Marys Day Care Center Llc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted on 12/1/2025. At that time, vinyl was ripped on a children's chair in the Toddlers area.

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: 3270.123(a)(2)/3270.123(a)(5)

Description: Date fee to be paid/Designated release persons

Noncompliance Area: A renewal inspection was conducted on 12/1/2025. At that time, a sample of children's files were reviewed. The following information was missing from children's fee agreements: Child #2: Date on which the fee is to be paid. Child #3: Date on which the fee is to be paid. Release person(s).

Correction Required: An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection was conducted on 12/1/2025. At that time, a sample of children's files were reviewed. The following information was missing from children's emergency contact forms: Child #3: Name, address, and telephone number of child's physician or medical provider. Child #5: Address of child's physician or medical provider.

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

Regulation: 3270.124(b)(3)/3270.124(b)(7)

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

Noncompliance Area: A renewal inspection was conducted on 12/1/2025. At that time, a sample of children's files were reviewed. The following information was missing from children's emergency contact forms: Child #1: Both parents' work address and work telephone number. Release person's address. Child #2: Release person's address. Child #3: Both parents' work address and work telephone number. Release persons' addresses. Child #4: Both parents' work address and work telephone number. Release persons' addresses. Child #5: Mother's work address and work telephone number. Release person's 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: A renewal inspection was conducted on 12/1/2025. At that time, emergency contact information for children in the Toddler area, which is within Room 1, was being stored in Room 2 which is separate measured space.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: A renewal inspection was conducted on 12/1/2025. At that time, a sample of children's files were reviewed. Health assessments on file for child #5 were dated 4/9/2024 and 5/6/2025, which is past 12 months. Child #5 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: A renewal inspection was conducted on 12/1/2025. At that time, a sample of children's files were reviewed. Immunization summary on file for child #1 indicates that child has received 2 of 3 doses of the DTaP vaccine. Child #1 is an infant (see LIS code sheet for date of birth). There is no exemption on file. Immunization summary on file for child #3 indicates that child has received 1 of 2 doses of the Hep A vaccine. The first dose was administered on 11/25/2024. Child #3 is an older toddler (see LIS code sheet for date of birth). 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 #1 and child #3 must be dismissed from care by close of business 12/1/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted on 12/1/2025. At that time, facility's emergency plan does 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. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted on 12/1/2025. At that time, the facility's policy regarding the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not include a section addressing the identification and prevention 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. Beginning April 29, 2022, all child care facilities must have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment. Beginning April 29, 2022, all child care facilities must have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: A renewal inspection was conducted on 12/1/2025. At that time, emergency plan letter given to parents at enrollment does not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises or 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.

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.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: A renewal inspection was conducted on 12/1/2025. At that time, emergency plan letter given to parents at enrollment does not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: A renewal inspection was conducted on 12/1/2025. At that time, staff files were reviewed. File for staff person #1 contained emergency plan training certificates dated 4/19/2024 and 5/19/2025, which is past one year.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: A renewal inspection was conducted on 12/1/2025. At that time, staff files were reviewed. Staff person #1 received 5.5 hours of annual child care training for training year 7/5/2024-7/5/2025.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #1 must take 6.5 hours of professional development to fulfill requirement for training year 7/5/2024-7/5/2025. Hours used to fulfill training year 7/5/2024-7/5/2025 may not be used to fulfill current training year.

Regulation: 3270.111(c)/3270.112

Description: Promote development/Infant/Toddler Stimulation

Noncompliance Area: Complaint investigation was conducted on 12/1/2025. At that time, minimal interaction between staff members and children was observed during investigation. Staff were not observed to be talking or playing with children in the toddler, preschool, and young school-age areas.

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. Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried. TIERED LIS: 1. 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. Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all staff members to complete the Better Kid Care trainings entitled "Interactions Matter: Positive Teacher-Child Interaction Strategies" and "Infant-Toddler Care: Emotional and Social Development". If either of these courses have already been completed, a suitable course can be substituted with DHS approval prior to completion. The operator shall provide a correction date for when the trainings will be completed.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During allocated unannounced monitoring conducted on 6/17/2025, staff #8 has not completed the required one-hour 2022 update to the health and safety training by 12/30/2022 (see LIS code sheet for hire date).

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. Staff #8 shall complete PA Required Health and Safety for Centers-Group Child Care Part 1 AND PA Required Health and Safety for Centers-Group Child Care Part 2

Regulation: 3270.151(a)

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

Noncompliance Area: During allocated unannounced monitoring conducted on 6/17/2025, most recent health assessment on file for staff person #1 is dated 1/10/2023, which is over 24 months ago.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During allocated unannounced monitoring conducted on 6/18/2025, the following clearances/trainings were not obtained within 60 months: Staff #2: Most recent NSOR clearance on file is dated 4/20/2020, which is past 60 months. Staff #3: Most recent NSOR clearance on file is dated 4/20/2020 and most recent mandated reporter training on file is dated 1/24/2020, which is past 60 months. Staff #4: No NSOR clearance on file (see LIS code sheet for start date). Staff #5: Most recent PSP clearance on file is dated 2/21/2020, most recent FBI clearance on file is dated 2/27/2020, and most recent NSOR clearance on file is dated 4/24/2020. All dates are past 60 months. Staff #6: Most recent NSOR clearance on file is dated 4/20/2020, which is past 60 months. Staff #7: Most recent NSOR clearance on file is dated 4/20/2020 and most recent mandated reporter training certificate on file is dated 1/21/2020, which is past 60 months. Staff #8: Has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #2, staff #3, staff #4, staff #5, staff #6, and staff #7 may not work in a child care position at the facility until updated clearances are on file. Until such time as the required training has been completed, staff #8 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 #8-, staff #8 may not work in a child-care position at the facility.

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During allocated unannounced monitoring conducted on 6/17/2025, evacuation routes were not posted in Room 3 which is located on the second floor, or Room 4 which is located on the third floor.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During renewal inspection conducted 12/3/2024, a young toddler was observed to be sleeping in an unlabeled pack-n-play.

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: 3270.123(a)(1)/3270.123(a)(5)

Description: Amount of fee/Designated release persons

Noncompliance Area: During renewal inspection conducted 12/3/2024, the following information was missing from children's fee agreements: Child #1: Release person(s). Child #3: Day payment is to be made. Child #4: Day payment is to be made.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During renewal inspection conducted 12/3/2024, the following information was missing from children's emergency contact forms: Child #1: Name, address, and telephone number of child's doctor.

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

Regulation: 3270.124(b)(3)/3270.124(b)(7)

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

Noncompliance Area: During renewal inspection conducted 12/3/2024, the following information was missing from children's emergency contact forms: Child #1: Mother's home address. Both mother's and father's work information (addresses and telephone numbers). Child #2: Mother's work information (address and telephone number). Child #3: Both mother's and father's work information (addresses and telephone numbers). Child #4: Both mother's and father's work information (addresses and telephone numbers). Release person's 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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During renewal inspection conducted 12/3/2024, emergency transportation plan was not posted in Room 4.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: During renewal inspection conducted 12/3/2024, last health assessment on file for child #4 is dated 11/13/2023, which is past 12 months. Child #4 is preschool-aged (see LIS code sheet for date of birth).

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During renewal inspection conducted 12/3/2024, unlabeled bottles were observed in Room 2. Staff explained that bottles are placed into children's individual cubbies.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During renewal inspection conducted 12/3/2024, file for staff person #2 contained pediatric first-aid/CPR training certificate dated 12/12/2023 and CCDBG Health and Safety training certificate dated 12/11/2023. Both of the aforementioned training certificates were obtained after employee reached their 90 days (see LIS code sheet for start date).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection conducted 12/3/2024, staff person #1's file contained PSP clearance request dated 6/26/2023, which is not an acceptable clearance. File for staff person #2 contained mandated reporter training certificate dated 10/20/2023, which was obtained after employee reached their 90 days (see LIS code sheet for start date).

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

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 12/3/2024, facility's fire detection testing log reflected that smoke alarms were tested past 30 days on the following occasions: 2/16/2024-3/18/2024, 7/12/2024-8/15/2024, 10/11/2024-11/13/2024.

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: 3270.114

Description: Outdoor Activity

Noncompliance Area: During the renewal inspection on 12/20/23, the children were not taken outdoors, and weather conditions were favorable.

Correction Required: Weather permitting, children shall be taken out doors daily.

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: As of the renewal inspection on 12/20/23, the fee agreement for child #2 did not include the fee amount or the date the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: As of the renewal inspection on 12/20/23, the fee agreement for child #2 did not include 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: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: As of the renewal inspection on 12/20/23, there was no documentation of influenza vaccine for child #1, and the most recent influenza vaccine for child #2 was dated 11/11/20. There were no exemption letters on file for either child. Child #1 and #2 must be removed from care until proper documentation is on file.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 12/20/23, staff #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: Health and Safety training. Additionally, staff #2 had not completed the required 1 hour update to the health and safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the renewal inspection on 12/20/23, there was no continuity of operations plan as required by 45 CFR 98.41(a)(1)(vii).

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

Regulation: 3270.171(b)

Description: Safe pick-up and drop-off in writing

Noncompliance Area: As of the renewal inspection on 12/20/23, safe pedestrian crossways and pick up and drop off points had not been communicated to the children and parents in writing.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing.

Regulation: 3270.182(7)

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

Noncompliance Area: As of the renewal inspection on 12/20/23, a copy of incident reports was not being retained in the child's file.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: As of the renewal inspection on 12/20/23, the letter to the parents regarding the emergency procedures did not include information about lockdown, or accommodations for infants, toddlers, children with special needs or chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the renewal inspection on 12/20/23, staff #1, an Aide, was alone with children.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 12/20/23, a broken shade umbrella was in the outdoor play space.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the renewal inspection on 12/20/23, there was no handwashing sign at the sink in the back of the toddler space.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: As of the renewal inspection on 12/20/23, the fire alarm was tested on 7/14/23 and then again on 8/25/23, a gap of more than 30 days.

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

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: As of the renewal inspection on 12/21/22, the fee agreements of child #1, #2, #3, and #5 did not specify the amount of the fee to be charged and the date the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: As of the renewal inspection on 12/21/22, the fee 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)(2)

Description: Physician name, address, phone

Noncompliance Area: As of the renewal inspection on 12/21/22, the emergency contact information for child #1, #2, #4 and #5 did not include the name, address and telephone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: As of the renewal inspection on 12/21/22, the emergency contact information for child #4 did not include health insurance coverage.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the renewal inspection on 12/21/22, the facility did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required by 45 CFR 98.41(a)(1)(vi).

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: As of the renewal inspection on 12/21/22, the operator had not notified 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.

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: 3270.193(a)

Description: Confidential; stored in locked cabinet

Noncompliance Area: As of the renewal inspection on 12/21/22, the staff records were not stored in a locked cabinet.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: As of the renewal inspection on 12/21/22, the facility had not provided 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.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: On 1/11/22 during the renewal inspection, the emergency contact information and fee agreement for child #2 was last updated and signed 6/10/21, more than 6 months ago.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: On 1/11/22 during the renewal inspection, there was no documentation of influenza vaccine for child #1. The most recent influenza for child #2 was dated 1/7/20. The most recent influenza vaccine for child #3 was dated 10/7/19. There were no exemption letters on file for child #1, #2, and #3.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: On 1/11/22 during the renewal inspection, the emergency plan did not include accommodations for infants and toddlers.

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(f)

Description: Emergency plan

Noncompliance Area: On 1/11/22 during the renewal inspection, the emergency plan had not been sent to the county and city.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 1/11/22 during the renewal inspection, Staff #1 and Staff #2 had the required CPSL training more than 5 years ago.

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.