My Day Care

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The toilet in the bathroom of Children's House lacked a handwashing sign.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a black with white polka dots block with exposed foam in the Young Toddler Room.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Observed rest equipment not labeled for the use of a specific child in the Older Toddler Room.

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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file of Child #4 did not contain a child service report completed at least every 6 months (SEE LIS Code Sheet). The file of Child #4 contained a child service report dated 4/22/26.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement for Child #2 did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The files of Children #1, #2, and #4 contained the original agreement. The facility did not make a copy for the files and give the original to the parents.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency contact information for Child #5 did not include the address and telephone number of the child's 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #4 did not include the complete work address of the enrolling parent. Emergency contact information for Child #5 did not include the work address of 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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information for Child #4 did not include the address of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file of Child #5 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #5 contained a health report dated 4/30/26 with a previous one dated 1/15/25.

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: The file of Child #2, an infant, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, and Polio immunizations according to the recommendation of the ACIP. Child #2 had documentation of one Rotavirus immunization, one DTAP/DTP/TD immunization, one HIB immunization, one Pneumococcal immunization and one Polio immunization.

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(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report for Child #5 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 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: 3270.151(a)

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

Noncompliance Area: The file of Staff #1 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #1 contained a health assessment dated 9/9/24.

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: The file of Staff #1 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). The file of Staff #1 had a Mantoux test read date of 7/25/24.

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: 3270.165

Description: Menus

Noncompliance Area: The operator did not conspicuously post the menu at least 1 week in advance or provide a menu to each family.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed bottles which were not labeled with the child's name in the Infant Room.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file of Staff #4 lacked documentation of completing Pediatric first aid and CPR by a PQAS certified trainer within 90 days of hire (SEE LIS Code Sheet). The file of Staff #4 contained documentation of completing Pediatric first and CPR on 2/19/26.

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 persons #2 and #5 have not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid and CPR by a PQAS certified trainer.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff persons #2 and #5 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #2 and #5, staff persons #2 and #5 may not work in a child-care position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: The file of Staff #1 lacked documentation of meeting one of the applicable staff qualifications for the position in which the person was performing.

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: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The files of Staff #3 and #4, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed an electrical outlet to the left of the shelf containing LEGOS which lacked a protective receptacle cover.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: 2nd citation. Previously cited on 5/21/25. Based on interviews, Child #1 exited the facility unbeknownst to staff. When Staff #1 was interviewed, Staff #1 indicated staff and children prepared to go to the outdoor play space between 10:20 and 10:30 AM. Staff #1 indicated he/she helped children put on their coats and shoes and replaced a child's blanket in the cubby before going towards the rear exit. Staff #1 indicated as he/she approached the exit, Staff #2 brought Child #1 into the center after being returned by an unknown person. Staff #1 stated Child #1 was assigned to Staff #2 and was unsure how long Child #1 was outside. When Staff #2 was interviewed, Staff #2 indicated the children started cleaning up to go outside to the play space between 9:50 and 9:55 AM. Staff #2 indicated when children were done putting away the toys, staff helped children with putting on their coats and shoes. Staff #2 indicated while counting children in the room, a person knocked on the rear exit around 10:05 AM and returned Child #1. Staff #2 indicated the person stated he/she found Child #1 outside, but the person did not specify where. Staff #2 stated he/she was assigned Child #1. When Staff #3 was interviewed, Staff #3 indicated staff and children prepare to go outside to the play space at 10:00 AM, but they do not go outside until approximately 10:15 AM until staff put on children's shoes and apply sunscreen to the children. Staff #3 indicated he/she saw a person at the back door and told Staff #2. Staff #3 indicated Staff #2 answered the door and realized the person had Child #1. Staff #3 indicated Staff #2 was assigned Child #1. Staff #3 indicated Child #1 was returned to the center at approximately 10:17 AM. In a previous plan of correction, the legal entity indicated staff would complete training through Better Kid Care regarding supervision and ratio. At the time of the inspection Staff #1 had completed 4 of the 6 supervision and ratio trainings completed by the other staff.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Observed rest equipment not labeled for the use of a specific child in the Young Toddler Room and the Preschool Room.

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.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on interviews, Child #1 exited the facility unbeknownst to staff. When Staff #1 was interviewed, Staff #1 indicated staff and children prepared to go to the outdoor play space between 10:20 and 10:30 AM. Staff #1 indicated he/she helped children put on their coats and shoes and replaced a child's blanket in the cubby before going towards the rear exit. Staff #1 indicated as he/she approached the exit, Staff #2 brought Child #1 into the center after being returned by an unknown person. Staff #1 stated Child #1 was assigned to Staff #2 and was unsure how long Child #1 was outside. When Staff #2 was interviewed, Staff #2 indicated the children started cleaning up to go outside to the play space between 9:50 and 9:55 AM. Staff #2 indicated when children were done putting away the toys, staff helped children with putting on their coats and shoes. Staff #2 indicated while counting children in the room, a person knocked on the rear exit around 10:05 AM and returned Child #1. Staff #2 indicated the person stated he found Child #1 outside, but the person did not specify where. Staff #2 stated he/she was assigned Child #1. When Staff #3 was interviewed, Staff #3 indicated staff and children prepare to go outside to the play space at 10:00 AM, but they do not go outside until approximately 10:15 AM until staff put on children's shoes and apply sunscreen to the children. Staff #3 indicated he/she saw a person at the back door and told Staff #2. Staff #3 indicated Staff #2 answered the door and realized the man had Child #1. Staff #3 indicated Staff #2 was assigned Child #1. Staff #3 indicated Child #1 was returned to the center at approximately 10:17 AM.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Based on interviews, Child #1 exited the facility unbeknownst to staff. When Staff #1 was interviewed, Staff #1 indicated staff and children prepared to go to the outdoor play space between 10:20 and 10:30 AM. Staff #1 indicated he/she helped children put on their coats and shoes and replaced a child's blanket in the cubby before going towards the rear exit. Staff #1 indicated as he/she approached the exit, Staff #2 brought Child #1 into the center after being returned by an unknown person. Staff #1 stated Child #1 was assigned to Staff #2 and was unsure how long Child #1 was outside. When Staff #2 was interviewed, Staff #2 indicated the children started cleaning up to go outside to the play space between 9:50 and 9:55 AM. Staff #2 indicated when children were done putting away the toys, staff helped children with putting on their coats and shoes. Staff #2 indicated while counting children in the room, a person knocked on the rear exit around 10:05 AM and returned Child #1. Staff #2 indicated the person stated he/she found Child #1 outside, but the person did not specify where. Staff #2 stated he/she was assigned Child #1. When Staff #3 was interviewed, Staff #3 indicated staff and children prepare to go outside to the play space at 10:00 AM, but they do not go outside until approximately 10:15 AM until staff put on children's shoes and apply sunscreen to the children. Staff #3 indicated he/she saw a person at the back door and told Staff #2. Staff #3 indicated Staff #2 answered the door and realized the person had Child #1. Staff #3 indicated Staff #2 was assigned Child #1. Staff #3 indicated Child #1 was returned to the center at approximately 10:17 AM.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present in the Infant Room for the children receiving care in the space.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file of Child #1, a 17-month-old, lacked Pneumococcal immunizations according to the recommendations of the ACIP. Child #1 had documentation of 3 Pneumococcal immunizations.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, or distraught child, but the policy did not address the prevention and identification of child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)

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

Noncompliance Area: The file of Staff #2 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a health assessment dated 11/30/23. The file of Staff #3 lacked a health assessment conducted every 24 months. The file of Staff #3 contained a current health assessment dated 5/2/24 with a previous one dated 4/28/22. The file of Staff #4 lacked a health assessment conducted every 24 months. The file of Staff #4 contained a current health assessment dated 4/10/25 with a previous one dated 7/28/22.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of Staff #5 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #5 contained one 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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

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

Regulation: 3270.27(a)(3)

Description: Contact when arises

Noncompliance Area: The facility did not have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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: The file of Staff #2 lacked documentation of completing pediatric first aid/CPR from a PQUAS approved trainer and a PQUAS approved curriculum within 90 days of their date of hire (SEE LIS Code Sheet). The file of Staff #2 contained documentation of completing pediatric first aid and CPR on 4/12/24. The file of Staff #2 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #2 contained documentation of completing health and safety training on 5/1/24.

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: The file of Staff #1 lacked a National Sex Offender Registry Certificate updated every 60 months. The file of Staff #1 contained a NSOR dated 3/12/25 with a previous one dated 2/24/20.

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: 3270.34(a)(3)

Description: Responsible designee

Noncompliance Area: Based on interviews, staff were unaware of a staff person who was responsible for compliance with this chapter in the Director's absence.

Correction Required: A director is responsible for designating a staff person who is responsible for compliance with this chapter in the Director's absence.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Based on interviews, Child #1 exited the facility unbeknownst to staff. When Staff #1 was interviewed, Staff #1 indicated staff and children prepared to go to the outdoor play space between 10:20 and 10:30 AM. Staff #1 indicated he/she helped children put on their coats and shoes and replaced a child's blanket in the cubby before going towards the rear exit. Staff #1 indicated as he/she approached the exit, Staff #2 brought Child #1 into the center after being returned by an unknown person. Staff #1 stated Child #1 was assigned to Staff #2 and was unsure how long Child #1 was outside. When Staff #2 was interviewed, Staff #2 indicated the children started cleaning up to go outside to the play space between 9:50 and 9:55 AM. Staff #2 indicated when children were done putting away the toys, staff helped children with putting on their coats and shoes. Staff #2 indicated while counting children in the room, a person knocked on the rear exit around 10:05 AM and returned Child #1. Staff #2 indicated the person stated he/she found Child #1 outside, but the person did not specify where. Staff #2 stated he/she was assigned Child #1. When Staff #3 was interviewed, Staff #3 indicated staff and children prepare to go outside to the play space at 10:00 AM, but they do not go outside until approximately 10:15 AM until staff put on children's shoes and apply sunscreen to the children. Staff #3 indicated he/she saw a person at the back door and told Staff #2. Staff #3 indicated Staff #2 answered the door and realized the person had Child #1. Staff #3 indicated Staff #2 was assigned Child #1. Staff #3 indicated Child #1 was returned to the center at approximately 10:17 AM.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed Baby Oilogic Slumber and Sleep Essential Oil Linen Mist which indicated "keep out of the reach of children" in a black backpack located in a cubby outside of the Infant Room which was accessible to children.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the Infant Room lacked the following: soap, tweezers, tape, scissors, and disposable, nonporous 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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed exposed screws on the siding on the back wall by the basketball hoop in the outdoor play space.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed 3 cracked magna tiles with exposed magnets in the Preschool Room.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file of Staff #1 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #1 contained a health assessment dated 8/6/24.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed 1 pack 'n play with a loose sheet in the Young Infant Room creating a potential suffocation hazard. Observed 2 pack 'n plays with loose sheets in the Older Infant Room creating a potential suffocation hazard.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #2 lacked a dated disclosure statement.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed an electrical outlet to the left of the changing table located by the bathrooms which lacked a protective receptacle cover. Observed an electrical outlet to the right of the pack 'n plays in the Older Infant Room which lacked a protective receptacle cover.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling paint on the fence to the right of the gate leading to the outdoor play space.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the preschool room, 3 broken Magni-Tiles.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files of children #1 and #2 lacked emergency contact forms with the full, complete work addresses of the enrolling parents.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file of child #2 had a health assessment on file. However, the document was not dated. Therefore, it could not be assessed for timeliness.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: Observed an Epi Pen for child #1 but no medication log.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file of staff #1 lacked documentation of completing Fire Safety training.

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

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

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

Noncompliance Area: The file of staff #2 had documentation of completing Mandated Reporter training more than 90 from initial hire due to the fact it was dated 4-27-24, (see LIS CODE sheet).

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: At the time of the inspection, there was not a first aid kit present in the school space where 5 school age children were observed in care.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed in the preschool room on the purple wall near the entrance to the school age room, flaking plaster. Observed in the preschool room on the green wall near the "car center" flaking plaster.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The smoke detection testing log indicated testing more than 30 days apart due to the fact the dates were 2-2-24 and 3-13-24 which is 40 days.

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

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: Observed child #1 sitting in a Baby Trend brand highchair, not secured based on the manufacturer's guidelines due to the fact the highchair was missing its shoulder straps. Also observed an Everflo brand highchair missing its shoulder straps per the manufacturer's guidelines.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of reviewing the Emergency Plan, it lacked a Continuity of Operations.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 had documentation of completing Mandated Reporter training more than 60 months apart due to the fact the documents were dated 9-16-21 and 9-3-15.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed the following in the playground: a white section of fence located along the back adjacent with the tan building was detached causing a pinch or crush hazard; the bottom half of the white fence located at the corner near the sandbox was cracked causing a pinch or crush hazard; and the green carpet was not secure across the width of the playground, causing a tripping hazard.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: Observed in the young toddler space, Parent's Choice diaper cream labeled for child #1 with an expiration date of 4/22.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the renewal inspection, there was not documentation showing the facility had a policy in place for the prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements.

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.

Noncompliance Area: Observed exposed particle board on the top of the shelf located between the kitchen set and doll house creating rough edges in the Preschool Classroom.

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.

Noncompliance Area: The file of Child #1 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The file of Staff #1 lacked a State Police Clearance and Child Abuse Clearance updated every 60 months. The file of Staff #1 contained a State Police Clearance dated 6/15/20 with a previous one dated 3/22/15. The file of Staff #1 contained a Child Abuse Clearance dated 6/15/20 with a previous one dated 4/7/15. The file of Staff #2 lacked a FBI Clearance updated every 60 months. The file of Staff #2 contained a FBI clearance dated 5/17/16 with the previous one dated 10/5/10.

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.

Noncompliance Area: The first-aid kit for the Infant Room lacked tweezers.

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

Noncompliance Area: Observed a broken picket with splintering wood directly across from the door on the fence surrounding the outdoor play space. Observed an exposed screw at the corner of the fence by the gate of the outdoor play space. Observed an exposed screw under the "no smoking sign" on the fence of the outdoor play space.

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.

Noncompliance Area: Observed a tan Step 2 House with a green roof and red shutters with a shutter missing creating pinch and crush points in the Outdoor Play Space.

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.

Noncompliance Area: At approximately 1:45 PM Certification Staff observed 1 child lying on rest equipment behind a bookcase and 2 children lying on rest equipment behind tables in the Preschool Room which did not allow critical oversight in which the supervisor can see, hear, direct, and assess the activity of the supervisee.

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: The files of Children #1 and #4 lacked a Child Service Report updated every 6 months. The file of Child #1 contained a Child Service Report dated 4/1/19 with a previous one dated 10/12/18 with an admission date of 9/27/17. The file of Child #4 contained a Child Service Report dated 4/1/19 with an admission date of 4/18/18.

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: The files of Children #1 and #4 contained the original agreement. The facility did not make a copy for the file and give the original to the parent.

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

Noncompliance Area: The files of Children #2 and #5 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

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

Noncompliance Area: The file of Child #5 lacked the complete work address of the enrolling parent on the emergency contact form.

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

Noncompliance Area: The file of Child #3 lacked the health insurance coverage for a child under a family policy or Medical Assistance benefits on the emergency contact form. The file of Child #5 lacked the policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.

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.

Noncompliance Area: The file of Child #3 lacked the telephone number of the individual designated by the parent to whom the child may be released 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.

Noncompliance Area: The file of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained a health report dated 11/2/18 with a previous one dated 9/21/7.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The file of Child #2 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Observed 2 pairing knives and an apple wedger in the drawer to the left of the oven which were accessible to children. The drawer had a safety latch, but it was broken. Observed a loose sheet in a pack 'n play creating a potential suffocation hazard in the Infant Room.

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

Noncompliance Area: The file of Staff #4 lacked documentation that fire safety training was conducted at least annually by a fire professional. The file of Staff #4 contained documentation that fire safety training occurred on 5/14/19 with previous training on 4/23/18.

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

Noncompliance Area: The file of Staff #2 lacked a valid Child Abuse Clearance. The Child Abuse Clearance indicated for volunteer instead of employment. Staff #2 was removed from care the day of the inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

Noncompliance Area: The files of Staff #1 and #3, who were designated as assistant group supervisors, lacked documentation of 2 years experience with children.

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

Noncompliance Area: Observed peeling paint to the left of the outlet by the exit to the outdoor play space in the Preschool Room.

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

Noncompliance Area: Observed a blue shelf containing games which was not anchored creating a tip hazard in the Preschool Classroom.

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.

Noncompliance Area: Observed peeling paint above the clothes basket containing babies in the Preschool Classroom. Observed chipped drywall under the numbers chart in the Preschool Classroom. Observed peeling paint to the left of the entrance in the small room located behind the Preschool Classroom.

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

Noncompliance Area: Observed a cubbie inside the facility's main entrance which was not anchored creating a tip hazard. Observed 2 cubbies in the Preschool Room which were not anchored creating a tip hazard. Observed a cracked bin containing Lincoln Logs creating rough edges in the Preschool Classroom. Observed foam blocks with missing pieces in the Preschool Classroom. Observed a purple shelf containing blocks which was not anchored creating a tip hazard in the Preschool Classroom. Observed a blue shelf containing games which was not anchored creating a tip hazard in the Preschool Classroom. Observed a cubbie containing rest equipment which was not anchored creating a tip hazard in the Preschool Classroom. Observed a cubbie containing blankets which was not anchored creating a tip hazard in the small room located behind the Preschool Classroom. Observed purple and green foam mats with flaking pieces in the Toddler 2 Classroom. Observed a torn yellow foam block in the Infant Room. Observed a torn floor mat in the Infant Room. Observed a Barbie Big Wheel with a cracked seat creating rough edges and pinch points in the Outdoor Play Space. Observed a Little Tykes table with a cracked corner creating rough edges in the Outdoor Play Space. Observed rust on a Radio Flyer tricycle. Observed a balance beam with cracks and holes in the Outdoor Play Space. Observed a cracked plastic swimming pool in the Outdoor Play Space.

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.

Noncompliance Area: Observed rest equipment not labeled for the use of a specific child in the Preschool Classroom.

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.

Noncompliance Area: The files of Children #2, #3, #4, and #5 lacked Child Service Reports completed and updated at least every 6 months. The file of Child #2 contained Child Service Reports dated 4/10/18 and 2/15/17. The file of Child #3 contained Child Service Reports dated 10/17 and 3/15/17. The file of Child #4 contained Child Service Reports dated 4/20/18 and 1/19/18 with an admission date of 1/6/16. The file of Child #5 contained a Child Service Report dated 4/20/18 with emergency contact and financial agreement forms dated 3/1/17.

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: The file of Child #5 lacked the date of the child's admission on the agreement.

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

Noncompliance Area: The files of Children #1, #2, #3, #4, #5, and #6 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.

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

Noncompliance Area: The file of Child #5 lacked an updated health report at least every 6 months for an infant or young toddler. The file contained health reports dated 3/7/18, 7/6/17, and 3/6/17.

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

Noncompliance Area: The files for Children #1, #2, #4, and #5 lacked a reviewed and updated emergency contact form and financial agreement form which should have been reviewed at least once in a 6-month period. The file of Child #3 lacked a reviewed and updated financial agreement which should have been reviewed at least once in a 6-month period. The file of Child #1 had an emergency contact form reviewed on 2/23/18 with a previous review on 3/1/17. The file of Child #1 had a financial agreement form reviewed on 2/28/18 with a previous review on 3/1/17. The file of Child #2 had an emergency contact form reviewed on 12/1/17 with a previous review on 5/2/17. The file of Child #2 had a financial agreement form reviewed on 12/1/17 with a previous review on 12/19/16. The file of Child #3 had a financial agreement reviewed on 2/26/18 with a previous review on 2/15/17. The file of Child #4 had an emergency contact form with the most recent review on 10/15/17. The file of Child #4 had a financial agreement with the most recent review on 1/17/17. The file of Child #5 had an emergency contact form reviewed on 4/11/18 with a previous review on 8/25/17. The file of Child #5 had a financial agreement form reviewed on 4/11/18 with a previous review on 3/1/17.

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: Observed 2 pair of adult scissors in the blue organizer on top of the cubbie in the Preschool Classroom which were accessible to children. Observed adult scissors and a screwdriver in the drawer to the left of the refrigerator in the kitchen which were accessible to children. Observed loose sheets in 3 pack ' n plays creating a potential suffocation hazard in the Infant Room.

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

Noncompliance Area: The files of Staff #1, #4, #5, #6, and #7 lacked documentation that each facility person received training regarding the emergency plan at the time of initial employment. Staff #1 had a start date of 10/30/17 with emergency plan training on 4/23/18. Staff #4 had a start date of 7/17/17 with emergency plan training on 4/23/18. Staff #5 had a start date of 3/27/18 with emergency plan training on 4/23/18. Staff #6 had a start date of 4/4/18 with emergency plan training on 4/23/18. Staff #7 had a start date of 2/26/18 with emergency plan training on 4/23/18. The files of Staff #2 and #3 lacked documentation that each facility person received training regarding the emergency plan on an annual basis. Staff #2 and #3 received emergency plan training on 4/23/18 with a previous training on 3/22/17.

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.

Noncompliance Area: The facility lacked a posting of the emergency plan at a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: The file of Staff #7 lacked documentation at minimum of a total of 600 clock hours including a minimum of 400 clock hours of classroom training and a minimum of 200 clock hours of supervised training in a child care facility.

Correction Required: An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person if the curriculum includes, at minimum, a total of 600 clock hours including a minimum of 400 clock hours of classroom training. An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person if the curriculum includes, at minimum, a total of 600 clock hours including a minimum of 200 clock hours of supervised training in a child care facility.

Noncompliance Area: The file of Staff #6 contained a volunteer FBI Clearance. Staff #6 was not removed from care because staff was able to obtain a clearance for employment during the inspection. The file of Staff #7 contained a volunteer State Police Clearance. Staff #7 was not removed from care because staff was able to obtain a clearance for employment during the inspection.

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.

Noncompliance Area: Observed frayed carpet at the main entrance of the facility. Observed frayed carpet at the corner of the stage in the Preschool Classroom.

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.

Noncompliance Area: Observed peeling paint above the clothes baskets containing babies in the Preschool Classroom. Observed chipped drywall under the number charts in the Preschool Classroom. Observed peeling paint above the stage in the Preschool Classroom. Observed peeling paint to the left of the entrance in the small room located behind the Preschool Classroom. Observed drywall to the right of the entrance to the Toddler 1 Classroom with a piece missing exposing a nail. Observed drywall to the left of the entrance to the Toddler 1 Classroom with a piece missing exposing 2 nails. Observed peeling paint to the left of the entrance to the Toddler 1 Classroom.

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

Noncompliance Area: The bathrooms by the Infant and Toddler Classrooms lacked hand washing signs at the toilets.

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