Little Peeps Creative Play And Learn

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #3 lacked the name, address, and phone number for the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #1, Child #2, and Child #3 lacked the work address and work phone 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)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form for Child #3 lacked information regarding if the child has special needs, as specified by the parent or child's physician.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for Child #3 lacked the child's health insurance name and health insurance policy number.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of inspection, Child #3 was receiving care in the Infant room without their emergency contact information being in the space 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)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for Child #4 contained two health report forms dated 1/24/25 and 8/8/25, more than 6 months apart.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The most recent annual traffic letter on file at the facility is dated 6/16/25, more than 12 months prior.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent PA State Police clearances on file for Staff #1 are dated 3/16/21 and 4/7/26, more than 60 months apart. The two most recent Child Abuse clearances on file for Staff #1 are dated 3/24/21 and 4/14/26, more than 60 months apart. The two most recent FBI Fingerprint clearances on file for Staff #1 are dated 3/18/21 and 4/14/26, more than 60 months apart.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent mandated reporter trainings on file for Staff #1 are dated 1/19/21 and 4/13/26, more than 60 months apart.

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

Regulation: 3270.34(b)(1)

Description: Bachelor's + 1 yr

Noncompliance Area: The file for Staff #2, classified as the director, contained documentation of a Bachelor's Degree in a human services field, but lacked documentation of 1 year of experience with children.

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: In the toddler area of the Main room, a loose outlet plate was observed under the large window, and not in good repair.

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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement form for Child #1 lacked the names of the release persons.

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

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, Child #2, Child #3, and Child 4 contained an emergency contact form that was not updated within 6 months of the previous update.

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(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The initial health assessment on file for Child #2 lacked a dated signature by a physician, physician's assistant, or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of inspection, the facility's emergency plan lacked information regarding continuity of operations.

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)

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

Noncompliance Area: The two most recent health assessments on file for Staff #4 are dated 1/26/23 and 6/23/25, 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.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent agreement form on file for Child #1 is dated 6/25/24, more than 6 months prior. The most recent agreement form on file for Child #2 is dated 12/8/24, more than 6 months prior. The most recent agreement form on file for Child #3 is dated 7/2/24, more than 6 months prior. The most recent agreement form on file for Child #4 is dated 11/27/24, more than 6 months prior.

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

Regulation: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: At the time of inspection, the facility's emergency plan lacked information regarding evacuation procedures.

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: At the time of inspection, the facility's emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility's most recent emergency drill log on file is dated 3/20/24, more than 12 months prior.

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

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

Description: Age and Training

Noncompliance Area: The two most recent First Aid/CPR certificates on file for Staff #3 are dated 4/3/22 and 6/30/24, exceeding its expiration date.

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 two most recent NSOR clearances on file for Staff #2 are dated 11/19/19 and 6/20/25, more than 60 months apart. The two most recent mandated reporter trainings on file for Staff #3 are dated 2/26/20 and 6/12/25, more than 60 months apart.

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 #5 lacked the PA Child Abuse History clearance, required by Announcement C-25-01. The file for Staff #5 lacked a disclosure statement. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff #5 -- may not work in a childcare position at the facility. 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 #5--- may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent staff evaluation on file for Staff #4 is not dated making it invalid.

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: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The file for Staff #1 and Staff #6 lacked a childcare verification form verifying 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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: At the time of inspection, a power strip lacking outlet covers was observed behind a bookshelf, but accessible to children.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the Main Child Care Space, peeling paint was observed on the back side wall under the window. In the Infant Room, broken drywall was observed to the right of the bathroom door. In the smaller children's bathroom, peeling/flaking paint was observed on the corner area of the wall.

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: The facility's fire detection log includes test dates 1/3/25-2/4/25, 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/26/20.

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 #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/facility person/volunteer #1, staff person/facility person/volunteer #1 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: The fire alarm testing log contained the following dates 4/4/25-5/5/25 which is 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The last two Mandated Reporter trainings on file for Staff Person #1 were dated more than 60 months apart. (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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the Main Space, small plastic french fries were observed to be less than 1 inch in diameter and accessible to children who are still placing objects in their mouths.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The fee agreement form for Child #4 lacked arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #1 and Child #3 lacked the enrolling parent's work address. The emergency contact form for Child #1 and Child #3 lacked the enrolling parent's work phone number.

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

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

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

Noncompliance Area: The emergency contact form for Child #1 and Child #4 lacked written parental consent for emergency medical care.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

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

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for Child #1 lacked health insurance coverage and health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #3 lacked a complete address for 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)/3270.181(c)

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

Noncompliance Area: The file for Child #1 and Child #2 contained an emergency contact form that was not updated within 6 months of the previous update. The file for Child #1 and Child #2 contained a fee agreement form that was not updated within 6 months of the previous update. (See LIS Code Sheet) (SEE LIS CODE SHEET)

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)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health report for Child #1 was dated 60 days after the start date. The file for Child #4, enrolled more than 60 days, lacked 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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(b)(2)/3270.181(c)

Description: Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #2, a preschool aged child, contained a health report dated 4/6/23, exceeding the 12-month update. (See LIS Code Sheet)

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 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: 3270.151(c)(1)

Description: Physical examination

Noncompliance Area: The file for Staff Person #1 contained an initial health assessment that was dated after the date of hire. The two most recent health assessments for Staff Person #4 were dated more than 2 years apart (4/5/21-6/8/24). (See LIS Code Sheet)

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

Regulation: 3270.182(5)

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

Noncompliance Area: The emergency contact form for Child #1 and Child #4 lacked a signature for parental consent for administration of 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of completing an emergency drill.

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

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

Description: Age and Training

Noncompliance Area: The most recent First Aid/CPR training on file for Staff Person #4 was renewed after the expiration date of the previous training (4/3/22-6/30/24).

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: 3270.34(b)(1)/3270.192(2)(iv)

Description: Bachelor's + 1 yr/Transcript, diploma and letters

Noncompliance Area: The record of the required education on file for Staff Person #3 to be classified as a director was an international diploma-not translated by an approved evaluator with no equivalency on file.

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. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: The facility lacks a qualified director.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

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

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

Noncompliance Area: The file for Staff Person #2 lacked documentation of 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: In the Main Space, a spray bottle containing a bleach water solution was unlabeled.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint and damaged plaster was observed in the Main Space on the back wall to the left of the infant room door.

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

Regulation: 3270.102(g)

Description: Hazardous toys and equipment

Noncompliance Area: A Boppy lounger described as hazardous by the United States Consumer Product Safety Commission was observed in the infant room.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the main room, there were empty plastic bags, styrofoam trays and egg cartons observed in unlocked lockers, and there was a bag of googly eyes, a container of glitter, and a bag of unused latex balloons observed in an unlocked cabinet, accessible to children who are still placing objects in their mouths.

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: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement for child #5 was signed by the operator and parent on 12/8/2022, following the child's first day of attendance.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The emergency contact information for the following children had not been reviewed at least once in a 6-month period: child #1 (6/22/2022 to 7/5/2023); child #2 (6/22/2022 to 7/5/2023); and child #4 (10/7/2022 to 7/3/2023). The emergency contact information for child #3 had not been reviewed by a parent since 6/10/2022. The emergency contact information for child #5 had not been reviewed by a parent since 11/19/2022.

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)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The record for child #4 contained an initial health report dated more than 60 days following the child's first day of attendance.

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

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

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

Noncompliance Area: The record for child #3, a preschool child, contained a current health report dated more than 12 months following the date of their previous health report.

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(4)

Description: Locked

Noncompliance Area: A bottle of Theraflu was observed in a staff person's locker that was unlocked and accessible to children in care in the main room.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not address the continuity of operations, as per Announcement C-22-04. The facility did not have a policy and procedure to address the prevention and identification of child maltreatment, as per Announcement C-22-03.

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 record for staff #3 included a current health assessment dated more than 24 months following the date of their previous health assessment.

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

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: Written statements giving the formula and feeding schedules for infants in care were not obtained from the children's parents.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The record for child #1, #2, #3, #4 and #5 contained a financial agreement that has not been reviewed by a parent in more than 6-months.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The record for child #3 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.20(e)/3270.182(7)

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

Noncompliance Area: Copies of reports of injury, death or fire were not retained in an accident file at the facility.

Correction Required: Copies of reports of injury, death or fire shall be kept in a file at the facility. 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: 3270.21

Description: General Health and Safety

Noncompliance Area: in the main room, there were (4) lockers, (2) shelving units and (2) cube storage units that were more than 5' high and not secured in a way that would prevent them from tipping and being a potential hazard to children in care.

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

Regulation: 3270.27(a)(1)/3270.27(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for accommodations for shelter of children during an emergency including lock-down, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff #2, #3 and #5 have not received training regarding the emergency plan in more than a year.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The operator did not post the emergency plan.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The operator provided the parent of each enrolled child a letter explaining the emergency procedures and subsequent updates to the plan that did not include the following: lockdown; accommodations for infants, toddlers, children with disabilities and chronic medical conditions; and continuity of operations.

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(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff #3 and #4 renewed their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 7/9/2023, following the expiration of their previous certification on 4/2023.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff #1, #2, #3, #4 and #5 did not complete fire safety training at least annually between 4/3/2022 and 6/30/2023,

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)

Description: Health and Safety Training

Noncompliance Area: Staff #1 completed professional development as listed in subsections (f)1-10 on 6/30/2023, more than 90 days following their date of hire.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff #4 included a current child abuse clearance dated 7/10/2023, which was more than 60 months following the date of their previous clearance on 6/30/2018.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The director did not complete a minimum of one written evaluation for staff #2, #3, and #5 in more than 12 months.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The following cleaning materials and other toxic materials labeled keep out of the reach of children were observed in areas accessible to children in care in the main room: sunscreen, Lysol disinfectant wipes and fragrance in unlocked lockers; whiteout in an unlocked drawer in the kitchen area; and body wash and baby oil in a cubicle of a storage unit.

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

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: A can of shaving cream labeled keep out of the reach of children was observed in a locker in the main room and based on staff statements, it was used for arts and crafts.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the infant room and the main room lacked gauze pads.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A piece of the wooden gate to the outdoor play space was broken off, which created a sharp edge and exposed a protruding nail, posing a hazard for children in care.

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 damaged plaster observed on the wall by the sink in the bathroom located off the main room.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: An operating thermometer was not placed in the refrigerator.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The record for child #1 contained an initial health report that was dated more than 60 days following their first day of attendance at the facility.

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

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

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

Noncompliance Area: The record for child #2, an older toddler, contained a current health report dated more than 12 months following their previous the date of their previous health report.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The requirements for volunteer emergency preparedness training, practice drills and continuity of operations was not included in the child care facility's emergency plan in compliance with 45 CFR § 98.41(a)(1)(vii).

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: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: Children's records were stored in a desk in the director's office, which were both unlocked.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.193(a)

Description: Confidential; stored in locked cabinet

Noncompliance Area: Facility persons' records were stored in an expanding file in the director's office, which were both unlocked.

Correction Required: Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Four pairs of sharp adult scissors and a sharp cutting knife was observed in a cup on the counter in the kitchen area accessible and posing a potential threat to the health and safety of children in care. There were potential tipping hazards observed in areas accessible to children in the main room: two children's chairs were stacked on top of a chest which was stacked on top of another chest on the floor; and a toaster oven was stacked on top of a microwave oven which was stacked on top of another microwave oven on the counter in the kitchen area.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for accommodations for infants, toddlers, and children with chronic medical conditions.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: An emergency drill was not conducted annually.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff person #2 did not receive training regarding the emergency plan on an annual basis; their last training was received on 9/25/2020.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #1 and #2 did not participate, at least annually, in fire safety training between 4/11/2021 and 7/18/2022.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff #3 included a current NSOR verification certificate dated 4/5/2022, following their first day working in child care, and their record did not include the request for the NSOR verification certificate required to work on a 45-day provisional basis.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Protective receptacle covers were not placed in (3) electrical outlets on a power strip in the director's office, which was unlocked, making it accessible to children 5 years of age or younger.

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: A bottle of white out labeled keep out of the reach of children was observed in the desk in the director's office, which were both unlocked, making it accessible to children in care.

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: 3270.71

Description: Heat Source

Noncompliance Area: An electric coffee pot containing freshly brewed coffee, which is a source of heat exceeding 110°, was observed in use on the counter in the kitchen area accessible to children in care.

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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: A first-aid kit was observed hanging on a hook on the wall by the entrance door to the facility in the main room accessible to children in care

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 7/16/2021, an older toddler was observed sleeping on rest equipment in the back of the main room while staff #3 who was responsible for supervising the child was observed on the opposite side of the furniture being used to separate the area in a position where they were unable to see, direct and assess the child at all times. On 7/21/2021, 2 older toddlers were observed sleeping on rest equipment in the back of the main room while staff #4 who was responsible for supervising the children was observed on the opposite side of furniture used to separate the area in a position where they were unable to see, direct and assess the child at all times.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for staff #1 and #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Noncompliance Area: There were (4) cube storage organizers (27 1/8" wide x 52") standing alone in a vertical position in the main room and they were not secured, which posed a potential tipping hazard to children in care. The top of a wooden shelving unit in the toddler area in the main room was splintering and accessible to children in care, which posed a potential hazard to them.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: The rest equipment was not labeled for the use of a specific child and used only by the specified 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.

Noncompliance Area: The agreement for child #1, #2, #3, #4 and #5 was not signed by the operator.

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

Noncompliance Area: The agreement for child #2 and #3 did not specify the amount of the fee to be charged per day or per week.

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