Kindercare Learning Center/greensburg

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were two damaged blue foldable teacher chairs in room #1. There was a cracked clear bin in the playground cabinet, 2nd to the right, close to the pre-k side of 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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 11/17/25 during the renewal visit CR observed an old toddler climbing the changing table and throwing herself down to the floor twice without Staff # 7 did not notice. Staff #7 was writing on a tablet facing the opposite side of the room.

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: 3270.114

Description: Outdoor Activity

Noncompliance Area: On 10/17/25 children were not taken outdoor. The temperature was 30 degree and windchill 29 degrees. Sunny day no precipitation.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The files for children #1 and 2 lacked the children admission date on the agreement form.

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

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

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

Noncompliance Area: The files for children # 1 and 3 lacked written consent signed by a parent for emergency medical care on the emergency contact form.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Staff # 8 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff #1 contained a current health assessment dated 9/8/24. It was not obtained within 24 months of the previous assessment dated 4/3/22. The file for staff # 3 lacked a current health report. The previous assessment was dated 6/18/23. The file for staff # 6 contained a current health assessment dated 2/4/24. It was not obtained within 24 months of the previous assessment dated 11/11/21.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The files for children 1 and # 3 lacked written consent signed by a parent for administration of minor first-aid procedures by facility staff on the emergency contact form.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The file for staff # 4 lacked acceptable verification of childcare experiences.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff # 4 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The Certificate of Compliance posted in a conspicuous location used by parents was dated 2/10/23-2/10/24.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff #3 contained a current emergency plan training certificate dated 10/21/25 that was renewed greater than a year from the previous emergency plan certificate dated 6/28/24.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff #3 contained a current fire safety training dated 10/17/25 that was renewed greater than a year from the previous fire safety training dated 8/13/24.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file for staff #5 contained a current Mandated Reporter training dated 7/1/25 that was renewed greater than 60 months from the previous Mandated Reporter training dated 6/10/20.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for staff # 1 ,2 and 6 contained a current staff evaluation dated 11/3/25 that was not reviewed within 12 months from the previous staff evaluation dated 10/28/24. The files for staff # 3 and 5 lacked and evaluation within 12 months. The previous staff evaluation was dated 10/28/25

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 4/28/25-6/3/25.

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: There was a bokken blue bin in the Discovery preschool room.

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(b)

Description: No physical punishment

Noncompliance Area: Per Staff Statements, Child #1 was kneeling on hands and knees, on a nap cot. Staff #1, kicked the cot and shouted at Child #1. The cot moved and Child #1 fell forward hitting their forehead on the ground. Child #1 had a bump and red mark where their head hit the ground.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to complete a training regarding managing challenging behaviors in the classroom. The training may be virtual or in person and must be a minimum of 2 hours. The training must be offered by ELRC 4 or offered in the PD Registry. The training must be completed within 2 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Per Staff Statements, Child #1 was kneeling on hands and knees, on a nap cot. Staff #1, kicked the cot and shouted at Child #1. The cot moved and Child #1 fell forward hitting their forehead on the ground. Child #1 had a bump and red mark where their head hit the ground

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for staff #1 lacked tuberculosis screening date 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.

Regulation: 3270.182(7)

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

Noncompliance Area: An accident report was not written nor given to the parents of Child #1, after the child received a bump and red mark on their forehead from falling from a nap cot.

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

Regulation: 3270.182(7)

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

Noncompliance Area: The parents did not receive an incident report the day of the incident.

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

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: There was a Snsevierla trifasciata plant, and a cyclamen plant in the preschool room. There was an Eppremnum Aureum and an Umbrella Tree plant in the Pre-K room. There was an Epipremnum Aureum in the Discovery preschool room. These plants are considered toxic. There was 1 Umbrella Tree plant in the preschool room and 2 in the toddler room. The plan is considering toxic.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was a garbage can contaminated by human secretions without a lid in the Toddler room. There was a garbage can contaminated by human secretions without a lid in the pre-k room.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a damaged wooden window frame in the toddler room. There were exposed splinters on the bottom part of the changing table in the toddler 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The water table in the preschool room had a cracked corner. There was a basket with foam blocks with teeth marks in the preschool room. There were foam blocks with teeth marks in the pre-k room. There was a green broken water sprinkler and a broken bin lid in the preschool playground shed. There were several toys and a multi- stroller with accumulated water in the preschool and toddler's playgrounds. There was a cracked black shelf in the 2-year-old 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: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file for child #1 lacked the child's admission date on the agreement form.

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

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files for children # 2,3,4,5 and 6 contained an original agreement form.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for child # 6 contained an agreement form that was not renewed withing 6 months. The current review was dated 9/2/24 and the previous updated review was dated 11/16/23.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment, lacked the child maltreatment statement.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff # 2 contained a current health report dated 5/3/24. The previous report was dated 4/27/22.

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 a health assessment that lacked the dates when the TB test was administered and read.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not notify the local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Written notification of safe routes was not posted at a conspicuous location in the childcare facility. Pick up and drop off procedure form.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: There was a bottle of glass and multi-surface cleaner by the baby food in the infant room.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: 2nd Citation: The 30-day fire detection log on file had testing dates of 6/11/24-7/15/24(34days), which are more than 30 days apart. Previously cited on 5/6/24.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff Person #1 has been named as perpetrator in three indicated reports of child abuse involving children enrolled at the facility.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The smoke detection log on file had testing dates of 3/30/24- 5/16/24, which are 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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on multiple staff interviews and a written statement from staff person #2 who was present in the Toddler B room at the time, at approximately 9:30am on 5-1-24, Staff person #1 yanked on Child #1's arm so hard that the child's face slammed to the floor causing a bruise on the outside of the child's cheek. It was also reported that as a result of this incident, Child #1 sustained superficial abrasions to the upper and lower lip.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on staff interviews, on 5-2-24, Staff person #1 grabbed Child #2 by the ribs and roughly slammed Child #2 onto the diapering table in the Toddler B room. Child #2 immediately began crying. It was reported that as a result of this incident, Child #2 sustained soft tissue swelling of the left thigh.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on staff interviews, on 5-2-24, Staff person #1 was changing Child #3's diaper on the diapering table in the Toddler B room and slapped Child #3 on their bare right leg. As a result of the slap, Child #3 had a hand print mark on their leg. Child #3 then was observed rubbing their leg after the incident.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on staff interviews, on an unknown day, Staff person #1 pulled Child #4 away from the sink in the Toddler B room causing the child to fall and hit their face on the sink. Staff person #1 then proceeded to drag Child #4 across the floor by the child's arm. As a result of the incident, Child #4 sustained a bruise on their face as reported by Staff person #4 who witnessed the incident as it occurred.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on staff interviews, on an unknown date, Child #5 approached Staff person #1 and asked for a blanket. Staff person #1 proceeded to yell at Child #5 in their face to shut up and then forcefully grab Child #5 by the neck and pushed them back which made Child #5 fall to the ground and Child #5 was crying and visibly upset.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Based on staff interviews, on an unknown date, Child #5 approached Staff person #1 and asked for a blanket. Staff person #1 proceeded to yell at Child #5 in their face to shut up and then forcefully grabbed Child #5 by the neck and pushed them back which made Child #5 fall to the ground. Based on staff interviews, on an unknown date, Staff person #1 called Child #6 a derogatory name to the child's face. Based on staff interviews, on 4-24-24, Staff person #1 screamed the following at Child #3: shut up, quit crying, don't talk to me like that.

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

Regulation: 3270.182(7)

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

Noncompliance Area: Based on multiple staff interviews and a written statement from staff person #2 who was present in the room at the time, at approximately 9:30am on 5-1-24, Staff person #1 yanked on Child #1's arm so hard that the child's face slammed to the floor causing a bruise on the outside of the child's cheek. It was also reported that as a result of this incident, the child sustained superficial abrasions to the upper and lower lip. Staff person #2 reported that when told about the incident Staff person #3, the director, said to write an incident report that stated Child #1 was participating in circle time and fell thereby bumping their cheek off of the floor leaving a bruise, which was not an accurate description of the incident. Staff person #2 reported that they wrote a written statement describing what actually happened to the child and gave it to Staff person #3. Based on staff interviews, on 5-2-24, Staff person #1 was changing Child #3's diaper on the diapering table and slapped Child #3 on their bare right leg. As a result of the slap, Child #3 had a hand print mark on their leg. Child #3 then was observed rubbing their leg after the incident. Staff person #2 reported that they observed the incident as it occurred and reported it to Staff person #3. There was no incident report written. Based on staff interviews, on an unknown day, Staff person #1 pulled Child #4 away from the sink in the Toddler B room causing the child to fall and hit their face on the sink. Staff person #1 then proceeded to drag Child #4 across the floor by the child's arm. As a result of the incident, Child #4 sustained a bruise on their face as reported by Staff person #4 who witnessed the incident as it occurred. There was no incident report written.

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

Regulation: 3270.19(a)/3270.19(b)

Description: Required to report/Child abuse reporting

Noncompliance Area: Based on staff interviews, on 5-2-24, Staff person #1 was changing Child #3's diaper on the diapering table and slapped Child #3 on their bare right leg. As a result of the slap, Child #3 had a hand print mark on their leg. Child #3 then was observed rubbing their leg after the incident. Staff person #2 reported that they observed the incident as it occurred and reported it to Staff person #3. There was no incident report written and the incident was not reported for suspected abuse to ChildLine as mandated by the CPSL. Based on staff interviews, on an unknown day, Staff person #1 pulled Child #4 away from the sink in the Toddler A room causing the child to fall and hit their face on the sink. Staff person #1 then proceeded to drag Child #4 across the floor by the child's arm. As a result of the incident, Child #4 sustained a bruise on their face as reported by Staff person #2 who witnessed the incident as it occurred and reported it to Staff person #3. There was no incident report written and the incident was not reported for suspected abuse to ChildLine as mandated by the CPSL. Based on multiple staff interviews and a written statement from staff person #2 who was present in the room at the time, at approximately 9:30am on 5-1-24, Staff person #1 yanked on Child #1's arm so hard that the child's face slammed to the floor causing a bruise on the outside of the child's cheek. It was also reported that as a result of this incident, the child sustained superficial abrasions to the upper and lower lip. Staff person #2 reported that when told about the incident Staff person #3, the director, said to write an incident report that stated Child #1 was participating in circle time and fell thereby bumping their cheek off of the floor leaving a bruise, which was not an accurate description of the incident. Staff person #2 reported that they wrote a written statement describing what actually happened to the child and gave it to Staff person #3. The incident was not reported for suspected child abuse to ChildLine as mandated by the CPSL. Based on staff interviews, on 5-2-24, Staff person #1 grabbed Child #2 by the ribs and roughly slammed Child #2 onto the diapering table in the Toddler A room. Child #2 immediately began crying. It was reported that as a result of this incident, Child #2 sustained soft tissue swelling of the left thigh. Staff person #2 witnessed the incident as it happened and reported it to Staff person #3, the director. There was no incident report written and the incident was not reported for suspected abuse to ChildLine as mandated by the CPSL.

Correction Required: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL. A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in Classroom 4 was missing an operable 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The written plan of daily activities was not posted in Classroom 5.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #2 lacked the complete addresses for the release persons listed.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: An emergency contact form was missing for a TK child who was receiving care for the day in Classroom 2.

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

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: A form was on file for Child #2 dated 12.5.22 indicating that the child would receive an annual influenza vaccination at the time of their next doctor appointment. The child had a health reported dated 8.22.23 on file however the immunization record did not reflect that the child received an influenza vaccination. The parent did not provide an updated form related to a further delay until 11.7.23.

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).

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessments on file for Staff Person #7 exceeded 24 months between examinations on 3.17.21 and 7.24.23.

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

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The initial health assessment on file for Staff Person #5 lacked information that they had received an examination for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care. An updated health assessment including this information was not on file until 145 days after starting at the facility.

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

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: A written statement giving the formula and feeding schedule was missing for an infant receiving care in Classroom 5.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The updates to the agreements for Children #1, #2, #3 and #4 exceeded 6 months between updates. The agreement forms for Child #1's were dated 6.3.22 and 6.27.23, Child #2's were dated 6.5.22 and 8.29.23, Child #3's were dated 6.6.22 and 7.23.23 and Child #4's were dated 6.23.22 and 8.4.23.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The fire safety trainings on file for Staff Person #2 exceeded 12 months between trainings on 2.4.22 and 3.11.23.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR. The pediatric first aid and CPR training on file for Staff Person #6 was an online training and was not in an approved curriculum or with a PQAS instructor.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10), within 90 days of hire. Staff person #6 will have until 11.23.2023 to complete the required training. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children, by an AGS, primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files for Staff Person's #1 and #6 lacked a current disclosure statement. The disclosure statements on file were older versions and did not meet the requirements of the CPSL. The file for Staff Person #4 lacked out of state clearances for a state they have resided in within the last 5 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #4 and #6 may not work at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on the Fire Drill Log, when it is reported the fire alarms are activated, the facility exceeded 30 days between fire system testing. This is evidenced by the following dates of testing: 11.17.22-12.23.22; 1.13.23-2.15.23; 4.11.23-5.26.23-6.30.23; and 7.20.23-8.24.23-9.27.23-10.31.23.

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: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The current health assessment on file for Child #2 lacked a statement that the child had received age-appropriate screenings recommended by the American Academy of Pediatrics.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan lacked information related to the continuity of operations as required by Federal law.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessments on file for Facility Person #1 exceeded 24 months between examinations occurring on 3.5.20 and 4.3.22.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: Verification that the facility had notified the local traffic safety authorities in writing of their location and use of pedestrian and vehicular routes around the facility was not available at the time of the 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)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The updates to the financial agreements for Children #1, #2 and #3 exceeded 6 months between 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: 3270.183(a)/3270.193(a)

Description: Locked cabinet/Confidential; stored in locked cabinet

Noncompliance Area: The filing cabinet that contained the Staff and Child Records did not have a lock in place.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Facility Person #2 lacked one of their two 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: 3270.21

Description: General Health and Safety

Noncompliance Area: The facility lacked a policy on the Prevention of Shaken Baby and Abusive Head Trauma at the time of the Inspection.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Information as to how the parents may access the current regulations was not posted in a conspicuous location at the facility.

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

Description: Contact when arises/Contact when ended

Noncompliance Area: The parent letter that included information as to the method for facility persons to contact the parents to inform them that an emergency situation has arisen and ended and how parents can be safely reunited with their children was not available at the time of the inspection.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Documentation that the facility has participated in an annual emergency drill was not available at the time of the Inspection.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: Verification that the facility has submitted their emergency plan to the local municipality and the county emergency management agency was not available at the time of the Inspection.

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(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff person #4 lacked verification that they had completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 31(f)(1-9).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Facility Person #2 lacked a completed State Police Clearance within 45 days of starting at the facility. The completed State Police was on file 131 days after starting at the facility.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A cleaning solution was observed in the unlocked cabinet in Classroom #6 where older toddler age children were receiving 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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The file for child #4 contains an agreement which lacks the child's arrival and departure times.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #4 contains emergency contact information which lacks the enrolling parent's work address and work phone number.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #2 lacks verification of a current Hepatitis B, Rotavirus, DTAP, HIB, Pneumococcal, Polio, and Influenza vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #3 and child #4 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

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: 3270.151(a)

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

Noncompliance Area: The two most recent health assessments on file for staff person #10 are dated in an interval greater than 24 months. The most recent health assessment on file for staff person #9 is dated more than 24 months ago.

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 person #1 contains two written, non-family references dated after staff person #1 began in a child care taking position.

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)(5)

Description: Emergency plan

Noncompliance Area: The facility emergency plan was not updated by the required date of 12/19/20 to include 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(c)

Description: Training regarding plan

Noncompliance Area: The two most recent verifications of emergency plan training on file for staff persons #5, #6, #7, #8, and #10 are dated in an interval greater than 12 months. The most recent emergency plan training on file for staff person #9 is dated more than 12 months ago.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The most recently documented fire safety training on file for staff person #9 is dated more than 12 months ago.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file for staff person #2 and staff person #3 lack verification of current pediatric first aid and pediatric CPR as required within 90 days of hire.

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

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The two most recent verifications of completed mandated reporter trainings on file for staff person #6 and staff person #10 are dated in an interval greater than the required 5 years or 60 months according to the current CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A review of the file for staff person #1 revealed that staff person #1 has resided out of state in the previous 5 years. The file for staff person #1 lacks a current child abuse and a current NSOR from the previous state.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The current evaluation on file for staff person #8 is dated more than 12 months after staff person #8 began in a child care taking position. Two most recent evaluations on file for staff person #6 are dated in an interval greater than 12 months. The file for staff person #9 lacks a current evaluation.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.36(b)(3)/3270.192(2)(ii)

Description: HS/GED, 15 credits + 1 yr/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #4 lacks verification of 15 credit hours and one year of child care experience to qualify for the position of assistant group supervisor, the role assigned to and currently being performed by staff person #4.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year 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: 3270.64

Description: Outside Walkways

Noncompliance Area: Observed the sidewalk at the rear of the building is cracked in one spot resulting in a large piece of loose concrete which creates a tripping hazard.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed an accessible bottle of hand sanitizer attached to a child's backpack in the Transitional Kindergarten room.

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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit in the Transitional Kindergarten room was hanging on a low hook, making it accessible to children.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed chipping and peeling paint on the wood trim along the roof line in the outdoor gross motor space.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: in the infant room, observed a crib in use by an infant blocking the exit door which leads to the outside of the building.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the inspection, a proof of purchase for the facility's interconnected fire alarm system was not on file.

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.