Milestones Child Care Center Llc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The play kitchen sink near the entrance/exit door to the room had loose door hinges which posed a pinch point or cutting hazard. The play kitchen had a cracked plastic burner which posed a cutting hazard. In the front room, on a shelf with the Legos was a 4" X 8" plastic yellow Duplo plate which had a corner missing that posed a cutting hazard. In the outdoor play space, the slide platform and in the sandbox had dirty, standing water. In the backroom, the playhouse had a red plastic flower post that a hole with sharp edges which posed a cutting hazard.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the "Backroom" next to the gate in the middle of the room on the wooden Lakeshore bookcase was a protruding screw which poses a cutting hazard. In the front room is a table with orange edging with loose screws that posed a toppling hazard

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The Fee Agreement form for Child #1 lacked the "Fee Amount."

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The Child Service Report(s) for child(ren) #2, #3, #4 and #5 did not include a six-month update from the last report. (SEE LIS CODE SHEET)

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form(s) for child(ren) file(s) #1, #2, #3 and #4 lacked the "Address of the Listed Release Person." (SEE LIS CODE SHEET)

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(c)

Description: Each child care space

Noncompliance Area: The Back Room did not have the required emergency contact information for the children in care, as the older toddlers were outside at the play area with the "to-go" bag containing this information.

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

Regulation: 3270.131(b)(2)/3270.181(c)

Description: Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #3 (PS) and #5 reflects that the most recent Updated Health Assessment was completed more than 12 months after the Initial Health Assessment. Specifically, the initial health assessment for Child #3 was dated: 06.07.2024 and the updated health assessment was dated: 03.18.2026. The initial health assessment for Child #5 was dated: 08.28.2024 and the updated health assessment was dated: 03.17.2026. (SEE LIS CODE SHEET)

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 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2-- was observed to be caring for children unsupervised. Staff person #2 -- has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter Training and Health and Safety.

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

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The Health Assessment for Staff Person #1 did not include a signature from a physician, CRNP, or Physician's Assistant (PA). Additionally, the Health Assessment for Staff Person #2 was signed by a Licensed Practical Nurse. (SEE LIS CODE SHEET)

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file(s) for Staff #1 did not contain documentation of a Tuberculosis (TB) screening. The initial health assessment on file for Staff Person #2 includes tuberculosis screening. Additionally, the TB test on record is not from another childcare setting and is not dated within 12 months prior to employment. (SEE LIS CODE SHEET)

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

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: The children's lunch boxes were stored on a shelf next to the entrance door directly in the sun for two (2) hours which posed potentially hazardous food and was not refrigerated.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the backroom, a fan which was accessible to children while they were in the room posed a cutting hazard.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The two most recent Emergency Plan Trainings for Staff #5 were dated more than 12-months apart. (SEE LIS CODE SHEET)

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: Staff Person #3 (0 Hours) lacked a minimum of 12 hours of childcare training. (SEE LIS CODE SHEET)

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: The two most recent Pediatric First Aid and Pediatric CPR Trainings for staff #1 (12.09.2023 and 12.2025) were dated more than 24 months apart with a three gap from 12.2025 -- 03.09.2026. (SEE LIS CODE SHEET)

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 #1--- has not completed the following required pre-service training within 90 days of their date of hire (SEE LIS CODE SHEET): Health and Safety Part 1 and Part 2. Staff Person #5 completed Pediatric First Aid/Pediatric CPR training; however, it was completed more than 90 days after their date of hire (02.07.2025). (SEE LIS CODE SHEET)

Correction Required: Staff person(s) #1 shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff person #1 -- will have until 04.28.2026 to complete the required training. Until such time as the required training has been completed, staff person #1 --- 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 #1--, staff person #1-- may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #2 did not contain a copy of the NSOR Certificate, and the staff member was observed supervising children independently. Staff Person #1-- has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The NSOR Certificate for Staff #1 was dated after their hire date, resulting in an incorrect provisional hire. (SEE LIS CODE SHEET) The last two NSOR Certificates for staff #3 were dated more than 60 months apart. (SEE LIS CODE SHEET) The file for Staff Person #2, who resided in New Hampshire within the past five years, included a New Hampshire Criminal History Clearance; however, it was dated after Staff Person #2's date of hire. Additionally, the file did not contain the required New Hampshire NSOR Certificate or the New Hampshire Child Abuse and Neglect Clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations for Staff #4 and #5 were completed more than one year apart. (SEE LIS CODE SHEET)

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

Regulation: 3270.36(b)(1)

Description: HS/GED + 30 credits

Noncompliance Area: The file for Staff Person #2 included a bachelor's degree in nutrition and 24 human service credits; therefore, Staff Person #2 does not meet the qualifications for an Assistant Group Supervisor and instead qualifies as an aide.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the "Back Room," an unlocked drawer contained "Baby Bum (sunscreen)" and "Eucerin (hand cream)," both labeled "Keep Out of the Reach of Children," were accessible while children were in care and in the same drawer was a pair of adult scissors which pose a cutting hazard. All first-aid kits in the facility contained alcohol prep pads which were labeled "Keep Out of the Reach of Children," because they contain isopropyl alcohol, which can be harmful if ingested.

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: A trash receptacle in both children's restrooms containing human secretions (dirty paper towels) lacked lids.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: The children in the backroom went to the outdoor play space and took the to go bag which left no first-aid kit in the backroom.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The First Aid kit in the Mezzanine Room on the second floor lacked Tweezers and Soap.

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: 3270.75(d)

Description: On excursions

Noncompliance Area: In the outdoor play space, a group of children were outside without the to go bag.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the outdoor play space in front of the entrance/exit door was a green outdoor carpet that was lifting which poses a tripping hazard. The "Panda Climber" green platform had two (2) cracks that posed a cutting or pinch point 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.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The entrance/exit between the "Back Room" and "Front Room," located next to the bathroom, was equipped with a white retractable gate that required two hands to operate. A sleep cot was positioned in a manner that obstructed the opening and closing of the gate. The exit door to the outdoor play space had a folding wall attached to the right-side door, along with a two (2) step wooden stool, which obstructed the exit path.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The observed fire drill log contained consecutive drills held more than 60 days apart (03.08.2025 -- 05.12.2025 95 Days); (05.13.2025 -- 07.24.2025 72 Days); (12.22.2025 -- 03.27.2026 95 Days).

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

Regulation: 3270.20(a)(3)

Description: Fire requires fire department

Noncompliance Area: Following a fire at the facility, the operator did not notify the appropriate regional office of the Department within the required 24 hours, as mandated by regulation.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a fire requiring the service of a fire department occurs at the facility.

Regulation: 3270.20(b)

Description: Mail or deliver written report to regional office within 72 hours

Noncompliance Area: Following a fire at the facility, the operator failed to mail or deliver a written report to the appropriate regional office of the Department within 72 hours of the fire incident at the facility, during which the fire department was called.

Correction Required: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

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 Updated Child Health Assessment for Child #1 was dated more than 12 months apart. (SEE LIS CODE SHEET)

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: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The Initial Health Assessment for Staff #4 was dated (02.2025) which is past their Date of Hire. (SEE LIS CODE SHEET)

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The TB Test for Staff #4 was dated 02.10.2025 which is past their Date of Hire. (SEE LIS CODE SHEET)

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The two most recent Emergency Plan Trainings for Staff #1 and #3 were dated more than 12-months apart. (SEE LIS CODE SHEET)

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The last two fire safety trainings in the file for Staff #1 and #3 are dated more than one year apart. (SEE LIS CODE SHEET)

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: Staff person #5 had not completed the following required pre-service training within 90 days of their date of hire (SEE LIS CODE SHEET): Health and Safety training Part 1 (Dated: 02.01.2025) and Part 2 (Dated: 02.01.2025).

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(2)(iii)

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

Noncompliance Area: Mandated Reporter Training for staff #5 was dated (01.28.2025) was dated after their date of hire. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of childcare 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 NSOR Certificates (dated: 10.29.2024 and 01.22.2025, respectively) in the file for staff #4 and #5 were dated after their Date of Hire. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A trash receptacle in the Mezzanine (UPSTAIRS ROOM) containing human secretions (used Starbuck's plastic cup and used tissue) was not contained in a closed receptacle.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the front room, was a cracked toy bin handle and cracked magnet tiles that could cause injury. In the front room and the upstairs room, foam blocks were observed with teeth marks and missing pieces that were not in good repair.

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: In the back room, a sensory table was observed to contain corn, elbow noodles, and beans that were less than 1 inch in diameter and accessible to toddlers.

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)(3)

Description: Services proceeded

Noncompliance Area: The files for child #2, child #3, and child #4 do not contain a child service report after July 2023, exceeding the 6 month update timeframe.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for child #1 does not include a complete address for all listed release persons. The emergency contact form on file for child #4 does not include an 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(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 #4 is dated 3/30/23, exceeding the 12 month update.

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: 3270.151(a)

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

Noncompliance Area: The health assessment for staff person #3 was dated 12/21/23 after date of hire. The health assessment for staff person #4 was dated 5/12/23 after the date of hire. (Use LIS code sheet)

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff person #2 contained a tuberculosis screening that was dated 11/2018, which was longer than 1 year before hire date. The files for staff person #3 and staff person #4 contained a tuberculosis screening dated after their date of hire. (Use LIS code sheet)

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: The file for staff person #2 contained a tuberculosis screening that was dated 11/2018, which was longer than 1 year before hire date. The files for staff person #3 and staff person #4 contained a health assessment and a tuberculosis screening dated after their date of hire.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #2 lacked documentation of 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Facility person #1 has served at the facility for more than 90 days and has not taken Mandated Reporter training. (See LIS CODE Sheet)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 was missing a dissemination date for the Pennsylvania State Police Clearance.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the front room, a bottle of Purell labeled, "Keep out of the reach of children" was observed on a toy shelf and in an unlocked drawer 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the back room, damaged plaster/dry wall was observed on the wall near the closet directly under the metal electrical wall covering.

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: There were more than 12 months between the last fire detection report on 11-4-22 and the most recent report on 11-21-23. Per Chapter 3270 Act 62 regulation updates on May 24, 2021, the fire detection device or system must be tested annually by a fire safety professional

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)).

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A broken plastic piece of a marble game was observed in the front preschool room. The faucet on the play sink in the toddler room was loose creating a pinch point. The wall mounted changing table in the toddler room lacked safety straps. The manufacturer's instructions printed on the table indicated the equipment originally came with straps installed and that the straps are to be used during each diaper change.

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

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: Peeling plastic covering was observed on a blue foam play mat in the toddler room. Foam blocks with bitemarks and pieces missing were observed in the front preschool room.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Exposed screws and splintering wood were observed on the top of a white shelf in the back left corner of the toddler room.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #1, #2, and #3 contained service reports which were not updated within 6 months. Current reports are now on file. The file for child #4 did not contain a current service report. The last report on file for child #4 was dated 12/21/21.

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(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files for children #1, #2, and #4 contained the original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health report for child #4 was conducted after the 90 days allowable during the suspension of the regulation due to covid 19.An updated and current health report is now on file.

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)(2)/3270.182(1)

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

Noncompliance Area: The file for child #4 contained a health report which was not updated within 12 months. A current health report is now on file.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #1 and #2 did not complete the 1-hour training titled Pennsylvania Health and Safety Update 2022 by 12/30/22 as required by Announcement C-22-06. Completed training dated 3/21/23 is now on file for both staff.

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: Staff persons #3, #4, and #5 were observed to be caring for children unsupervised. Staff persons #3, #4, and #5 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric CPR/FA from an approved PQAS instructor.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.Staff persons #3, #4, and #5 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff persons #3, #4, and #5 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 persons #3, #4, and #5, then staff persons #3, #4, and #5 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not include details related to continuity of operation as required by Announcement C-22-04.

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 #2 contained a health assessment which was not updated within 24 months. The most recent health assessment on file for staff #2 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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The contact information for the regional child care office was not posted.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1 and #2 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic. The training was completed prior to 4/29/22.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.Staff persons #1 and #2 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer

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

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

Noncompliance Area: The file for staff #3 contained documentation of completing training in topics 1-9 and Pediatric CPR/FA more than 90 days after their start date. The health and safety training training was dated 3/03/23. The CPR/FA training was dated 2/18/23. (SEE LIS CODE SHEET).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. 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(2)(iii)

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

Noncompliance Area: The file for staff #3 contained documentation of mandated reporter training completed more than 90 days after their hire date. The training was dated 1/13/23. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include 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 #3 contained out of state clearances dated after their first day in a child care position. The clearances were dated 3/16/23. Proof of applying for these clearances on or before their start date was not on file. (SEE LIS CODE SHEET).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

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 #4, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualifications required for the position.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff #2 contained a self evaluation, however the file did not contain an evaluation conducted by the director. Based on statements made by staff, only self evaluations are currently being completed.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Hard plastic with sharp edges was observed on the support post for the gate between the entry area and the front child care space. A plastic pinch guard had previously been attached, but remnants remained after its removal.

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

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: A changing table observed in the upstairs preschool room was not positioned with a source of running water nearby. The changing table was across the room, approximately 10-12, feet from the sink with a child-size table in between.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility's annual fire alarm inspection reports were dated more than 12 months apart. The previous report was dated 10/28/21 and the current report was dated 11/04/22.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement for child #2 lacked the operator's signature.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreements for child #2, #3, #4, and #5 lacked the date of admission.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The file for child #1, child #3, and child #5 contained the original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for child #2 lacked the enrolling parent's work address. The emergency contact form for child #4 lacked the enrolling parent's work address and work phone number.

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

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: The emergency contact form for child #3 was reviewed on 8/2/21, which is more than 6 months ago.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child #1, with a start date of 10/1/21, had an initial health assessment dated for 4/4/22, which is more than 60 dates after starting.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child #3, who is a young toddler, had a health assessment dated for 8/19/21, which is 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

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: The immunization record for child #3 lacked an influenza vaccination in accordance with the ACIP.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Facility lacked documentation of a emergency drill being completed.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for facility person #5 lacked emergency plan training (SEE LIS CODE SHEET FOR HIRE DATE).

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: The file for staff person #1 (SEE LIS CODE SHEET FOR HIRE DATE) lacked 12 training hours from 12/19/20-12/19/21.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff person #3 and staff person #4 lacked health and safety training in topic areas 1-10 within 90 days of hire, (SEE LIS CODE SHEET FOR HIRE DATE).

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: The file for staff person #2, staff person #3, and staff person #4 lacked pediatric first aid and CPR training (SEE LIS CODE SHEET FOR HIRE DATES).

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #3 lacked a dated disclosure statement and mandated reporter training. The file for staff person #4 contained an old disclosure statement and lacked mandated reporter training. The file for staff person #5, lacked a disclosure statement signed by the staff. (SEE LIS CODE SHEET FOR HIRE DATES)

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

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: The established capacity in the front room is 18. During the inspection on 4/6/22, it was observed that 19 kids were present.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: It was observed that the main double door was blocked on one side with 2 boxes.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Facility lacked documentation of proof of purchase of the inter-connected smoke alarm system.

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.