Muirs Little Scholars

Regulation: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: On June 2, 2026, during the renewal inspection, the certification representative observed an infant sleeping in a bouncer chair that had been placed inside the crib.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On June 2, 2026, during the renewal inspection, the certification representative observed a child identified as the owner's grandchild come to the lower level of the facility unsupervised to obtain supplies.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 6/2/26, during the renewal inspection, certification rep. observed 10 children in the infant/toddler room with 2 staff members.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 8/27/24, during the renewal inspection, child #1 did not have evidence of the individual designated by the parent to whom the child may be released address on the emergency contact form.

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(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: On 8/27/24, during the renewal inspection, child#1 did not have evidence of a Hepatitis B shot or an exemption statement in the individual child's records. Director obtained an exemption letter that was signed by enrolling parent and child #1 pediatrician.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: On 8/27/24, during the renewal inspection, staff persons # 3, #6, and #7 did not have evidence of an initial TB in the individual staff records.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: On 8/27/24, during the renewal inspection, staff persons #3, #6 and #7 did not have evidence tuberculosis screening by the Mantoux method at initial employment in the individual records.

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(5)

Description: Two written references

Noncompliance Area: On 8/27/24, during the renewal inspection, staff person #1 did not have evidence of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person in the individual staff records.

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(f)

Description: Health and Safety Training

Noncompliance Area: On 8/27/24, during the renewal inspection, staff persons #1, #5,#6and #7 did not have evidence of a health and safety training in the individual staff records.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 8/27/24, during the renewal inspection, staff person #1 did not have evidence of an FBI clearance and NSOR. Staff person # 2 did not have evidence of a completed mandating reporting training. Staff person #3 did not have evidence of a child abuse clearance and updated mandating reporting training. Staff person #4 did not have evidence of a NSOR and mandating reporting training.

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 # 1, #2, #3may not work in a childcare position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 8/27/24, during the renewal inspection, lower-level hallway contained storage items (boxes and cleaning supplies) in the hallway accessible to the 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(c)

Description: Has all items

Noncompliance Area: On 8/27/24, during the renewal inspection, the first aid kit in the balloon classroom was missing tape. The first aid kit in the clown classroom was missing scissors.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 8/27/24, during the renewal inspection, the Light fixture in the lower-level bathroom uncovered. The butterfly's classroom ceiling had visible damage leaving a large open hole in the ceiling.

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: On 8/27/24, during the renewal inspection, the second-floor butterfly's classroom had visible water damage in the ceiling leaving a large open whole in the ceiling.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative reviewed the files for child #1, #2, #3, #4, and #5. None of the files contained the Department's approved form to provide information to the family about the child's growth and development.

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

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative reviewed the files for child #2, #3, and #5. The files for children #2, #3, and #5 did not contain all immunizations according to the recommendations of the ACIP. The files also did not contain written exemptions by the parent for religious or personal reasons or the physician for medical reasons.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative reviewed the files for staff person #1 and staff person #3. The files for both staff members did not contain verification of the annual minimum of 12 clock hours of childcare training.

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative did not receive documentation to verify testing of the fire detection system every 30 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)).

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative reviewed the files for child #1, #2, #3, #4, and #5. None of the files contained the Department's approved form to provide information to the family about the child's growth and development.

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

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative reviewed the file for child #5. The file did not specify the services which are to be considered as extra on the agreement.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative reviewed the files for child #2, #3, and #5. The files for children #2, #3, and #5 did not contain all immunizations according to the recommendations of the ACIP. The files also did not contain written exemptions by the parent for religious or personal reasons or the physician for medical reasons.

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

Regulation: 3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative reviewed the files for child #2, #3, and #5. The files for children #2, #3, and #5 did not contain all immunizations according to the recommendations of the ACIP. The files also did not contain written exemptions by the parent for religious or personal reasons or the physician for medical reasons.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative reviewed the file for staff person #1. The file did not contain verification of the tuberculosis screening by the Mantoux method.

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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative did not see written notification of safe routes posted by the operator at a conspicuous location in the childcare facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the childcare facility.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative did not find verification of childcare experience prior to service at the facility for staff person #2.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative did not find verification of High School diploma, or a letter signed by a representative of the experiential, educational or entity. or staff person #3.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative observed the emergency plan did not have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative reviewed the files for staff person #1 and staff person #3. The files for both staff members did not contain verification of the annual minimum of 12 clock hours of childcare training.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative reviewed the file for staff person #1 did not find verification of firesafety training conducted by a fire protection professional.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative reviewed for the file for staff person #3 and did not find a written evaluation within the last 12 months of employment.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative observed an uncovered electrical outlet in the Clown Room which had older toddlers in care.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative observed that gloves was missing from the first-aid kit in the Clown Room and soap and gauze was missing from the first-aid kit in the Butterfly Room.

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: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: During the renewal inspection on 03/01/2023, Certification Representative did not receive documentation to verify testing of the fire detection system every 30 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)).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED A SPRAY CAN OF WIZARD AIR FRESHNER ON THE COVERED RADIATOR AND A SPRAY CAN OF DISINFECTANT IN THE LOW SINK IN THE BACK AREA WHERE THE CUBBIES AREA LOCATED IN THE YOUNG TODDLER CHILD CARE SPACE ACCESSIBLE TO THE 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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2-14-2020, THE FILE OF STAFF PERSON # 8 DID NOT CONTAIN AN UPDATED HEALTH ASSESSMENT.

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.

Noncompliance Area: ON 04/12/2019, DURING THE RENEWAL INSPECTION, THE CERTIFICATION REPRESENTATIVE REVIEWED A HEALTH ASSESSMENT FORM IN THE FILE OF STAFF PERSON #1 AND QUESTIONED THE AUTHENTICITY OF THE DOCUMENT. ON 05/09/2019, THE DEPARTMENT RECEIVED DOCUMENTATION FROM THE MEDICAL OFFICE, WHICH HAD COMPLETED THE FORM, CONFIRMING THE HEALTH ASSESSMENT FORM IN QUESTION WAS FRAUDULENT AND DID NOT COME FROM THEIR OFFICE NOR DID IT COME FROM ANY OF THEIR OTHER LOCATIONS.

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.

Noncompliance Area: ON 05/09/2019, DURING THE COMPLAINT INVESTIGATION, A MENU WAS NOT POSTED IN A CONSPICUOUS LOCATION IN THE FACILITY NOR WAS VERIFICATION PRESENTED TO CONFIRM THAT MENUS ARE GIVEN TO EACH FAMILY AT LEAST 1 WEEK IN ADVANCE.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: ON 05/09/2019, DURING THE COMPLAINT INVESTIGATION, STAFF PERSON #1 ACKNOWLEDGED THAT THE FACILITY FED CHILD #1 SHEPPARD'S PIE, CONTAINING BEEF, WHICH WAS AGAINST THE PARENTS DIETARY PREFERENCES FOR THEIR CHILD. THE RECORD OF CHILD #1 CONTAINED PARENTAL CONSENT REQUESTING THAT CHILD #1 HAVE NO PORK OR BEEF.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THE AGREEMENT FORM FOR CHILD #2 AND #4 DID NOT INCLUDE THE FEE AMOUNT.

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

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THE AGREEMENT FORM FOR THE CHILDREN'S FILES REVIEWED DID NOT LIST THE CHILD SERVICE REPORT AS A SERVICE PROVIDED TO THE PARENT. AN UPDATED CHILD SERVICE REPORT FOR WAS NOT COMPLETED FOR CHILD #1, #2, #3 AND #4.

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).

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION FORM FOR CHILD #2 AND #5 DID NOT INCLUDE THE ENROLLING PARENT'S WORK ADDRESS AND TELEPHONE NUMBER.

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

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION FOR CHILD #3 DID NOT INCLUDE THE ADDRESS OF THE DESIGNATED 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.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, EMERGENCY CONTACT INFORMATION WAS NOT PRESENT IN THE CLOWN CLASSROOM FOR CHILD #6, THE BALLOON CLASSROOM FOR CHILD #7, #8 AND #9, AND THE BUTTERFLY CLASSROOM FOR CHILD #10, #11, #12, AND #13.

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.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, A WRITTEN PLAN IDENTIFYING THE MEANS OF TRANSPORTING A CHILD TO EMERGENCY CARE AND STAFFING PROVISIONS IN THE EVENT OF AN EMERGENCY WAS NOT POSTED IN UPSTAIRS GREEN CLASSROOM.

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.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THE FILE OF CHILD #4 AND #5 DID NOT CONTAIN AN UPDATED HEALTH ASSESSMENT

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.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF IMMUNIZATIONS ON FILE FOR CHILD #5.

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

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THE HEALTH ASSESSMENT FORM FOR CHILD #1 AND #2 DID NOT INCLUDE A STATEMENT THAT THE CHILD IS ABLE TO PARTICIPATE IN CHILD CARE AND IS 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.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, BENADRYLCHEWABLES LOCATED IN THE BUTTERFLY ROOM WERE NOT LABLED WITH THE NAME OF THE CHILD FOR WHOM THE MEDICATION WAS INTENDED FOR.

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

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, EXPIRED EPPI PENS BELONGING TO CHILD #5 WERE PRESENT IN THE BUTTERFLY ROOM. EXPIRED INHALERS AND MEDICATION WAS PRESENT IN THE CLOWNROOM FOR CHILD #14

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF AN ANNUAL LETTER SENT TO THE LOCAL TRAFFIC SAFETY AUTHORITIES NOTIFYING THEM OF THE LOCATION OF THE FACILITY AND THE PROGRAM'S USE OF PEDESTRIAN AND VEHICULAR ROUTES AROUND THE DAY CARE FACILITY.

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 day care facility.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, SAFE ROUTES WERE NOT POSTED IN A CONSPICUOUS LOCATION IN THE CHILD CARE FACILITY.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF A FACILITY ACCIDENT FILE AT THE CENTER.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, INSTRUCTIONS FOR CONTACTING THE APPROPRIATE REGIONAL DAY CARE OFFICE WAS NOT POSTED AT THE SAME LOCATION AS THE CERTIFICATE OF COMPLIANCE AND APPLICABLE REGULATIONS.

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

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THE FACILITY'S EMERGENCY PLAN DID NOT STATE THE SPECIFIC SHELTER IN PLACE LOCATION WITHIN THE FACILITY.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THERE WAS NO DOCUMENTATION IN WRITING TO CONFIRM THAT THE FACILITY'S EMERGENCY PLAN WAS BEING REVIEWED ANNUALLY AND/OR UPDATED WHEN NEEDED.

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.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE ON FILE THAT STAFF PERSON #2 HAD 6 HOURS OF CHILD CARE TRAINING.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THE FILE OF STAFF PERSON #1, HIRED 09/04/2003, DID NOT HAVE A STATE POLICE CLEARANCE. THE FILE OF STAFF PERSON #2, HIRED 10/21/2014, HAD AN OUTDATED STATE POLICE CLEARANCE (01/10/14) AND AN OUTDATED FBI CLEARANCE (01/13/2014).

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 AND #2 may not work in a child care position at the facility.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, 12 CHILDREN WERE PRESENT IN THE BALLOON CLASSROOM, WHICH HAS AN ESTABLISHED CAPACITY OF 11.

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

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, CLOWN ROOM: UNUSED OUTLETS ON THE SURGE PROTECTOR BY TV AND THE WALL OUTLET BY THE ENTRANCE DID NOT HAVE PROTECTIVE RECEPTACLE COVERS. UPSTAIRS GREEN ROOM: UNUSED OUTLETS BY THE LONG CUBBY AREA DID NOT HAVE PROTECTIVE RECEPTACLES. BUTTERFLY ROOM: AN OUTLET BY THE BLOCK AREA WAS COVERED BY TAPE.

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

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, DISINFECTANT WIPES WERE PRESENT IN A CHILD'S CUBBY ACCESSIBLE TO THE 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.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THE FIRST AID KIT LOCATED IN THE CLOWN ROOM WAS MISSING GUAZE. THE FIRST AID KIT LOCATED IN THE BUTTERFLY ROOM WAS MISSING 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.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, THE FOLLOWING WAS OBSERVED THROUGHOUT THE FACILITY: CLOWN ROOM - TOPS OF THE HEATING VENTS WERE LOOSE, CLASSROOM SINK IN THE CUBBY AREA IS LOOSE FROM THE WALL, AREA UNDER THE CLASSROOM SINK IS DIRTY, DOORFRAME TO THE BATHROOM AND WALL BEHIND THAT BATHROOM DOOR IS STAINED AND DIRTY. 1ST FLOOR BATHROOM - WALLS INSIDE THE BATHROOM WERE DIRTY. BALLOON ROOM - CHIPPING PAINT THROUGHOUT THE CLASSROOM. GREEN UPSTAIRS ROOM- CHIPPING PAINT ON WALLS BY THE WINDOWS AND SMALL CUBBY. PAINT /CAULK AROUND AIR CONDITIONER IS CHIPPING. OUTSIDE PLAYSPACE - TRASH AND DEBRIS IS PRESENT AROUND THE PERIMETER OF THE PLAYSPACE. A SHOVEL IS PRESENT IN THE PLAYSPACE. CHIPPING PAINT IS PRESENT ON THE WHITE DOOR ACCESSIBLE TO CHILDREN WHILE ON THE PLAYSPACE AREA.

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

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, A STEP STOOL OR A PLATFORM WAS NOT PRESENT IN THE 1ST FLOOR BATHROOM AT THE TOILET AREA.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, A SOURCE OF RUNNING WATER FOR HANDWASHING WAS NOT PRESENT AT THE DIAPERING AREA IN THE CLOWN CLASSROOM.

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.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, A PORTABLE HEATER WAS BEING USED IN THE FRONT VESTIBULE OF THE FACILITY.

Correction Required: Portable space heaters are not permitted.

Noncompliance Area: ON 04/12/19, DURING THE RENEWAL INSPECTION, EVACUATION ROUTES WERE NOT POSTED IN THE UPSTAIRS GREEN CLASSROOM.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: At the time of inspection, child service reports dated within the last 6 months were missing for the following children #2 and #3.

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).

Noncompliance Area: At the time of inspection, the file for child #2 did not have a health report dated within the last 12 months.

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

Noncompliance Area: At the time of inspection, the facility did not have a treatment plan for child #1's acute or chronic health condition.

Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: At the time of inspection, prescription medication for a child in the young toddler room was observed without the original label. The medication log for the child in the young toddler room was missing information.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: At the time of inspection, the operator had not documented in writing the annual review of the facility's emergency plan.

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.

Noncompliance Area: At the time of inspection, the file for staff member #1 hired on 11/15/05 didn't include a complete FBI clearance required under CSPL. The FBI rap sheet for staff member #1 was missing the disposition for an offense listed. The file for staff member #2 hired 2/14/17 did not contain completed PA State Criminal and FBI clearances required under the CPSL. Both clearances for staff member #2 indicated a record but; neither included rap sheets.

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

Noncompliance Area: At the time of inspection, staff members #1 and #3 did not have annual staff evaluations.

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

Noncompliance Area: At the time of inspection, the facility had a few area which were either unclean or in disrepair. Chipped paint was observed around the door in room 5 upstairs. Dust/ debris observed on the air vent in the bathroom near room 5. Debris observed in the light fixtures in room 4 upstairs. Dust observed on furniture and other surfaces in room 4. In room 2 unclean areas around window ledges, baseboards and other untouched surfaces were observed with dust and debris.

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

Noncompliance Area: Staff #1 was observed leaving a classroom with eight toddlers from 1:00pm to 1:05 without supervision

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.

Noncompliance Area: AGREEMENT FOR CHILD #2 WAS MISSING FROM FILE RECORD

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

Noncompliance Area: FILE RECORD FOR CHILD #2 DID NOT INCLUDE THE HOME ADDRESS OF THE ENROLLING PARENT

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

Noncompliance Area: FILE RECORD FOR CHILD #4 DID NOT INCLUDE THE ADDRESS OF THE DESIGNATED 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.

Noncompliance Area: SAFE ROUTES WERE NOT POSTED BY THE OPERATOR IN THE FACILITY

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: FILE RECORD FOR CHILD #4 DID NOT INCLUDE UPDATE IN THE PAST SIX MONTHS OF THE FINANCIAL AGREEMENT

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

Noncompliance Area: FILE RECORD FOR CHILD #4 WERE MISSING SIGNED CONSENT FOR EMERGENCY MEDICAL CARE

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.

Noncompliance Area: FILE RECORD FOR CHILD #1 AND CHILD #4 WERE MISSING SIGNED CONSENT FOR MINOR FIRST AID

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.

Noncompliance Area: FILE RECORD FOR STAFF #3 WAS MISSING VERIFICATION OF EDUCATION; STAFF #4 FILE RECORD CONTAINED DOCUMENTS THAT WERE FRAUDLENT

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

Noncompliance Area: FILE RECORD FOR STAFF PERSON #1 AND STAFF PERSON #2 DID NOT INCLUDE SUBSEQUENT HEALTH ASSESSMENTS; LAST COMPLETED ON 11/3/15 (STAFF#1) AND 1/27/14(STAFF#2)

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.

Noncompliance Area: FILE RECORD FOR STAFF #5 DID NOT INCLUDE MANDATED REPORTER TRAINING;STAFF #6 FILE RECORD DID NOT INCLUDE FBI CLEARANCES AND MANDATED REPORTER TRAINING

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 #--- may not work in a child care position at the facility.

Noncompliance Area: FILE RECORD FOR STAFF #3 DID NOT INCLUDE WRITTEN 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

Noncompliance Area: CERTIFICATION REPRESENTATIVE OBSERVED EMERGENCY NUMBERS NOT POSTED IN THE BUTTERFLY, BALLOON, AND CLOWN CLASSROOM

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.

Noncompliance Area: First aid kit in the Butterfly Classroom as missing water,Balloon Classroom kit was missing soap and water, and Clown Classroom kit was missing Band Aid, Gloves, Soap, and Water

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.