Kindercare Learning Center/cranberry

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: Staff Person #1 was observed to be supervising children alone, which is only to be performed by an AGS or higher. The file for Staff Person #1 contained a degree in which the facility was unable to determine whether they qualified as an AGS.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed a foam green and red climbing pad that was ripped and had exposed foam. This item was accessible to children who are still placing objects in their mouths.

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

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The files for Child #1 and #2, Preschool aged children, contained Health Reports that had been updated in an interval greater than 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: Child #3 had an expired Epi-Pen in the classroom.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The file for Staff #3 contained a foreign degree and their credentials could not be determined.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has completed mandated reporter training within 90 days of their date of hire (see LIS code sheet), however the mandated reporter training does not meet the minimum of three hours.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). 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 State Police Clearance in the file for Staff person #2 lacked a rap sheet.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The door leading outside from the Infant space did not close or seal the whole way leaving a gap creating a pinching hazard to the children in care.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling paint observed along the wood trim in the left side classroom, back right-side classroom, and front right classroom. There was peeling paint observed on the wooden rocking chair in the back middle classroom.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: SECOND CITATION: At approximately 3:15 PM Staff #1 identified 7 Preschool Aged Children as part of their assigned primary group; Staff #2 identified 7 Preschool Aged Children as part of their assigned primary group. Cert Rep observed 15 Preschool Aged Children receiving care in the Outdoor PlaySpace therefore leaving a child not identified as being in an assigned primary group. Previously cited 8/20/25

Correction Required: TIERED LIS 1. 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 their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. 2. The facility directors and all staff will participate in onsite technical assistance (TA) that will focus on effective use of the already established tag system for identifying children within assigned supervision groups. An ELRC #3 representative will work with the Director(s) and staff during these TA sessions, which will include, but is not limited to: observations of each classroom, a meeting with the director(s) and an all-staff meeting. The director(s) can initiate the sessions as soon as the inspection summary is received. 3. The facility director(s) will conduct random, unannounced 'group assignment' checks a minimum of twice per day, with one daily check to occur during a transition period or a transfer of care. The director(s) will document each daily check by noting the date, time, space, staff(s) names with identified children, and whether or not the staff correctly identified all children in the respective care groups. Documentation of the twice-daily checks will be kept on file at the facility and produced for review by the Cert. Rep. upon request. Daily checks will be conducted for a minimum of 8 weeks, starting on the Monday following the date of acceptance of this plan of correction.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Left Side Classroom, the bottom of the diaper changing pad was observed to have a black/white sticky layer and therefore not in clean repair. in the Right Side 2 the top lid of the rest cots was observed to be cracked on two ends creating a sharp corner for the children in care. In the outdoor Play space, there was a ripped deflated soccer ball and a small blue plastic piece of a toy that had broken off, these items were not in good repair.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the Left Side Classroom, a ripped brown child sized chair that had exposed foam was observed. This item was accessible to children who are still placing objects in their mouths.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: A crib, in use by an infant, lacked 2 feet of space on three sides.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 10:00AM Staff #6 identified 4 Older Toddlers as part of their assigned primary group; Staff #5 identified 5 Older Toddlers as part of their assigned primary group. Cert Rep observed 10 Older Toddler children receiving care in the classroom therefore leaving Child #3 not identified as being in an assigned primary group.

Correction Required: TIERED LIS: 1. 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. 2. The facility will create a written step-by-step transfer of care process to ensure that the primary care cards/ tags are transferred to the correct group when a child is transferred to a different care group. The process will be submitted to the Regional Office for review and subsequently, current staff and staff hired going forward will sign off that they read and understand the process for transferring a child to a different care group. Documentation that all current staff have been provided with and trained on the process will be submitted to the Regional office upon completion.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact Forms for Child #1 and #2 lacked the enrolling parents work address and telephone number.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form for Child #2 lacked the health insurance coverage for the child.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact Form for Child #2 lacked the address of the individual 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #2 contained current Mandated Reporter Training at the time of Renewal Inspection, it was observed that Staff #2 did not obtain Mandated Reporter Training within 60 months of the previous training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for Staff #1 contained a current FBI Clearance at the time of Renewal Inspection, it was observed that Staff #1 did not obtain an FBI Clearance within 60 months of the previous clearance. The file for Staff #3 contained a Volunteer Child Abuse Clearance. The file for Staff #4 contained a National Sex Offender Registry Certificate that had not been updated in the previous 60 months. The file for Staff #5, who has lived outside of Pennsylvania in the last five years, lacked West Virigina Clearances.

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, #4 and #5 may not work in a childcare position at the facility.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The Right Side 2 Room's First aid kit was hanging on a low hook making the first aid kit accessible to children in care.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Left Side Classroom, a broken plastic ledge along the bottom of the cabinets that created a sharp point was observed, posing a cutting hazard to the children in care.

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(a)/3270.95(b)

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

Noncompliance Area: Based on Smoke Detection testing documentation, there were gaps in the documentation exceeding 30 days where the smoke detectors were not tested, 9/20/24 - 11/15/24 (56 days), 11/15/24 - 1/9/25 (55 days), 1/9/25 - 3/6/25 (56 days), 3/6/25 - 5/3/25 (58 days), and 5/3/25 - 7/21/25 (79 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Right-side Classroom 2 there was a cracked yellow bin and a blue couch that had ripped and exposed wood posing a pinching and splintering hazard to the children in care. In the Outdoor PlaySpace there were three cracked plastic puzzle pieces that were cracked on the corner posing a cutting hazard the children in care.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 10:30AM Staff #7 identified 4 Young Toddlers as part of their assigned primary group, Staff #5 identified 1 Older Toddler and 4 Young Toddlers as part of their assigned primary group, and Staff #6 identified 1 Older Toddler and 2 Young Toddler as part of their assigned primary group. Cert Rep observed 14 toddlers children receiving care in the classroom, therefore leaving two children not identified as being in an assigned primary group.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Child #2, #4, #5, and #6 contained child service reports dated more than 6 months apart.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact Form for Child #6 lacked the enrolling parents work address.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form for Child #2 lacked the health insurance coverage policy number for the child

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact Form for Child #1, #4, and #5 lacked the address and telephone number of the individual designated by the parent to whom the child may be released. The Emergency Contact Form for Child #5 lacked the telephone number of the individual 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(f)/3270.181(c)

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

Noncompliance Area: The files for Child #1 and Child #4 contained Emergency Contact Forms that were not updated within 6 months of the previous update.

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)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for Child #6, a Preschooler, contained Health Reports updated in an interval greater than 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff #3 contained a health assessment that was conducted more than 24 months after the previous assessment.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #1 contained a Financial Agreement form that was not updated within 6 months of the previous update.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: Cert Rep observed preschool aged children playing with a chair, scooter, and bubble seat on the second level of outdoor play structure approximately four feet off the ground. These items were not fixed or a manufactured part of the play structure and posed a falling hazard to the 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: The files for Staff #1, #2, and #4 contained disclosure statements that lacked witnesses. The file for Staff #1 contained an NSOR Certificate that was obtained after the 45-day provisional period; therefore Staff #1 was incorrectly provisionally hired as they were allowed to work past the 45 days without the complete NSOR Certificate. The file for Staff #2 contained complete clearances at the time of inspection, it was observed that the file for Staff #2 lacked an FBI Clearance request dated prior to the date that Staff #2 began working with children. Therefore, she was incorrectly provisionally hired.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: At 11:30 AM, 15 children were observed receiving care in the Right-Side Classroom 1 childcare space that has a designated maximum capacity of 14.

Correction Required: The capacity established for an indoor space may not be exceeded.

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: Five plants found to be toxic were present in five separate childcare spaces in the facility.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit located in the Infant 2 Room was observed hanging on a low hook making it accessible to children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The rubber-base board located in the Infant Room under the window was detaching from the wall.

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(h)

Description: Handwashing signs

Noncompliance Area: The bathroom in the Left side Classroom lacked hand washing signs posted at both of the toilets.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Upon review of the facility's Fire Drill log, the following drills were observed to have been conducted more than 60 days apart: 3/18/24-6/3/24 (77 days).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 11/22/23-2/16/24 (86 Days), 2/16/24-4/4/24 (48 Days), and 4/4/24-7/2/2024 (89 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There was a foam pumpkin in Infant Room B that had multiple bite marks on it. It was accessible to the children in care who are still placing objects in their mouths. Observed multiple foam pumpkins in Infant Room A where the material had come loose, and the foam was exposed. These pumpkins were accessible to the children in care who are still placing objects in their mouths.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form for Child #2 lacked the health insurance coverage policy number for the child.

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

Regulation: 3270.131(b)(2)/3270.181(c)

Description: Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #3, a preschooler, lacked an updated health report within the last 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A 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(d)(1)

Description: Child's health history

Noncompliance Area: The Health Report for Child #4 lacked documentation from the physician, physician's assistant or a CRNP that included a review of the child's history.

Correction Required: A health report shall include a review of the child's health history.

Regulation: 3270.131(d)(3)/3270.133(8)

Description: Current medication and reason/Special diet - parent's instructions

Noncompliance Area: The Health Report for Child #4 lacked documentation from the physician, physician's assistant or a CRNP that included a list of the child's current medication, the reason for the medication, and if a special diet is prescribed for a child.

Correction Required: A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

Regulation: 3270.131(d)(4)

Description: Acute or chronic health problem

Noncompliance Area: The Health Report for Child #4 lacked documentation from the physician, physician's assistant or a CRNP that included an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The files for Child #1 and #3, enrolled for more that 60 days at the facility, did not contain documentation of an influenzas vaccination as required based on the child's age as per the ACIP recommended schedule.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 and #3 must be dismissed from care by close of business 10/12/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The Health Report for Child #4 lacked a statement indicating 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: 3270.151(a)

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

Noncompliance Area: The file for Staff #1 contained a Health Assessment at the time of inspection, but it was observed they did not have a Health Assessment before their first day working in childcare. The Health Assessment in the file for Staff #2 lacked a date the assessment was completed. The last two Health Assessments in the file for Staff #3 were dated more than 24 months apart.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for Staff #1 contained Tuberculosis Screening at the time of inspection, but it was observed they did not have Tuberculosis Screening before their first day working in childcare.

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.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: The facility lacked written statements provided by the parents giving the formula and feeding schedule for the infants in care.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The file for Staff #5 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.

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)(6)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of conducting an annual emergency drill.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Although Staff #2's file contained Pediatric First Aid/CPR it was observed that Staff #2 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/CPR).

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: Although the file for Staff #1 contained a complete FBI Clearance at the time of inspection, it was observed that the file lacked fingerprinting dated prior to the date that Staff #1 began working with children. The file for Staff#1, employed more than 45 days, lacked a NSOR Certificate at the time of Renewal Inspection. Therefore, she was incorrectly provisionally hired. Although the file for Staff #2 contained complete clearances at the time of inspection, it was observed that the file for Staff #2's lacked an NSOR certificate and Child Abuse Clearance within 45 days of hire. Therefore, she was incorrectly provisionally hired.

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 at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #5 did not contain an evaluation completed within the previous 12 months.

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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: Staff Person #4, qualified to be an Aide, was observed to be unsupervised, caring for children in the PreK Classroom.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed hand sanitizer that was attached to a staff members bag that was in a low unlocked cabinet and accessible to the children in care.

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(e)

Description: Arts and crafts non-toxic

Noncompliance Area: Observed shaving cream labeled "Keep out of Reach of Children" in the cabinet in the Infant B Classroom. Staff stated that it was used for art with the children.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit located in the Left Side Classroom lacked 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.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Upon review of the facility's fire drill log it has been more than 60 days since the last fire drill conducted on 6/30/23.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 11/4/22 - 12/29/22 (55 days), 12/29/22 - 2/15/22 (48 days), 2/15/23 - 3/30/23 (43 days), 4/3/23 - 5/24/23 (51 days) and 6/30/23.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Outdoor PlaySpace there was a broken and cracked toy truck that had rough edges. In the Outdoor PlaySpace there was a Playhouse that had a cracked water fountain that had sharp edges.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed a loose table leg creating a pinching hazard for the children in care in the Right side 2 Classroom.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Observed rest equipment that was not labeled for the use of a specific child in Right side Classroom 2.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for child #1 lacked the address of the individual 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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: In the Left Side Classroom, staff was observed changing a toddler's diaper. Staff did not ensure the child's hands were washed after being diapered.

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: The file for Staff #3 lacked a Health Assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for Staff #3 lacked tuberculosis screening by the Mantoux method at 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: 3270.166(1)

Description: Written statement

Noncompliance Area: The file for Child #2, an infant, lacked a written formula and feeding schedule obtained from the parent.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff #3 observed in the Infant Room, lacked verification of childcare experience, education and training prior to service at the facility, to qualify as an aide.

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: The file for Staff # 3, lacked verification of experience and education or training. Staff was present in the Infant Room on the day of inspection.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed in the Right side 2 Classroom there was a cabinet that had a broken child lock on it, giving the preschool children access to the items inside which included a pair of sharp teacher scissors.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Although the file for Staff #1 contained complete clearances at time of renewal inspection, it was observed that Staff #1 did not obtain an FBI clearance within the 45 days of the provisional period and continued to work in childcare, and therefore was incorrectly provisionally hired. The file for Staff #3 lacked a Child Abuse clearance and out of State Clearances at the time of hire, and therefore was incorrectly provisionally hired.

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 at the facility.

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: Observed a can of shaving cream in the Right-side Classroom 2, labeled keep out of the reach of children, in the storage cabinet with the other art/craft supplies. Staff stated it was used for the children's art projects.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: Observed the required emergency telephone numbers were not posted by the phone and were not on the portable phone in the infant 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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Toddler Section of the outdoor play space, the surface of the structure was peeling and flaking, creating a tripping hazard and rough edges.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Observed in the Infant 2 Classroom that the door to the restroom was blocked due to the stacked rest equipment.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on Fire Drill documentation, fire drills are not being held at least every 60 days; 8/31/21, 11/4/21, 2/28/22, 4/15/22, 6/23/22, and 8/25/22.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the 1 year old room, there was a circular fabric climbing structure that had tearing in multiple areas with small pieces coming apart that were less than 1 inch in diameter that could be placed in a 1 year old child's mouth.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: In the infant room, the refrigerator had bottles of milk and lacked a thermometer. In the older infant room, the refrigerator had a bottle of milk and lacked a thermometer.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #2 had an emergency contact form that lacked the address of the individual 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: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child #1, with a start date of 6-7-21, lacked an initial health assessment within 90 days of their start date and requires a current health assessment. (The suspended regulation requires the parent to provide an initial health assessment no later than 90 days following the first day of attendance at the facility.)

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(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for child #1, with a start date of 6-7-21, lacked an immunization record within 90 days of their start date and requires a current immunization record. (The suspended regulation requires the parent to provide an immunization record no later than 90 days following the first day of attendance at the facility.)

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: 3270.151(a)

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

Noncompliance Area: The file for staff person #6 lacked a current health assessment within the last 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.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The parent of each enrolled child was not provided with information on how to access the DHS child care regulations electronically.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for staff person #6 completed current pediatric first-aid and CPR training dated 9-9-21 that was after the May 2021 expiration of the prior training.

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 lacked current fire safety training completed within the last year. The file for staff person #6 had fire safety training that exceeded a year between trainings.

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 #6, with a start date of 5-9-18, had an NSOR verification certificate dated 3-31-21 that was not completed by 7-1-20 as required by the CPSL for all staff hired prior to 9-30-19. The file for staff person #8, hired provisionally with a start date of 9-15-21, had an NSOR verification certificate dated 9-27-21 and lacked proof of application for the NSOR verification certificate at their start date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.33(a)/3270.192(2)(iii)

Description: Each staff person meets quals/Exp, educ., training at facility

Noncompliance Area: The file for staff person #6, functioning as a staff person, lacked verification of education/experience to qualify as a staff person.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for staff person #4 and #6 lacked a current staff evaluation completed within the last year. The files for staff person #1, #2, and #5 had a staff evaluation that exceeded 12 months between evaluations.

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(b)(1)/3270.192(2)(ii)

Description: Bachelor's/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #7, functioning as a group supervisor, lacked verification of education to qualify as a group supervisor.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.37(b)(1)/3270.192(2)(ii)

Description: HS/GED/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #3, functioning as an aide, lacked verification of education to qualify as an aide.

Correction Required: An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the older infant room lacked 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: In the preschool and pre-k rooms, the wooden lids on the sensory tables had splintering in the corners of the lids.

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.