Little Appleseed Learning Center

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The current and only child service reports on file for children #4 and #5 were each completed more than 6 months after the child's respective start date.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms in the files reviewed (child #1-#5) did not specify the addresses of the 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(f)

Description: Updated every 6 months

Noncompliance Area: The current emergency contact forms on file for children #3, #4 and #5 were reviewed and updated by a parent in writing more than 6 months after the emergency contact form review.

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(b)(2)

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

Noncompliance Area: The current health assessments on file for children #3, #4 and #5 were completed 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: 3270.151(a)

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

Noncompliance Area: The initial health assessment on file for Facility Person #1 was completed more than 12 months prior to their start date.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: There were exposed bolts at the gates of both the preschool and toddler playspaces.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The documentation of smoke detector testing indicates that smoke detectors were tested on 6/7/25, then again on 7/12/25 and on 8/9/25, then again on 9/26/25. The minimum requirement under Act 62 is to test at least every 30 days.

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

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: There was an infant observed asleep in a swing in the infant room, not in the position recommended by the AAP.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The mandated reporter training completed and documented on file for Facility Person #1 was expired. Facility Person #1 was observed caring for children along with a staff person (Facility Person #2) who was classified as an aide.

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 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The certificate of compliance posted at the facility was expired.

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: 3270.31(f)(10)

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

Noncompliance Area: The documentation of pediatric first aid & CPR training on file for Facility Person #2 was completed more than 90 days after their 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)

Description: Comply with CPSL

Noncompliance Area: The mandated reporter training documented and on file for Facility Person #1 was expired. as it was completed more than 60 months prior.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person/facility person/volunteer 1 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 #1, staff person #1- may not work in a child-care position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a small screw protruding from the baseboard on the wall in the gym.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The log documenting smoke detector testing at the facility indicated tests were not conducted at least every 30 days. The most recent test document was conducted more than 30 days prior, on 3/25/25. Act 62 requires that smoke detectors be tested by the operator at least every 30 days and tests be documented.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a loose handle on a kitchen playset in the older toddler room, creating potential pinch points,

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: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: There is embedded equipment in each outdoor playspace mounted over unitary playground protective surfacing. The documentation of the ASTM approval of the surfacing does not indicate the maximum fall height to which it protects, to indicate it meets the requirements of the Consumer Product Safety Commission to protect to the maximum fall height of the equipment.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.108(c)

Description: No styrofoam

Noncompliance Area: There were styrofoam plates used for serving food at the facility.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.123(a)(5)/3270.124(b)(7)

Description: Designated release persons/Name/address/phone release person

Noncompliance Area: Not all release persons listed on the emergency contact forms for children #1, #2, and #3 were also listed on their agreements.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. 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 most recent health assessment on file for child #1, a young toddler, was completed more than 6 months prior.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for child #1 did not indicate the child had a sufficient number of doses of the Hepatitis B, HIB and pneumococcal vaccines according the ACIP recommendations for a child of their age.

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 must be dismissed from care by close of business on 10/29/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessment on file for Facility Person #5 was completed after their start date.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There were no written, nonfamily references on file for Facility Person #5.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Documentation of emergency drills on file indicate drills were conducted on 11/16/22 and again on 9/12/24 - more than 12 months apart.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to the families explaining the emergency plan did not include information on the plan for accommodations in an emergency.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures detailed in 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 & CPR aid training documented and on file for Facility Person #2 was completed after the expiration of the previous pediatric first aid & CPR training.

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 current mandated reporter training completed and on file for Facility Person #1 was completed more than 60 months after the previous mandated reporter training documented and on file.

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 current child abuse clearance on file for Facility Person #1 was completed more than 60 months after the prior child abuse clearance on file. The current FBI clearance on file for Facility Person #4 was completed more than 60 months after the prior FBI clearance on file. The child abuse clearance on file for Facility Person #5 was completed after their start date. There was no NSOR clearance on file for Facility Person #5.

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 without all completed clearances.

Regulation: 3270.34(b)(1)

Description: Bachelor's + 1 yr

Noncompliance Area: The documentation of a bachelors degree on file for Facility Person #3, serving as one of the facility directors, does not indicate the degree is in a human services field.

Correction Required: A director shall have attained 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 and 1 year of experience with children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were exposed bolts at the gates in the fencing in the Toddler and Preschool outdoor playspaces.

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 were two small areas of damaged plaster on a wall in the gym near the restroom, one near the floor and one about 2 feet up from the floor.

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

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 that the operator has tested the fire alarm system. Testing is required to be conducted, and documented, at least every 30 days.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The 2 most recent child service reports on file for Child #1 are dated 7/20/22 and 2/13/23, more than 6 months apart and more than 6 months ago. The file for Child #3, with an enrollment date of 2/23/23, more than 6 months ago, does not include a child service report. The most recent child service report on file for Child #4 is dated 2/23/23, more than 6 months ago; and the most recent child service report on file for Child #5 is dated 2/15/23, more than 6 months ago.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #1 and #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: 3270.131(b)(1)/3270.182(1)

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

Noncompliance Area: The most recent health assessments on file for Child #3, who is a Young Toddler, is dated 2/16/23, more than 6 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

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

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

Noncompliance Area: The two most recent health assessments on file for Child #4, who is a preschool age child, are dated 5/11/22 and 8/23/23, more than 12 months apart. The two most recent health assessments on file for Child #5, who is a preschool age child, are dated 10/5/20 and 2/16/23, more than 12 months apart.

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

Regulation: 3270.131(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 12/21/20, more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #4, who is 4 years old, is dated 11/22/21, more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #2, who is 2 years old, includes 1 of 3 Hepatitis B vaccines recommended by the ACIP for a child this age; 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age; and 0 influenza vaccinations recommended annually by the ACIP for a child this age. The immunization record on file for Child #3, who is 12 months old, includes 2 of 3 DTAP vaccines recommended by the ACIP for a child this age; 2 of 3 HIB vaccines recommended by the ACIP for a child this age; and 2 of 3 Pneumococcal vaccines recommended by the ACIP for a child this age.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The current health assessment on file for Child #3 does not indicate if the child is free from contagious disease and may participate in child care.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: Infant Tylenol, in the Young Toddler room had expired on12/31/21 and was therefore not in accordance with the manufacturer's original label.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

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 #2 is dated 1/9/23, after the deadline of 9/25/23, 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 #2 were dated 8/17/21 and 9/27/23, more than 24 months apart. The file for staff person #3 did not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET); the health assessment on file for staff person #3 is dated 10/5/23. The 2 most recent health assessments on file for Staff person #4 were dated 8/22/21 and 9/29/23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #5 were dated 3/3/21 and 8/29/23, 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: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff person #3 did not include documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET); the Tuberculosis test result on file for staff person #3 is dated 10/5/23.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent 6-month review signature for the emergency contact form on file for Child #1 is dated 1/2/23, more than 6 months after the previous 6-month review signature, dated 4/29/22; and more than 6 months ago.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The Certificate of Compliance posted at the facility expired on 3/7/23; the current COC was 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)(6)

Description: Emergency plan

Noncompliance Area: The emergency drill on file is dated 11/16/22, more than 1 year after the issuance date of the initial certificate of compliance, dated 9/17/21.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility does not have documentation verifying that the most recent emergency plan was submitted to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the training was completed on 9/23/23.

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 #1 did not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet); the training was completed on 9/27/23.

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

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)(4)/3270.182(3)

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

Noncompliance Area: The file for Child #2 does not include written parental permission to obtain 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(c)

Description: Each child care space

Noncompliance Area: There was a child observed receiving care in the Young Toddler room without his emergency contact form being in the space where he was receiving care.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for Child #1, who has been enrolled for more than 6 months, includes an emergency contact form and agreement 6 month review signature dated 12/5/22, which was required, effective 1/6/22, as per Announcement C-21-09, which was updated on 12/6/21. The file for Child #2 and #3, who have been enrolled for more than 6 months, does not include an emergency contact form and agreement 6 month review signature. The file for Child #6, who has been enrolled for more than 6 months, includes an emergency contact form 6 month review signature dated 4/4/22, more than 6 months ago; and an agreement 6 month review signature dated 1/3/22, 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)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The most recent influenza vaccination on file for Child #3, who is 4 years old, is dated 8/25/20, more than 1 year ago, as is recommended annually by the ACIP. The immunization record on file for Child #4, who is 8 months old, includes 2 of 3 DTAP vaccinations, 2 of 3 HIB vaccinations, and 2 of 3 Pneumococcal vaccinations recommended by the ACIP for a child this age. The immunization record on file for Child #6, who is 17 months old, includes 3 of 4 Pneumococcal vaccinations recommended by the ACIP for a child this age.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: The Infant room included Poly-vi-sol drops for Child #7 and Zyrtek for Child #8 were not labeled for use by an individual child.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There were Sulfate Drops in the Infant Room for Child #9 that did not include parental permission to administer.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The file for Child #2 does not include written parental permission to administer minor first aid procedures.

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(5)

Description: Two written references

Noncompliance Area: The file for Staff person #8 includes only 1 written non-family references attesting to the staff person's suitability to work in child care.

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

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(ii)

Description: Fire safety - 1 yr./Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #2 does not include verification of fire safety training within 12 months of hire (See LIS Code Sheet).

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training prior to 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 #2 includes 10 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #4 includes 10 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #5 includes 8 of 12 required annual training hours completed between 12/19/20-12/19/21, with an additional 4 hours completed in 2022, as per Announcement C-21-09. The file for Staff person #8, was observed not to have completed 12 hours of annual training within 12 months from date of hire (See LIS CODE SHEET).

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 #3 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 2/19/22. Staff person #8 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 2/19/22.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #10 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 #10 will have until 2/15/23 to complete the required training. Until such time as the required training has been completed, staff person #10 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 #10, staff person #10 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #9 has an invalid FBI clearance obtained through the Department of Education and does not include an NSOR certificate within 45 days of hire (See IS CODE SHEET).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #9 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 #10 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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations on file for Staff person #1 are dated 2/25/21 and 9/22/22, more than 1 year apart. The two most recent staff evaluations on file for Staff person #6 are dated 2/26/21 and 9/19/22, more than 1 year apart. The file for Staff person #2, #3, #4, #7, #8 does not include a staff evaluation dated within 1 year of hire (See LIS Code Sheet).

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: 3270.76

Description: Building Surfaces

Noncompliance Area: The toilet paper roll in the preschool bathroom was loose, falling off the wall.

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 hole in the wall in the Cozy Corner in the Preschool room.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1, a 4 year old, and child #2, a 3 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

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)/3270.151(c)(2)

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

Noncompliance Area: The file for staff person #6, with a start date of 9-17-21, had a tuberculosis screening by the Mantoux method dated 1-30-19 that was over 12 months prior to initial employment and requires a current tuberculosis screening by the Mantoux method.

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)(1)

Description: Physical examination

Noncompliance Area: The file for staff person #2 had a health assessment that lacked a physical examination.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #3 had one written, nonfamily reference and lacked a second written, nonfamily reference.

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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The files for staff person #1 and #4 lacked current fire safety training completed within the last year.

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

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

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

Noncompliance Area: The files for staff person #3, with a start date of 9-17-21, and staff person #5, with a start date of 9-9-21, lacked pediatric first-aid and CPR training within 90 days of their start date and require current training.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for staff person #5, with a start date of 9-9-21, and staff person #6, with a start date of 9-17-21, lacked the out of state Sex Offender and Child Abuse & Neglect registry checks at their start date and require current out of state Sex Offender and Child Abuse & Neglect registry checks. The files for staff person #5, with a start date of 9-9-21, and staff person #6, with a start date of 9-17-21, had NSOR verification certificates dated 12-21-21 that were after their start date.

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. Staff Person #5 and Staff Person #6 may not work at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for staff person #1 and #4 had staff evaluations that exceeded 12 months between evaluations.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the older toddler room, there was peeling paint in one area on the right wall near the door.

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(e)

Description: Toilet and sinks proper height

Noncompliance Area: In the older toddler and young toddler rooms with 1 and 2 year olds that are walking and able to wash their hands, the sink in each room next to the changing table lacked a platform or steps and was unable to be reached by the child after diapering to wash their hands.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the Infant Room was observed to lack a thermometer.

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

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

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

Noncompliance Area: The file for Staff #1 contained documentation of certification in pediatric first-aid and CPR which lapsed between 3/3/21 and 4/21/21.

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

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The file for Staff #2, designated as an AGS, contained documentation of a high school diploma yet lacked documentation of at least 2 years of experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.