Lifespan Tohickon Elementary

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 3/5/26, when asked by certification representative, Staff #5 was not able to name the children assigned to their group in room K-2 for the purpose of supervision. Staff #6 and Staff #7 were also not able to name the children assigned to their group in room K3-B.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: On 3/5/26, Child #2 and Child #5 have been enrolled at the facility for more than 60 days. Child #2 and Child #5 files did not contain initial health reports.

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

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

Description: Infant: updated health report every 6 months/Toddler/preschool: updated health report every 12 months

Noncompliance Area: On 3/5/26, Child #1 file contained a health report dated more than 6 months. Child #1 health report was dated 8/5/25). Child #3 and Child #4 files contained health reports dated more than 12 months. Child #3 health report was dated 4/29/22, Child #4 health report was dated 3/1/24.

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. 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: On 3/5/26, Staff #4 file did not contain an initial health assessment, including results of tuberculosis testing. Staff #3 health assessment did not contain the date of tuberculosis test.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 3/5/26, two bottles observed in the Nursery room and two bottles observed in the Walker/Toddler room were not labeled with the child's name.

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

Regulation: 3270.171(a)/3270.171(c)

Description: Pick-up and drop-off points/Safe routes posted

Noncompliance Area: On 3/5/26, annual written notification to local traffic safety authorities of the facility's safe routes was not on file. Additionally, safe routes including pick up/drop off procedures were not posted in the childcare facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.181(c)/3270.181(e)

Description: Emergency info/agreement updated 6 mos/Emergency master file updated

Noncompliance Area: On 3/5/26, emergency contact information/financial agreements were not updated at least once in a 6-month period. Additionally, emergency contact information in the childcare spaces where children were receiving care was not updated at least every 6 months.

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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.182(7)

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

Noncompliance Area: On 3/6/26, evidence of child accident/injury reports were not observed on file at the facility and are not issued accordance with 3270.182(7).

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: On 3/5/26, at time of inspection, a parent letter explaining the facility's emergency procedures was not provided to each enrolled family.

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

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: On 3/5/26, Staff #2 has not completed the required preservice Pediatric First Aid/CPR training within 90 days of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. 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: On 3/5/26, Staff #1 file contained an NSOR clearance dated more than 60 months. The NSOR clearance was dated 3/3/21.

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

Regulation: 3270.66(a)/3270.75(b)

Description: Locked or inaccessible/Inaccessible to children

Noncompliance Area: On 3/6/26, a can of Lysol, Clorox wipes, diaper cream and lotion instructing to "keep out of reach of children" were located accessible to children in the K-1 older toddler classroom. Diaper cream and sanitizing wipes were observed accessible to children in the Walker toddler room. Hand sanitizer and lotions instructing to "keep out of reach of children" was observed accessible to children in the K4-A, K4-B and K3-A classrooms. Additionally, first aid kits were observed accessible to children in the Walker/Toddler, K4-B, and K2 classrooms.

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

Regulation: 3270.82(h)/3270.82(i)

Description: Handwashing signs/Lidded waste receptacles

Noncompliance Area: On 3/5/26, a handwashing sign stating the requirement to wash hands was not posted at the diapering area located in the K-1 classroom. A lidded waste receptacle was not observed in the bathroom located in the K-1 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. 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: On 3/5/26, upon review of the facility's log, fire drills are not conducted at least every 60 days. Fire drills were conducted on 10/10/25 and 1/12/26.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure 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: On 3/5/26, no evidence was observed of testing of the facility's fire alarm at least every 30 days as required by Panic & Fire Act 62.

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: During Initial Inspection on 08/12/2025, Certification Staff observed that rest equipment in utilized for infants and toddlers was not labelled 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: 3270.107

Description: Refrigerator

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that refrigerators used to store food in Walkers Room #2, Nursery Room #3, and multiple refrigerators in the cafeteria were not equipped with operating thermometers.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.123(a)(3)/3270.123(a)(7)

Description: Services proceeded/Services considered extra

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that the Child Service Agreement for several children was not signed by the operator, did not specify services to be provided to the family and child, and did not specify which services would be considered as extra.

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). An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.124(a)/3270.124(b)(7)

Description: Each child emergency contact person/Name/address/phone release person

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that Emergency Contact Forms for several children reviewed were incomplete and lacked contact information for individuals designated by the parent to whom the child may be released.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. 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(b)(4)/3270.182(3)

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

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that Emergency Contact Forms for several children did not include signed parental consent for emergency medical care.

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(f)/3270.181(c)

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

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that Emergency Contact Forms for several children were not reviewed or updated every 6 months.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that the facility did not have a written policy on file that included recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, Strategies for coping with a crying, fussing, or distraught child, or addressing the prevention and identification of child maltreatment. Certification Staff also observed that multiple staff at the facility and had not completed the required Health and Safety trainings and 12 clock hours of annual professional development.

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)/3270.151(c)(2)

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

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that multiple staff had not undergone a health assessment within 12 months prior to initial services and every 24 months thereafter. Certification staff also observed that multiple staff had not undergone a Tuberculosis screening.

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: 3270.182(4)/3270.182(5)

Description: Consent for administration of medications or special dietary needs/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that Emergency Contact Forms for several children did not include signed parental consent for the administration of medications, special dietary needs, or the administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs. 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(1)

Description: Name, address, and phone

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that multiple staff at the facility did not have a home address stored within their corresponding staff file.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that multiple staff at the facility did not have 2 written, nonfamily references stored in their corresponding staff file.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that contact information for OCDEL was not posted in a conspicuous location used by parents. Certification staff also observed that information on how to access the regulation in Chapter 3270 was also not posted.

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)(5)/3270.27(d)

Description: Emergency plan/Plan posted

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff Certification staff reviewed the facility's emergency plan and determined that it did not provide specific accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Certification Staff also observed that the facility's emergency plan was not posted in the facility in a conspicuous location accessible by parents.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that multiple staff did not receive training regarding the emergency plan at the time of initial employment or on the annual basis.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that Facility Person #22 had not completed fire safety training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff reviewed multiple staff files and observed that Facility Persons #8 and #10 possessed expired State Police Clearances. Certification staff observed that Facility Persons #3 and #10 possessed expired Child Abuse Registry Clearances. Certification staff observed that Facility Persons #8 and #10 possessed expired FBI Background Clearances. Certification staff observed that Facility Persons #8 and #9 possessed expired NSOR Clearances. Certification staff observed that Facility Persons #9 and #20 had not complete Mandated Reporter trainings.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #3, #8, #9, #10 may not work in a child care position at the facility.

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

Description: General requirements for facility persons/Exp, educ., training prior to facility

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that multiple staff at the facility did not possess Pediatric First Aid and CPR training or possessed expired Pediatric First Aid and CPR training credentials in their corresponding staff file.

Correction Required: One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.35(b)(1)/3270.192(2)(iv)

Description: Bachelor's/Transcript, diploma and letters

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that multiple Group Supervisors at the facility did not have verification of education or previous child care experience within their corresponding staff file.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.36(b)(1)/3270.192(2)(iv)

Description: HS/GED + 30 credits/Transcript, diploma and letters

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that multiple Assistant Group Supervisors at the facility did not have verification of education or previous child care experience within their corresponding staff file.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include 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: During Initial Inspection on 08/12/2025, Certification Staff observed that electrical outlets in Room #3 Crawlers and the cafeteria lacked protective covers.

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: During Initial Inspection on 08/12/2025, Certification Staff observed toxic cleaning materials in multiple classrooms and child care spaces that were accessible to children, including Rooms #2, #3, #6 and the 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: 3270.75(c)

Description: Has all items

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that first aid kits in multiple classrooms lacked tweezers and soap.

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

Regulation: 3270.82(h)/3270.82(i)

Description: Handwashing signs/Lidded waste receptacles

Noncompliance Area: During Initial Inspection on 08/12/2025, Certification Staff observed that the required handwashing signage stating that staff and able children must perform handwashing after toileting and before eating was not posted in the required areas. Certification Staff also observed that trash cans in diapering and toileting areas of the facility were not lidded.

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