My Little World

Regulation: 3270.151(a)/3270.151(b)

Description: 12 months prior to service and every 24 months thereafter/Conducted by physician, PA or CRNP

Noncompliance Area: A renewal inspection was conducted 8/7/26. At that time, the staff files were reviewed. Staff Person #3 did not have a health assessment or TB test results in their file.

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

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: A renewal inspection was conducted 8/7/26. At that time, the preservice training was reviewed for all staff. The pediatric first aid and cpr training for Staff Person #1 was dated 9/20/23 and had expired in 9/2025. Current pediatric first aid and cpr training for Staff Person #1 could not be located during the inspection.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, Staff Person #1 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 Person #1, then Staff Person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection was conducted 8/7/26. At that time, the preservice training for all staff was reviewed. The mandated reporter training for Staff Person #1 and Staff Person #2 were not updated prior to the expiration of the previous mandated reporter training. This is evidenced by the mandated reporter trainings on file being dated: Staff Person #1 10/8/20 and 7/19/26; Staff Person #2 6/29/21 and 7/20/26.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 8/7/26. At that time, the staff files were reviewed. The following clearances for Staff Person #2 and Staff Person #4 were not updated prior to the expiration of the previous clearances. This is evidenced by the clearances on file being dated: Staff Person #2 PA child abuse clearance 4/28/21 and 7/20/26, FBI clearance 5/1/21 and 7/20/26; Staff Person #4 PA child abuse clearance 11/5/20 and 7/21/26.

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. TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a tracking document that will be used to track due dates of required documents in the staff's file. The tracking document should include when the documents in the staff files need to be updated. The tracking document must be submitted to Northeast Regional Office for approval. Once approved, the child care center will use the tracking document to assist in updating staff files. The operator shall provide a correction date for when the tracking document will be completed.

Regulation: 3270.61(h)(2)(i)/3270.61(h)(2)(ii)

Description: No more than two 1/2 hour time periods daily/Designated on facility schedule

Noncompliance Area: A renewal inspection was conducted 8/7/26. At that time, nine children were observed in the Infant/Toddler Room that has a capacity of 8 children. The classroom schedule did not designate any time period that the capacity would be exceeded.

Correction Required: The capacity established for an indoor space may be exceeded for no more than two separate 1/2 hour time periods daily when older toddler, preschool or school-age children are participating in a program activity. When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space each time period shall be designated on the facility's schedule of daily activities.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted 8/7/26. At that time, a loose screw was observed sticking out of the door jamb in the Sunroom, where the older toddlers were receiving care.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: An unannounced inspection was conducted on 1/21/26. At that time, the plastic bags that the children's nap mats are stored in were observed under the children's nap mats as they were going for down for nap. The toddlers were observed playing with the plastic bags sticking out from under the nap mats. Staff stated that some of the children in the room are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.82(d)

Description: Training chair - sanitized

Noncompliance Area: An unannounced inspection was conducted on 1/21/26. At that time, a training potty filled with urine was observed in the toddler room bathroom and had not been emptied and sanitized after use. The bathroom was not being used at this time in the inspection.

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

Regulation: 3270.101(a)

Description: Age appropriate

Noncompliance Area: A renewal inspection was conducted 8/12/25. At that time, the older toddlers were observed playing with magnatiles, which are recommended for children ages three and up.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: A renewal inspection was conducted 8/12/25. At that time, the child files were reviewed. The financial agreement for Child #1 did not include the child's date of admission to the program.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 8/12/25. At that time, the child files were reviewed. The emergency contact form for Child #1 the business phone number of the father. The emergency contact form for Child #2 the business name, address, and phone number of the mother.

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

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: A renewal inspection was conducted 8/12/25. At that time, Aquaphor and Triple Paste diaper creams were observed on a shelf approximately 30 inches high where they were accessible to the children using the bathroom. The diaper creams were labeled, "keep out of reach of children."

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A renewal inspection was conducted 8/12/25. At that time, the director stated that the preschool bathroom was occasionally used for diapering. The bathroom did not contain a hands-free trash can.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: A renewal inspection was conducted 8/12/25. At that time, the most recent letter notifying local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was dated 7/16/2024.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 8/12/25. At that time, the staff files were reviewed. The file for Staff Person #2 did not include a NY Child Abuse Clearance and a NY Sex Offender Registry Check. Staff Person #2 has lived in NY in the past five years.

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. Staff Person #2 may not work in a child care position at the facility until a NY Child Abuse Clearance and a NY Sex Offender Registry Check are on file.

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

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

Noncompliance Area: A renewal inspection was conducted 8/12/25. At that time, the staff files were reviewed. The file for Staff Person #1 included high school education, but did not include verification of two years' experience to qualify as an assistant group supervisor.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted 8/20/24. At that time, many of the nap mats were ripped, exposing the inner foam padding. A hole was observed in the play kitchen cabinet 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: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: A renewal inspection was conducted 8/20/24. At that time, the child files were reviewed. The fee agreement for Child #2 did not include the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: A renewal inspection was conducted 8/20/24. At that time, the child files were reviewed. The fee agreement for Child #1 did not include the designated release persons.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 8/20/24. At that time, the child files were reviewed. The emergency contact forms for Child #1 and Child #2 did not include the business name, address, and phone number of the parents.

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

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: A renewal inspection was conducted 8/20/24. At that time, the diaper changing pad in the preschool room was equipped with a cover that had fabric along the sides that could not be properly cleaned after use. Diaper cream was observed on the fabric. The changing pad in the toddler room was ripped and unable to be properly cleaned after use.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: A renewal inspection was conducted 8/20/24. At that time, the staff files were reviewed. The file for Staff Person #1 contained education from Sri Lanka that had not been evaluated by a service that is a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). The file for Staff Person #2 contained verification of high school education, but did not include verification of experience.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: A renewal inspection was conducted 8/20/24. At that time, the hot water in the toddler bathroom reached a temperature of 116° F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: A renewal inspection was conducted 8/20/24. At that time, staff in the toddler room stated that they would change the child's diaper at the changing table located in the classroom. They would then take the child to the bathroom for handwashing.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection was conducted 8/20/24. At that time, the thirty day testing log of the fire detection system was reviewed. The system was tested on 12/10/23, 1/10/24, 2/6/24, 3/4/24, 4/4/24, 5/4/24, 6/4/24, 7/3/24, and 7/31/24, showing three times where the system had not been tested within thirty 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: 3270.107

Description: Refrigerator

Noncompliance Area: The following classroom refrigerators do not have thermometers: the infant room, 1st floor preschool and 2-year-old toddler room.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child # 2 did not have a child service report completed in over 6 months from 5/2/23 to 11/16/23.

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)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: Child # 3 has not had a flu shot according to the recommendations of the ACIP since 1/14/19. Child # 4 does not have a flu shot on file nor do they have a letter of exemption from a parent or guardian for religious beliefs or strong personal objection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3270.133(1)

Description: Original container

Noncompliance Area: Child # 1 does not have the original box or label for an epi pen that is at the facility for the child.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: There are expired graham crackers in the 1-year-old classroom emergency bag. The crackers expired 7/15/23.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child # 2 & # 3 did not have fee agreements and emergency contact forms updated in over 6 months. Child # 2 5/2/23 to 11/16/23 and child # 3 1/10/23 to 11/7/23.

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

Regulation: 3270.27(a)(5)/3270.27(f)

Description: Emergency plan/Emergency plan

Noncompliance Area: Facility emergency plan does not list accommodations for infants and toddlers. The emergency plan was not sent to a local municipality.

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. The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Facility staff # 1 & # 2 have not reviewed the emergency plan in over a year since October 2022 for facility staff # 1 and since November 2022 for facility staff # 2.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Facility staff # 1 has not had fire safety training in over 12 months since 6/9/22. Facility staff # 2 did not have fire safety training in over 12 months from 6/5/22 to 9/18/23.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Facility staff # 1 & # 2 have not had a staff evaluation completed in over 12 months. from 9/20/22 to 10/31/23.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There are 2 stained ceiling tiles in the infant room.

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: 3270.112

Description: Infant/Toddler Stimulation

Noncompliance Area: During a complaint investigation, certification rep did not observe facility staff holding, rocking, talking, playing with or carrying the young and older toddlers in the classroom to the left of the front entrance of the facility. All the toddlers were observed strapped in highchairs and one was on the floor alone dancing to the television. All 12 toddlers were observed for no less than 10 minutes in the highchairs with no stimulation or snack.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During a complaint investigation, facility staff # 2 left a facility classroom to get facility staff # 3 that was already out of the classroom on the second floor of the facility. Facility staff # 1 was left alone in the classroom with the 13 toddlers.

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. Children must be supervised at all times.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During a complaint investigation, facility staff # 2 left a facility classroom to get facility staff # 3 that was already out of the classroom on the second floor of the facility. Facility staff # 1 was left alone in the classroom with the 13 toddlers.

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. The legal entity must arrange for all facility staff to receive a minimum of two hours of PQAS approved training regarding supervision of children. The legal entity must receive DHS approval of the PQAS approved training content prior to scheduling the training. 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: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: During a complaint investigation, Certification representative observed the young/older toddler classroom to the left from the front door entrance of the facility with 13 young and older toddlers in the classroom. 12 of the 13 children were all strapped in highchairs looking at a video on the television. None of the children had food nor were they doing an activity. Snack time had already ended in the classroom based on the class daily schedule snack is served from 9:30 am until 10 am. Rep observed children in their highchairs with no stack or stimulation for no less than 10 minutes. Staff passed out baby puffs to all the toddlers in the highchairs after rep asked what the children strapped in the chairs were doing with no food and no activity,

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person # 1 was observed to be caring for children unsupervised. Staff person # 1 has not completed the following pre-service training required prior to caring for children unsupervised: 10 Hour 2022 Revised Health and Safety Training and In Person PQAS approved Pediatric First Aid and CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person # 1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff # 1, staff person # 1 may not work in a childcare position at the facility.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: Facility staff # 1 & 2 does not have a health assessment on file. Facility staff # 3 does not have a health assessment or Mantoux test on file.

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. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: Facility staff # 3 hired and working in childcare does not have 2 references on file. Facility staff # 4 hired and working in childcare does not have 2 references on file.

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: Staff person # 4 has not completed the following pre-service training within 90 days of their date of hire: In person PQAS approved Pediatric First aid and CPR and the 2022 Revised 10-hour Health and Safety Training. Staff persons # 5 & # 6 did not complete the required one -hour 2022 update to the Health and Safety Training by 12/30/22.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person # 4,5 & 6 will have until 10/27/23 to complete the required trainings. Until such time as the required training related to this citation has been completed, staff person # 4 must be supervised, when interacting with children by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person # 4, staff person # 4 may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 1 hired and working in childcare does not have a child abuse clearance or state police clearance on file. Facility staff # 2 hired and working in childcare does not have a child abuse clearance, state police clearance or FBI clearance on file. Facility staff # 4 does not have a child abuse clearance or state police clearance on file.

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, 2 & 4 may not work in a childcare position at the facility.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During a complaint investigation, Facility staff member # 1 was observed alone with 13 young and older toddlers leaving facility staff # 1 out of ratio.

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. The required staff: child ratios must be maintained at all times.

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: A highchair in the young toddlers classroom is missing the bottom of the t strap.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: The 1st bathroom in the preschool classroom has peeling plaster on the wall to the right .

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Facility did not conduct a system fire alarm test within 30 days. System was tested 9/1/22 and then again on 10/3/

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for child # 1 did not have the address for the provided release person.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: More than 60 months passed between state police clearances for staff person # 1. There is a state police clearance on file dated 7/22/15 and 12/29/21. The FBI clearance on file for staff person # 2 is dated 10/29/16 and is therefore no longer valid due to being older than 60 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person # 2 may not work in a child care position at the facility.

Noncompliance Area: Staff person #1 started at the facility on 5/3/19 and did not have a health assessment, including a TB screening, until 9/7/19

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.

Noncompliance Area: The updated emergency plan has not been sent to the county emergency management agency

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Noncompliance Area: Staff person #1 started at the facility on 4/8/19 and did not have a health assessment prior to starting at the facility

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: Staff person #1 started at the facility on 4/8/19 and does not have two written, non-family references.

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: There are four water stained ceiling tiles in the school age room.

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: There is no thermometer in the refrigerator in the toddler room

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

Noncompliance Area: Staff person #1 started at the facility on 6/5/18 and has not completed Mandated Reporter training. Staff person #2 started at the facility on 11/5/18 and was not fingerprinted for her FBI clearance until 12/13/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).PROVISIONAL HIRE . 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: There is a hole near the toilet paper dispenser in the preschool bathroom. There is a water stained ceiling tile in the hallway going into the infant/younger toddler room. There are missing ceiling tiles in the school age room. There is exposed rust on a pipe on 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: There is peeling paint on the wall to the right of the entrance of the older toddler room and across from the mirror in the school age bathroom.

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

Noncompliance Area: A complaint investigation was conducted on 8/7/8 and Staff #1 admitted that Child #1 ran out the door of the School Age Room into the facility parking lot on 8/3/18. Cert rep was able to observe Child #1 exiting the facility on the video recording from 8/3/18. During the complaint investigation on 8/7/18, cert rep also observed 6 school age children playing in the parking lot from 11AM - 11:07AM with no supervision. Staff #5 & Staff #6 were unable to see the children from their positions on the outdoor play space; both Staff #5 & Staff #6 acknowledged that they were not able to see all of the children in their primary supervision groups from where they were positioned . During the complaint investigation at approximately 11:20AM on 8/7/18, cert rep also observed Child #2 exiting one outdoor play space through the gate & entering another play space through a gate without Staff #3 or Staff #4 noticing. .

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. Children must be supervised at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. 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.

Noncompliance Area: During a complaint investigation conducted on 8/7/18, the Cert Rep reviewed a video recording from 8/3/18. Staff #1 was observed on the video pushing Child #1 into a closet and leaning against the door of the closet to prevent Child #1 from getting out. On 8/7/18, Staff #1 admitted that she & Staff #2 confined Child #1 to the kitchen area on 8/3/18 due to his acting out behaviors. The video from 8/3/18, showed Staff #1 pushing against the gate to the kitchen area to keep Child #1 from getting out.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Noncompliance Area: There is a missing protective receptacle cover on the wall to the right of the entrance in the infant room.

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

Noncompliance Area: There is peeling paint and damaged plaster on the wall to the left of the entrance in the infant room and on the wall to the right of the entrance 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: AN UNANNOUNCED MONITORING VISIT WAS CONDUCTED ON 4/3/18 & CERT REP OBSERVED STAFF #1 WITH NINE 2 YEAR OLDS. STAFF # 1 SAID THAT SHE SENT STAFF #2 ON BREAK SINCE IT WAS NAP TIME, AND MOST OF THE CHILDREN WERE ON NAP MATS RESTING OR SLEEPING. CERT REP OBSERVED SEVEN CHILDREN RESTING OR SLEEPING ON NAP MATS AND TWO CHILDREN PLAYING IN THE ROOM WHO WERE NOT ON NAP MATS.

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.

Noncompliance Area: HIGH CHAIRS IN THE INFANT ROOM DO NOT HAVE SAFETY STRAPS.

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

Noncompliance Area: NAP MATS ARE NOT LABELED IN 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.

Noncompliance Area: CHILDREN IN PRESCHOOL ROOM DID NOT WASH THEIR HANDS BEFORE EATING LUNCH.

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

Noncompliance Area: THERE IS NO PLASTIC-LINED, HANDS-FREE COVERED TRASH CAN FOR DIAPERS NEAR THE CHANGING TABLE IN THE BATHROOM NEAR THE PRESCHOOL ROOM. THERE IS NO PLASTIC-LINED, HANDS-FREE COVERED TRASH CAN FOR DIAPERS NEAR THE CHANGING TABLE IN THE BATHROOM NEAR THE TODDLER ROOM.

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

Noncompliance Area: STAFF PERSON #1 STARTED AT THE FACILITY ON 11/3/17 & HAS NOT HAD AN INITIAL HEALTH ASSESSMENT OR TB SCREENING.

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: THE EMERGENCY CONTACT INFORMATION & FEE AGREEMENT FORMS FOR CHILD #1 WERE COMPLETED 10/24/16 & WERE NOT UPDATED UNTIL 8/17/17. THE EMERGENCY CONTACT & FEE AGREEMENT FORMS FOR CHILD #2 WERE COMPLETED 9/22/16 & WERE NOT UPDATED UNTIL 11/5/17. THE EMERGENCY CONTACT & FEE AGREEMENT FORMS FOR CHILD #3 WERE COMPLETED 8/27/16 & WERE NOT UPDATED UNTIL 6/20/17.

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: STAFF PERSON #2 DOES NOT HAVE VERIFICATION OF EDUCTAION PRIOR TO STARTING AT THE FACILITY.

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: STAFF PERSON #2 STARTED AT THE FACILITY ON 10/18/17 & THERE IS NO VERIFICATION THAT SHE APPLIED FOR THE CRIMINAL HISTORY CLEARANCE PRIOR TO STARTING AT THE FACILITY; SHE DOES NOT HAVE A CRIMINAL HISTORY CLEARANCE.

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: DIAPER CREAM IS ON THE SHELF UNDER THE CHANGING TABLE USED BY THE TODDLERS & IS 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. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.