Monroes Clubhouse Childcare Center

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The staff file for Staff person #1 contained a current health assessment dated 3/30/26 that had 'Yes' checked off to having a communicable disease and additional information describing the condition and the risk it might pose was not provided.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: 2nd CITATION: The staff file for Staff person #1 lacked 6.5 of the 12 clock hours of annual childcare training required from 12/2024 to 12/2025. PREVIOUSLY CITED ON 3/18/26

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The child file for Child #3 and Child #5 contained a financial agreement form that was observed to lack the name(s) of the person(s) designated by a parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: In the Littel Scholars Room, 4 children were observed to be receiving care in the space and their emergency contact forms were not present.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The child file for Child #1, who is a preschool age child, was observed to contain three health reports on file: the initial health report dated 4/25/24, a subsequent health report that lacked a date, and a current health report dated 3/4/26. Therefore, it cannot be determined if the subsequent health report was obtained in accordance with the regulation.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The staff file for Staff person #1 lacked a current health assessment; the last health assessment on file is dated 1/15/24 which is more than 24 months old.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #1, Child #2, and Child #4 contained a financial agreement form that was not reviewed and signed by the parent at least once in 6-months; the last review was signed and dated in March 2025.

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

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The child file for Child #1 and Child #3 contained a current emergency contact information form that lacked signed parental consent for emergency medical care for the child.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.182(5)

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

Noncompliance Area: The child file for Child #1 and Child #3 a current emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the Little Scholars Room, a stapler was observed on top of an eight-section cubby storage unit approximately 30 inches from the ground and accessible to the children in care. Adult scissors were observed inside a clear plastic pencil case that was on top of a multi-colored storage unit, approximately 3.5 feet tall, and accessible to the children in care.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The staff file for Staff person #1 lacked 6.5 of the 12 clock hours of annual childcare training required from 12/2024 to 12/2025.

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: Continued Non-Compliance: On 4/2/25 a renewal inspection was conducted at the facility. Staff person #1had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training. The facility's acceptable plan of correction indicated the correction would be implemented by 5/13/25. Staff person #1 still has not completed the following required pre-service training: Health and Safety Training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 6/11/25 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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The child file for Child #1, Child #2, Child #3, and Child #4, enrolled for more than six months, lacked a child service report.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The child file for Child #1, Child #2, Child #3, and Child #4, contained a current financial agreement form that lacked the name(s) of the person(s) designated by the parent to whom the child may be released to.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The child file for Child #3 who contained a current emergency contact form that lacked the health insurance name.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The child file for Child #3 who contained a current emergency contact form that lacked the addresses for the individual designated as the release person.

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)

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

Noncompliance Area: The child file for Child #1 who is an older toddler, was observed to lack an updated health report; the most recent health report on file is dated 3/11/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

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

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The immunization record of Child #1 was observed to be missing the following vaccines: the 4th dose of DTaP vaccine, and the 2nd dose of Hep A vaccine as recommended by the ACIP and did not have an acceptable exemption on file.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business 4/2/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The hands-free covered can located in the bathroom which is used to discard soiled diapers was observed to lack a plastic lining.

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

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The staff file for Staff person #1 contained a current health assessment dated 6/7/24 that was not signed by a physician, physician's assistant or CRNP.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #1 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form were signed on 3/10/25 and 5/17/24 and the financial agreement form was last reviewed and signed on 3/10/25. The child file for Child #2 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form were signed on 3/9/25 and 8/13/24 and the financial agreement form was last reviewed and signed on 3/9/25. The child file for Child #3 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the most recent reviews of the emergency contact form was signed on 8/13/24 and the financial agreement form was last reviewed and signed on 3/7/25. The child file for Child #4 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form were signed on 3/12/25 and 6/24/24 and the financial agreement form was last reviewed and signed on 3/12/25.

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

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The child file for Child #4 contained a current emergency contact information form that lacked signed parental consent for emergency medical care for the child.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.182(5)

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

Noncompliance Area: The child file for Child #4 contained a current emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.182(8)

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

Noncompliance Area: The child file for Child #1, Child #2, and Child #3 lacked the initial financial agreement form.

Correction Required: 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: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: Upon review of the facility's emergency plan, the annual review and update were not documented in writing and kept on file at the facility.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The staff file for Staff person #1 and Staff person #2 lacked documentation of having participated in emergency plan training with in 90 days of hire.

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 staff file for Staff person #3 lacked documentation of having participated in annual fire safety training for 2024.

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 #1has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 5/13/25 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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The staff file for Staff person #1 was observed to contain a signed disclosure statement that was not dated therefore it cannot be determined if the disclosure was signed at time of hire.

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: 3270.35(b)(3)/3270.192(2)(iii)

Description: Associate's + 2 yrs/Exp, educ., training at facility

Noncompliance Area: The staff file for Staff person #1 who is functioning as a Group Supervisor, lacked two years of experience working with children.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 1/2/25 to 2/3/25 (32 days).

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan lacked a continuity of operations plan as required per 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)

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

Noncompliance Area: Staff person #1, who was observed in ratio and caring for children, lacked an initial health assessment.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Staff person #1, who was observed in ratio and caring for children, lacked a tuberculosis screening and the results.

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.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: Staff person #1, who was observed in ratio and caring for children, lacked a staff file.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person #1, who was observed in ratio and caring for children, lacked verification of childcare experience and education.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Staff person #1, who was observed in ratio and caring for children, lacked an initial health assessment and tuberculosis skin test and the results.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person #1, who was observed in ratio and caring for children, lacked two nonfamily references.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1, who was observed in ratio and caring for children, lacked a disclosure statement, Child Abuse clearance, State Police clearance, DHS FBI clearance and National Sex Offender Registry Check.

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

Regulation: 3270.33(a)/3270.35(b)(3)

Description: Each staff person meets quals/Associate's + 2 yrs

Noncompliance Area: Staff person #1, who was observed in ratio and caring for children, lacked proof of education and childcare experience.

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 group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Two electrical outlets in the small office room, which children 5 years of age or younger have to walk through to get to the indoor gross motor space, were observed to be missing 3 protective covers.

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: In the restroom used by children in care, a Glade aerosol air freshener and a tub of Aquaphor healing ointment both labeled 'Keep Out of Reach of Children' were observed on a shelving unit and accessible to the children in care.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Little Scholars Room. two ceiling tiles located in the left-hand corner above the side glass door exit were observed to not be kept clean as evidence by having water spots from a previous leak.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The utility sink located in the Smart from the Start Room was observed to lack a handwashing sign.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Upon review of the facility's fire drill log, the following fire drills were observed to not be conducted at least once every 60 days: 5/3/24 to 7/3/24 (61 days) and more than 60 days has passed since the last fire drill which was conducted on 8/30/24.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the facility lacked a thermometer, therefore proper temperature for food storage could not be determined.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact information for Child #2 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant, or CRNP, which is needed in an emergency situation.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for Child #2 did not include the release person's address.

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: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: There was not a list of telephone numbers for nearest hospital, police department, fire department, ambulance, and poison control by the telephone in the facility.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log showed the time between fire drills exceeded 60 days between 2/20/24 and 5/3/24.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation of fire detection system testing showed that testing exceeded 30 days between 3/20/24 and 4/23/24.

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.