Kindercare Learning Center/plum

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were foam blocks with teeth marks in the Discovery Preschool room. There was a cracked basket on top of the cubbies in the preschool room. There were 3 broken art trays in the pre-k room. There was a damaged basketball hoop in the preschool 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 files for children #1 and 2 lacked the date of the child's date of admission 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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for staff #3 contained an emergency contact form that was not reviewed with the 6 months period. 8/3/24-8/3/25. the file was reviewed.

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

Regulation: 3270.131(b)(2)/3270.131(e)(3)

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

Noncompliance Area: The file for child # 1 a preschooler lacked an updated health report. The child cannot return until the facility has a copy of the health report and immunizations record. The file for child #3 a preschooler contained a current health report dated 6/26/25. The report was not updated within 12 months. The previous report was dated 9/19/23.

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. 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 1/8/26 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

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

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: The file for child # 4 is missing 2 doses of DTAP, vaccine, a dose of the MMR vaccine, a dose of Rotavirus vaccine and 2 doses of Pneumococcal vaccine.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).Child # 4 must be dismissed from care by close of business 1/8/26 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Staff # 3 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(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for staff #1 lacked a TB test .

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: 3270.31(c)(1)

Description: Accredited institution approved by PDE

Noncompliance Area: The file for staff #2 lacked documentation of a curriculum conducted by an institution approved by the Department of Education and accredited by an accrediting agency recognized by the United States Department of Education or the Council on Postsecondary Education and acceptable to the Department of Education. Staff #2 was identified as a staff during the renewal inspection.

Correction Required: An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person, if the curriculum is conducted by an institution approved by the Department of Education and accredited by an accrediting agency recognized by the United States Department of Education or the Council on Postsecondary Education and acceptable to the Department of Education.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #4 contained a current Child Abuse clearances dated 5/9/25 that was obtained about 3 weeks after staff # 4 start date. The file for staff #4 contained a current FBI dated 6/5/25 with an application dated 6/3/25 that was obtained about a month and a half after staff #4 start date on 4/21/25. The file for staff #5 contained a current FBI clearance dated 10/11/25 that was obtained about 5 months after staff #5 start date on 4/28/25.

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: 3270.35(b)(2)

Description: Bachelor's, 30 credits + 1 yrs

Noncompliance Area: The file for staff #6 contained 18 out of 30 credit hours on the human services field. Staff #6 does not qualify as a Group Supervisor as staff #6 was identified on the staff data sheet.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a bottle of hand sanitizer labeled, "keep out of reach of children," on top of the entryway table accessible to children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a water mark damaged spot on the ceiling with peeling paint in the Pre-K 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was a peeling paint on the toddler's playground equipment stair.

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(h)

Description: Handwashing signs

Noncompliance Area: There were two toilets that lacked washing hands signs posted in the preschool room bathroom.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #-1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric Firs-Aide and Pediatric CPR 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.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: The file for staff #2 lacked a copy of the disclosure statement.

Correction Required: 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff # 1 lacked 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a ripped changing mat with exposed foam in the bathroom, a cracked blue bin and a cozy corner tent with two holes in the preschool room. There were 2 cracked bins in the preschool 2 room. There was a pink cracked basket and a cracked water paint case in the pre-k room. There was a cracked bin in the Toddler B room. There was a cracked truck toy in the toddler's playground and a damaged basketball hoop in the preschool 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There were temporal paint pouches in the preschool room with a warning label " choking hazard- small part Not for children under 3 years. The paints were accessible to children.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: There 4 cots that were not at least 2 feet of space required on three sides of the cots in the preschool room. There was 1 cot that was not at least 2 feet of space required on three sides of the cots in the preschool 2 room. There were 2 cot that was not at least 2 feet of space required on three sides of the cots in the pre-k room. There were 2 cot that was not at least 2 feet of space required on three sides of the cots in the pre-k room.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for children # 2 and 3 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for child # 3 lacked the information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the Emergency contact form.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child # 1 lacked the health insurance policy number on the emergency contact form.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child # 2 lacked the telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. The file for child # 3 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child # 3 a toddler contained a current health report dated 11/7/24, the report was not updated within 6 months of the previous report dated 4/2/24.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child # 5 a preschooler contained a current health report dated 10/4/24. The report was obtained after 12 months the prior report was dated 8/3/23.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff # 1 did not wash the child's hands after diapering.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The health reports for staff # 1,2 and 3 lacked that date when the TB test was 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. 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: 3270.152

Description: Adult Hygiene

Noncompliance Area: Staff # 1 did not wash her hands after diapering.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There were 2 sunscreens in two different cubbies in the preschool room label " keep out of reach of children." accessible to children.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: There were 3 cleaning bottles in the preschool 2 cabinet by crackers, candy, baby puff snacks and marshmallows.

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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first-aid kit bag in the preschool 2 room was on top of a low multi drawer plastic shelf accessible to children.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first -aid kid in the Pre-k room lacked tape.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were exposed splinters by the changing table wall in the Toddler A room. There was rust on the door frame by the changing table in the Toddler A room There was a cracked on the teacher's countertop in the preschool room.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The sink in the preschool 2 room was dirty it has dark black stains. The sink in the toddler A room was dirty with yellow and black stains. The toilets in the preschool 2 room were dirty with dry urine stains and dust.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based off of staff statements and police criminal complaint filed by Plum borough police, on 7/8/24, staff #1 grabbed child #1 by the bicep to keep child #1 from running away from staff #1. After the incident, there were 4 marks on child #1's bicep.

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 off of staff statements and police criminal complaint filed by Plum borough police, on 7/8/24, staff #1 grabbed child #1 by the bicep to keep child #1 from running away from staff #1. After the incident, there were 4 marks on child #1's bicep.

Correction Required: *The legal entity shall require all staff persons at the facility to attend, 2 hour in person training regarding managing challenging behaviors in children presented by the ELRC within 1 month of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Documentation of the completed training will be provided to the OCDEL-DHS representative by email upon completion. The training may count towards the mandatory 12 training hours required by the Department.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 6/26/24, staff #1 hit child #1 on the shoulder/bicep area with a greeting card.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility has exceeded 30 days since their last documented Fire System testing on 2.15.24.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: A young toddler in the Infant B classroom was observed to be sleeping on rest equipment that was not labeled for that 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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: On two separate occasions, infants in the Infant Room A classroom were observed to be sleeping in cribs without 2 feet of space on three sides present. A young toddler was observed to be sleeping on a cot in the Infant Room B classroom without 2 feet of space on three sides present.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreements on file for Children #4 and #5 lacked an operator 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 agreements for Children #5 and #7 lacked the fee amount to be charged.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Children #3 and #4 lacked a current developmental assessment.

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(b)

Description: Parent receives original

Noncompliance Area: The files for Children #1, #2, #3, #4, #5, #6 and #7 were observed to contain the original agreements.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for Child #4 lacked the policy number for the child's health insurance coverage. The emergency contact form for Child #5 lacked the health insurance coverage and the policy number.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The updated health assessments on file for Child #5, a young toddler, exceeded 6 months between examinations on 1.3.23 and 8.18.23.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for Child #4, a preschool age child, lacked a current health assessment. The most recent completed health assessment was completed on 8.18.22.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for Child #1 lacked verification that the child had received the ACIP recommended 4 month Rotavirus and Polio vaccinations and the 4-6 month DTAP, HIB and Pneumococcal vaccinations. A Written exemptions was not on file for the childat the time of the inspection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 will be dismissed from the facility at the close of business on 1.4.2024.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Staff Person #3 was observed to change a child's soiled diaper in the Preschool Restroom and discard it by lifting the lid to the hands-free can with their hand.

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)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: The file for Staff Person's #3 and #4 lacked an initial health assessment and tuberculosis screening within 12 months prior to starting in a child care taking position. The health assessment and tuberculosis testing for Staff Person #3 was completed 9 days after starting. The health assessment and tuberculosis testing for Staff Person #4 was completed 6 days after starting.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health assessment on file for Staff Person #1 lacked information related to an examination for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

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: Infant feeding schedules were missing for two Infants receiving care in the Infant Room A Classroom and one infant receiving care in the Infant Room B Classroom.

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 emergency contact form and financial agreements exceeded 6 months between updates in 8.2022 and 8.2023 for Child #3. The updates to the financial agreement for child #4 exceeded 6 months between updates in 8.2022 and 8.2023.

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

Description: Contact when arises/Contact when ended

Noncompliance Area: The emergency plan lacked information as to the method for a facility person to contact parents to inform them that an emergency has arisen, ended, and how they can be safety reunited with their children.

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

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

Description: Age and Training

Noncompliance Area: The update to the pediatric first aid and CPR trainings on file for Staff Person #2 was not completed on or before the expiration of the certificate. The current pediatric first aid and CPR training was completed on 11.15.23. The prior Certification expired on 10.31.23.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The updates to the FBI Clearances on file for Staff Person #2 exceeded 60 months between update. The FBI Clearances on file were dated 1.2.18 and 7.12.23.

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The telephone number of the nearest ambulance company was missing from the telephone in the Discovery Preschool and PreK Classrooms The telephone numbers of the nearest ambulance and fire companies were missing from the telephone in the Preschool, Infant Room A, Infant Room B, Toddler A and Toddler B Classrooms.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A hand washing sign was missing from the sink in the Discovery Preschool Classroom and one of the toilets in the Preschool Classroom.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first aid/CPR.

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 #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.183(b)

Description: No information disclosed

Noncompliance Area: Based on staff statements, staff person #2 was observed taking pictures of children in care on a personal cell phone and posting them on social media without parental consent.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent mandated reporter training documented and on file for Facility Person #1 was completed more than 60 months prior to the inspection.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Located in the Toddler B Room, the file for child #7 contained an emergency contact form which did not state the release persons address or telephone number. Located in the Infant A Room, the file for child #8 contained an emergency contact form which did not state the release person address.

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

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

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

Noncompliance Area: Located in the Infant A Room, the file for child #8 contained an emergency contact form which did not contain signed parental consent for emergency medical care for the child. Located in the 2's/Discovery Room, the file for child #9 contained an emergency contact form which did not contain signed parental consent for emergency care for the child.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Located in Toddler B Room, the file for child #7 contained an emergency contact form which did not contain the health insurance/MA coverage or the policy number of the health insurance/MA coverage. Located in the Infant A Room, the file for child #8 contained an emergency contact form which did not contain the health insurance/MA coverage or the policy number of the health insurance/MA coverage. Located in the 2's/Discovery Room, the file for child #8 contained an emergency contact form which did not contain the health insurance/MA coverage or the policy number of the health insurance/MA coverage.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #1, child #5, and child #6 contained an emergency contact form which did not state the release person's address.

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

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: . The file for child #5 contained an emergency contact form date of 1-13-2022 and 8-18-2022 which exceeded the mandatory 6 months to review/update the emergency contact form.

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.

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The file for child #3 who is an infant contained a health assessment and vaccinations which exceeded the mandatory 60 days to receive a health assessment and vaccinations.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #3 who is an infant contained a health assessment and vaccinations which exceeded the mandatory 60 days to receive a health assessment and vaccinations.

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

Regulation: 3270.131(e)/3270.182(1)

Description: ACIP recommended immunization record /Initial and subsequent health reports

Noncompliance Area: The file for child #1 who is an older toddler did not contain an MMR, Varicella, Hepatitis A or an Influenza vaccine. The file for child #2 who is a preschooler contained an Influenza Vaccine date of 11-16-2020 and has not received an updated Influenza Vaccine.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Located in the Toddler B classroom, a discarded pull-up was observed in an open trash can which did not contain a lid.

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)/3270.192(3)

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

Noncompliance Area: The file for facility person #5 who is a cook contained a health assessment date that exceeded the 24 months to receive an updated health assessment. The file for staff #1 (SEE IS CODE SHEET) contained a health assessment date of 9-22-2022 which exceeded the mandatory date to receive the health assessment.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator notified local traffic safety authorities annually in writing of the location of the facility and programs use of pedestrian and vehicular routes around the facility on November 30, 2021, but has not sent an updated annual letter since.

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 file for child #5 contained a fee agreement date of 1-13-2022 and 8-18-2022 which exceeded the mandatory 6 months to update/review the fee agreement.

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

Regulation: 3270.182(5)

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

Noncompliance Area: Located in the Infant A Room, the file for child #8 contained an emergency contact form which did not contain signed parental consent for administration of minor first-aid procedures by facility staff. Located in the 2's/Discovery Room the file for child #9 contained an emergency contact form which did not contain signed parental consent for administration of minor first aid procedures by the facility staff.

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)(iii)/3270.192(5)

Description: Exp, educ., training at facility/Two written references

Noncompliance Area: The file for staff #1 contained only one non-family reference attesting to the person's suitability.

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. 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)(4)

Description: Contact when ended

Noncompliance Area: The facility did not have an emergency plan that included a method to inform parents the emergency has ended and instructions to be safely reunited with their children.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The operator has not sent a copy of the emergency plan updates 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 #3 contained a Child Abuse Clearance and a State Police Clearance date of 6-16-2017 and 6-28-2022 which exceeded the mandatory date of 6-16-2022 to receive the clearances. The file for staff #4 contained a State Police, a Child Abuse and an FBI Clearance Date of 10-19-2016 and 12-2-2021 which exceeded the mandatory date of 10-19-2021 to receive the clearances.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Located in the Toddler B bathroom, a bag of red Kay Liquid Soap was observed on the toilet tank and on the back of the label it stated: "Keep out of reach of children." and was accessible to children in care. Located in an unlocked closet in the school-Age Room, cleaning products were observed and all label's stated: "Keep out of reach of Children." and were accessible to children in care. These included: Kay blue liquid floor cleaner, Kay pink liquid floor cleaner. 3 bottles of Kay glass and surface cleaner, 1 bottle of Clorox Bleach, and 2 bottles of Monogram Bleach, one bottle of Super Contact Cleaner, 1 bottle of QSR Multisource Cleaner, and 1 two gallon size hand sanitizer.

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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Located in the School-Age Room, an open receptacle was observed and inside the open receptacle were napkins. When asked staff #2 stated: "All garbage goes into that garbage can and if a child's nose needs wiped, it also goes into that garbage can."

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Located in the Toddler B bathroom, the toilet located on the left side contained a base which was missing a bolt cover on the left and right side. The toilet which was located on the right side contained a base which was missing a bolt cover on the left side.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff #2 (SEE IS CODE SHEET) contained a Pediatric First Aid/CPR Training date of 9-27-2022 which exceeded the mandatory 90 days to receive the training.

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: Staff #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1-19-2017.

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 fire detection system was not tested every thirty days since 5-2-2022.

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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreements for Children #1 and #5 lacked the designtated release person information on the agreement forms.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Children #2, #3 and #5 lacked the address for the release persons. The emergency contact form for Child #4 lacked the telephone number of the release person.

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(e)

Description: Written emergency plan posted

Noncompliance Area: The written emergency transportation plan was not posted in the Preschool Classroom.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for Child #2 lacked an initial health assessment within 90 days (was extended from 60 due to COVID suspension regulations).

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The health assessment on file for Child #4 lacked verification that the child had received all recommended Pneumococcal vaccinations. The child appeared to be missing 1 of the recommended 4 doses. A written exemption was not on file at the time of the inspection.

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 file for Facility Person #9 lacked a current health assessment. The file for Facility Person #11 lacked an initial health assessment that had been completed within 12 months prior to starting in a child care taking position.

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)(1)

Description: Physical examination

Noncompliance Area: The health assessment on file for Facility Person #10 indicated "no" that the physician did not complete a physical examination.

Correction Required: An adult health assessment must include a physical examination.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file's for Facility Person's #5 and #11 lacked a completed Tuberculosis Screening prior to starting in a child care taking position.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Facility Person #10 lacked 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: 3270.31(f)(10)

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

Noncompliance Area: The files for Facility Person's #1, #2, #3, #4, #6 and #7 lacked completion of Pediatric First Aid and CPR 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)

Description: Comply with CPSL

Noncompliance Area: The file for Facility Person #8 lacked required out of State Clearances as the Person has resided outside of Pennsylvania in the last 5 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #8 may not work in a child care position at the facility.

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

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

Noncompliance Area: The file for Facility Person #8, listed as an Assistant Group Supervisor, lacked verification of hours to qualify them for that position.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in Infant A was missing soap.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility does not have proof of purchase of the existing interconnected smoke alarm system.

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.

Noncompliance Area: Staff Person #1 failed to properly verify the identification of a parent who was picking up their child for the first time prior to releasing the child.

Correction Required: In an emergency, a child may be released to an individual upon the oral designation of the parent, if the identity of the individual can be verified by a staff person.