Ms Ms Happy Tots Daycare Development Lrng Ctr Llc

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent child service report on file for child #1, enrolled for more than 6 months (see LIS code sheet) is dated 5/7/25, which is more than 6 months ago. The most recent child service report for child #2, enrolled for more than 6 months (see LIS code sheet) is dated 9/21/24, which is more than 6 months ago. The most recent child service report for child #3, enrolled for more than 6 months (see LIS code sheet), is dated 2/21/25, which is more than 6 months ago. The most recent child service report for child #4, enrolled for more than 6 months (see LIS code sheet) is dated 5/22/25, which is more than 6 months ago. The most recent child service report for child #6, enrolled for more than 6 months (see LIS code sheet), is dated 9/5/23, which is more than 6 months ago.

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)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact information for child #4 does 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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The current health assessment for child #1 (see LIS code sheet) is dated 4/8/26, which is more than 6 months after the previous health assessment that is dated 7/10/25.

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(b)(2)

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

Noncompliance Area: The current health assessment for child #3 (see LIS code sheet) is dated 3/31/26, which is more than 12 months after the previous health assessment that is dated 8/7/24. The current health assessment for child #6 (see LIS code sheet) is dated 8/22/23, which is more than 12 months ago.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The annual traffic letter on file at the time of inspection was dated 4/11/25, which is more than one year ago.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for staff #1 and staff #6 did not include two written, non-family 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: 3270.21/3270.27(c)

Description: General Health and Safety/Training regarding plan

Noncompliance Area: Staff #3 and staff #5, employed for more than 90 days (see LIS code sheet), do not have documentation of emergency plan training.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan and accompanying parent letter did not list accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff #2, staff #3, staff #4, staff #7, staff #8, staff #9, and staff #10, all employed for more than 1 year (see LIS code sheet), have documentation of 1 hour of annual professional development (fire-safety training). Staff #6 has documentation of 5.5 hours of annual professional development training (4.5 hours for Pediatric First Aid and CPR and 1 hour for fire safety 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: Pediatric first aid and CPR training for staff #3 is dated 1/17/25, which is more than 90 days after their date of hire (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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The current fire safety training for staff #10 is dated 1/30/26, which is more than 12 months after the previous training that is dated 11/9/24.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The PA State Police clearance for staff #1, dated 6/23/25, is for volunteer purposes. There is no NSOR on file for staff #1. The most recent Child Abuse clearance for staff #4 is dated 4/15/21, which is more than 60 months ago.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff persons #1 and #4 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff #3, employed for more than one year (see LIS code sheet), has an annual staff evaluation on file, but it lacks a date. The file for staff #6, employed for more than one year (see LIS code sheet) does not include an annual staff evaluation.

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: A small ceiling tile above the diapering area in the Tumbler 2 room is water stained and needs to be replaced.

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: 3270.31(f)(10)/3270.192(2)(iii)

Description: Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

Noncompliance Area: Staff person #1 did not complete pediatric first aid and CPR within 90 days of their date of hire (see LIS code sheet). The training was completed on 3/06/26.

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drill exceeds 60 days as evidenced by the most recent drill documented on 6/19/25.

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: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: Fire-detection system testing exceeds 30 days as evidenced by the most recent test documented on 6/19/25.

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 cracked toy bin with sharp edges that create pinch points was present on the bottom shelf of the market toy in the older toddler space. Two cracked toy bins with sharp edges creating pinch points were present in the Tumbler 2 room. One bin contains dress-up clothing and is located below the "Never Stop Growing" board. The other cracked bin contains Magnatiles and is on a shelf that was turned in to face the wall

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: One shelving unit in the upstairs preschool space and multiple shelving units in the downstairs preschool space had exposed screws protruding from the shelves. A tall shelving unit in the downstairs preschool room located against the left-side wall about halfway between the entry door and back wall, presents a tipping risk.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the infant space, the crib closest to entry/exit gate does not have 2 ft. of space on 2 out of 3 sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for child #3 did not include the amount of the fee to be charged.

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: There were no DHS-approved child service reports for child#1-child #5.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #1 did not include the telephone number of the physician or source of medical care.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The health assessment for child #2 was dated 7/18/24, which is more than 12 months after the previous health assessment, dated 4/4/23.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Following a diaper change in Tumbler 1 room, a diaper was observed to be placed on the changing table after being removed instead of being disposed of immediately in a plastic-lined, hands-free covered can.

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(a)

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

Noncompliance Area: The file for staff person #2 did not include a health assessment. Staff person #3 had an initial health assessment dated 1/27/25, which is after the date of hire. (see 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)

Description: Mantoux TB

Noncompliance Area: Staff person #2 had an initial TB test dated 3/6/24, which is after the date of hire. Staff person #3 had an initial TB test dated 11/29/24, which is after the 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.

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: Staff person in Tumbler 1 room was observed changing a diaper wearing disposable gloves and did not remove the gloves and wash hands after diapering the child.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #2 contained only one written, nonfamily reference. The files for staff persons #3 and #5 lacked two written, 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff persons #1 and #2 did not have emergency plan at time of hire or annually. Staff persons #3, #4, and #5 did not have emergency plan training at time 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)

Description: Age and Training

Noncompliance Area: Staff peron #1 lacked documentation of 12 hours of annual professional development between 3/24 and 3/25. They had 8.5 hours of professional development documented.

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: Staff person #7 had pediatric first-aid and CPR training dated 11/9/24, which is more than 90 days after the date of hire (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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #2 had fire-safety training dated 1/17/25, which is more than one year after the date of hire (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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 did not have disclosure statement dated. Staff person #2 had state police clearance dated 8/21/23 (no application), NSOR dated 10/17/23 (no application); disclosure statement dated 6/11/24, which are all after the date of hire (see LIS code sheet). Staff person #3 had child abuse clearance dated 6/5/24 (no application), DHS FBI clearance dated 7/22/24 (no fingerprint proof). All of these are dated after the staff person's date of hire. Staff person #3 also needs out of state clearances for Virginia. Staff person #4 had an outdated disclosure form that did not include the date it was signed. The current NSOR clearance for staff person #6 is dated 3/11/20. The current NSOR clearances for staff persons #8 and #9 are dated 2/7/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons # 6, #8, and #9 may not work in a child care position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: Staff person #3 lacks documentation of childcare experience that would allow them to have the position of assistant group supervisor.

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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff persons #1 and #2 do not have documentation of annual staff evaluations, and both have been employed longer than one year (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: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: Wiring on the metal gate in the outdoor play space is protruding in toward the play space, presenting a hazard to children playing in the space.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the downstairs Preschool room, there were two power strips that did not have protective outlet covers. One was located by the television, and another was located by a small sink.

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: The diaper changing table in the Tumbler 2 room had an unlocked cabinet that contained diaper creams labeled "Keep out of reach of children" that were 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: 3270.75(a)

Description: In child care spaces

Noncompliance Area: The downstairs preschool room lacked a first-aid kit.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Exposed toilet bolts were observed on the wall-side of toilet in upstairs pink bathroom, and on one toilet in the upstairs blue bathroom.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Paint on the railing outdoors by the entryway is chipped and peeling.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The exit door for the Tumbler 2 room was obstructed by a chair in the hallway outside of the door. The exit door for the downstairs preschool room was obstructed by a vacuum and broom.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2 was observed to be caring for children unsupervised by an AGS who has completed all pre-service training; staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

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, #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 person(s) available to supervise staff person #2, #5, staff person #2, #5 may not work in a child-care position at the facility.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: The file for staff person #3 did not include documentation of the PA Child Abuse clearance, obtained for the purpose of employment, prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The Child Abuse clearance was submitted to the certification representative after the conclusion of the inspection and was dated 6.5.24.

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. Facility Person #3 may not work in a child care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the training was completed on 11.9.24. Staff person #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the training was completed on 11.13.24.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The most recent documented fire drill took place on 7.3.24, more than 60 days ago.

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: The most recent recorded 30-day test for the smoke detectors is dated 7.5.24, more than 30 days ago.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 3 Magna Tiles in the Older Toddler room that had cracked and broken edges. In the Tumbler 1 room there was a cracked plastic bin that was labeled for animal figurines. In the outside playground, there was a purple scooting toy that had a cracked, broken edge with a plastic piece missing.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #1, with an enrollment date of 11//12/20, does not include a child service report; the file for Child #3, with an enrollment date of 2/20/23, does not include a child service report; the file for Child #4, with an enrollment date of 2/20/23, does not include 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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #2 does not include the telephone number for the child's pediatrician/source for medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #3 and #4 does not include the work address and/or telephone number for the enrolling parent.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: There were no emergency contact forms in the Tumbler 1 classroom for the children receiving care in the room.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: There was no emergency transportation plan posted in the Preschool room which identifies the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent 6-month review signature for the emergency contact form and the financial agreement on file for Child #1, #3, #4 is dated 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. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment on file for Child #4, is dated 11/16/23, more than 60 days after the enrollment date of 5/17/23.

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

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

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

Noncompliance Area: The most recent health assessments on file for Child #3, who is a Young Toddler, is dated 4/4/23, more than 6 months ago.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #1, who is 18 months old, included 3 of 4 DTAP vaccinations; 3 of 4 HIB vaccinations; and 3 of 4 pneumococcal vaccinations recommended by the ACIP for a child this age.

Correction Required: ·Child #1 must be dismissed from care by close of business on 5/3/24, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: An inhaler labeled for the use of a specific child was observed in a child's backpack in the preschool room, making it accessible to children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: While observing a diaper change in the Tumbler 2 room, a staff person was observed placing the soiled diaper on the changing table until completing the diaper change and did not immediately dispose of the diaper in a hands-free can.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Adult scissors were observed in an unlocked cabinet accessible to children in the Older Toddler room.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #2 and #4 includes only 1 written nonfamily reference.

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: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #4 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet); the training was completed on 2/2/24.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility did not have a letter to the parents of enrolled children regarding the facility emergency plan.

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

Regulation: 3270.31(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): Get Started with Center-based Care: Building Blocks for Quality.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2 will have until 5/22/24 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 6/19/23.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

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 #4 will have until 5/22/24 to complete the required training. Until such time as the required training has been completed, staff person #4 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 #4, staff person #4 may not work in a child-care position at the facility.

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

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

Noncompliance Area: Staff person #1 completed their current mandated reporter training on 3/27/24, more than 60 months after the previous training dated 11/8/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #1 includes criminal history clearances dated 11/15/18 and 3/6/24; child abuse clearances dated 11/9/18 and 3/6/24; and FBI clearances dated 11/7/18 and 3/11/24, all more than 60 months apart. The file for staff person #4 included an NSOR certificate dated more than 45 days after hire (See LIS Code Sheet) required for provisional hiring under the CPSL; the NSOR is dated 10/20/23.

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

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A bottle of White-out was observed in an unlocked cupboard, accessible to children in the Older Toddler room.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Older Toddler room did not include tweezers. The first aid kit in the Tumbler 2 room did not include tweezers, soap, or gloves.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was present on the chair rail under the clock in the Older Toddler room and under the clock and the menu, on the wall bump-out in Preschool 2.

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)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 6/2/23-7/3/23; 8/2/23-9/2/23; 9/2/23-10/12/23; 12/2/23-1/3/24; 2/1/24-3/8/24; and 3/8/24-4/10/24, more than 30 days apart.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization records of child #1, #2, #3, #4, #5, #6, #7 and #8 were not in accordance with the recommendations of the ACIP and acceptable letters of exemption from the child's physician or parent were not provided.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.131(b)(2)

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

Noncompliance Area: 2nd citation: The last health report in the file for child #2, a 14 month-old, was 4/5/22. Previously cited on 4/20/23.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: 2nd citation: The file for child #2, a 14 month old, was missing 1 of 2 of the following vaccinations: DTAP, HIB, Pneumococcal and Polio and did not include a flu shot. Previously cited 4/20/23.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).Child #2 must be dismissed from care by close of business and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.106(a)/3270.119

Description: Clean, age appropriate/Infant sleep position

Noncompliance Area: Upon entering the facility at approximately 9:50 am on 4/20/23, staff person #3 was observed in the infant room with 4 children and a 4 month-old was asleep in a swing.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.106(a)/3270.119

Description: Clean, age appropriate/Infant sleep position

Noncompliance Area: *Upon entering the facility at approximately 9:50 am on 4/20/23, staff person #3 was observed in the infant room with 4 children and a 4 month-old was asleep in a swing.

Correction Required: *The operator must develop a safe infant sleep policy. The policy will be submitted to OCDEL for approval by the certification representative before being discussed with staff or posted in the facility. Upon OCDEL's approval, the policy will be discussed in detail with all staff. Staff will then sign and date an attestation that they understand the safe sleep policy and that the policy is in effect immediately. The policy will then be posted conspicuously in the infant room.

Regulation: 3270.106(a)/3270.119

Description: Clean, age appropriate/Infant sleep position

Noncompliance Area: **Upon entering the facility at approximately 9:50 am on 4/20/23, staff person #3 was observed in the infant room with 4 children and a 4 month-old was asleep in a swing.

Correction Required: **The operator will post conspicuous signs on each swing, bouncy seat or other non-sleep equipment in the infant room, stating that Infants cannot sleep in those pieces of equipment and must immediately be moved to their crib if they begin to fall asleep.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *At approximately 10:08 am on 4/20/23, on a video monitor in the facility's office, staff person #6 was observed in the toddler room with 4 young toddlers. Two children were already sitting on their knees on the table in the middle of the room and a third child was climbing onto the table at the time. Staff person #6 was sitting at the white desk in the corner eating while 3 children climbed onto the table. When the staff person wasn't looking, the 3rd child stood up on the table. The staff person got up from the desk and threw the food away and saw the 3 children were on the table, with the 3rd child still standing on it. The staff person did not remove the children from the table and that's when the certification rep retrieved staff person #2, the owner, from the preschool room and showed them the monitor. Staff person #2 was asked to call down to the room and have the staff take the children off the table, which staff person #2 did immediately.

Correction Required: *The operator must develop a site-specific supervision and ratio policy, and the policy will be submitted to OCDEL for approval by the certification representative before being discussed with staff or posted in the facility. Upon OCDEL's approval, the policy will be discussed in detail with all facility staff. Staff will then sign and date an attestation that they understand the supervision and ratio policy and that the policy is in effect immediately. The policy will then be posted conspicuously in all rooms of the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 10:08 am on 4/20/23, on a video monitor in the facility's office, staff person #6 was observed in the toddler room with 4 young toddlers. Two children were already sitting on their knees on the table in the middle of the room and a third child was climbing onto the table at the time. Staff person #6 was sitting at the white desk in the corner eating while 3 children climbed onto the table. When the staff person wasn't looking, the 3rd child stood up on the table. The staff person got up from the desk and threw the food away and saw the 3 children were on the table, with the 3rd child still standing on it. The staff person did not remove the children from the table and that's when the certification rep retrieved staff person #2, the owner, from the preschool room and showed them the monitor. Staff person #2 was asked to call down to the room and have the staff take the children off the table, which staff person #2 did immediately.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement in the file for child #2 did not specify the fee amount.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form in the file for child #4 listed the child's health insurance policy number, but did not include the name of the coverage.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The last review documented by a parent on the emergency contact form in the file for child #1 was 7/27/22. The last two reviews documented by a parent on the emergency contact form in the file for child #3 were 2/10/22 and 11/5/22. The last two reviews documented by a parent on the agreement form in the file for child #3 were 5/2/21 and 11/5/22.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The last health report in the file for child #2, a 14 month-old, was 4/5/22.

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)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #1, a 6 month old, was missing 1 of 2 of the following vaccinations: Hep B, Rotovirus, DTAP, HIB, Pneumococcal and Polio and did not include evidence of a flu shot. The file for child #2, a 14 month old, was missing 1 of 2 of the following vaccinations: DTAP, HIB, Pneumococcal and Polio and di not include a flu shot. The last flu shot in the file for child #4 was dated in 2021. The files did not contain hand-written statements of exemption by a parent.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1, #2 and #5 must be dismissed from care by close of business and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report in the file for child #3 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The health report in the file for child #3 did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: After diapering a young toddler in the Toddler 1 room, staff person #8 washed their hands, but did not wash the child's hands.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 4/21, staff person #8 was observed to be caring for children unsupervised. Staff person #8 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #8 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #8, staff person #8 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 file for staff person #5, working with children before 10/4/22, did not include the 1 hour updated health and safety training. The file for staff person #1, #2 and #6, all working with children before 10/4/22, included the 1 hour updated safety training dated 1/5/23. The file for staff person #3 and #4, both working with children before 10/4/22, included the 1 hour health and safety training update dated 3/9/23 and 1/18/23, respectively.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: Onr of the reference letters in the file for staff person #8 wasn't signed by the person who wrote it.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff person #1 included 10 hours of training during their last full anniversary year.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The only fire safety training in the file for staff person #1, hired on (SEE LIS CODE SHEET) , was dated 1/20/23.

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 #8 has not completed the following required pre-service training within 90 days of their date of hire: 10 hour 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 #8 will have until 6/14/23 to complete the required training. Until such time as the required training has been completed, staff person #8 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #8, staff person #8 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 disclosure statement in the file for staff person #7 and #8 was an outdated version of the form. On 4/21/23, staff person #8 was observed unsupervised with 4 toddlers in the Tumbler 1 room. The last two state police clearances in the file for staff person #4 were dated 3/14/17 and 6/8/22.

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 #7 and #8 may not work in a child care position at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 2:40 pm on 4/20/23, on a video monitor in the facility's office, staff person #4 and #6 were observed in the main toddler room with 8 children, a combined group of 4 young toddlers and 4 older toddlers. The children were off their rest equipment. Staff person #6 briefly went into the adjacent Tumbler 2 room, leaving staff person #4 out of ratio with the 8 children.

Correction Required: 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).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The door to the office adjacent to the preschool room on the first floor was ajar and there was hand sanitizer, Microban and white out on the desk, which all include instructions to keep out of the reach of children.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: There was an unlabeled spray bottle containing clear liquid in the basket on the wall that holds the first aid kit. There was an unlabled spray bottle containing clear liquid in the infant room closet. Staff stated both bottles contained bleach water.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.