Kindercare Learning Center/seven Fields

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a crack in the plastic cover on top of the stack of cots in the Discovery Preschool B room, creating a sharp edge/ potential pinch point.

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 was contact paper on the wall in Discovery Preschool B that was tearing off in small parts (diameter less than 1 inch).

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(a)

Description: Clean, age appropriate

Noncompliance Area: There were no cots labeled with the names of 4 enrolled children in Toddler A and one enrolled child in the Preschool room.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The daily activity schedule posted in the Toddler A classroom didn't cover the entirety of the day.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: There were no child service reports (or other approved form to provide information to the family about the child's growth and development) completed and a copy given to parents on file for children #2, #3, #4, an #5. The forms on file used by the facility to serve this purpose are considered screening tools, rather than assessment tools, and are therefore not approved forms.

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: Original agreements were on file for children #1, #2, #4, #5, #6 and #7.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: There was no documentation on file to indicate that Facility Person #3 has completed the required health & safety preservice trainings. Facility Person #3 was observed caring for children unsupervised.

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 #3 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 #3, staff person #3 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 most recent health assessment on file for Facility Person #5 was completed more than 24 months prior.

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: There were no TB test results on file for Facility Persons #4 or #9.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The documentation of completion of required pediatric first aid & CPR training on file for Facility Person #8 indicates the training was expired as of 8/31/2025.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: There was no documentation of completion of required pre-service health and safety training on file for Facility Person #3, employed at the facility more than 90 days.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: There was no documentation of completion of required pre-service pediatric first aid and CPR training on file for Facility Person #10, employed at the facility more than 90 days.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The documentation of mandated reporter training on file for Facility Person #8 indicates the training was completed more than 60 months prior.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The current child abuse clearance on file for Facility Person #4 was completed more than 60 months after the previous child abuse clearance on file. The most recent child abuse and FBI clearances on file for Facility Person #5 were completed more than 60 months prior. There were no clearances from a state in which Facility Person #6 resided in the in the previous 60 months on file for Facility Person #6. The child abuse clearance on file for Facility Person #9 was a volunteer clearance.

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 Persons # 5, #6 and #9 may not work in a child care position at the facility without all completed clearances on file..

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

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

Noncompliance Area: There was no documentation on file of sufficient child care experience required for the Group Supervisor classification assigned to Facility Persons #, #4 and #5.There was no documentation on file of sufficient education required for the Group Supervisor classification assigned to Facility Person #2. There was no documentation on file of sufficient child care experience required for the Assistant Group Supervisor classification assigned to Facility Person #7. There was no documentation on file of sufficient education required for the aide classification assigned to Facility Person #10.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent staff evaluations on file for Facility Persons # 1, #4, #5 were completed more than 12 months after the prior evaluation on file.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The restroom in the Front Room/Lobby is not locked. There were cleaning supplies and toiletries labeled "keep out of reach of children" on a low shelf accessible to children in this restroom.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was damaged plaster on the wall in a closet in the Pre-K room.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: There was a crib in use in the Infant B room with less than 2 feet of space on three sides.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment on file for Facility Person #2 indicated they had a communicable disease, but did not provide information regarding the communicable disease.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There were no written nonfamily references on file for Facility Person #4.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Disclosure statements on file and signed by Facility Persons #1, #2, #3, and #4 were not also signed by a witness. There was no child abuse, FBI clearance, or proof of application for an FBI clearance on file for Facility Person #4.

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 #4 may not work in a child care position at the facility without all completed clearances.

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

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

Noncompliance Area: Facility Person #1 was classified as an assistant group supervisor. There was documentation of a high school diploma on file for Facility Person #1, but no documentation of the child care experience required for the classification. Facility Person #2 was classified as a group supervisor with documentation of a bachelors degree in a nonrelated field and 30 credits of human services on file, but no documentation of the child care experience required for the classification. Facility Person #4 was classified as an aide with no documentation of the education and/or experience for the classification.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There were three uncovered outlets on a power strip on the floor in an office, accessible to children with an open door.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling paint on several table and bench units in the schoolage outdoor playspace.

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: The trash can at the sink area in the Preschool room was not lidded.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: There was no documentation of any fire drills conducted after 3/25/25.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There was no documentation of any smoke detector testing, required to be completed at least every 30 days, after 1/30/25.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: There were 2 cots in use in the Infant A room with less than 2 feet of space on three sides.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms on file for children #2 and #4 did not include all release persons' addresses and phone numbers.

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 medical emergency transportation plan was not posted in the schoolage room or the lobby child care space.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The emergency contact forms and agreements on file for children #1-#6 were all reviewed and updated by a parent in writing in June of 2024 and then again in January of 2025.

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)

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

Noncompliance Area: The current health assessment on file for child #2, a preschooler, was dated more than 12 months after the previous health assessment on file.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The trash can used for diaper disposal in Discovery Preschool A did not open fully, therefore it was not functioning as a hands-free can as staff had to manually open it to dispose of diapers.

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: 3270.135(c)

Description: Diapering area not used for food prep

Noncompliance Area: The sinks used for handwashing after diapering, the sink areas in the diapering areas, in Discovery Preschool A & B and Toddler B were used for preparation of food/storage of food service items.

Correction Required: The diapering area may not be used for food preparation or food service.

Regulation: 3270.151(a)/3270.151(c)(2)

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

Noncompliance Area: There was no TB test on file for Facility Person #2.

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: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for accommodations for infants and toddlers during an emergency.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The last documented date of an emergency plan review was 11/2023.

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(e)

Description: Letter to parents

Noncompliance Area: There was no letter to the parents to explain the facility's emergency procedures.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures required under subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

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

Description: Age and Training

Noncompliance Area: The current pediatric first aid/CPR training documentation on file for Facility Person #1, #2, #3, and #6 indicate each training was completed after the expiration of the previous first aid/CPR training documented and on file for each facility person.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The initial pediatric first aid/CPR training documentation on file for Facility Persons #4 and #8 indicate each training was completed more than 90 days after the facility person's start date.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The criminal history clearance on file for Facility Person #4 was completed more than 60 months after the previous clearance on file. The NSOR clearance on file for Facility Person #4 was completed after their state date. There was no proof of application for an NSOR clearance on file for Facility Person #4.

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

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

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

Noncompliance Area: Facility Persons #5 and #7 were classified as assistant group supervisors based on completion of high school and 2 years of child care experience. The documentation of child care experience on file for Facility Person #5 was not documented by the experiential entity. The documentation of education on file for Facility Person #7 was an international document, and there was no U.S. equivalency evaluation documented by an approved agency on file. Facility Person #9 was classified as an aide based on completion of high school. The documentation of education on file for Facility Person #9 was an international document, and there was no U.S. equivalency evaluation documented by an approved agency on file.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was a power strip on the floor with uncovered outlet in the lobby child care space.

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 lobby child care space, there was an unlocked cabinet in which, on a shelf in reach of children, there was a bottle of Aquasafe, labeled "keep out of reach of children." In the preschool room, there was an unlocked cabinet where there was a cleaner in reach of 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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: In the lobby child care space, there was an unlidded trash can containing items such as used coffee cups and water bottles.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Pre-K room did not include 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was damaged plaster/ peeling paint on the wall above a sink in the Infant C room, where a paper towel holder had been removed.

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

Regulation: 3270.94(a)(2)/3270.94(a)(3)

Description: Different times of day/Various activity times

Noncompliance Area: The fire drills from the last year, as they are documented on the fire drill log, occurred between 10 -11 AM.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at different times of the day or night, or both, if applicable. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted during various program activity times.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: For each fire drill, he fire drill log specified "all teachers" as participating, rather than listing the names of the specific staff participating in each fire 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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #1 includes a child service report dated 10/3/23, more than 6 months after the previous child service report. The file for Child #2 includes a child service report dated 10/2/23, more than 6 months after the previous child service report. The file for Child #5 includes a child service report dated 10/4/23, more than 6 months after enrollment.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #4 does not include the complete home address for the enrolling parent.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The current emergency contact form on file for Child #4 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

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 emergency contact form on file for Child #6 does not include the child's health insurance policy number for the child's health care benefits.

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

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 two most recent health assessments on file for Child #1, who is a preschool age child, are dated 10/26/22 and 11/10/23, more than 12 months apart. The most recent health assessment on file for Child #2, who is a preschool age child, is dated 6/9/22, more than 12 months ago. The most recent health assessment on file for Child #5, who is a preschool age child, is dated 4/13/22, more than 12 months ago.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Shaken Baby/Abusive Head Trauma Policy submitted by the facility does not include language regarding the prevention and identification of child maltreatment.

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: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #2 included documentation of emergency plan training dated 1/3/22 amd 10/9/23, more than 1 year apart.

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

Regulation: 3270.31(e)/3270.192(2)(iii)

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

Noncompliance Area: The file for Staff person #1 includes 11.5 of 12 required annual training hours completed between 12/19/22-12/31/23, with 1 additional training hour from 1/8/24 to be counted. The file for Staff person #2 includes 11.5 of 12 required annual training hours completed between 12/19/22-12/31/23, with 1 additional training hour from 1/8/24 to be counted. The file for Staff person #6 includes 11.5 of 12 required annual training hours completed between 12/19/22-12/31/23, with 1 additional training hour from 1/8/24 to be counted. The file for Staff person #7 includes 11.5 of 12 required annual training hours completed between 12/19/22-12/31/23, with 1 additional training hour from 1/8/24 to be counted.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality.

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 #4 will have until 3/1/24 to complete the required training. Until such time as the required training has been completed, staff person #4 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 #4, staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 10/26/23. Staff person #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality; the training was completed on 11/17/23.

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 person #4 did not complete the mandated reporter training within 90 days of their date of hire (see LIS code sheet); the training was completed on 12/7/23. Staff person #7 completed her current mandated reporter training on 5/9/22, more than 60 months after the previous training dated 1/15/17.

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 #3 included an NSOR certificate dated more than 45 days after hire (See LIS Code Sheet) required for provisional hiring under the CPSL; the clearance is dated 11/21/23. The file for staff person #5 did not include documentation of application for a PA Child Abuse clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the clearance is dated 10/16/23. The file for staff person #5 included an NSOR certificate dated more than 45 days after hire (See LIS Code Sheet) required for provisional hiring under the CPSL; the clearance is dated 11/20/23.

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 #5 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid.

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 #5 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 #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.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water in the sinks in the following locations measured over 110 degrees Fahrenheit: Discovery Preschool 1 both sinks next to the bathroom, measured 127 degrees and 136 degrees; in PreK the bathroom sink measured 126 degrees and the 2 sinks outside the bathroom measured 130 degrees and 134 degrees; in Preschool the bathroom sink in the left bathroom measured 125 degrees and the sink in the right bathroom measured 132 degrees.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was no handwashing sign at the left sink in Discovery Preschool 1.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: Based on interviews it was determined that on 4/4/23, the toddler room was out of ratio for approximately 3-4 minutes when 13 children were present with 2 staff persons.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: There was no written daily activity schedule in Infant A and the Older Toddler room.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The file for Child #6, with an enrollment date of 8/30/21, does not include a signed Agreement.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement on file for Child #4, #5 does not include the child's date of admission

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(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #3 does not include the child's health insurance coverage and policy number for the child's health care benefits.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #3 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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The emergency transportation plan was not posted in the Older Toddler Room.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The two most recent 6-month review signatures for the emergency contact form on file for Child #1 are dated 3/9/22 and 1/23/23, more than 6 months apart. The most recent 6-month review signature for the emergency contact form on file for Child #4 is dated 11/17/21, more than 6 months ago. The most recent 6-month review signature for the agreement on file for Child #2 is dated 5/6/22, more than 6 months ago.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent influenza vaccination on file for Child #1, who is 4 years old, is dated 9/13/21, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #3, who is 23 months old, is dated 9/20/21, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #5, who is 4 years old, is dated 10/2/21, more than 1 year ago, as is recommended annually by the ACIP. The immunization record on file for Child #6, who is 2 years old, included 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age; 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age. The most recent influenza vaccination on file for Child #6, who is 2 years old, is dated 2/5/21, more than 1 year ago, as is recommended annually by the ACIP.

Correction Required: ·Child #1, #3, #5, and #6 must be dismissed from care by close of business on 1/26/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan on site does not include provisions regarding volunteer emergency preparedness training, required as of 7/1/22, as per Announcement C-22-04.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Health and Safety professional development training update on file for Staff person #3 and Staff person #5 is dated 1/9/23, after the deadline of 12/30/22, as per Announcement C-22-06.

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

Regulation: 3270.151(a)/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 #4 were dated 7/1/20 and 7/19/22, more than 24 months apart.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility did not have verification of providing the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The documentation on file for the most recent emergency drill does not allow for documentation of the following required elements: the names of the staff participants; if any special accommodations for children with special needs were required; any observations or problems encountered during the drill.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The facility's emergency plan was not posted in an area conspicuous for the parents to access.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

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

Description: Age and Training

Noncompliance Area: The file for Staff person #1 includes verification of First Aid/CPR training dated 3/24/21, after the previous training expiration date of 8/31/20.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #6 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality. The training was completed on 3/22/22.

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

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

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

Noncompliance Area: Staff person #1 completed her current mandated reporter training on 7/10/20, more than 60 months after the previous training dated 6/18/15.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #1 includes criminal history clearances dated 7/8/15 and 4/5/21; child abuse clearances dated 1/23/17 and 5/9/22; and FBI clearances dated 1/17/17 and 3/7/22, all more than 60 months apart. The file for Staff person #2 includes a child abuse clearance dated 6/22/22, after the date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #6 did not contain a complete criminal history clearance, a valid FBI clearance, or a complete NSOR certificate within 45 days of hire (See IS CODE SHEET). Staff person #6's criminal history clearance is dated 3/6/22; the FBI clearance is dated 3/7/22; and the NSOR is dated 3/11/22.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Toddler outdoor playspace there was a crack in the concrete surface, across from the slide, creating a tripping hazard.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Child #1 received a cut on his head while in the kitchen with Staff person #1 and several other preschool children were in the kitchen for several minutes retrieving lunches. Staff person #1 was not adequately supervising Child #1 when he was injured.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 1/24/19.

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 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2, #3, #4, #6, #7, and #8 was observed to be caring for children unsupervised. Staff person #2, #3, #4, #6, #7, and #8 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/Pediatric CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff person #2, #3, #4, #6, #7, and #8- will have until 7//15/22 to complete the required training. Until such time as the required training has been completed, staff person #2, #3, #4, #6, #7, and #8 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 #2, #3, #4, #6, #7, and #8, staff person #2, #3, #4, #6, #7, and #8 may not work in a child-care position at the facility.

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

Description: Age and Training

Noncompliance Area: Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 1/24/21.

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. Staff person/facility person/volunteer #1 will have until 7/15/22 to complete the Pediatric First Aid/Pediatric CPR training. Until such time as the required training has been 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2, #3, #4, #6, #7, and #8 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR

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 #2, #3, #4, #6, #7, and #8 will have until 7/15/22 to complete the required training. Until such time as the required training has been completed, staff person #2, #3, #4, #6, #7, and #8 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, #3, #4, #6, #7, and #8, staff person#2, #3, #4, #6, #7, and #8 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #5 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #5 will have until July 15, 2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Based on interviews it was confirmed the infant room and young toddler rooms have not had sufficient staff to maintain appropriate ratios over the last 2 months.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the young toddler room, there were 8 fabric cube blocks that had small pieces coming apart in multiple areas that were less than 1 inch in diameter and were accessible to 1 year olds that were still placing objects in their mouth.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In the 3 year old room, the cots were not labeled for the use of 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The daily activity schedule was not posted in the young school-age room.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 8:48 a.m. with a total of 22 children in the 4 year old room, staff person #1 named 10 preschoolers in their group, staff person #7 named 10 preschoolers in their group, and staff person #10 named 1 preschooler in their group resulting in 21 out of 22 children being named in a group and 1 child not being named in a group.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The files for child #5, #6, #8, and #9 had agreements that lacked the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The files for child #5, #6, #8, and #9 had agreements that lacked the child's admission date.

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