Little Explorers Learning Academy

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Room 005 there were two vinyl lids for color sorting boxes, one yellow, one green, that had torn and frayed corners. There were 10 cracked Magna Tiles in Room 202.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Rooms 202 and 203 contained rest equipment that was not labeled for the use by a specific child.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During nap the CR observed cots in the Preschool Rooms 201 and 203 that did not have 2 feet on 3 sides while children were using the cots.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the refrigerator in Room 003 where children's lunches are stored, measured 48 ° at the time of the inspection. There was no thermometer in the refrigerator in Room 203 where children's milk is stored.

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)

Description: Services proceeded

Noncompliance Area: The current Child Service Report on file for Child #3 is dated 11.6.25, more than 6 months after the date of admission. The current Child Service Report on file for Child #4 is dated 11.13.25, more than 6 months after the date of admission.

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 #2 does not include the work 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)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #2 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(c)

Description: Each child care space

Noncompliance Area: A child was observed receiving care in Room 003, in Room 004, in Room 108 without their emergency contact forms being in the classroom. A group of children from Room 003 was observed in the Gross motor room without the children's emergency contact forms being in the room where they were 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: 3270.131(b)(2)/3270.182(1)

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

Noncompliance Area: The current health assessment on file for Child #2, a preschool-age child, is dated 3.13.26, more than 12 months after the previous health assessment. The current health assessment on file for Child #3, an older toddler, is dated 311.21.25, more than 12 months after the previous health assessment.

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 immunization record on file for Child #1, who is a young toddler, included 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age; and 3 of 4 HIB vaccines recommended by the ACIP for a child this age.

Correction Required: ·Child #1must be dismissed from care by close of business on 6.8.25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Shaken Baby 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: 3270.151(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 2.23.23 and 2.4.26, more than 24 months apart. The file for staff person #3 does not include documentation of a health assessment, including a Tuberculosis screening test, being completed within 12 months prior to date of hire (See LIS CODE SHEET).

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to the parents of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

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: 3270.27(f)

Description: Emergency plan

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

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 did not renew their mandated reporter training within 60 months; the previously documented mandated reporter training on file is dated 11.12.20 and was renewed on 2.24.26.

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 #2 includes FBI clearances dated 11.3.20 & 2.3.26, more than 60 months apart.

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)(ii)

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

Noncompliance Area: The file for Staff person #1, 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 st the sink in Room 203 measured 126° F; the water in the bathroom in Room 203 measured 120° F.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The Men's and Women's bathrooms on the basement level each had a sink that did not have a handwashing sign.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: According to video evidence and staff statements, Child #1 was not being supervised while Staff person #1 had their back to the children in the outside play space and did not observe Child #1 turn a seesaw on its side, stand on top of it and fall to the ground when the seesaw wobbled. This resulted in Child #1 receiving an injury (see LIS Code Sheet) after the fall. According to staff statements, on 9.23.25, Staff person #1 sent Child #1 up a 1/2 flight of steps from the outside play space to the school-age classroom at the top of the steps. Staff person #1 did not accompany the child to the classroom or notify any staff person in the school-age classroom that Child #1 was coming back inside.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: According to video evidence and staff statements, the whereabouts and activities of Child #1 were not known to Staff person #1 while Staff person #1 had their back to the children in the outside play space. Staff #1 did not observe Child #1 turn a seesaw on its side, stand on top of it and fall to the ground when the seesaw wobbled. This resulted in Child #1 receiving an injury after the fall. According to staff statements, on 9.23.25, Staff person #1 sent Child #1 up a 1/2 flight of steps from the outside play space to the school-age classroom at the top of the steps. Staff person #1 did not accompany the child to the classroom or notify any staff person in the school-age classroom that Child #1 was coming back inside.

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. TIERED LIS: 1) Each staff person shall be assigned the responsibility for supervision of specific children, know the name and whereabouts of children in their assigned group and be physically present with the children in their group. This portion of the plan shall have an immediate correction date. 2) Each staff member will complete DHS training on the topic of Supervision provided by the ELRC. Documentation of the completed training will be submitted to the certification representative within 1 week of completion of the training. This portion of the plan will have a date within one week of the completion of the approved training. 3) The legal entity will create a form to be used to conduct supervision and ratio checks. The form will include the name of the classroom, the time and date the check was performed, the staff present and the number of children present by age and a notation indicating if staff knew the whereabouts of the children in their supervisory group. The director(s) will conduct random supervision and ratio checks in all classrooms a minimum of 3 times each week for a minimum of 3 months. The legal entity will record the results on the DHS approved form and will submit the forms to the certification representative biweekly. This portion of the plan will have a correction date 3 months after the approval of the supervision monitoring form.

Regulation: 3270.132(a)

Description: Contact parent/keep record

Noncompliance Area: According to staff interviews, when Child #1 fell on the playground and injured their arm (see LIS Code Sheet) and showed evidence of being in pain, the facility staff did not contact the parent or emergency services. Child #1 was later taken to the ER in the evening and was found to have an injury (see LIS Code Sheet) requiring medical care.

Correction Required: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent. TIERED LIS: 1. If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent. (This portion of the plan will have an immediate correction date.) 2. The legal entity will ensure that all facility persons complete the PA Required Health and Safety for Centers-Group Child Care Part 1 and PA Required Health and Safety for Centers-Group Child Care Part 2 trainings found on Penn State Better Kid Care website within 21 calendar days of the acceptance of this plan of correction. All facility persons who have already completed PA Required Health and Safety for Centers-Group Child Care Part 1 and PA Required Health and Safety for Centers-Group Child Care Part 2 trainings will be required to take the trainings again and provide documentation of completion after the date of the acceptance of this plan of correction. Once all facility persons have completed these required trainings, the legal entity will submit the training certificates for all facility persons to the Western Regional Office within 5 business days of the last date of completion. (The operator will provide a date for when this training will be completed and submitted.) 3. Once the requirement in Tier #2 is met, the legal entity will ensure that all facility persons complete the 1 hour training entitled 911-Responding to Medical Emergencies found on Penn State Better Kid Care website within 21 calendar days. Once all facility persons have completed the required training, the legal entity will submit the training certificates for all facility persons to the Western Regional Office within 5 business days of the last date of completion. (The operator will provide a date for when this training will be completed and submitted.) 4.:The Legal Entity will work with the ELRC staff to draft an emergency medical care policy. Once the requirement in Tier #3 is met, the legal entity will ensure that the facility director and other legal entity representatives in a leadership role participate in technical assistance for a minimum of 3 hours with the PA Key and ECELS (The Early Childhood Linkage System at the PA Chapter of the American Academy of Pediatrics) to develop a plan that includes but is not limited to training staff to recognize when a child may need emergency medical care, how staff should recognize and respond to child injuries, how staff should respond when a child receives a potential injury to bone, and how the administration can support staff in implementing the plan. The legal entity will submit the plan to the Regional Office within 5 business days of completion. (The operator will provide a date for when the plan will be completed and submitted.) 5. Once the requirement in Tier #4 is met, the legal entity will ensure that all facility persons participate in a minimum of 2 hours of training conducted by the PA Key and ECELS. The training will include but will not be limited to the plan that was developed in Tier #4. All facility persons will be required to complete an assessment after the training to assess their knowledge of the information given in the training. All facility persons will be required to obtain at least a 90% score on the assessment. The legal entity will submit the training sign in sheet and assessment for all facility persons to the Regional Office within 5 business days of completion. (The operator will provide a date for when this training will be completed and submitted.) 6. Once the requirement in Tier #5 is met, the legal entity will ensure that all facility persons participate in a monthly staff meeting for 3 consecutive months. The staff meeting agenda will include discussion and debriefing on how the plan written in Tier #3 is being implemented as well as a review of the citations that were issued since April 2025. The meeting agenda and sign in sheet will be submitted to the Regional Office for review within 5 business days after the completion of the meeting. (The operator will provide a date for when the staff meetings will be completed and submitted.)

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: There was an Epi-pen in the Early Preschool classroom labeled for use by a specific child that had an expiration date of 8.2024.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was an Epi-pen in the Early Preschool room that was labeled for use by a specific child that does not have written parental permission to administer.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff person #4 does 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 #4 was dated 9.25.25.

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: 3270.182(7)

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

Noncompliance Area: Child #1 suffered an injury (see LIS Code Sheet) that required a visit to the ER after a fall from a see saw on the playground. The parent of child #1 was not provided with a written accident report until the following day.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #1, #2, #3, #4, #5 does not include 2 written non-family references attesting to the staff person's suitability to work in childcare.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: According to video evidence and staff statements, Child #1 fell after they tipped a seesaw on to its side to dump water out, stood on top of the seesaw while on its side, and fell to the ground on their arm when the seesaw tipped over. This resulted in Child #1 receiving an injury (see LIS Code Sheet) after the fall.

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

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

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

Noncompliance Area: The file for Staff person #1, who is classified as an aide, does not include a high school diploma or a general educational development certificate; or a minimum of an 8th grade education and 2 years of experience with children. The file for Staff person #5, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: While assessing supervision/ratio, the CR observed Staff person #1 in the Middlers room with 7 older toddlers. Nap time had ended and Staff person #6 had stepped out of the room, but multiple children were awake and off their cots, and walking around the room, so naptime ratios were not in effect. According to staff statements, on 9.23.25, Staff person #1 sent Child #1 up a 1/2 flight of steps from the outside play space to the school-age classroom at the top of the steps. Staff person #1 did not accompany the child to the classroom or notify any staff person in the school-age classroom that Child #1 was coming back inside.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the outside playground there was a water spigot protruding from the wall about 1-2 feet off the ground that was not covered, making it a potential hazard for a child to be injured on.

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 fire alarm 30-day test log includes test dates 8.29.25 and 9.29.25, more than 30 days apart

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: RECITED FROM SIN-00263973: Preschool (Room 202) contained rest equipment that was not labeled for the use by a specific child.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: RECITED FROM SIN-00263973: Several rest mats did not have 2 feet of clearance on 3 sides, being placed too close together, in Room 005.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: While assessing compliance with supervision and ratio in the school-age classroom on 7.17.25 at approximately 12:00 PM, Staff person #1 stated there were 31 children in the room. Staff person #1 named 9 children, Staff person #2 named 11 children, and Staff person #3 named 6 children, leaving 5 children unnamed. While in the school-age classroom, the CR observed a staff member standing in the doorway of the classroom while children were going to the bathroom in the hallway bathroom outside the classroom door, so that the staff person was not physically present with the child in the bathroom.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: During a supervision and ratio check in the school-age room on 7.17.25 at 12:40 PM, Staff person #1 named 11 children, including 5 preschool children and 6 school-age children, resulting in Staff person #1 being over ratio.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: RECITED FROM SIN-00263973: Children were observed throwing lunch food remains, plates, and utensils in an unlidded trashcan in the school-age room.

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

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: According to staff statements and document review, the facility did not provide the parent of Child #1 with a written incident report following an incident on 4.9.25, when child #1 fell and bumped their head then later vomited on until 4.21.25.

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: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: Through staff interviews and reviewing submitted documentation, it was determined that Staff person #1 did not report to the regional childcare certification office that Child #1 was taken to the emergency room for evaluation by the parent after the child fell and hit their head at the childcare center.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The Toddler Room (Rm 003), Early Preschool (Room 201), Preschool (Room 202) contained rest equipment that was not labeled for the use by a specific child.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Several rest mats did not have 2 feet of clearance on 3 sides, being placed too close together.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in School-age room (Room 108) and in Early Preschool (Room 201), where refrigerated snacks were stored, did not have an operating 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: 3270.111(a)

Description: Written plan

Noncompliance Area: There was no written daily activity schedule in the Toddler room (Rm 003).

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During naptime, the certification representative observed 2 children sleeping with blankets covering their faces in the Middler Room (Rm 003), and the room was also observed to be too dark for all of the children to be able to be seen during naptime. During naptime the certification representative observed Staff person #2 in Pre-K (Room 201) was cleaning chairs on the other side of the room where she was unable to see 2 of the 7 children she was assigned to supervise.

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: 3270.123(a)

Description: Signed

Noncompliance Area: The file for Child #6, with an enrollment date of 10.10.24, does not include a signed Agreement

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent Child Service Report on file for Child #1, #2 is dated more than 6 months ago. The file for Child #3, #5, #8, who began receiving care more than 6 months ago, does not include any Child Service reports.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for Child #1, #2, #3, #4, #5, #6, #7, #8, #9, #10 does not include the persons to whom the child can be released. The agreement used by the facility includes the names of emergency contact persons, but not the persons the child can be released to.

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

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The agreement on file for Child #7, #10 is the original agreement, which is to be given to the enrolling parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #1 does not include the work telephone number 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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #6 does not include the policy number for the child's health care benefits. The emergency contact form on file for Child #9 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(e)

Description: Written emergency plan posted

Noncompliance Area: There was no emergency transportation plan posted in a conspicuous location in the Older Toddler (Room 004); the Toddlers (Rm 003), and School-age (Rm 101) classrooms, or in the Gross Motor 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 file for Child #3, who has been enrolled for more than 6 months does not include a 6-month parental review signature for the agreement. The most recent 6-month review signature for the emergency contact form and the agreement on file for Child #4, #5, #8 is dated more than 6 months ago. The most recent 6-month review signature for the agreement on file for Child #7 is dated 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(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The file for Child #4, with an enrollment date of 8.27.24, which is more than 60 days ago, does not include an initial health report. The file for Child #5, with an enrollment date of 3.18.24, which is more than 60 days ago, does not include an initial health report.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child(ren) #4, #5 must be dismissed from care by close of business 4.29.25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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 assessment on file for Child #10, who is 21 months old, is dated 8.20.24, 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 most recent health assessment on file for Child #2, who is an older toddler, is dated 2.1.24, more than 12 months ago. The most recent health assessment on file for Child #3, who is a preschool age child, is dated 8.28.23, 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: 3270.133(7)

Description: Medication log

Noncompliance Area: There was no medication log in Early Preschool (Room 201) for a prescription ointment that the staff apply to a specific child for whom the medication is intended.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Shaken Baby 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff person #6 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET).

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The current health assessment on file for Staff person #11 does not indicate if the staff person was assessed for communicable/contagious disease.

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment on file for Staff person #11 does not include the physician or health care professional's assessment of the person's suitability to provide childcare.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: There were no written feeding plans on file submitted by the parent for the children under the age of 12-months in the infant room.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #4, #5 includes only 1 written nonfamily reference. The file for Staff person #10, #11 does not include 2 written non-family references attesting to the staff person's suitability to work in childcare.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: During the inspection, the certification representative observed the door to the 1st floor kitchen was open, with no facility person present, and there were adult scissors sitting on a counter, accessible to children.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to the parents of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

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)

Description: Health and Safety Training

Noncompliance Area: 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 10.3.24. Staff person #11 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; PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2 was completed on 4.9.25.

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 #7 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum. Staff person #14 has not competed the following required pre-service training within 90 days of their hire date (See LIS Code sheet): Get Started with Center-based Care: Building Blocks for Quality; Health and Safety Basics: Requirements for Certification (6 hours) was taken previously but is not dated between 9/30/2016 -- 6/30/2018.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff person #7, #14 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #7, #14, staff person #7, #14 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 #5 includes criminal history clearances dated 10.9.19 and 2.3.25; child abuse clearances dated 10.9.19 and 2.3.25 and FBI clearances dated 10.14.19 and 10.25.24, all more than 60 months apart. The file for Staff person #6 did not contain documentation of application of a Texas state criminal history clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #7 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid. The signed disclosure statement on file for Staff person #9 is not dated and does not include a witness signature, making it invalid. The disclosure statement on file for Staff person #11 is not signed and dated. The file for Staff person #12, who was rehired does not include a new signed Disclosure Statement (See LIS Code Sheet). The file for Staff person #13, a facility person, does not include a complete PA Criminal History clearance or NSOR certificate within 45 days of hire (See LIS Code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #6, #7, #9, #11, #12, #13 may not work in a childcare position at the facility.

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

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

Noncompliance Area: The file for Staff person #3, #10, #11, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children. The file for Staff person #12, who is classified as an aide, does not include a high school diploma or a general educational development certificate; or a minimum of an 8th grade education and 2 years of experience with children.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Two uncovered outlets were observed on an adapter in Toddler/Middler (Room 005). Three uncovered outlets were observed on a power strip in the facility entrance.

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 the inspection, the certification representative observed the door to the kitchen was open, with no facility person present, and there was a bottle labeled as bleach water on a counter, accessible to children. In Toddler/Middler (Room 005) a Swiffer Jet Set mop with cleaning fluid labeled "Keep out of reach of children" was by the sink and accessible to children. In Older Toddler (Room 004) a Swiffer Jet Set mop with cleaning fluid labeled "Keep out of reach of children" was by the changing table and accessible to children. In the Men's Room on the 2nd floor, off Room 5, Lysol Disinfectant, labeled "Keep out of reach of children" was observed in an unlocked cabinet under the changing table, accessible to children. In the entrance to the facility, a hand sanitizer dispenser was on the wall and accessible to children.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was no lidded trashcan in Early Preschool (Room 201) and in the Flex Room (Room 6) which contained soiled facial tissues.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water in the classroom sink in the Preschool room (Room 202) measured 130° F. The water in the bathroom sink off Early PS (Room 201) measured 135° F.

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

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: There was a pipe on the wall on the right of the entrance to the School-Age room, accessible to children, which measured 121° F on the surface, posing a burn hazard to children.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: A window was observed in the blue stairwell on the 2nd floor; in the 2nd floor Preschool (Room 202); in the 2nd floor Pre-K (Room 203); and in the unlocked 2nd floor staff lounge, which were all accessible to children, and were not restricted to opening 6" or less.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The excursion bag containing the first aid kit in Older Toddler (Room 004) was on a hook next to the changing table and accessible to children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were stained ceiling tiles from a recent leak in the 2nd floor kitchen.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was no handwashing sign at the toilet in the Women's bathroom, off the Flex Room, on the basement level.

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: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: A source of running water was not present in the diapering area the Young Toddler (Room 108) and Toddlers/Middlers (Room 005).

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The hallway and stairs leading to Older Toddler (Room 004) is obstructed by the water table and a large box.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 4.24.24-5.27.24, 8.7.24-9.7.24, more than 30 days apart, and the most recent 30-day test is dated 3.6.25, more than 30 days ago.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility Person #1 was observed to be caring for children unsupervised. Facility Person #1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid & CPR training

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, facility 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 Facility Person #1, they- may not work in a child-care position at the 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 the operator has tested the fire alarm system at least every 30 days. Previously it was determined that the disruption to other programs in the building provided a valid reason for the operator not to do so and instead have the system professionally inspected annually. However as the same legal entity owns the building and the child care program, this is not a valid reason for an operator to not test the fire alarm system at least every 30 days and document the testing.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: An empty plastic grocery bag was accessible to children in a low cubby in the young toddler room. A teacher's folding floor chair with exposed foam padding was observed in the hall outside the young toddler room. The cover for the seat of the chair, which would cover the foam, was not in place.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the toddler room located behind the STEM room lacked 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: Written plans of daily activities were not posted in the following rooms; school age, STEM, newly added toddler room and the newly preschool room.

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: The file for child #1, enrolled for over 6 months, lacked a child service report. The files for school age children #5 and #6, who are in care for more than 15 hours a week based on their financial agreements, did not contain service reports completed in the past 6 months. The files for children #2 and #3 contained service reports dated more than 6 months after start, but are now current.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreements for child #1 and child #5 did not specify 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms for child #2 and child #5 did not include the address for the person designated by the parent to whom the child may be released. The emergency contact form for child #5 also lacked the phone number for the person designated by the parent to whom the child may be released.

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: A medical emergency transportation plan was not posted in the following rooms; STEM, the newly added toddler room and the newly preschool 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 emergency contact form for children #4 and #6 have not been reviewed and signed by the parent in more than 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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Hydrocortisone and Tacrolimus ointment were observed in the young toddler room. The medications were stored in a labeled plastic baggie; however the containers of medication were not labeled with the name of the child they were intended for.

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: Hydrocortisone, Tacrolimus ointment and Nystatin, all which lacked written consent for administration, were observed in the young toddler room.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: While changing a diaper, a staff person in the young toddler room did not immediately place the soiled diaper in the trash can, the soiled diaper was first placed on the changing table surface. The diapering area in the new toddler room lacked a hands-free lidded trash can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff #5 and #11 contained initial health assessments and TB test results which were more than 12 months old at hire. The files now contain current health assessments, but lack valid TB test results.

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: 3270.181(c)/3270.181(d)

Description: Emergency info/agreement updated 6 mos/Dated signature affixed

Noncompliance Area: The agreements for children #2, #4 and #6 have not been signed and dated by the parent in the past 6 months. The agreement for child #1 was not signed and dated by the parent at the initial review at enrollment. The child's date of admission was 6/12/23, the agreement was not signed and dated until 12/27/23. The agreement is now current.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for staff #9 and facility person #14 did not contain written references. The file for staff #13 contained only 1 written 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: 3270.21

Description: General Health and Safety

Noncompliance Area: Adult scissors were accessible to children on a desk in the lobby.

Correction Required: 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 #3 did not contain documentation of completing emergency plan training in the last 12 months.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility's parent letter explaining the emergency procedures did not include the accommodations made for infants and toddlers.

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.