Loving Hearts Childcare Center

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Children 1 and 2 did not have permission for emergency medical care and minor first aid.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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(c)

Description: Training regarding plan

Noncompliance Area: Staff 1 did not have emergency plan training on file. Please see LIS for date of hire.

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: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: Upon arrival during the renewal inspection on 7/8/2026, it was observed that staff 2 was the only staff person at the daycare. There were 5 school age children present. There were no facility staff people present.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: Toxics were accessible to children in a backroom closet that was unlocked. Children could access the area due to there being no barriers and an unlocked door.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 10/1/2025, children 1 and 2 had outdated emergency forms and fee agreements. They were dated 2/18/2025, making it more than six months since the last update.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility did not have electronic access to the regulations available to the parents or instructions for contacting the appropriate regional childcare office.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 7/7/2025, it was observed that staff 1 did not have an updated NSOR clearance. The last NSOR clearance on file was from 02/21/2020, making it more than 5 years old.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person 1 may not work in a child care position at the facility until the NSOR clearance is obtained. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person 1 may not work in a child care position at the facility until the NSOR clearance is obtained.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During an allocated unannounced monitoring inspection on 1/27/2025, it was observed that the last fire drill was conducted on 11/16/2025 making it more than 60 days since the last fire drill. The date of correction was 2/7/2025. As of 2/18/2025, an updated fire drill log was still not sent to DHS.

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

Regulation: 3270.91(a)/3270.91(b)

Description: Stairs, exits, etc. unobstructed/Protective gates if approved

Noncompliance Area: During an allocated unannounced visit on 1/27/2025, showed certification representative a baby gate that was blocking the back fire exit door. The baby gate was in the middle of the door, blocking the bar that opens the fire exit door. On 1/29/2025, certification representative spoke to the Catasauqua code enforcement officer who stated that also goes against their fire codes.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Protective gates are permitted, if they open easily and are not disapproved by building codes or local ordinances.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During an allocated unannounced monitoring inspection on 1/27/2025, it was observed that the last fire drill was conducted on 11/16/2025 making it more than 60 days since the last fire drill.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an allocated unannounced monitoring inspection on 1/27/2025, it was observed that the last fire alarm test was conducted on 11/16/2025 making it more than 30 days since the last fire drill.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection, last child service report (CSR) on file for child #5 is dated 10/13/2023, which is past 6 months.

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)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During renewal inspection, the following information was missing from children's emergency contact forms: Child #1: Child's doctor's address. Child #4: Health insurance coverage and policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During renewal inspection, the following information was missing from children's emergency contact forms: Child #1: Father's home and work addresses and work telephone number. Release person's full address. Child #2: Father's home and work addresses. Mother's work address. Both parents' work telephone numbers. Release person's address. Child #3: Both parents' work addresses and work telephone numbers. Child #4: Both parent's work addresses and work telephone numbers. Child #5: Both parents' work addresses and work telephone numbers. Release peoples' addresses.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection, facility's emergency plan did not address 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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection, emergency contact form and fee agreement for child #5 were last updated on 5/6/2023.

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(c)

Description: Training regarding plan

Noncompliance Area: During renewal inspection, there was no documentation indicating that staff person #2 had been trained on the emergency plan. Staff person #2 has been employed at the facility for over 90 days (see LIS code sheet for SD).

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)(i)

Description: Age and Training

Noncompliance Area: During renewal inspection, pediatric first-aid/CPR certificate for staff person #1 expired on 3/5/2024 and was not updated until 4/8/2024.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: During renewal inspection, stained ceiling tiles were observed over the "preschool art" and "toddler" areas.

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: During renewal inspection, fire detection testing log reflected that smoke alarms were last tested on 4/9/2024, which is over 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: 3270.111(c)

Description: Promote development

Noncompliance Area: Complaint investigation conducted on 11/1/2023 verified that older toddlers are being placed into highchairs. Child #1 appeared to want to get out of the highchair and was scooting it across the floor by rocking his body. Rep observed child #1 in a highchair for over an hour then immediately moved to a crib for naptime. Child #1 was rocking his body and scooting the crib across the floor. An acceptable plan of correction was received with a correction date of 11/30/2023. Another complaint investigation conducted 1/3/2024 verified that several children were placed in highchairs for approximately 45 minutes. Children were not eating or engaged in an activity requiring a tray. Children were observed to be rocking the chairs and trying to get out.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Complaint investigation conducted on 11/1/2023 verified that older toddlers are being placed into highchairs. Child #1 appeared to want to get out of the highchair and was scooting it across the floor by rocking his body. Rep observed child #1 in a highchair for over an hour then immediately moved to a crib for naptime. Child #1 was rocking his body and scooting the crib across the floor. An acceptable plan of correction was received with a correction date of 1/24/2024. When certification representative visited the facility on 1/30/2024, the legal entity did not yet submit an approved section to facility's supervision policy that addresses restraint of children, including the use of highchairs at times other than when a child is eating.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The legal entity must add a section to facility's supervision policy that addresses restraint of children, including the use of highchairs at times other than when a child is eating.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Complaint investigation conducted on 11/1/2023 verified that older toddlers are being placed into highchairs. Child #1 appeared to want to get out of the highchair and was scooting it across the floor by rocking his body. Rep observed child #1 in a highchair for over an hour then immediately moved to a crib for naptime. Child #1 was rocking his body and scooting the crib across the floor. An acceptable plan of correction was received with a correction date of 11/30/2023. Another complaint investigation conducted 1/3/2024 verified that several children were placed in highchairs for approximately 45 minutes. Children were not eating or engaged in an activity requiring a tray. Children were observed to be rocking the chairs and trying to get out.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The operator shall demonstrate the ability to maintain compliance with the regulation during all unannounced inspections conducted by the Department over the next three (3) months.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Complaint investigation conducted on 11/1/2023 verified that older toddlers are being placed into highchairs. Child #1 appeared to want to get out of the highchair and was scooting it across the floor by rocking his body. Rep observed child #1 in a highchair for over an hour then immediately moved to a crib for naptime. Child #1 was rocking his body and scooting the crib across the floor. An acceptable plan of correction was received with a correction date of 11/30/2023. Another complaint investigation conducted 1/3/2024 verified that several children were placed in highchairs for approximately 45 minutes. Children were not eating or engaged in an activity requiring a tray. Children were observed to be rocking the chairs and trying to get out.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Complaint investigation conducted on 11/1/2023 verified that older toddlers are being placed into highchairs. Child #1 appeared to want to get out of the highchair and was scooting it across the floor by rocking his body. Rep observed child #1 in a highchair for over an hour then immediately moved to a crib for naptime. Child #1 was rocking his body and scooting the crib across the floor. An acceptable plan of correction was received with a correction date of 11/30/2023. Another complaint investigation conducted 1/3/2024 verified that several children were placed in highchairs for approximately 45 minutes. Children were not eating or engaged in an activity requiring a tray. Children were observed to be rocking the chairs and trying to get out.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The operator shall demonstrate the ability to maintain compliance with the regulation during all unannounced inspections conducted by the Department over the next three (3) months.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection conducted 11/1/2023, the following children were not immunized according to the recommendations of the ACIP: Child #3: No Rotavirus vaccines, 1 of 3 doses of each DTAP, HIB, and Pneumococcal vaccines, and 1 of 2 doses of Polio vaccine. Child #3 is an infant (see LIS code sheet). There is no exemption on file. When certification representative returned for unannounced monitoring on 1/30/2024, the following children were not immunized according to the recommendations of the ACIP: Child #3: No Rotavirus vaccines, 1 of 3 doses of each DTAP, HIB, and Pneumococcal vaccines, and 1 of 2 doses of Polio vaccine. Child #3 is an infant (see LIS code sheet). There is no exemption on file.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During renewal inspection conducted 11/1/2023, operator reports that she did not send the annual written notification to local traffic safety authorities. An acceptable plan of correction was received with a correction date of 11/1/2023. When certification representative returned for unannounced monitoring on 1/30/2024, operator provided an annually written notification to local traffic safety authorities dated 2/3/2022.

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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced monitoring conducted 1/3/2024, reference letter and child care employment verification sheet for staff person #1 indicated that staff person #1 has resided in New Jersey within the past 5 years. There were no out-of-state clearance requests or clearances on file for staff person #1.

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. The legal entity must arrange for the legal entity to register for and attend the existing provider orientation conducted by the NE Regional Office either on 2/21/2024 or 5/15/2024. The training may not be counted towards the 12 hours of training required by regulation.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced monitoring conducted 1/3/2024, reference letter and child care employment verification sheet for staff person #1 indicated that staff person #1 has resided in New Jersey within the past 5 years. There were no out-of-state clearance requests or clearances on file for staff person #1.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #1 may not work in a child care position at the facility until all appropriate clearances are on file, including out-of-state clearances.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Complaint investigation verified that older toddlers are being placed into highchairs. Child #1 appeared to want to get out of the highchair and was scooting it across the floor by rocking his body. Rep observed child #1 in a highchair for over an hour then immediately moved to a crib for naptime. Child #1 was rocking his body and scooting the crib across the floor.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The legal entity must arrange for all staff to receive a minimum of two (2) hours of training regarding Developmentally Appropriate Practices. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The trainings may not be counted towards the 12 hours of training required by regulation.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Complaint investigation verified that older toddlers are being placed into highchairs. Child #1 appeared to want to get out of the highchair and was scooting it across the floor by rocking his body. Rep observed child #1 in a highchair for over an hour then immediately moved to a crib for naptime. Child #1 was rocking his body and scooting the crib across the floor.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Complaint investigation verified that older toddlers are being placed into highchairs. Child #1 appeared to want to get out of the highchair and was scooting it across the floor by rocking his body. Rep observed child #1 in a highchair for over an hour then immediately moved to a crib for naptime. Child #1 was rocking his body and scooting the crib across the floor.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The legal entity must add a section to facility's supervision policy that addresses restraint of children, including the use of highchairs at times other than when a child is eating.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Complaint investigation verified that older toddlers are being placed into highchairs. Child #1 appeared to want to get out of the highchair and was scooting it across the floor by rocking his body. Rep observed child #1 in a highchair for over an hour then immediately moved to a crib for naptime. Child #1 was rocking his body and scooting the crib across the floor.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection conducted 11/1/2023, there was no Child Service Report (CSR) on file for child #2 or child #4. Both child #2 and child #4 have been attending for over 6 months (see LIS code sheet).

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)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During renewal inspection conducted 11/1/2023, the following was missing from children's emergency contact forms: Child #1: Address and phone number of doctor. Health insurance coverage and policy number. Child #3: Health insurance policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During renewal inspection conducted 11/1/2023, the following was missing from children's emergency contact forms: Child #3: Father's work address and work telephone number. Child #4: Release person's address (grandmother). Child #5: Mother's work address and father's work address.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: During renewal inspection conducted 11/1/2023, the only health assessment on file for child #1 is dated 10/12/2023, which is past 60 days following the first day of attendance (see LIS code sheet).

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.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: During renewal inspection conducted 11/1/2023, last health assessment on file for child #4 is dated 5/20/2022. Child #4 is preschool-aged.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection conducted 11/1/2023, the following children were not immunized according to the recommendations of the ACIP: Child #3: No Rotavirus vaccines, 1 of 3 doses of each DTAP, HIB, and Pneumococcal vaccines, and 1 of 2 doses of Polio vaccine. Child #3 is an infant (see LIS code sheet). There is no exemption on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 will be dismissed from care by close of business November 1, 2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During renewal inspection conducted 11/1/2023, children were served lunch without washing their hands first. Additionally, a child's diaper was changed and the child was placed back into the crib without having their hands washed.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: During renewal inspection conducted 11/1/2023, a written formula and feeding schedule was not on file for child #3. Child #3 is an infant (see LIS code sheet).

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During renewal inspection conducted 11/1/2023, operator reports that she did not send the annual written notification to local traffic safety authorities.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection conducted 11/1/2023, the following fee agreements and emergency contact forms were not updated within 6 months: Child #2: Emergency contact form last updated 2/8/2023. Fee agreement last updated 2/13/2023. Child #4: Emergency contact form last updated 5/9/2022. Fee agreement last updated 5/23/2023.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: When the certification representative arrived at the facility to conduct renewal inspection on 11/1/2023, there were two staff members present with 12 children: 1 infant, 3 young toddlers, 3 older toddlers, and 5 preschool-aged children. Operator stated that another staff member had been present but left the facility. This additional staff member arrived back at the facility after the certification representative had been at the facility for approximately 15 minutes.

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). The legal entity must arrange for all staff to complete the training entitled "Supervision: Staff:Child Ratios" through Better Kid Care. The facility director must also complete the training entitled "Balancing Child-Staff Ratios" through Better Kid Care. The trainings may not be counted towards the 12 hours of training required by regulation.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: When the certification representative arrived at the facility to conduct renewal inspection on 11/1/2023, there were two staff members present with 12 children: 1 infant, 3 young toddlers, 3 older toddlers, and 5 preschool-aged children. Operator stated that another staff member had been present but left the facility. This additional staff member arrived back at the facility after the certification representative had been at the facility for approximately 15 minutes.

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: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: During renewal inspection conducted 11/1/2023, there were 12 children present in the facility's back room (gym). The capacity of the room is 8. Facility's daily schedule did not indicate that gym is over capacity at any point in the day.

Correction Required: The capacity established for an indoor space may not be exceeded.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: During renewal inspection conducted 11/1/2023, an uncovered trash can containing used tissues was present in the childcare space.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During renewal inspection conducted 11/1/2023, facility's first-aid kit did not contain tape.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During renewal inspection conducted 11/1/2023, facility's fire drill log reflected that fire drills were conducted past 60 days on the following occasions: 6/1/2023-8/1/2023; 8/1/2023-10/2/2023.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During renewal inspection conducted 11/1/2023, operator reports that facility does not have proof of purchase on file.

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

Regulation: 3270.123(a)(3)/3270.123(a)(5)

Description: Services proceeded/Designated release persons

Noncompliance Area: During renewal inspection conducted on 1/26/2023, the following was missing from children's fee agreements: Child #3: Child Service Report (CSR) not on file for Child #3. Child #3 has attended the facility for longer than 6 months (see LIS code sheet). Child #6: Release person(s).

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

Regulation: 3270.124(b)(3)/3270.124(b)(6)

Description: Parent home/work address, phone/Insurance coverage information

Noncompliance Area: During renewal inspection conducted on 1/26/2023, the following was missing from children's emergency contact forms: Child #1: Parent's work address and work phone number. Health insurance information and policy number. Child #2: Parent's work address and work phone number. Child #3: Parent's work address and work phone number. Child #4: Parent's work address and work phone number. Child #5: Parent's work address and work phone number. Child #6: Parent's work address and work phone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: During renewal inspection conducted on 1/26/2023, the following children did not have proof of immunizations in accordance with the schedule recommended by the ACIP: Child #3 does not have proof of influenza vaccine on file. There is no exemption on file.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 will be removed from care by close of business on 1/26/2023 until either the vaccination record is updated according to the ACIP recommended schedule or the parent provides an exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection conducted on 1/26/2023, Staff person #3 was observed to be caring for children unsupervised in the indoor play space. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: CCDBG Health and Safety training, Mandated Reporter training, Pediatric First-Aid/CPR from PQAS instructor.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During renewal inspection conducted on 1/26/2023, a slice of cheese was observed in a child's lunchbox in the cubby area in the facility.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During renewal inspection conducted on 1/26/2023, Child #3's emergency contact form did not contain parental consent for emergency medical care or minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During renewal inspection conducted on 1/26/2023, Staff person #1 and staff person #2 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #1 and staff person #2 shall complete the required one-hour 2022 update to the health and safety training by February 11, 2023.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection conducted on 1/26/2023, a plug-in air freshener was observed in the bathroom utilized by children. Air freshener was accessible to children. Additionally, Lysol wipes were observed in an unlocked filing cabinet in the childcare space.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection conducted on 1/26/2023, peeling paint was observed on the wall in the indoor play space.

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: During renewal inspection conducted on 1/26/2023, facility's fire detection testing log reflected that fire detection systems were tested on 8/4/2022 and again on 9/23/2022 and on 12/15/2022 and again on 1/18/2023, which is past 30 days.

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

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During complaint investigation conducted 6/16/2022, eight children (youngest being preschool age) were left unattended during naptime while Staff #1 left the room and walked into a back room to retrieve files. The children were not able to be seen from the back room. An acceptable plan of correction was received on 7/11/2022 with a correction date of 6/17/2022. When certification representative returned for unannounced monitoring on 8/4/2022, a ratio and supervision check was conducted. There were 11 children in the building. Staff #1 identified 5 young school-age children in her primary group. Staff #2 identified 3 older toddlers in her primary group, and Staff #3 identified 1 infant in her primary group. Rep brought to staff's attention that two children were unaccounted for. Staff #2 then stated that the other two older toddlers in the room were not assigned to her. Staff #1 then stated that they are assigned to her. Staff #1 explained that the two children that were unaccounted for during ratio and supervision check just came in. Staff #1 informed Staff #2 that the two children were now assigned to her. Staff #2 then acknowledged that these children were now in her group After that, Staff #2 was able to name her primary group with 5 older toddlers.

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. The legal entity must arrange for all staff to receive a minimum of 3 hours of PQAS approved, live training regarding supervision of children and staff:child ratios. It does not matter if the PQAS approved, live training is done through the ELRC. The legal entity must receive DHS approval of training content prior to scheduling the training. The training may not be conducted while children are in care.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During complaint investigation conducted 6/16/2022, eight children (youngest being preschool age) were left unattended during naptime while Staff #1 left the room and walked into a back room to retrieve files. The children were not able to be seen from the back room. An acceptable plan of correction was received on 7/11/2022 with a correction date of 6/17/2022. When certification representative returned for unannounced monitoring on 8/4/2022, a ratio and supervision check was conducted. There were 11 children in the building. Staff #1 identified 5 young school-age children in her primary group. Staff #2 identified 3 older toddlers in her primary group, and Staff #3 identified 1 infant in her primary group. Rep brought to staff's attention that two children were unaccounted for. Staff #2 then stated that the other two older toddlers in the room were not assigned to her. Staff #1 then stated that they are assigned to her. Staff #1 explained that the two children that were unaccounted for during ratio and supervision check just came in. Staff #1 informed Staff #2 that the two children were now assigned to her. Staff #2 then acknowledged that these children were now in her group. After that, Staff #2 was able to name her primary group with 5 older toddlers.

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. 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. The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must ensure that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision during transition times. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his/her assigned group and be physically present with the children in his/her group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. The facility must create and implement specific procedures using a tangible supervision system, e.g. supervision cards, supervision lists, or another approved method, to ensure appropriate supervision at all times. Both the updated supervision policies and new supervision procedures must be submitted to the Northeast Regional Office for approval prior to implementation. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on the policies and procedures and it must be documented in their files. The facility must actively implement the use of the tangible supervision system for at least a period of 4 months, following approval.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During complaint investigation conducted 6/16/2022, eight children (youngest being preschool age) were left unattended during naptime while Staff #1 left the room and walked into a back room to retrieve files. The children were not able to be seen from the back room. An acceptable plan of correction was received on 7/11/2022 with a correction date of 6/17/2022. When certification representative returned for unannounced monitoring on 8/4/2022, a ratio and supervision check was conducted. There were 11 children in the building. Staff #1 identified 5 young school-age children in her primary group. Staff #2 identified 3 older toddlers in her primary group, and Staff #3 identified 1 infant in her primary group. Rep brought to staff's attention that two children were unaccounted for. Staff #2 then stated that the other two older toddlers in the room were not assigned to her. Staff #1 then stated that they are assigned to her. Staff #1 explained that the two children that were unaccounted for during ratio and supervision check just came in. Staff #1 informed Staff #2 that the two children were now assigned to her. Staff #2 then acknowledged that these children were now in her group. After that, Staff #2 was able to name her primary group with 5 older toddlers.

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. 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: 3270.151(a)

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

Noncompliance Area: On unannounced monitoring conducted 8/4/2022, Staff #3 did not have a health assessment on file at initial service (see LIS code sheet for start date).

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. For a period of four (4) months, the legal entity must send a complete file, including the hiring checklist, to the Northeast Regional Office for all new hires. New hires may not begin to work in childcare until the file has been approved by the Northeast Regional Office.

Regulation: 3270.151(a)

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

Noncompliance Area: On unannounced monitoring conducted 8/4/2022, Staff #3 did not have a health assessment on file at initial service (see LIS code sheet for start date).

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. The legal entity/director must register for and attend Existing Provider Orientation with the Northeast Regional Office on 11/30/2022.

Regulation: 3270.151(a)

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

Noncompliance Area: On unannounced monitoring conducted 8/4/2022, Staff #3 did not have a health assessment on file at initial service (see LIS code sheet for start date).

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On unannounced monitoring conducted 8/4/2022, record for Staff #3 only included one written, nonfamily reference.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On unannounced monitoring conducted 8/4/2022, record for Staff #3 only included one written, nonfamily reference.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The legal entity must develop a hiring checklist which includes the new employee's hire date, beginning and ending dates of provisional hire period, and timeframe for due dates. The hiring checklist must be submitted to the Northeast Regional Office for approval. Once approved, the director will use the hiring checklist whenever a new staff is hired.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During complaint investigation conducted 6/16/2022, eight children (youngest being preschool age) were left unattended during naptime while Staff #1 left the room and walked into a back room to retrieve files. The children were not able to be seen from the front door.

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: On unannounced monitoring conducted 6/16/2022, agreement for Child #1 was not signed by the operator.

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

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: On unannounced monitoring conducted 6/16/2022, emergency contact information for Child #1 did not include health insurance policy number or physician's telephone number and address.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On unannounced monitoring conducted 6/16/2022, Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: CCDBG Health and Safety professional development.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: On unannounced monitoring conducted 6/28/2022, record for Staff #3 did not include acceptable verification of experience.

Correction Required: 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: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: On unannounced monitoring conducted 6/28/2022, record for Staff #3 did not include acceptable verification of experience.

Correction Required: 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. Legal entity will create a hiring checklist and submit to Northeast Regional Office for approval. Once approved, the director will use the hiring checklist whenever a new staff is hired.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On unannounced monitoring conducted 6/16/2022-6/28/2022, facility did not have documentation that Staff #2 and Staff #3 have received training regarding the emergency plan. Both staff members have worked at the facility for more than one week.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On unannounced monitoring conducted 6/16/2022-6/28/2022, records for Staff #2 and Staff #3 did not include a copy of a signed disclosure statement.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On unannounced monitoring conducted 6/16/2022, last documented fire drill was conducted 3/15/2022, which is past 60 days.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On unannounced monitoring conducted 4/26/2022, two young toddlers were observed to be sleeping in unlabeled pack-n-plays.

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(j)/3270.119

Description: Prohibit items in crib/Infant sleep position

Noncompliance Area: On unannounced monitoring conducted 4/26/2022, an infant who staff identified as being 5 months old was observed to be sleeping in an infant seat. Two infants were observed to be sleeping with toys in their cribs.

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

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: On unannounced monitoring completed on 4/26/2022, facility did not have Emergency Contact forms for Child #6, Child #7, or Child #8.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: On 1.26.22 an unannounced inspection was conducted. Inspector observed a staff give 3 young toddlers snack without washing their hands. Staff did not wash their hands either. An acceptable plan of correction was received on 3/15/2022 with a correction date of 2/25/2022. When certification representative returned for verification visit on 4/26/2022, Staff #2 was observed to give 3 young toddlers lunch without washing their hands. Staff #2 washed their hands after being reminded by representative.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.151(c)(2)(ii)

Description: Record include X-ray results and evaluation

Noncompliance Area: On 5/2/2022, provider sent certification representative proof of health assessment for Staff #3. Health assessment indicates a positive TB test. Provider did not provide documentation of results of a chest x-ray and evaluation for chemoprophylaxis.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: On renewal inspection conducted on 2/24/2022, record for Staff #2 contained a visit summary on file in place of health assessment that does not contain results of a communicable disease exam or physician's assessment of suitability to provide childcare. An acceptable plan of correction was received on 3/14/2022 with a correction date of 3/14/2022. When certification representative returned for unannounced monitoring on 4/26/2022, record for Staff #2 did not contain results of a communicable disease exam or physician's assessment of suitability to provide childcare.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: On renewal inspection conducted on 2/24/2022, record for Staff #3, Staff #4, Staff #5, and Staff #6 did not include verification of child care experience, education and training prior to service at the facility. Record for Staff #2 did not include verification of education. An acceptable plan of correction was received on 3/14/2022 with a correction date of 4/30/2022. Certification representative asked operator to send this information in no later than end of day on 5/4/2022. According to provider, Staff #4 and Staff #5 no longer work at the facility. As of 5/5/2022, Rep has not received proper verification of experience for Staff #3 and Staff #6.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: On renewal inspection conducted on 2/24/2022, records for Staff #3, Staff #4, Staff #5, and Staff #6 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. An acceptable plan of correction was received on 3/14/2022 with a correction date of 3/31/2022. Operator was asked to send information no later than end of day on 5/4/2022. As of 5/5/2022, operator reports that Staff #4 and Staff #5 no longer work at the facility. Rep has not received two written, nonfamily references for Staff #3.

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: 3270.24(a)

Description: Immediate access

Noncompliance Area: On unannounced monitoring conducted 4/26/2022, Staff #2 did not have access to staff or children's files.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records

Regulation: 3270.31(e)(4)(i)/3270.33(d)

Description: Age and Training/General requirements for facility persons

Noncompliance Area: On renewal inspection completed on 2/24/2022, Staff #1 and Staff #2 completed online portion of pediatric first-aid and CPR training. This does not result in a certified status. All staff are scheduled to receive in-person pediatric first-aid and CPR training on 3/5/2022. An acceptable plan of correction was received on 3/14/2022 with a correction date of 3/5/2022. When certification representative returned for unannounced monitoring on 4/26/2022, Staff #2 reports that she did not receive pediatric first-aid and CPR training.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care. Staff #2 must be supervised by at least an AGS who has completed pediatric first-aid/CPR training.

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

Description: Fire safety - 1 yr.

Noncompliance Area: On renewal inspection conducted on 2/24/2022, last documented annual fire safety training completed by Staff #1 and Staff #2 was 5/7/2020. All staff are scheduled to be trained in fire safety on 3/5/2022. An acceptable plan of correction was submitted on 3/14/2022 with a correction date of 3/5/2022. When certification representative returned for unannounced monitoring on 4/26/2022, Staff #2 reports that she did not receive fire safety training.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: On renewal inspection conducted on 2/24/2022, written evaluations for Staff #2 were not on file. Staff #2 has been employed at the facility for several years. An acceptable plan of correction was received on 3/14/2022 with a correction date of 3/31/2022. When certification representative returned for unannounced monitoring on 4/26/2022, rep was not given access to staff files. Operator was asked to send information no later than end of day on 5/4/2022. As of 5/5/2022, written evaluation for Staff #2 was not provided.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: At time of complaint investigation on 1.26.22, inspector observed 2 staff with 2 infants, 3 young toddlers and 6 preschoolers. An acceptable plan of correction was received on 3/15/2022 with a correction date of 3/15/2022. When certification representative returned for unannounced verification visit on 4/26/2022, Staff #2 was assigned to 5 children: 3 infants and 2 younger toddlers. Staff #7 was assigned to a total of 6 children: 3 preschool-aged children and 3 older toddlers.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: At time of complaint investigation on 1.26.22, inspector observed 2 staff with 2 infants, 3 young toddlers and 6 preschoolers. An acceptable plan of correction was received on 3/15/2022 with a correction date of 3/15/2022. When certification representative returned for unannounced verification visit on 4/26/2022, Staff #2 was assigned to 5 children: 3 infants and 2 younger toddlers. Staff #7 was assigned to a total of 6 children: 3 preschool-aged children and 3 older toddlers.

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). The operator must submit to the NE Regional Office a schedule of staffing and anticipated attendance for the entire week for all children who will be attending the facility the following week. The schedule must include the child, age group and staff to which the child is assigned. The schedule must be submitted to the NE Regional office by the close of business on Friday prior to the week of attendance for the period from the date the office receives acceptable plans of correction until July 1, 2022.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At time of complaint investigation on 1.26.22, inspector observed 2 staff with 2 infants, 3 young toddlers and 6 preschoolers. An acceptable plan of correction was received on 3/15/2022 with a correction date of 3/15/2022. When certification representative returned for unannounced verification visit on 4/26/2022, Staff #2 was assigned to 5 children: 3 infants and 2 younger toddlers. Staff #7 was assigned to a total of 6 children: 3 preschool-aged children and 3 older toddlers.

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). The legal entity must arrange for all staff to receive a minimum of 3 hours of PQAS approved, live training regarding supervision of children and staff:child ratios. It does not matter if the PQAS approved, live training is done through the ELRC. The legal entity must receive DHS approval of training content prior to scheduling the training. The training may not be conducted while children are in care.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: On unannounced monitoring conducted 4/26/2022, a toy vanity was observed in front of the doors labeled exit located to the far left wall in the facility. Additionally, a toy seesaw was observed in front of the doors labeled exit located in the back of the facility in play space.

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: On unannounced monitoring completed 4/26/2022, fire detection testing log indicated that last testing date was 3/21/2022, which is past 30 days.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On renewal inspection conducted on 2/24/2022, the following staff had incomplete clearance information on file: Staff #1: PSP clearance request 6/4/2020, Child Abuse clearance 2/16/21, FBI clearance 7/21/2020, NSOR 2/21/2020, Disclosure statement 1/28/2022. Incomplete PSP clearance. Staff #3: PSP clearance request 9/30/2018, Child Abuse clearance 10/4/2018, FBI clearance 10/16/2018, NSOR request 2/3/32022, Disclosure statement 1/28/2022. Incomplete PSP clearance. Staff #5: PSP clearance 2/16/2022, Child Abuse clearance 2/17/2022, FBI clearance 2/22/2022, NSOR request 2/23/2022, Disclosure statement 2/23/2022. Incomplete NSOR clearance. Staff #6: PSP clearance 1/31/2022, Child Abuse clearance 2/9/2022, FBI clearance 2/4/2022, NSOR request 2/24/2022, Disclosure statement 2/3/2022. NSOR requested after beginning work. An acceptable plan was received with correction date of 2/24/2022. On unannounced monitoring completed 4/12/2022, Staff #1 obtained PSP clearance. Staff #3 obtained PSP clearance; however, NSOR clearance was not on file and the 45-day provisional period has expired. Operator reports that Staff #5 is no longer working at the childcare facility. Staff #6 obtained NSOR clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) clearance effective 9/20/2019. Act 12 went into effect on 2/17/2022 and requires all provisional hires to have a complete NSOR clearance certification on file to begin work in child care. Staff #3 may not work in a child care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On renewal inspection conducted on 2/24/2022, a circular, vinyl toy in the back play area was observed to have a rip with exposed foam.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.102(g)

Description: Hazardous toys and equipment

Noncompliance Area: On renewal inspection conducted on 2/24/2022, infant cribs with a manufacture date of 2006 and 2008 were present and being used. Current crib safety standards were updated in 2011. Operator does not have manufacturer documentation that cribs meet current safety standards.

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: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: On renewal inspection conducted on 2/24/2022, agreement for Child #5 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.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: On renewal inspection conducted on 2/24/2022, agreement for Child #3 did not specify the child's arrival and departure times.

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

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

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

Noncompliance Area: On renewal inspection conducted on 2/24/2022, record for Child #3 did not contain signed parental consent for emergency medical care for the child.

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.