergency plan

Noncompliance Area: Emergency plan on file was not sent 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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff #6 had fire safety training dated 10/17/23 and updated on 11/1/24, which is greater than 12 months.

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 #1 did not have the 1 hour health and safety update on file.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #1 will have until 1/1/24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #3 had a state police clearance with "Pending" results, which is not accepted as a completed clearance. Staff #3 may not be on the facility premises until clearance is obtained and 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 #3 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: There was no staff evaluation on file for staff #3

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: 3270.35(d)/3270.35(e)

Description: Director only 45 children enrolled/46 or more children- additional group sups

Noncompliance Area: After file review, it was determined that the facility has 1 group supervisor and a director, but is missing a second group supervisor as is required.

Correction Required: A director may not function as a group supervisor in a facility in which more than 45 children are enrolled. In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the DPS room, an outlet cover was observed to be missing on Christmas lights that were observed to be accessible to children. Corrected on Site. In the Preschool bathroom beside the School Aged Room, an outlet cover was observed to be missing.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kid located in the infant room was observed to be missing tweezers.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Fire detection testing was observed to be completed on 8/27/27 and again on 9/27/24, which is greater than 30 days.

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

Regulation: 3270.166(2)

Description: New foods - parent's consent

Noncompliance Area: An infant was given the wrong type of food by staff. The infant was supposed to receive breast milk but was given a formula bottle by staff.

Correction Required: New foods shall be introduced to an infant only after consultation with the child's parent.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the preschool bathroom near the exit to the outdoor playground, a changing table was observed with a dirty changing pad on it. Corrected on site.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Preschool bathroom near the exit to the playground cleaning supplies were observed underneath a changing table with a broken cabinet lock, making the cleaning materials accessible to children. Corrected on site.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the preschool bathroom next to the exit to the outside playground, the front part of a heater was observed to be separated from the wall, leaving a gap.

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: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: During a site visit, the previous inspection summary with outstanding violations was observed to be missing. Inspection Summary was not posted in a conspicuous location.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 was observed to be missing an NSOR clearance. It was also determined that staff #1 resided in Puerto Rico within the past 5 years and clearances were not on file. Staff #2 was observed to be missing an NSOR clearance. Staff #1 and #2 may not be on the facility premises until all clearances are obtained and on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #2 may not be on the facility premises until all clearances are obtained and on file. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and 2 may not be on the facility premises until all clearances are obtained and on file.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the PreK room, sunscreen was observed to be accessible to children. Sunscreen was located in a cabinet with a door, however the door lock was broken, making the sunscreen 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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the PreK room, DPS room, and Preschool room, a closet door was observed to have a broken lock.

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(i)

Description: Lidded waste receptacles

Noncompliance Area: In the Preschool bathroom near the playground exit, a waste receptacle was observed to be missing a lid.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 had an out of state criminal clearance and out of state sex offender clearance on file, but was observed to be missing an out of state child abuse clearance. Facility person #1 may not be on facility premises until all required clearances are obtained.

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 be on premises 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 #1 may not be on the premises at the facility.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the DPS classroom a large folding bookshelf was observed to be peeling and splintering. In the DPS classroom, a large cabinet near the sink was observed to have water damage. The shelf was observed to have peeling and cracking sides and the fiberboard was observed to be damp and deteriorating.

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

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: In the infant room, a red and orange foam horseshoe block was observed to be in disrepair. Corners of the block were observed to be peeling, leaving foam exposed and accessible to children. In the Toddler B room, a red bean bag chair was observed to be ripped and in disrepair. Pieces of foam were observed to be coming out of the rip, accessible to children.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff #2 was observed to be missing a valid health 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #1 was observed to be missing two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.. Staff #2 was observed to be missing one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. One reference was observed in the staff's file.

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: In the PreK room, an open, unsecured staff purse was observed to be accessible to children.

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: Disclosure statement on file for staff #2 was observed to be missing the date it was signed.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During a site visit on 3/8/24, it was determined that there was no record of fire detection testing and the facility was issued a citation. A follow up visit was conducted on 4/26/24 and the fire detection testing log was reviewed. Fire detection testing was documented as completed on 3/12/24 and was not updated, which shows that testing was not completed within 30 days.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the infant room, a glider chair near the door was observed to have lose armrests, creating a pinch point for children.

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

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: 17 children were observed to be in the Preschool bathroom at the same time during bathroom breaks. Children were observed sitting on the floor of the bathroom waiting their turn..

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: In the Toddler A room, an emergency transportation plan was observed to be missing.

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: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Staff #1 did not have a TB test completed before initial employment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #2 did not have 2 written, nonfamily references on file that attested to the staff'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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Facility did not have the notice of revocation posted in a conspicuous location.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: In the Toddler A classroom, emergency telephone number were observed to be missing. In the DPS classroom, emergency telephone number were observed to be missing.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the preschool bathroom located in the hallway, a light switch cover was observed to be cracked. In the preschool classroom, a ceiling tile was observed to be cracked and in disrepair. In the same room, a plastic cover to the ceiling lights by the door was observed to be cracked an have a hole in it.

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.