Meadville Childrens Center

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on statements made by staff, on a recurring basis multiple staff have been observed using cell phones, for personal use, in a manner that prevented them from appropriately supervising the children in their care.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: Based on statements made by staff and investigation findings, staff #1 has been observed roughly handling infants in their care including pulling child #1 by one arm to guide their movement, quickly placing a child into an activity seat, and abruptly removing children from the arms of other staff or parents without providing proper support to the child.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Based on statements made by staff, in early May 2026, a child found a vape device on the playground and brought the device to staff #2.

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: 3270.68(a)

Description: No smoking areas

Noncompliance Area: Based on statements made by staff, staff #1 has been observed smoking in the presence of children using a vape device on two occasions over the past few months. Once instance occurred in the restroom and the other in the older toddler room.

Correction Required: Cigarettes, pipes or cigars may not be smoked in a child care space, a play space or a food preparation area when children are in care or when food is being prepared.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During the renewal inspection, the CR was informed by the Allegheny College Public Safety office that the fire detection system was not functioning; there was an issue with the panel. The officer informed the CR that they discovered this on 1.7.26 when they planned a fire drill. The childcare facility was not made aware that the fire detection system was not functioning.

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(e)

Description: Restraints prohibited

Noncompliance Area: According to staff statements, on separate occasions, Staff #1 and Staff #2 each restrained Child #1 when Child #1 was acting out aggressively toward others.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a plastic storage bin holding butterfly connecting toys in the Racoon room that was cracked, causing a potential pinch point.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: The Bear and Duck rooms each had an unlatched cabinet that contained a container of "rainbow pebbles", meant for fish tanks, that were smaller than 1" in diameter and were accessible to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: There was no written daily activity schedule posted in the Racoon room.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement on file for Child #1 does not include the amount of the fee to be paid by the parent/guardian.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement on file for Child #9 does not include the child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #5, #6, and #8 does not include the complete address and/or telephone number for the child's pediatrician/source for 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)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #8 does not include the work address and telephone number for the enrolling parent's place of employment

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The current emergency contact form on file for Child #1 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #8 does not include the policy number for the medical insurance policy.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #3, #4, and #9 does not include a complete address for all listed release persons.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment on file for Child #2, with an enrollment date of 6.25.24, is dated 9.19.24, more than 60 days after enrollment. The file for Child #7, with an enrollment date of 12/16/24, which is more than 60 days ago, does not include an initial health report.

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

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

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The most recent health assessment on file for Child #2, who was a young toddler, is dated 9.19.24, more than 6 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #2, who is 2 years old, included 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

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: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The current health assessment on file for Child #3, dated 6.26.25, does not indicate if the child is free from contagious disease and is able to participate in childcare. The current health assessment on file for Child #7, does not indicate if the child is free from contagious disease and is able to participate in childcare.

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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: There was a bottle of Tylenol in the Duck room that was labeled for multiple children, siblings, therefore is not labeled for use of a specific child. There was Calamine lotion in the medicine box in the Racoon room that was not labeled for use by a specific child.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was Calamine lotion for a child in the Racoon room which does not include written parental permission to administer.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: There was a medication log for Tylenol in the Duck room that included the names of two siblings on the same medication log; they did not have separate medication logs. There was. Calamine lotion in the Wolves room and in the Racoon room that did not include a medication log to document the administration of the medication.

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: Staff person #4 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality-(10 hours) but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) 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. Staff person #4 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Shaken Baby Policy submitted by the facility does not include language regarding the prevention and identification of child maltreatment.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #1 were dated 8.18.22 and 9.4.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #2 were dated 6.5.23 and 7.17.25, more than 24 months apart. The most recent health assessment on file for Staff person #8 is dated 1.26.23, more than 24 months ago. The 2 most recent health assessments on file for Staff person #9 were dated 10.17.22 and 11.5.24, more than 24 months apart. The most recent health assessment on file for Staff person #12 is dated 6.15.23, more than 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. 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)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment on file for Staff person #13 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: There were infant feeding bottles in the Deer room that were not labeled with the name for whom the bottle was intended.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #6, #10, #11, #13 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: There was a running fan in the Racoon room that was accessible to children and did not have any safety guard, creating a hazard to children.

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

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

Description: Age and Training

Noncompliance Area: Staff person #8 did not complete Pediatric first aid and CPR training on or before expiration of the most current certification date2.28.25; the training was updated on 3.6.25.

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)/3270.192(2)(iii)

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

Noncompliance Area: The file for Staff person #8, includes verification of 1 of the required 12 hours of annual training between 1.2024-1.2025.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 2; the training was completed on 4.11.25. Staff person #7 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the training was completed on 6.26.25. Staff person #7 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 2; the training was completed on 7.3.25.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #5 includes NSOR clearances dated 1.14.20 and 1.28.25, more than 60 months apart. The file for Staff person #5 includes a Criminal History clearance dated 10.14.19 and a Child Abuse clearance dated 10.4.19, both more than 60 months ago. The file for Staff person #7 does not include a criminal history clearance, child abuse clearance, or sex offender history clearance from New York, where she resided in the 5 years prior to her employment. The file for Staff person #7 does not contain documentation of application for a PA Criminal History clearance prior to date of hire or a complete and valid PA Criminal History clearance within 45 days (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #9 includes criminal history clearances dated 3.9.20 and 4.9.25; child abuse clearances dated 3.27.20 and 4.14.25; FBI clearances dated 3.4.20 and 4.14.25; and NSOR clearances dated 11.6.19 and 11.8.24, all more than 60 months apart. The file for Staff person #10 does not contain an NSOR clearance prior to the first day caring for children (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #12 includes NSOR clearances dated 5.26.20 and 7.15.25, more than 60 months apart.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #5, #7, #10 may not work in a childcare position at the facility.

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

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

Noncompliance Area: The file for Staff person #6, #10, #11, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a bottle of Purell disinfectant spray, labeled "Keep out of the reach of children", in an unlatched cabinet under the changing table in the Bears room, making it accessible to children. There was a spray can of Febreze air freshener in the Wolves classroom that was accessible to children. The Racoon room had a bottle of Tylenol, a container of wipes, and a tube of Neosporin, all labeled "keep out of reach of children" that were in the open emergency bag that was sitting on the floor and accessible to children in care.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Children were observed in the Squirrel room placing soiled plates, utensils, etc. in an unlidded bin in the middle of the table, rather than throwing the items in a lidded, plastic-lined receptacle.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit in the Racoon room was in an open backpack that was sitting on the floor, making the first aid kit accessible to children.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Racoon room did not include scissors, tweezers, soap, or gloves.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a hole in the wall in the Racoon room in the far-left corner above the ledge along the floor.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 5.7.25-6.23.25, more than 30 days apart.

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

Regulation: 3270.192(5)

Description: Two written references

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

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for Staff person #4 includes verification of First Aid/CPR training dated 3.6.25, after the expiration date of the previous training, 11.30.24. The file for Staff person #6, #7 includes verification of First Aid/CPR training dated 3.6.25, after the expiration date of the previous training, 2.28.25.

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(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 7.15.24. Staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 3.6.25. Staff person #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 7.15.24.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff person #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 available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 did not contain documentation of a completed PA Child Abuse clearance prior to date of hire (See IS CODE SHEET) required under the CPSL; the clearance is dated 1.6.25. Based on a review of paperwork and discussion with operator, it was determined that on 3.14.25 facility person #8 was identified in staff:child ratio and was supervising children in the preschool classroom. On this date, facility person #8's file lacked a PA Child Abuse clearance; application for, or a complete PA Criminal History clearance prior to date of hire; application for, or a complete PA Criminal History clearance prior to date of hire; a complete NSOR certificate prior to date of hire, or completed Child Abuse, Criminal History, and Sex Offender clearances from Wisconsin, where the staff person lived in the previous 5 years (See IS CODE SHEET) required for provisional hiring under the CPSL.

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 #8 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: The file for Staff person #1, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children. Based on a review of paperwork and discussion with operator, it was determined that on 3.14.25 facility person #8 Was identified in staff:child ratio and was supervising children in the preschool classroom. On this date, facility person #8's file lacked verification of education and experience required to qualify as a staff person.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on interviews conducted during the unannounced investigation, it was determined that when staff person #1 turned away from the young preschool-aged child #1, child #1 was able to take a blue therapy band and wrap it around his neck, restricting his breathing.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: According to staff interviews, direct supervision by child care staff was lacking when Child #1 pulled down his pants and exposed himself to another child twice in a matter of minutes.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: * According to staff interviews, direct supervision by child care staff was lacking when Child #1 pulled down his pants and exposed himself to another child twice in a matter of minutes.

Correction Required: * The legal entity must create a supervision policy that addresses who is supervising children when other agencies are present and interacting with children as well as how staff will meet the definition of supervision when other agencies are present and interacting with children. Supervision policy will be shared with all staff and each staff will acknowledge receipt of the policy. The staff acknowledgements will be submitted to the Department within 10 days of the date of the providers correction date. The policy will be placed in the staff handbook.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There was an unlatched cupboard in the Bears classroom that contained empty garbage bags and push pins smaller than 1 inch in size which were accessible to children still placing items in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement on file for Child #3 and #7 does not include the amount of the fee to be paid by the parent/guardian.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement on file for Child #1, #2, #3, #5, #6, and #7 does not include the date that the fee is to be paid by the parent/guardian.

Correction Required: 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: The agreement on file for Child #1, #6, and #7 does not include the child's arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for Child #1, #4, #5, and #6 does not include the persons to whom the child can 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)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #1, #3, and #7 does not include the complete address and/or telephone number for the child's pediatrician 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)(5)

Description: Information re: special needs

Noncompliance Area: The current emergency contact form on file for Child #1 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #1 does not include the child's health insurance coverage and policy number for the child's health care benefits. The emergency contact form on file for Child #4 and #7 does not include the child's health insurance policy number for the child's health care benefits.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #1, #2, #3., #4, and #7 does not include a complete address for all listed release persons.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent 6-month review signature for the emergency contact form and financial agreement on file for Child #2, #3, #6, and #7 is dated more than 6 months after the previous 6-month review signature

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

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

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The most recent health assessments on file for Child #6, who is a Young Toddler, is dated 9/6/23, more than 6 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

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

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

Noncompliance Area: The most recent health assessment on file for Child #3, who is a preschool age child, is dated 9/19/22, more than 12 months ago.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: The Wolves classroom included a bottle of Acetaminophen, a bottle of Ibuprofen, and a bottle of Mucus DM which were not labeled with the name for who the medication is intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: The Bears classroom included a prescribed medication, Flutican, labeled for use by a child that did not include written parental permission to administer. The Ducks classroom included Tylenol and Ibuprofen, both labeled for use by a child that did not include written parental permission to administer. The Owl classroom included a prescribed inhaler, Albuterol, labeled for use by a child that did not include written parental permission to administer. The Wolves classroom included a bottle of Ibuprofen, a bottle of Tylenol, and a bottle of Mucus DM, that did not include written parental permission to administer, and a prescription medication, Dexmethylphenidate, labeled for use by a child that did not include written parental permission to administer

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #5 were dated 5.23.22 and 6.24.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #7 were dated 3.4.22 and 6.29.24, more than 24 months apart. The file for staff person #8 included an initial health assessment which was completed more 12 months prior to date of hire (See LIS CODE SHEET). The 2 most recent health assessments on file for Staff person #10 were dated 5.23.22 and 7.3.24, more than 24 months apart.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The current health assessment on file for Staff person #1 does not indicate if the staff person was assessed for communicable/contagious disease.

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment on file for Staff person #3, #10 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

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

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: There were 4 infants under 12 months old in the infant room who did not have a written feeding plan on file submitted by the parent.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: There was a screwdriver in the Bears (OT) room in an unlocked cabinet which was accessible to children.

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

Regulation: 3270.27(e)

Description: Letter to parents

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

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

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

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

Noncompliance Area: The file for Staff person #4 includes verification of First Aid/CPR training dated 7.15.24, after the expiration date of 5.31.24. The file for Staff person #6 includes verification of First Aid/CPR training dated 7.15.24, after the expiration date of 3.31.24.

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

Description: Health and Safety Training

Noncompliance Area: Staff person #2, #9, #10 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2, #8, #9, #10 will have until 8.30.24 to complete the required training. Until such time as the required training has been completed, staff person #2, #8, #9, #10 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, #8, #9, #10, staff person #2, #8, #9, #10 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: Staff person #5 completed her current mandated reporter training on 10.27.23, more than 60 months after the previous training dated 10.20.18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: The file for staff person #1 includes a PA Child Abuse clearance dated 6.11.24, after the date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #4 includes criminal history clearances dated 1.2.19 and 1.12.24; child abuse clearances dated 1.7.19 and 1.12.24, more than 60 months apart. The file for staff person #9 does not contain a valid FBI clearance dated within 45 days of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the clearance is dated 6.28.24.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 does not contain a valid FBI clearance within 45 days of hire and the fingerprint was completed after the first day working with children (See IS CODE SHEET) required for provisional hire under the CPSL.

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 #1 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: The file for Staff person #1, #3, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The Bears room had an unlocked cupboard containing diaper cream and a Soft Soap refill bottle, all labeled "Keep out of reach of children," making the items accessible to children. There was an unlocked cabinet in the Owl room containing Hemp lotion that is labeled "Keep out of reach of children" which was accessible to children.

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

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: There was a can of shaving cream, labeled "Keep out of the reach of children", which, according to staff statements was used for arts and crafts projects, in the Squirrel classroom.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: In the Owl classroom, there was a heat lamp above the aquarium for a reptile that had a temperature in excess of 110 degrees Fahrenheit on the surface and which was accessible to children.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: When the Owl classroom was outside in the fenced yard, the first aid kit was observed on the ground and with no lock, making it accessible to children. The first aid kits in the Owl and Wolves classrooms were observed to be accessible to children and there were no locks on the bags containing the first aid kits.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed in the Dramatic Play area of the Owl classroom.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was no handwashing sign at the toilet in the lower-level bathroom. There were no handwashing signs at the last two toilets in the upper-level bathroom.

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: The fire alarm 30-day test log includes test dates 3.15.24-4.17.24 and 4.17.24-6.7.24, more than 30 days apart.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: It was reported and verified through staff interviews that on 8/11/2023 staff persons #1 and #2, who were supervising 15 school aged children, were not able to adequately supervise the children who were playing in a fort constructed of blankets and towels. The blankets and towels obstructed their view causing the staff to not be able to see or direct the children in their care.

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

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The file for child #1, preschool aged, is lacking documentation of a flu shot during the year 2022. Child #1 will need to be removed from care until an updated flu shot is documented or an exemption letter is obtained.

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).

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed in the basement preschool room a prescribed medication diastat rectal gel not labeled with the name of the child for whom it was intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Observed that the diaper changing stations in the main floor and basement restrooms were lacking operational hands-free covered trash cans.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for staff person #3 contains the PA Health & Safety Update 2022 completed after the required date of 12/30/2022. The training is now current.

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: The facility Emergency Plan is lacking a Continuity of Operations plan.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff person #6 is lacking a health assessment completed during the previous 24 month period. The file for staff person #8 is lacking an initial health assessment received prior to start date in the child care position. The file does contain a current health assessment. The file for staff person #9 is lacking a TB test conducted prior to start date in a child care position. The file for staff person #10 contains a current health assessment that was conducted greater than 24 months after the previous health assessment. The file is now current.

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)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The file for staff person #7 contains an initial health assessment that is lacking a physician's statement regarding suitability to provider child care.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff persons #1,5,6,9 and 10 are lacking training regarding the facility emergency plan during the previous 12-month period.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter given to parents regarding the facility emergency plan is lacking information regarding accommodations for infants, toddlers and children with disabilities and chronic medical conditions.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff person #9 contains only 2 of the required 12 training hours during the previous 12-month period. Staff #9 has since completed additional trainings.

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: The file for staff #1 is lacking documentation of fire safety training completed during the previous 12-month period.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff person #7 is lacking training in the Health & Safety topics #1-#9 completed within 90 days of hire. The file does contain current Health & Safety Trainings.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files for staff persons #4 and #9 contain current mandated reporter training that was completed greater than 60 months after the previous training. The training is now current.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2, hire date (see IS code sheet), is lacking documentation of completed child abuse clearance and lacking documentation of requests for criminal history, FBI fingerprinting and NSOR prior to start date in the facility. The file does contain current clearances. The file for staff person #6, hire date (see IS code sheet), is lacking documentation of FBI fingerprinting prior to working in a child care position. The clearances are now current. The file for staff person #8, hire date (see IS code sheet), is lacking a completed child abuse clearance and lacking documentation of requests for criminal history and FBI fingerprinting prior to working in the child care facility. The file now contains current clearances.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed in the basement classroom a window air conditioner unit to not be secured in the window and leaving an open space around the edges resulting in a visible hazard.

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.