Natural Touch & Nurturing

Regulation: 3280.123(b)/3280.182(8)

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

Noncompliance Area: In review of children's files, child 1's file failed to include a copy of the agreement between the enrolling parent/guarding and the operator.

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

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: During renewal inspection on Tuesday, 10/07/25, cert rep observed facility failed to have emergency contact present in child care space for several children receiving care.

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: 3280.124(f)/3280.181(c)

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

Noncompliance Area: In review of children's files, child 2's emergency contact and fee agreement failed to be updated within a six-month period with the enrolling parent/guardian.

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

Regulation: 3280.31(e)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: In review of staff files, staff persons 1 and 2 failed to have completed 12 hours of annual professional development.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.63/3280.76

Description: Unsafe Areas in Outdoor Space/Building Surfaces

Noncompliance Area: During renewal inspection on Tuesday, 10/07/25, cert rep observed rusting behind the sink located in the bathroom and fencing in the outdoor play space was damaged, unrestricting children from gaining access to unsafe areas surrounding the outdoor play space.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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: 3280.75(c)

Description: Has all items

Noncompliance Area: During renewal inspection on Tuesday, 10/07/25, cert rep observed the first aid kit failed to include gauze and tape.

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: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection on Tuesday, 10/07/25, cert rep observed chip paint located on the walls in the prep area.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: In review of emergency plan documents, facility's emergency plan failed to include statement regarding 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: 3280.26(a)(3)/3280.26(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: In review of facility's emergency plan, plan failed to address a method for facility persons to contact parents as soon as reasonably possible at the beginning and ending of an emergency.

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. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3280.69(a)

Description: 110º F or less

Noncompliance Area: During renewal inspection on Monday, 10/21/24, cert rep observed hot water located in main childcare space exceeded 110° F. Hot water read at 125° F.

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

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: During renewal inspection on Monday, 1021/24, cert rep observed in the main childcare space first aid kits were missing items. A blue first aid kit was missing scissors and a green first aid kit was missing soap.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: In review of emergency plan documents, facility's emergency plan failed to include statement regarding 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: 3280.151(a)/3280.192(3)

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

Noncompliance Area: In review of staff files, staff person 1 file failed to include an updated health assessment. Health assessment included in file was last completed on 09/10/19.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.26(a)(3)/3280.26(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: In review of facility's emergency plan, plan failed to address a method for facility persons to contact parents as soon as reasonably possible at the beginning and ending of an emergency.

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. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3280.31(e)(4)(i)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: In review of staff files, staff person 1 file failed to include updated pediatric first aid/CPR.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.31(e)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: In review of staff files, staff person 1 file failed to include 12 hours of annual PD training. File contained 4 hours of annual PD training.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.31(f)(10)/3280.192(6)

Description: Age and training/Content of Records

Noncompliance Area: In review of staff files, staff person 1 file failed to include updated pediatric first aid/CPR.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A record shall include a copy of records of training required by the Department. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person 1 will have until 12/15/23 to complete the required training. Until such time as the required training has been completed, staff person 1 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person 1, staff person 1 may not work in a child-care position at the facility.

Regulation: 3280.63/3280.76

Description: Unsafe Areas in Outdoor Space/Building Surfaces

Noncompliance Area: During renewal inspection on Wednesday, 11/15/23, cert rep observed fencing in the outdoor play space was damaged and off the hinges, unrestricting children from gaining access to unsafe areas surrounding the outdoor play space.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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: 3280.69(a)

Description: 110º F or less

Noncompliance Area: During renewal inspection on Wednesday, 11/15/23, cert rep observed hot water located in main child care space exceeded 110° F. Hot water read at 140° F.

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

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: CERTIFICATION REPRESENATIVE OBSERVED THE FACILITIES REST EQUIPMENT MISSING LABELS FOR USE OF A SPECFIC CHILD

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: 3280.95(a)

Description: FIRE DETECTION

Noncompliance Area: FACILITY DID NOT HAVE PROOF OF INSTALLATION OR PURCHASE OF THE FACILITY FIRE SYSTEM

Correction Required: (a) Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Noncompliance Area: FILE RECORDS FOR STAFF#1 (HIRED 6/15/17) DID NOT INCLUDE NATIONAL SEX OFFENDER REGISTRY, CHILD ABUSE (LAST COMPLETED 3/26/15) AND FBI CLEARANCE (LAST COMPLETED 4/6/15)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 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, NATIONAL SEX OFFENDER REGISTRY, MANDATED REPORTER TRAINING, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: CERTIFICATION OBERVED A MOUSE IN THE BATHROOM AREA OF THE FACILITY

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: FILE RECORD FOR CHILD #2 DID NOT INCLUDE A STATEMENT THAT THE CHILD IS ABLE TO PARTICIPATE IN CHILD CARE AND APPEARS TO BE FREE FROM DISEASE

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

Noncompliance Area: FILE RECORD FOR CHILD #1 DID NOT INCLUDE SIGNED CONSENT FOR EMERGENCY MEDICAL CARE

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

Noncompliance Area: CERTIFICATION REPRESENTATIVE OBSERVED THE FACILITY BATHROOM IN NEED OF LIGHTING

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Noncompliance Area: CERTIFICATION REPRESENTATIVE OBSERVED 10 CHILDREN IN THE FACILITY WITH 2 STAFF MEMBERS; THE YOUNGEST CHILD WAS EIGHT MONTHS OLD

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at 3280.52(b).

Noncompliance Area: CERTIFICATION REPRESENATIVE OBSERVED HIGH CHAIR THAT WERE MISSING A T-SHAPED SAFETY STRAP

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

Noncompliance Area: CERTIFICATION REPRESENTAIVE OBSERVED REST EQUIPMENT IN NEED OF CLEANING AND REPAIR

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: FILE RECORD FOR CHILD #2 DID NOT INCLUDE THE FEE AMOUNT ON THE AGREEMENT

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

Noncompliance Area: FILE RECORDS FOR CHILD #2 AND CHILD #4 DID NOT INCLUDE DATE THE FEE IS TO BE PAID

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

Noncompliance Area: FILE RECORD FOR CHILD #2 AND CHILD #3 DID NOT INCLUDE SERVICES PROVIDED ON THE AGREEMENT

Correction Required: An agreement shall specify 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 at 3280.124(f).

Noncompliance Area: FILE RECORDS FOR CHILD #2 AND CHILD #4 DID NOT INCLUDE ARRIVAL AND DEPARTURE TIMES ON THE AGREEMENT

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: FILE RECORDS FOR CHILD #4 AND CHILD #5 DID NOT INCLUDE DESIGNATED RELEASE PERSONS ON THE AGREEMENT

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

Noncompliance Area: FILE RECORDS FOR CHILD #4 AND CHILD #5 DID NOT INCLUDE THE DATE OF ADMISSION TO THE FACILITY ON THE AGREEMENT

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

Noncompliance Area: FILE RECORD FOR CHILD #1 DID NOT INCLUDE THE ADDRESS OF THE PHYSICIAN OR SOURCE OF MEDICAL CARE

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

Noncompliance Area: FILE RECORDS OF CHILD #1,CHILD #2,CHILD #4, AND CHILD #5 DID NOT INCLUDE THE ENROLLING PARENT'S HOME ADDRESS,PHONE NUMBER, WORK ADDRESS AND WORK PHONE NUMBER

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

Noncompliance Area: FILE RECORD FOR CHILD #3 DID NOT INCLUDE HEALTH INSURANCE POLICY # OR MEDICAL ASSISTANCE BENEFITS NUMBER

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: FILE RECORDS FOR CHILD #1 AND CHILD #4 DID NOT INCLUDE DESIGNATED RELEASE PERSON'S ADDRESS

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

Noncompliance Area: CERTIFICATION REPRESENTATIVE OBSERVED BOTTLES MISSING LABELS WITH THE CHILD'S NAME

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

Noncompliance Area: FILE RECORD FOR CHILD #5 DID NOT INCLUDE A SIGNED REVIEW OR UPDATE OF THE EMERGENCY CONTACT INFORMATION

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

Noncompliance Area: FILE RECORD FOR CHILD #4 DID NOT INCLUDE SIGNED CONSENT FOR EMERGENCY MEDICAL CARE OR FOR ADMINISTRATION OF MINOR FIRST AID

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

Noncompliance Area: FILE RECORD FOR STAFF #2 DID NOT INCLUDE VERIFICATION OF AGE

Correction Required: A facility person's record shall include verification of age.

Noncompliance Area: FILE RECORD FOR STAFF #2 DID NOT INCLUDE VERIFICATION OF EXPERIENCE AND EDUCATION

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

Noncompliance Area: FILE RECORD FOR STAFF #2 DID NOT INCLUDE TWO WRITTEN REFERENCES

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

Noncompliance Area: FILE RECORD FOR STAFF #1, STAFF#2, AND STAFF #3 DID NOT INCLUDE A ANNUAL MINIMUM OF 6 CLOCK HOURS OF CHILD CARE TRAINING

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

Noncompliance Area: CERTIFICATION REPRESENTATIVE OBSERVED THE FACILITY BATHROOM FLOOR MISSING TILES AND IN NEED OF REPAIR

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: During an unannounced inspection, a review of the children's records found that Child #1 had a health assessment that had not been updated in a period greater than 6 months.

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: During the renewal inspection, a review of the children's records found that the Agreement for Child #1, #2, and #3 did not have the release persons listed.

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

Noncompliance Area: During the renewal inspection, a review of the children's records revealed that Child #3 did not have a Child Health Assessment on file.

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.

Noncompliance Area: During the renewal inspection, a review of the children's records revealed that the Emergency contact information for Child #1, #2, and #4 did not have written consent for emergency medical care.

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

Noncompliance Area: During the renewal inspection, a review of the children's records revealed that the Emergency contact information for Child #1, #2, and #4 did not have written consent for the administration of minor first-aid procedures.

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

Noncompliance Area: During the renewal inspection, a review of the children's records revealed that the Emergency contact information for Child #1, #2, and #4 did not have written consent for transportation or walking excursions.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.