Madrasatun Noor Childcare And Learning Institute

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: During the unannounced inspection conducted 12/26/25, the health assessment reviewed for child #1 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. (Continued noncompliance from the renewal inspection conducted 11/17/25).

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection conducted 11/17/25, the agreement reviewed for child #2 and #4 did not include the services to be provided to the family and the child.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection conducted 11/17/25, the agreement reviewed for child #3 did not specify the persons designated by a parent to whom the child may be released.

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

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

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

Noncompliance Area: During the renewal inspection conducted 11/17/25, the emergency contact reviewed for child #1, #2 and #5 did not include the written consent signed by a parent 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)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection conducted 11/17/25, the emergency contact reviewed for child #5 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

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

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection conducted 11/17/25, the health assessment reviewed for child #3 did not include a review of the child's immunized status.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: During the renewal inspection conducted 11/17/25, the health assessment reviewed for child #5 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection conducted 11/17/25, upon request there was no prevention and identification of child maltreatment policy available for review.

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: During the renewal inspection conducted 11/17/25, the record reviewed for staff person #2 did not include an initial health assessment including the results of initial and subsequent tuberculin skin tests. The health assessment reviewed for staff person #4 was not updated within a 24month period. Last dated 9/7/22.

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

Regulation: 3270.182(5)

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

Noncompliance Area: During the renewal inspection conducted 11/17/25, the emergency contact reviewed for child #1, #2 and #5 did not include the 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection conducted 11/17/25, the emergency plan training reviewed for staff person #1, #3 and #4 was not annually updated. Staff #1 and #3 last dated 9/3/24 and staff #4, 3/8/23.

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)

Description: Age and Training

Noncompliance Area: During the renewal inspection conducted 11/17/25, upon request there was no verification available for review to verify staff person #4 completed an annual minimum of 12 clock hours of childcare training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection conducted 11/17/25, the fire safety training reviewed for staff person #1 and #4 was not updated on an annual basis. Last dated 1/26/24 and 5/17/22. There was no verification available for review to verify staff #3 completed fire safety training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection conducted 11/17/25, the file reviewed for facility person #2 (see code sheet for hire date) did not contain a completed child abuse clearance, DHS FBI clearance, state police clearance or NSOR verification and was observed working with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 -- may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection conducted 11/17/25, upon request there was no verification available for review to verify staff person #3 and #4 receives a minimum of one evaluation every 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: 3270.37(b)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection conducted 11/17/25, the record reviewed for staff person #2 did not include verification of childcare experience or education.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of childcare experience, education and training prior to service at the facility.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the renewal inspection conducted 11/17/25, there were no handwashing signs observed over each toilet, training chair, diapering area and sink in the facility with the regulatory language, A facility person and an able child shall wash his hands after toileting and before eating.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the renewal inspection conducted 12/2/24, upon request there was no verification available for review to verify that the facility notified their 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 childcare facility.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection conducted 12/2/24, the agreement reviewed for child #1 and #2 was not updated within a 6-month period. Both dated 9/18/23.

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)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection conducted 12/2/24, upon request there was no emergency drill log available for review to verify the facility conducts annual emergency drills.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection conducted 12/2/24, upon request there was no verification available for review to verify the facility sent their emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection conducted 12/2/24, upon request there was no annual evaluation available for review to verify staff #1 received a minimum of one evaluation every 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: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection conducted 12/2/24, water stains were observed on the ceiling tile in the front main childcare space and bathroom.

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: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During the renewal inspection conducted 12/2/24, there were no evacuation routes posted in a conspicuous location on each floor of the facility.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the allocated unannounced inspection conducted on August 12, 2024, the health assessment reviewed for staff person #1 was not updated within a 24month period. (Last dated 6/1/22).

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the allocated unannounced inspection conducted on August 12, 2024, there was no evidence verifying that staff person #2 obtained updated annual 12 hours of childcare training. (Last trainings reviewed were obtained in May of 2022).

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

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

Description: Age and Training

Noncompliance Area: During the allocated unannounced inspection conducted on August 12, 2024, the pediatric first aid and CPR reviewed for staff person #2 was expired. (Last dated 5/25/22). Per the Certification reviewed the Certificate expires in two years.

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: During the allocated unannounced inspection conducted on August 12, 2024, there was no evidence presented verifying that staff person #2 completed fire safety training.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the allocated unannounced inspection conducted on August 12, 2024, there was no evidence presented verifying that staff person #2 received an evaluation within a 12-month period. (See code sheet for hire date).

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the allocated unannounced inspection conducted on August 12, 2024, the outdoor play space was observed with high grass and weeds.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During the allocated unannounced inspection conducted on August 12, 2024, the exit leading into the outdoor play space was observed obstructed by trash and aluminum food pans.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: During renewal inspection on Monday, 01/29/24, cert rep observed medication at the facility, for a child, failed to include a medication log.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: In review of emergency plan and health and safety documents, facility's emergency plan failed to include statement regarding continuity of operations and policy addressing shaken baby syndrome, abusive head trauma and child maltreatment, failed to address prevention and identification of child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: In review of staff files, staff person 4 file failed to include an initial health report that was completed within 12 months of hire. Health assessment included in file was last completed on 02/09/21.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: In review of emergency plan documents, facility failed to have verification that a copy of plan was sent to the local municipality and the county's emergency management agency.

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

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

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

Noncompliance Area: In review of fire safety documents, staff person 1and 2 failed to have completed annual fire safety training. Last documented training was completed on 05/17/22.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: In review of staff files, staff person 2 file failed to include current PA state police clearance. File only contained request for PA state police 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. Facility Person # 2 may not work in a child care position at the facility.

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

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

Noncompliance Area: In review of staff files, staff person 3 file failed to have verification of 2 years (2500 hours) working 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: 3270.123(a)

Description: Signed

Noncompliance Area: On 2/7/23, at time of renewal inspection, Child #1 file did not contain an Agreement form. Child #2 and Child #3 Agreement was not signed by the Operator.

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

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

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

Noncompliance Area: On 2/7/23, at time of renewal inspection, Child #2 Agreement form did not specify persons designated by the parent to whom Child #2 may be released. Additionally, Child #3 Emergency Contact form did not include the addresses of designated release persons.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 2/7/23, at the time of renewal inspection, Child #1, #2, #3 and #5 file did not contain health insurance coverage and policy number information.

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: 3270.131(a)/3270.131(d)(5)

Description: Health information/Immunization record

Noncompliance Area: On 2/7/23, at time of renewal inspection, Child #1 and #5 have been enrolled at the facility for more than 60 days. Child #1 and Child #5 files did not contain initial health report including immunization records.

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 health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: On 2/7/23, at time of renewal inspection, Child #4 immunization record did not include annual influenza vaccine as required by ACIP.

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

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: On 2/7/23, at time of renewal inspection, Staff #2 and Staff #3 file did not contain the one hour Health & Safety Training Update required by OCDEL.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 2/7/23, at time of renewal inspection, Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter Training and Pediatric First Aid/CPR.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 2/7/23, at time of renewal inspection, the facility did not have a Shaken Baby/Head Trauma/Maltreatment Policy as required by OCDEL.

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: 3270.18(a)

Description: On file at facility

Noncompliance Area: On 2/7/23, at time of renewal inspection, the facility's general liability insurance coverage on file had an expiration date of 11/2022.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.181(c)/3270.181(d)

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

Noncompliance Area: On 2/7/23, at time of renewal inspection, Child 3 emergency contact information was not updated at least once in a 6-month period (the last update was dated 5/31/22). Additionally, Child#1 emergency contact information was not signed by the parent. Child #5 Agreement was not dated by the parent.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3270.182(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: On 2/7/23, at time of renewal inspection, Child #4 emergency contact information did not contain signed parental consent for emergency medical care and administration of minor first aid by the facility.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: On 2/7/23, at time of renewal inspection, Staff #1 file did not contain two written letters of reference. (The file contained one letter of 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: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: On 2/7/23, at time of renewal inspection, the facility's emergency plan did not provide accommodations for infants, toddlers, children with disabilities and 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: On 2/7/23, at the time of renewal inspection, documentation of an annual emergency drill was not on file at the facility.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: On 2/7/23, at time of renewal inspection, the facility's emergency plan was not updated at least annually.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: On 2/7/23, at time of renewal inspection, Staff #2 and Staff #3 file did not contain an annual minimum of 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 2/7/23, at time of renewal inspection, Staff #1 file did not contain a complete PA Criminal clearance. Staff #1 was observed working unsupervised in the PS classroom.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1-- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Regulation: 3270.76/3270.102(e)

Description: Building Surfaces/Infant/toddler - no material less than 1 inch

Noncompliance Area: On 2/7/23, at the time of renewal inspection, the facility's outdoor play space contained hazards such as broken plastic/glass, debris, stones. The stones and broken shards of plastic/glass were less than 1 inch diameter. ,

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. Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file of Staff 1 did not include a valid health assessment. This is continued non-compliance.

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

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During the renewal inspection the file of Staff 1 did not include the results of tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. This is continued non-compliance.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file of Staff 1 did not include an annual written evaluation by the Director. This is continued non-compliance.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the renewal inspection the files of Staff 1 and Staff 3 did not include a valid 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: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During the renewal inspection the file of Staff 1 and Staff 2 did not include the results of tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection the files of Staff 1, Staff 2, and Staff 3 did not include 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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection, the facility files did not include documentation of annual emergency plan training for Staff 2.

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)/3270.192(2)(iii)

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

Noncompliance Area: During the renewal inspection the files of Staff 1, Staff 2 and Staff 3 did not include verification of annual firesafety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

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

Noncompliance Area: During the renewal inspection the files of Staff 2 and Staff 3 did not include verification of 12 clock hours of annual child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection the file of Staff 1 and Staff 3 did not include valid Child Abuse, PA State Police or DHS FBI clearances required by the Child Protective Services Law (CPSL). The file of Staff 2 did not include a valid PA State Police Clearance required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person 1, 2, & 3 may not work in a child care position at the facility.

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

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

Noncompliance Area: During the renewal inspection the files of Staff 1, Staff 2 and Staff 3 did not include verification of education to meet the qualifications for the position in which the person is performing.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection, the file of Staff 1 did not include an annual written evaluation.

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

Noncompliance Area: DURING THE MONITORING INSPECTION THE FILE OF STAFF 1 (HIRED 12/4/19) DID NOT INCLUDE A COMPLETED NATIONAL SEX OFFENDERS REGISTRY VERIFICATION LETTER.

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 1 may not work in a child care position at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WAS TORN PLASTIC COVERING THE DIAPER CHANGING PAD WHICH WAS ACCESSIBLE TO CHILDREN. THERE WAS ALSO PLASTIC BAGS ON THE SHELVES UNDER THE CHANGING TABLE AND IN CHILD CUBBIES.

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. 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.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE MENU WAS POSTED ON A WHITE BOARD FOR THE CURRENT DAY ONLY AND WAS NOT PROVIDED TO EACH FAMILY AT LEAST 1 WEEK IN ADVANCE.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF STAFF 1 DID NOT INCLUDE TWO WRITTEN, NONFAMILY REFERENCES ATTESTING TO SUITABILITY 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: DURING THE RENEWAL INSPECTION THE FILE OF STAFF 3 (HIRED 5/29/17) AND STAFF 4 (HIRED 9/18/17) DID NOT INCLUDE VERIFICATION OF 6 HOURS OF ANNUAL CHILD CARE TRAINING.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF STAFF 2 (HIRED 12/4/19) DID NOT INCLUDE A COMPLETED NATIONAL SEX OFFENDERS REGISTRY VERIFICATION LETTER.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WAS NO DOCUMENTATION OF A WRITTEN 12 MONTH EVALUATION FOR STAFF 3 (HIRED 5/29/17) AND STAFF 4 (HIRED 9/18/17).

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE CARPET ON THE STAIRS LEADING TO THE REAR ROOM WAS SOILED.

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.

Noncompliance Area: In review of staff files, staff failed to have the required six hours of annual training contained in file at the time of the renewal inspection on Wednesday, 10/03/18.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: In review of staff files, staff person 1, whom is assistant group supervisor, file failed to contain documents that foreign degree was evaluated.

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 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/16/17, WHILE REVIEWING CHILDREN'S FILE, CHILD # 4 WHOSE ENROLLMENT DATE 6.12.17, DID NOT HAVE A CHILD HEALTH REPORT IN FILE

Correction Required: A health report shall include a review of the child`s health history.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/16/17, WHILE REVIEWING STAFF FILES, STAFF # 2 DID NOT HAVE A RAP SHEET ATTACHED TO THE FBI

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person`s record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: DURING INTIAL INSPECTION ON 5/19/17, FACILITY OWNERS EMERGENCY PLAN DID NOT PROVIDE A METHOD OF CONTACTING PARENTS WHEN THE EMERGENCY ARISE AND WHEN THE EMERGENCY ENDED

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Prior to the issuance of the Certificate of Compliance.

Noncompliance Area: DURING INTIAL INSPECTION ON 5/19/17, FACILITY OWNERS HANDWASHING SIGNS POSTED WERE INCORRECT.

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