Mighty Tots On Cots Llc

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 9/18/25 the file reviewed for child #1, child #2 and child #3 did not contain an updated child service report providing information about child's growth and development.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During the renewal inspection on 9/18/25 the emergency contact form and fee agreement reviewed for child #1, child #2 and child #3 were not reviewed/updated within 6-month period.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 9/18/25 the file reviewed for staff person #1 contained a NSOR certificate and mandated reporter training that was more than 60 months old. The file reviewed for staff person #2 contained a NSOR certificate and a child abuse clearance that was more than 60 months old.

Correction Required: 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 and staff person #2 may not work in a childcare position at the facility.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: During the renewal inspection on 9/18/25 the file reviewed for staff person #1, identified as the director, contained expired clearances which requires removal of staff from childcare position.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 9/18/25 there were electrical outlets in downstairs childcare space missing protective covers.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 09/26/24 the file reviewed for child #1, child #2, child #3, and child #5 did not contain child service report updated every 6-months.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: During the renewal inspection on 09/26/24 the fee agreement reviewed for child #4 and child #5 did not specify the date of child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During the renewal inspection on 09/26/24 the emergency contact form for child #1, child #2 and child #5 was not updated with 6-month time period. The fee agreement for child #3 and child #5 was not updated with 6-month time period.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During the renewal inspection on 09/26/24 child lunches were observed sitting out unrefrigerated.

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

Regulation: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: During the renewal inspection on 09/26/24 child files were not being stored in a locked cabinet.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection on 09/26/24 the file reviewed for staff person #1, staff person #2, and staff person #3 did not contain emergency plan training.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the renewal inspection on 09/26/24 the file reviewed for staff person #1 and staff person #2 did not include 12 hours of annual childcare training.

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

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

Description: Age and Training

Noncompliance Area: During the renewal inspection on 09/26/24 the first aid/cpr certificate reviewed for staff person #1 and staff person #2 was an online only course which does not meet compliance with certification regulations.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 09/26/24 there were missing outlet covers observed throughout the facility.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection on 09/26/24 there was Lysol observed underneath the bathroom sink in downstairs bathroom 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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the renewal inspection on 09/26/24 the fire drill log reviewed did not reflect that fire drills were conducted every 60 days. Last drill documented was 05/20/24.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Several children's records did not contain financial agreement information that had been reviewed and updated within the past 6 months. (child #3- agreement)

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified children.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: Fire drill records did not include the names of facility persons participating.in the fire drills..

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. Submit a copy of completed fire drills that contains the names of the participating facility persons.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: One child's emergency contact information did not include the health insurance policy number. (child #1)

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. Obtain and submit the health insurance policy number for the identified child. Ensure that all children's records include the health insurance information as specified in this regulation.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Several children's records did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months. (child #1- both) (child #2-both) (child #3- agreement) (child #4-both) CONTINUING DEFICIENCY

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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Several staff persons were observed caring for a child and their record did not contain verification of completed CCDBG training (10 hour) and/ or PA Update (1 hour) required prior to working with children unsupervised. (#1, #2 and #3)

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 persons must complete the CCDBG training that is required prior to working with children unsupervised. Submit written verification of the completed training.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Several staff person's record did not contain written verification of annual minimum 12 hours of child care training. (#1, #2 and #3)

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff person.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Several staff person's records did not contain written verification that the annual fire safety training had been conducted by a fire safety professional. (#1, #2 and #3)

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. Obtain and submit written verification that the annual fire safety training had been conducted by a fire safety professional.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: Fire drill records did not include the names of facility persons participating.in the fire drills.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. Submit a copy of completed fire drills that contains the names of the participating facility persons.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: Several children's records did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months. (#1, #2 and #3)

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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified children.

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: The facility lacked written policies and procedures on prevention of shaken baby syndrome, abusive head trauma and child mistreatment.

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. Develop and submit written policies and procedures on prevention of shaken baby syndrome, abusive head trauma and child mistreatment.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The facility lacked written verification of comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy was not on file at the facility at the time of the inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility. Obtain and submit written verification of the facility's comprehensive general liability insurance. Ensure that a current copy of the insurance policy is on file at the facility

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: There was no written documentation indicating that the emergency plan had been reviewed annually.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. Submit written verification of the annual review of the emergency plan. Ensure that the plan is reviewed and updated if needed and documented in writing annually as specified.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Several staff person's records did not contain written verification of annual emergency plan training.(#1, #2 and #3)

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. Provide and submit written verification of annual emergency plan training for the identified staff person. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment and annually.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Several staff person's records did not contain written verification of annual minimum 12 hours of childcare training. (#1, #2 and #3)

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of childcare training for the identified staff persons.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Several staff person's records did not contain written verification of annual fire safety training. (#1, #2 and #3)

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. Obtain and submit written verification of annual fire safety training for the identified staff persons.

Regulation: 3270.31(h)

Description: Health and Safety Training

Noncompliance Area: One staff person's record lacked verification of completion of all the required health and safety training topics (#2).

Correction Required: All staff persons shall complete the professional development under subsection (f). Submit written verification of completion of all the required health and safety training for the identified staff person. Ensure that all staff obtain the required health and safety training.

Regulation: 3270.34(b)

Description: Director qualifications

Noncompliance Area: The facility director's record did not contain written verification of education and experience for their director position. (#1)

Correction Required: A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

Regulation: 3270.94(a)(1)/3270.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: There was no record of fire drills being conducted since the previous renewal inspection on 12/23/21.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. Submit a record of all fire drill completed since 12/23/21. Ensure that fire drills are conducted and documented in writing in accordance with these regulations.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: Several children's records did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months. (#1, #2 and #3)

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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified children.

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: The facility lacked written policies and procedures on prevention of shaken baby syndrome, abusive head trauma and child mistreatment.

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. Develop and submit written policies and procedures on prevention of shaken baby syndrome, abusive head trauma and child mistreatment.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The facility lacked written verification of comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy was not on file at the facility at the time of the inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility. Obtain and submit written verification of the facility's comprehensive general liability insurance. Ensure that a current copy of the insurance policy is on file at the facility

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: There was no written documentation indicating that the emergency plan had been reviewed annually.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. Submit written verification of the annual review of the emergency plan. Ensure that the plan is reviewed and updated if needed and documented in writing annually as specified.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Several staff person's records did not contain written verification of annual emergency plan training.(#1, #2 and #3)

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. Provide and submit written verification of annual emergency plan training for the identified staff person. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment and annually.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Several staff person's records did not contain written verification of annual minimum 12 hours of childcare training. (#1, #2 and #3)

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of childcare training for the identified staff persons.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Several staff person's records did not contain written verification of annual fire safety training. (#1, #2 and #3)

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. Obtain and submit written verification of annual fire safety training for the identified staff persons.

Regulation: 3270.31(h)

Description: Health and Safety Training

Noncompliance Area: One staff person's record lacked verification of completion of all the required health and safety training topics (#2).

Correction Required: All staff persons shall complete the professional development under subsection (f). Submit written verification of completion of all the required health and safety training for the identified staff person. Ensure that all staff obtain the required health and safety training.

Regulation: 3270.34(b)(1)

Description: Bachelor's + 1 yr

Noncompliance Area: The facility director's record did not contain written verification of education and experience for their director position. (#1)

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

Regulation: 3270.94(a)(1)/3270.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: There was no record of fire drills being conducted since the previous renewal inspection on 12/23/21.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. Submit a record of all fire drill completed since 12/23/21. Ensure that fire drills are conducted and documented in writing in accordance with these regulations.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for shelter of children during an emergency including lock down procedures. Amend the facility emergency plan to include lock down procedures.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. Submit a written copy of the amended emergency plan.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did 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. Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Submit a written copy of the amended emergency plan.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for shelter of children during an emergency including lock down procedures. Amend the facility emergency plan to include lock down procedures.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. Submit a written copy of the amended emergency plan.

Regulation: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did 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 evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills). Submit a written copy of the amended emergency plan.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter given to parents regarding the emergency plan did not explain the emergency procedure updates to the plan as required in 3270.27 subsection a.

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. Revise the letter given to parents to ensure that it explains the emergency procedures and updates to the plan as required in 3270.27 subsection a. Submit a copy of the revised letter.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 9/15/21, from approximately 3:00pm-3:30pm, staff person #1 was observed caring for a mixed-age group of 6 children- 1 infant (birth -12mos) 3 older toddler age (two years old) and 2 preschool age (3 years -1st day of K) in the main child care space. Staff person #1 verified the ages of the children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Develop and submit a written staffing plan including provisions for staff shortages including but not limited to call outs, scheduling, lunch breaks, terminations, resignations, hiring and operational tasks that impact staffing and times of transition to ensure ongoing compliance. Submit a copy of the written staffing plan.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 9/15/21, from approximately 3:00pm-3:30pm, staff person #1 was observed caring for a mixed-age group of 6 children- 1 infant (birth -12mos) 3 older toddler age (two years old) and 2 preschool age (3 years -1st day of K) in the main child care space. Staff person #1 verified the ages of the children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Ensure that staff/child ratios are maintained at all times.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: On 9/15/21, from approximately 3:00pm-3:30pm, 6 mixed age children - 1 infant (birth -12mos) 3 older toddler age (two years old) and 2 preschool age (3 years -1st day of K) were present in the facility with only one staff person observed in the facility caring for them. The other staff person had left for a lunch break leaving just one staff person in the facility. Staff person #1 was the only facility person present in the facility at the time of the observation.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. Notify all facility staff of this requirement. Revise staffing schedules and routines to ensure that there are at least two facility persons shall be present in the facility when two or more children are in care. Submit a copy of the notification that includes each staff person's signature as well as a written copy of the revised staff schedule and routines. Director will ensure that the revised staff schedules and routines are followed to ensure ongoing compliance.

Noncompliance Area: There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified.

Noncompliance Area: One staff person's record did not contain written verification of annual fire safety training.

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

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One facility person's record did not contain the required CPSL hiring documents. (#1- hired 6/11/19- no proof of completed NSOR)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS; 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 cannot work in a childcare position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff person. Amend and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents within the required timeframes in accordance with the CPSL.

Noncompliance Area: One child's record did not contain a current up-to-date health report that had been signed by a physician, physician's assistant or a CRNP. (#2) Documentation submitted on 2/14/20 did not contain a current up-to-date health report that had been signed by a physician, physician's assistant or a CRNP. CONTINUING NON-COMPLIANCE

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. Obtain and submit a current up-to-date health report that contains the signature and professional title of the physician, physician's assistant or a CRNP. Ensure that all children's records include a properly signed health report as specified in this regulation.

Noncompliance Area: Several facility person's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1, #2 and #3). Documentation submitted on 2/14/20 did not contain copies of the required written references as specified. CONTINUING NON-COMPLIANCE

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. Obtain and submit the required written references as specified for the identified staff persons. Ensure that all facility staff records contain written references as specified

Noncompliance Area: Several staff person's records did not include written verification of initial emergency plan training. (#1, #2, and #4).Documentation submitted on 2/14/20 did not contain written verification of completed training for staff #2. CONTINUING NON-COMPLIANCE

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. Provide and submit written verification of the completed training for all identified facility persons. Ensure that emergency plan training is completed and documented in writing upon initial employment and annually.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record reviewed did not contain the required CPSL hiring documents. (#1-hired 12/2/19- no proof of requests for STATE POLICE prior to working with children; no proof of request for CHILD ABUSE and NSOR-nothing in record. Documentation submitted on 2/14/20 did not contain written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents within the required timeframes in accordance with the CPSL. . CONTINUING NON-COMPLIANCE

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 until the required CPSL documents (CHILD ABUSE and NSOR) have been obtained and submitted as specified. Submit a copy of the required CPSL clearance documents for the identified staff person. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents within the required timeframes in accordance with the CPSL.

Noncompliance Area: There was no written record of fire drills being held at the facility. Documentation submitted on 2/14/20 did not contain a record of completed fire drills

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting. A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill. Revise and submit written fire drill policies to ensure that fire drills are completed at least every 60 days and recorded in writing as specified in this regulation. Conduct and send a record of all fire drills completed within the next 30 days.

Noncompliance Area: The facility lacked a written, posted plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency in accordance with this regulation.

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. Develop and submit written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency. Post the plan in each child care space and ensure that it accompanies staff persons who leave on excursions with children.

Noncompliance Area: One child's record did not contain a health report completed within the past 6 months as required for a child from infant to young toddler age.(#1)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 6 months for children from infant to young age.

Noncompliance Area: One child's record did not contain a current up-to-date health report that had been signed by a physician, physician's assistant or a CRNP. (#2)

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. Obtain and submit a current up-to-date health report that contains the signature and professional title of the physician, physician's assistant or a CRNP. Ensure that all children's records include a properly signed health report as specified in this regulation.

Noncompliance Area: One child's record did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#1)

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Ensure that children's emergency contact and financial agreement information is updated at least every 6 months or as soon as the information changes

Noncompliance Area: Several facility person's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1, #2 and #3)

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Obtain and submit the required written references as specified for the identified staff persons. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: Fire detection system inspected. Operator was not able to activate system or submit written verification from fire alarm company indicating that the fire detection system had been tested within the past year. The one on file was dated 6/3/18.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Demonstration of compliance with 34 PA Code 403.23 is required.

Noncompliance Area: A copy of the 55 PA CODE 3270 regulations was not posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location. Post a copy of the regulations in a conspicuous location as specified.

Noncompliance Area: The facility's emergency plan did not provide for shelter of children during an emergency including shelter in place at the facility.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises. Amend the facility emergency plan to include the shelter in place. Submit a written copy of the amended emergency plan.

Noncompliance Area: The facility's emergency plan did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and 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.

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. Revise and submit a copy of the facility emergency plan to include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and 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.

Noncompliance Area: Several staff person's records did not include written verification of initial emergency plan training. (#1, #2, and #4)

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. Provide and submit written verification of the completed training for all identified facility persons. Ensure that emergency plan training is completed and documented in writing upon initial employment and annually.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record reviewed did not contain the required CPSL hiring documents. (#1-hired 12/2/19- no proof of requests for STATE POLICE prior to working with children; no proof of request for CHILD ABUSE and NSOR-nothing in record..

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 until the required CPSL documents (CHILD ABUSE and NSOR) have been obtained and submitted as specified. Submit a copy of the required CPSL clearance documents for the identified staff person. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents within the required timeframes in accordance with the CPSL.

Noncompliance Area: One staff person's record did not contain written verification of experience for their assistant group supervisor position. (#2)

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Handwashing signs posted in the bathrooms did not specify that a facility person and an able child shall wash his hands after toileting and before eating.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Revise and post handwashing signs that includes the information as specified in this regulation.

Noncompliance Area: There was no written record of fire drills being held at the facility.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting. A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill. Revise and submit written fire drill policies to ensure that fire drills are completed at least every 60 days and recorded in writing as specified in this regulation. Conduct and send a record of all fire drills completed within the next 30 days.

Noncompliance Area: Observed Staff #1 file with no Health assessment or TB shot conducted within 12 months prior to providing initial service.

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.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: Hot water from all sinks observed at 120 F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: Observed first aid kit with soap missing.

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.

Noncompliance Area: Observed emergency exit to back alleyway unclean causing tripping hazards.

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