Kindercare Learning Ctr/south Park

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a torn cozy toy in the PS/SA room, exposed toilet bolts on a toilet in the PS/SA room, a riding car on the playground with a sharp/damaged wheel, and a dirty toy bin with dirty toys inside of it on the playground.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The flies for children #1 and #2 contain late initial health assessments. #1 was due 10/4/25 and obtained 10/30/25; #2 was due 8/20/25 and obtained 10/30/25.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for the following staff lack current health assessments: #6 was due 7/2025; #8 was due 11/4/2025. The files for the following staff contain health assessments that were updated late: #9 was due 10/25/25 and obtained 10/30/25; #10 was due 8/2025 and obtained 10/20/25; #11 was due 8/25/25 and obtained 10/28/25; #15 was due 7/2025 and obtained 10/14/25.

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 #8 lacks a valid TB test. The TB test on file (10/2/2024) exceeds 12 months old at the time of hire.

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: The file for staff #8 lacks two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

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

Description: Age and Training

Noncompliance Area: The following staff renewed their first aid/cpr late: #1 was due 1/2024 and renewed 5/2024; #3 was due 5/19/2024 and renewed 5/20/2024; #4 was due 5/19/2024 and renewed 5/20/2024; #12 was due 1/2025 and renewed 3/2025.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training. It was due 7/2025 and completed 11/2025.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #7 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). It was due 4/28/25. Staff person/facility person/volunteer #13 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 5/18/2020. Staff person #5 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). It was due 7/2025 and completed 11/2025. Staff #14 updated mandated reporter training late. It was due 5/2025 and completed 10/2025.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff persons #7 and #13 will have until 12/30/25 to complete the mandated reporter training. Until such time as the required training has been completed, staff persons #7 and #13 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 person(s) available to supervise staff persons #7 and #13, staff persons #7 and #13 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #8 contains a criminal clearance and disclosure statement that were obtained late. They were due 11/4/2025 and obtained 11/6/2025. Staff #8 was improperly provisionally hired. Staff #8 lacks an NSOR clearance. It was due 11/4/2025.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 8 may not work in a child care position at the facility until a valid NSOR clearance is on file. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff #2 lacks an annual evaluation. It was due in 2024. An exact due date could not be determined. An evaluation for the 2024 year was not on file.

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: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: The facility has not employed a director since 1/6/2025 when the previous director transferred to another location.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #7 lacks verification of 2500 hours of child care experience to qualify staff as an assistant group supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #5 lacks verification of child care experience to qualify staff as an aide.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files for children #1- #3 contain agreements and emergency contact information that were updated annually as opposed to every 6 months. The forms are now current.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff #1 and #6 contain health assessments that were updated late. #1 was due 5/2024 and obtained 6/2024. #6 was due 5/2024 and obtained 10/2024.

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: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The file for staff #2 contains fire safety training that was updated late. It was due 10/2024 and obtained 11/2024.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training, and first aid/cpr training. It was due 5/4/2024 and obtained 10/2024 and 5/20/2024.

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: The file for staff #4 contains a late criminal clearance. It was due 6/2024 and obtained 10/2024. The file for staff #5 contained a late child abuse clearance. A volunteer clearance dated 1/22/2022 was on file. The facility obtained an employment child abuse clearance on 11/11/24. The employment clearance was due 8/2024.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): mandated reporter training. It was due 5/2024 and obtained 10/2024.

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: Observed exposed bolts on the toilet used by children in the bathroom attached to PS room.

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: The lid on the waste can in the bathroom attached to the preschool room was broken.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Per a facility self-reported incident and staff statements, on 11/8/23, staff #1 fed a bottle of breast milk labeled for another child to child #1. The bottle was labeled with the correct child's name. Staff #1 did not look at the label before feeding it to child #1.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Per a facility self-reported incident and staff statements, on 11/8/23, staff #1 fed a bottle of breast milk labeled for another child to child #1. The bottle was labeled with the correct child's name. Staff #1 did not look at the label before feeding it to child #1.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On the Toddler Playground, a Little Tikes car was missing a steering wheel which caused broken plastic with sharp edges that could be harmful 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.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: SECOND CITATION: The infant room contained cribs that were not two feet apart on three sides while in use. PREVIOUSLY CITED ON 2/3/23

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for Child #4 contained an emergency contact form and financial agreement that was not updated within 6 months of the previous date. (6/5/22 & 2/2023)

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The files for Child #3, Child #6, and Child #7, enrolled for more than 60 days, do not contain an initial child health assessment. (SEE LIS CODE SHEET)

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: The most recent health assessment on file for Child #2, a Young Toddler, is dated 4/10/23, more than 6 months ago.

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(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #2 (OT) lacked updated written verification of ongoing administered vaccines: 1 Dose of DTAP and 1 Dose of Hepatitis A and lacked an Influenza shot with no Letter of Exemption in the File. Child file #4 (OT) lacked updated written verification of ongoing administered vaccines: 1 Dose of Hepatitis A with no Letter of Exemption in the File. Child #2 and Child #4 must be dismissed from care by close of business 11/7/2023 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff #3 contained Emergency Plan trainings dated 5/22/22 and 10/9/23, which is more than 12 months apart.

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: 3270.15(b)

Description: Building Codes

Noncompliance Area: The facility was unable to provide a copy of the certificate of occupancy for the childcare facility.

Correction Required: The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance issued by the Department under this chapter.

Regulation: 3270.151(a)

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

Noncompliance Area: The current health assessment on file for Staff #2, dated 11/14/22, did not indicate if Staff #2 is suitable to work in child care.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #12 includes only 1 written nonfamily reference letter.

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

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The emergency plan on site at the facility does not include shelter and lockdown in the letter to parents/guardians.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility does not have documentation verifying that the most recent emergency plan was submitted to the local municipality and to the county emergency management agency.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent Mandated Reporter trainings on file for Staff #1 were dated 10/3/18 & 10/13/23, which are more than 60 months apart.

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 file for Staff #2 contained State Police clearances dated 5/10/18-5/19/23, Child Abuse clearances 5/19/18/-5/24/23, and FBI clearances 5/11/18-5/17/23, which are all more than 60 months apart. The file for Staff #8 contained Child Abuse clearances dates 8/22/18-9/29/23, which are more than 60 months apart. The file for Staff #11 contained a Child Abuse clearance dated 6/27/23, which is more than 45 days after the Staff Person's start date. (SEE LIS CODE 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: 3270.33(a)/3270.192(2)(iv)

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: The file for Staff #3, #5, #6, #7, #8, #10, and #13 did not include hours/years of experience in child care. Staff #4, functioning as an Assistant Group Supervisor, had only 1385 hours of child care experience documented. Staff #9, functioning as an Assistant Group Supervisor, had only 1888 hours of documented child care experience.

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 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: 3270.36(b)(5)/3270.192(2)(iv)

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: The file for Staff #15 contained documentation of a high school diploma that requires translation to verify the education requirements.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Toxics were accessible in an unlocked utility closet in the Toddler B classroom.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water in the bathroom in the 4B classroom exceeded 110 degrees Fahrenheit.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kits in the Toddler A and Toddler B classrooms were 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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the Preschool, 4B, and Discovery classroom bathrooms, there was not a handwashing sign for every sink and every toilet.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 5/11/23-6/12/23, 6/12/23-7/17/23, and 7/17/23-8/18/23, more than 30 days apart.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Interviews of facility persons established that rest mats are not consistently positioned with two feet of clearance 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)

Description: Supervised at all times

Noncompliance Area: While completing an investigation at the facility, staff interviews revealed that on 2/3/23 at approximately 10:00am, Facility Persons #1 and #2 left 10 preschool-aged children unsupervised in the Preschool Room for a period of time of roughly four minutes.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: While completing an investigation at the facility, staff interviews revealed that on 2/3/23 at approximately 10:00am, Facility Persons #1 and #2 left 10 preschool-aged children unsupervised in the Preschool Room for a period of time of roughly four minutes.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Based on interviews, On 2/3/23 Staff person #3 was walking down the hall and discovered 10 preschool children alone in the Preschool room. Staff person #3 stayed in the room for up to four to five minutes before both staff person #1 and staff person #2 returned.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A broken easel attachment was observed in the Toddler PG, causing a rough edge.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A daily plan of activities was not posted in the Pre-K or Infant Rooms.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Upon assessment of supervision and ratio in the Discovery PS Room at 9:55 AM on 11/22/22, Staff #13 named 5 OT and Staff #3 named 5 OT. There were 11 children in the room at that time. Staff were given another attempt to name their supervisory groups, with the same results.

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)

Description: Signed

Noncompliance Area: The files for Child #1, #2, #3, #4, #6, #7, #8 and #9 contained agreements which lacked a signature by the operator.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The files for Child #2, #3, #4, #6, #7, #8, and #9 contained agreements which lacked the fee to be charged.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Child #6 and #7 contained child service reports dated more than six months in the past.

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: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The files for Child #1, #2, #3, #4, #6, #7, #8, and #9 contained agreements which lacked the children's dates of admissions.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The files for Child #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 contained the original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: The file for Child #6 contained an emergency contact form which lacked the last name and telephone number of the emergency contact person. The file for Child #10 contained an emergency contact form which lacked the name and telephone number of an emergency contact person.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for Child #2 contained an emergency contact form which lacked the telephone number of the child's medical provider. The file for Child #8 contained an emergency contact form lacked the name, telephone number and address of the child's medical provider.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for Child #10 contained an emergency contact form which lacked the work address and telephone number of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The files for Child #6 and #8 contained emergency contact forms which lacked the children's health insurance name and policy number. the file for Child #10 contained an emergency contact form which lacked the child's health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for Child #1 contained an emergency contact form which lacked the release persons names, addresses and phone numbers. The files for Child #2, #3, #7 and #8 contained emergency contact forms which lacked the release persons addresses.

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 files for Child #2, #6, #7 and #8 contained initial health reports dated more than 60 days after the children's enrollment date. The file for Child #3 lacked an initial health report.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for Child #10 contained a most recent health report dated more than 12 months in the past.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The files for Child #3 and #7 lacked records of immunization history. The file for Child #5 contained a record of immunization history which documented 1 of 2 required Hepatitis A vaccinations.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During an observed diaper change in the Discovery PS Room, a child's hands were not washed after the change.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During an observed diaper change in the Discovery PS Room, the soiled diaper was left setting on the changer throughout the change.

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for Staff #8 lacked an initial tuberculosis screening by the Mantoux method.

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: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The file for Staff #6 contained a health assessment which lacked the medical provider's assessment of the person's suitability to provide child care.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: Documentation of the annual local traffic safety authorities letter notifying them of the location of the facility and the use routes around the facility was unavailable at the time of inspection.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.181(c)/3270.181(d)

Description: Emergency info/agreement updated 6 mos/Dated signature affixed

Noncompliance Area: The file for Child #2 lacked updates within the past 6-month period to the emergency contact and agreement forms. The file for Child #5 contained consecutive updates to the emergency contact form dated more than 6 months apart and a most recent updated to the agreement dated more than 6 months in the past. The files for Child #6 and #10 contained consecutive updates to the emergency contact and agreement forms dated more than 6 months apart.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The file for Child #3 contained an emergency contact form which lacked signed parental consent for emergency care.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.182(5)

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

Noncompliance Area: The file for Child #3 contained an emergency contact form which lacked signed parental consent for the administration of first aid.

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(5)

Description: Two written references

Noncompliance Area: The files for Staff #1, #2, and #5 lacked two written, nonfamily references. The file for Staff #4 contained one of the two required written, nonfamily references.

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

Regulation: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: The observed emergency plan lacked accommodations for the evacuation of children from the facility building away from facility premises.

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 observed emergency plan lacked a method for facility persons to contact parents when an emergency 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 observed emergency plan lacked a method for facility persons to inform parents that the 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)(5)

Description: Emergency plan

Noncompliance Area: The observed emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of an emergency drill had between 12/19/20 and 12/19/21.

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: The observed emergency plan was not updated in the past 12 months.

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(f)

Description: Emergency plan

Noncompliance Area: According to operator report, the emergency plan updates were provided to the county EMA but not the local municipality.

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)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The files for Staff #7, #9 and #10 contained 5 of the 12 required annual child care training hours between 12/19/20 and 12/19/21. The file for Staff #12 contained 7 of the 12 required annual child care training hours between 12/19/20.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #11 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training. Observed health and training certificate was dated 11/19/22.

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: The file for Staff #3 lacked an FBI clearance and receipt for FBI clearance. The file for Staff #4 lacked an NSOR clearance and application for NSOR clearance. The file for Staff #8 lacked an NSOR clearance and contained an application for NSOR dated 5/6/22.

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, #8 may not work at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #7 lacked documentation of written staff evaluations. The files for Staff #9 and #10 contained consecutive staff evaluations dated more than 12 months apart.

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: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: Emergency numbers in the Toddler B Room were not posted near the telephone.

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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first-aid kit in the PS Room was observed to be accessible to children.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the Discovery PS Room was observed to lack tweezers. The first-aid kit in the Pre-K Room was observed to lack tape, tweezers and soap.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The bathroom in the Discovery PS room was observed to lack a lidded waste can.

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

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The observed fire drill log lacked the evacuation times of the drills.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The observed log of testing of smoke detectors contained entries dated more than 30 days apart.

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: A wooden cabinet, on which the CD player was placed, had two places on the top surface which was peeled / splintered, and contained an unsecured screw which was sticking out approximately 1/2", which was accessible to children and created a scraping / cutting hazard for children in care, in the K room.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The Agreements for Child #1, Child #2, and Child #3 did not contain the fee amount.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The Agreement for Child #1, Child #2, and Child #3 did not contain the date on which the fee is to be paid.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The Agreement for Child #2 did not specify the persons designated by the parent to whom the child may be released.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A plan identifying the means of transporting a child to emergency care and staffing provision in the event of an emergency was not displayed in the Pre-K room.

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The Health Report for Child #4 did not contain verification of the influenza vaccine or a letter of exemption.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Lysol disinfecting spray and Clorox disinfecting wipes were located in a low, unlocked cabinet below the sink in the Infant room. Both cleaners were labeled "Keep out of reach of children," and were accessible to 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.

Noncompliance Area: The file for child #1 lacked emergency contact information that included the health insurance policy number for a child under a family policy or Medical Assistance benefits.

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.

Noncompliance Area: The file for child #1 lacked a health report that included an influenza immunization according to recommendations of the ACIP. The last influenza immunization on file was 11/30/15.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: The file for staff person #2, whom was hired provisionally as an assistant group supervisor on 5/28/19, lacked a valid FBI clearance. The FBI clearance was requested through the Department of Education instead of the Department of Human Services.

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.