Kindercare Learning Center/wexford

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The child file for Child #2, and Child #3 contained a financial agreement form that was observed to lack the operator's signature. The financial agreement form for child #2 also lacked a parent signature.

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 child file for Child #2 contained a financial agreement form that was observed to lack the specific amount of the fee to be charged per day or per week.

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 child file for Child #2 contained a financial agreement form that was observed to lack 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)(3)

Description: Services proceeded

Noncompliance Area: The child file for Child #1, Child #3, and Child #5 was observed to lack a child service report.

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 child file for Child #2, Child #3, and Child #4 contained a financial agreement form that was observed to lack the child's admission date.

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

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: The child file for Child #3 contained an emergency contact information form that was observed to lack the name(s) and phone number(s) of individual(s) who will be contacted in an emergency.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: The child file for Child #3 contained an emergency contact information form that was observed to lack the name(s), address(es) and telephone number(s) of the individual(s) designated by the parent to whom the child may be released. The child file for Child #4 contained an emergency contact information form that was observed to lack the addresses for two of the 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: 3270.131(a)

Description: Health information

Noncompliance Area: The child file for Child #4 was observed to lack 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)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The child file for Child 1, who is an infant, was observed to lack an updated health report; the most recent health report on file is dated 9/17/25 which is more than 6 months old.

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. A child's record shall contain initial and subsequent health reports.

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

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

Noncompliance Area: The child file for Child 3, who is a preschool age child, was observed to lack an updated health report; the most recent health report on file is dated 6/6/24 which is more than 12 months old.

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

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The immunization record of Child #1 was observed to be missing the following vaccines: the 2nd and 3rd dose of DTaP vaccine, and the 3rd dose of Hep B vaccine, the 2nd and 3rd dose of PCV13, the 2nd dose of Polio, and the 2nd dose of Rotavirus as recommended by the ACIP and did not have an acceptable exemption on file.

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. 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 childcare group settings). Child #1 must be dismissed from care by close of business 8/25/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #3 contained a financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the financial agreement and emergency contact form were last reviewed and signed on 9/15/25. The child file for Child #4 contained a financial agreement form that was not reviewed and signed by the parent at least once in 6-months; the financial agreement was last reviewed and signed on 11/20/25. The child file for Child #5 contained an emergency contact information form that was not reviewed and signed by the parent at least once in 6-months; the two most recent reviews were signed and dated for 6/8/26 and 10/29/25.

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

Regulation: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: The child file for Child #5 lacked the initial and subsequent health reports.

Correction Required: A child's record shall contain initial and subsequent health reports.

Regulation: 3270.182(8)

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

Noncompliance Area: The child file for Child #5 lacked a copy of the initial agreement and subsequent written agreements between the parent and the operator.

Correction Required: 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: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: At time of renewal inspection, in the director's office, approximately 10 child files were observed on the assistant director's desk, and a pile of various child file documents were observed on top of the filing cabinet in which they are to be stored in. The child file cabinet was also observed to be unlocked at time of inspection, and when asked if there was a key to lock the cabinet, neither the director nor assistant director could locate the key.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The staff file for Staff person #3 was observed to lack two 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: 3270.193(a)

Description: Confidential; stored in locked cabinet

Noncompliance Area: At time of renewal inspection, in the director's office, the filing cabinet that contains the staff files was observed to be unlocked and a pile of various staff file documents were observed on top of assistant director's desk.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility's documentation of having completed an annual emergency drill, which has been previously viewed by the certification representative, was unable to be located at 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(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The facility's emergency plan was observed to not have been reviewed and updated at least annually; the last documented review/update was done on 2/11/25.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The staff file for Staff person #1 and Staff person #2 lacked documentation of having participated in annual emergency plan training for 2026 and 2025; the last documented training was dated 5/22/24. The staff file for Staff person #5 lacked documentation of having participated in initial emergency plan training. The staff file for Staff person #7, Staff person #8, and Staff person #9 lacked documentation of having participated in annual emergency plan training for 2026; the last documented training was dated 2/10/25. PREVIOUSLY CITED ON 6/29/26

Correction Required: 1.) 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. 2.) The legal entity will require all leadership staff, including the director and assistant director, to participate in technical assistance visits provided by ELRC 5 regarding office management. The legal entity will complete a minimum of 3, in-person technical assistance visits provided by ELRC 5. The technical assistance visits must be completed within 4 months of the approval of this plan of correction. Upon completion of the visits, documentation will be provided to the OCDEL-DHS representative by email. The operator shall provide a date for when the visits will be complete. Any recommendations made by the ELRC at the visits must be implemented. 3.)

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The staff file for Staff person #1 lacked 5 of the 12 clock hours of annual childcare training required from 12/2024 - 12/2025. The staff file for Staff person #2 lacked 3 of the 12 clock hours of annual childcare training required from 12/2024 - 12/2025.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The staff file for Staff person #2 was observed to lack documentation of having participated in annual fire safety training for 2026, last fire safety training on file is dated 5/1/25. The staff file for Staff person #1, Staff person #7, Staff person #8, and Staff person #9 were observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 6/17/26 and 5/1/25.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Family Child Care Part 2.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff person #-4 must be supervised, when interacting with children at a minimum by, an AGS, who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

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

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

Noncompliance Area: The staff file for Staff person #1, who is functioning as a group supervisor, lacked a bachelor's degree or an associate degree.

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

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

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

Noncompliance Area: The staff file for Staff person #5, who is functioning as an aide, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff file for Staff person #1 lacked a staff evaluation at least once every 12 months; the last documented staff evaluation on file is dated 10/6/23. The staff file for Staff person #2 lacked a staff evaluation at least once every 12 months; the last documented staff evaluation on file is dated 10/15/22. Staff person #8 and Staff person #9 was observed to contain an evaluation dated '2025' with no month therefore unable to determine if the evaluation was done timely.

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)(5)/3270.192(2)(ii)

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

Noncompliance Area: The staff file for Staff person #4 who is functioning as an Assistant Group Supervisor, lacked proof of two years of experience working with children. The staff file for Staff person #6 who is functioning as an Assistant Group Supervisor, lacked proof of education and two years of experience working with children.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: 2nd CITATION: In the PreK Room, an electrical outlet located below the clock was observed to lack two protective receptacle covers. PREVIOUSLY CITED 6/22/26

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the School Age Room, the cabinet located across from the classroom sink was observed to be unlocked making the following toxics, which are labeled 'Keep Out of Reach of Children', accessible to children: a spray bottle labeled glass and multipurpose cleaner, a spray bottle labeled restroom cleaner, a Febreze spray canister, and seven sunscreens.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the School Age Room, the restroom located on the right was observed to have eight scholastic book cardboard boxes stored inside making it a visible hazard. The following rooms were observed to have ceilings that have not been kept clean as evidence of having water damage from a previous leak: In the School Age Room, two spots of water damage on the ceiling were observed near the camping sign, in the Transitional Kindergarten Room, two spots of water damage on the ceiling were observed to the left of the window, in the Preschool A Room, two spots of water damage on the ceiling were observed near the writing center, in the Toddler Room, water damage was observed on the ceiling around the sprinkler located near the toddler lockers, in Discovery Preschool water damage was observed on the ceiling around the sprinkler located near the changing table. Torn contact paper was observed on the walls in the following rooms: In the Toddler Room underneath the classroom window near the dramatic play area and the lower right-hand corner near the door to the playground, in the Discovery Preschool Room on the wall near the cove base underneath the sun painting,

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: In the School Age Room, the toilet inside the bathroom on the left was observed to not be kept clean as evidence by there being a brown ring around the inside of the toilet bowl and three yellow droplet stains on the toilet seat. In the Preschool B Room, the sink inside the bathroom on the right was observed to not be in good repair as evidence by when in the off position there is a steady dripping of water coming from the faucet. In the Preschool A Room, the sink inside the bathroom on the left was observed to not be in good repair or kept clean as evidence by when in the off position there is a steady dripping of water coming from the faucet and there was brown staining throughout the inside of the sink bowl.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the Preschool A Room, the toilet inside the bathroom located on the left was observed to lack a handwashing sign.

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: 3270.33(a)/3270.192(2)(iv)

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

Noncompliance Area: 2nd CITATION: The staff file for Staff person #4 and Staff person #11, who is functioning as an assistant group supervisor, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position. PREVIOUSLY CITED ON 6/26/25

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On the Left Side outdoor play space the exterior plastic covering of a blue soccer ball was observed to be worn out and have multiple sections peeling or torn off causing it not to be in good repair.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In 2s Discovery room, a red foam triangle was observed to have a corner of less than 1 inch bitten off causing a potential choking hazard to children who are still placing objects in their mouths.

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

Regulation: 3270.114

Description: Outdoor Activity

Noncompliance Area: It was disclosed that children in the School Age Room and 2s Discovery Room have not been going outside daily due to the grass not having been cut in weeks and the presence of ticks in the outdoor play space. Staff from one room stated that they last went out a few days prior and another staff stated it had been two weeks.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The child file for Child #1, Child #2, and Child #3 was observed to lack valid child service reports on file; Brigance assessments were being used which are considered obsolete as of 7/1/2023.

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 child file for Child #4 contained a current financial agreement form that lacked the child's admission date.

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

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: The child file for Child #3 was observed to lack an emergency contact information form.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: The staff file for Staff person #3, contained a current health assessment dated 3/19/25 which was conducted more than 24 months from the previously dated 2/19/23 health assessment on file. The staff file for Staff person #5, contained a current health assessment dated 1/6/25 which was conducted more than 24 months from the previously dated 15/5/22 health assessment on file

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The staff file for Staff person #2 was observed to lack documentation of a Tuberculosis test and the results.

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)(3)

Description: Exam communicable disease

Noncompliance Area: The staff file for Staff person #11 contained a current health assessment dated 10/21/24 that lacked examination for communicable diseases and the results of that examination.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #1 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the last parent review of the financial agreement and emergency contact forms was signed on 5/22/24. The child file for Child #2 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the last parent review of the financial agreement form was signed on 5/29/24 and emergency contact forms was signed on 5/22/24.

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

Regulation: 3270.182(8)

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

Noncompliance Area: The child file for Child #3 was observed to lack a copy of the initial financial agreement and subsequent financial agreements.

Correction Required: 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: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: The mandated reporter dated 12/13/22 for Staff person #7, which has been previously viewed by the certification representative was observed to not be in the file at the of inspection.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The staff file for Staff person #2 was observed to lack two non family 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(c)

Description: Training regarding plan

Noncompliance Area: The staff file for Staff person #7 contained documentation of receiving emergency plan training on 5/19/25 which was more than 90 days from date of hire. The staff file for Staff person #9 lacked documentation of having participated in annual emergency plan training for 2025. The staff file for Staff person #11 contained documentation of receiving emergency plan training on 2/10/25 which was more than 90 days from date of hire.

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 staff file for Staff person #4, Staff person #8, and Staff person #10 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 5/1/25 and 1/25/24.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training, Pediatric first aid/CPR, and Mandated Reporter training. Staff person #7 has since completed Pediatric first aid/CPR on 5/1/25 and Mandated Reporter training on 6/23/25.

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 #7 will have until 7/22/25 to complete the required training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The staff file for Staff person #10 contained current mandated reporter training dated 2/6/25 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 11/26/19. The file for staff person #7 was observed not to contain documentation of completion of Mandated Reporter Training within the first 90 days of hire (See IS CODE SHEET). Mandated Reporter Training on file for staff person #7 was dated 6/23/25.

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 person #1 (See IS CODE SHEET) was observed to lack a sex offender check from the State in which they resided in within the previous five years as required by the Child Protective Service Law (CPSL). The staff file for Staff person #2 was observed to contain a current National Sex Offender Registry (NSOR) check dated 6/20/25 which was not on file prior to first day working with children (See IS CODE SHEET) as required under the CPSL. The staff file for Staff person #10 contained a current State Police and Child Abuse clearance dated 2/26/25 both of which were not renewed within 60 months of the previously dated 2/24/20 State Police clearance and 1/31/20 Child Abuse clearance expiring. The staff file for Staff person #10 lacked a valid DHS FBI clearance; the DHS FBI clearance on file is dated 6/13/20 which is more than 60 months old. The staff file for Staff person #11 was observed to lack a valid DHS FBI clearance. Staff person #12 also contained an application for a NSOR check dated 10/18/24 and the NSOR check on file was dated 6/20/25 was not received within 45 days of hire (See IS CODE SHEET).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #10 and Staff person #11 may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #10 and Staff person #11 may not work in a childcare position at the facility.

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

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

Noncompliance Area: The staff file for Staff person #4 and Staff person #11, both functioning as assistant group supervisors, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff file for Staff person #4, through Staff person #7, Staff person #9 and Staff person #10 were observed to lack an evaluation in 2024. Staff person #8 was observed to contain an evaluation dated '2025' with no month therefore unable to determine if the evaluation was done timely.

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)(5)/3270.192(2)(ii)

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

Noncompliance Area: The staff file for Staff person #2 who is functioning as an Assistant Group Supervisor, lacked documentation of education and experience working with children. The staff file for Staff person #7, who is functioning as an Assistant Group Supervisor was observed to lack 2 years of experience; only 1,385 hours were documented.

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: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: At approximately 9:55am in the Preschool B Room, which has an established capacity of 21, there were 24 preschool age children observed receiving care in that space thus exceeding the capacity by 3 children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The Right Side outdoor play space, used by the toddlers in care, was observed to have grass overgrown with common teasel plants that had short prickles on the leaves. In Preschool B Room torn contact paper was observed on the wall near the block area. In Preschool A Room, peeling contact paper was observed on the wall to left of entry door.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed on the left and right sides of the door frame of the exit door leading to the backyard. In 2s Discovery Room peeling paint was observed on the lower right door frame of the door leading to the playground.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: In Preschool B room, the left bathroom was observed to lack a lidded garbage can.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 3/7/25 - 4/15/25 (39 days) and 4/15/25 - 5/16/25 (31 days).

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: Documentation of fire-detection system testing showed that more than 30 days between testing occurred one time. The dates of the testing were documented as 8/8/24 and 9/25/24.

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)).

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The child file for Child #1 contained a current financial agreement form that lacked 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)(3)

Description: Services proceeded

Noncompliance Area: The child file for Child #1, Child #2, Child #3, Child #4, and Child #5 lacked a valid child service report on file.

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: 3270.131(a)

Description: Health information

Noncompliance Area: The child file for Child #4, contained an initial health report that is dated more than 60 days after initial enrollment.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The child file for Child #1, who was a young toddler at the time, was observed to contain an updated health report dated 6/10/24 which was conducted more than 6 months from the previously dated 6/9/23 health report on file.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: In the infant room Staff person # self-reported that during a diaper change the soiled diaper is placed on the changing table to the side away from the child and thrown away in the plastic-lined hands-free cover can once the diaper changing procedure is done.

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: 3270.165

Description: Menus

Noncompliance Area: The menu posted in the facility was from July 2023.

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

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: Child #6 through Child #9, who are infants, were observed to lack a written feeding schedule from the parent.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #1, Child #2, Child #3, Child #4, and Child #5 contained a current emergency contact information and financial agreement form that were not reviewed and updated by the parent at least once in a 6-month period.

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

Regulation: 3270.182(7)

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

Noncompliance Area: The facility lacked an accident file.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: In 3s PS Room adult scissors. a stapler, a stapler remover, and boxes of staples were observed inside an unlocked drawer accessible to children in care; a lock was on the drawer however it was broken and would not engage to prevent from opening.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Staff person #5 reported that an emergency drill was done in November of 2023 however it was not documented and on file at the facility.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The staff file for Staff person #4 and Staff person #6 lacked documentation of having participated in annual emergency plan training for 2023.

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 staff file for Staff person #4 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 5/9/24 and 3/8/23. The staff file for Staff person #6 lacked documentation of having participated in annual fire safety training for 2022.

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

Regulation: 3270.31(f)(1)

Description: Health and Safety Training - Prevention and control of infectious diseases

Noncompliance Area: Staff person #5 (see LIS code sheet) has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10-hr Revised Health and Safety Training.

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 #5 will have until 7/10/24 to complete the required training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #3 was observed to contain a State Police clearance on file dated 12/5/23 and there was no documentation of having applied for the State Police clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the 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 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: The staff file for Staff person #4 was observed to contain staff evaluations that were conducted more than 12 months apart; those evaluations are dated 10/6/23 and 3/4/22. The staff file for Staff person #6 lacked a staff 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: 3270.35(b)(1)/3270.192(2)(ii)

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

Noncompliance Area: The staff file for Staff person #6 who is functioning as a Group Supervisor, lacked proof of a bachelor's degree.

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

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

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

Noncompliance Area: The staff file for Staff person #1 who is functioning as an Assistant Group Supervisor, lacked 2,500 hours of childcare experience; only 609 hours were documented.

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

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

Noncompliance Area: The staff file for Staff person #2 who is functioning as an Aide, lacked proof of a high school diploma.

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

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: A snake plant was observed on a shelf in the infant room.

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: In the 3s PS Room a lidded garbage can, labeled for contaminated waste, was observed to lack a plastic-lining.

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: On the preschool playground a corner of the rubberized playground surfacing was observed to have cracks that pose as a tripping hazard and is not in good repair.

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: 3270.94(a)(9)

Description: Written record

Noncompliance Area: Upon review of the facility's fire drill log it was observed to lack the hypothetical location and the names of the facility persons who participated in the drill.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #1 includes a child abuse clearance which is unreadable, making it invalid. The file for Staff person #1 also includes a criminal history clearance with a request date after the hire date and proof of FBI fingerprinting after the hire date, with no FBI clearance in the file (See LIS code sheet), required for provisional hiring under the 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 a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

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

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

Noncompliance Area: The file for Staff person #1, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: There was a tear in the seat of the couch in the Discovery Classroom.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The Preschool room contained rest equipment that was not labeled for the use by a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #4 does not include a complete address for all listed release persons.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #2, who is 2 years old, includes 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #3, who is 22 months old, includes 3 of 4 DTAP vaccines recommended by the ACIP for a child this age.

Correction Required: ·Child #2, #3 must be dismissed from care by close of business on 6/23/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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: 3270.133(4)

Description: Locked

Noncompliance Area: There was an Albuterol inhaler labeled for use of by Child#1 in the Kindergarten room that was in the child's backpack, accessible to children.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was an Albuterol inhaler labeled for use by Child #1 in the Kindergarten room that does not include written parental permission to administer.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

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 2 most recent health assessments on file for Staff person #1 were dated 9/9/19 and 9/20/22, more than 24 months apart. The file for staff person #3, #7, #8, does not include documentation of a health assessment or Tuberculosis screening being completed within 12 months prior to date of hire (See LIS CODE SHEET).

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)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment on file for Staff person #5 does not include the physician or health care professional'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: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: The filing cabinet where the child files are located was not locked at the time of inspection.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #3 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

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(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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2 included a Child Abuse clearance dated 1/11/23, after the hire 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #3 includes an incomplete criminal history clearance, (See LIS Code Sheet), making it invalid. The file for staff person #4 was observed not to contain a valid NSOR certificate within 45 days of hire (See IS CODE SHEET). The file for staff person #7 includes an FBI clearance which was obtained through the PA Department of Education, making it invalid (See IS CODE SHEET). The file for Staff person #i8 does not include a Criminal History clearance or an FBI clearance, or proof of application or fingerprinting prior to hire (See LIS Code Sheet) required for provisional hiring under the 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 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, #7, #8 may not work in a child care position at the facility.

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

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

Noncompliance Area: The file for Staff person #3, #5, #6, #7, #8, classified as Assistant Group Supervisors does not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or a high school diploma or a general educational development certificate and 15 credits in education or a related human services field and 1 year of verified child care experience; or a high school diploma or a general educational development certificate with 2 years of verified child care experience. The file for Staff person #4, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified 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 verification of child care experience, education and training prior to service at the facility.