New Horizons Daycare Center

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #1 through #5 are lacking a current child service report or alternate approved child assessment completed during the previous 6-month period. The Experience Preschool Assessment is not on the approved list of alternate assessments.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for child #1 is lacking emergency contact information and financial agreements updated by parents during the previous 6-month period.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child #3, preschool aged, is lacking an initial health assessment and has been in attendance for greater than 60 days.

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: 3270.131(b)(2)

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

Noncompliance Area: The files for child #1 is lacking an updated child health report conducted during the previous 12-month period.

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)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for child #5 contains an initial health report that is lacking 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: 3270.133(2)

Description: Written instructions

Noncompliance Area: Observed in the medication box in the play space an albuterol inhaler that lacked a prescription label or other written instructions provided from the individual who prescribed the medicine.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed in the medication box in the play space an albuterol inhaler, Kaopectate and Children's Pain Reliever all lacking the name of the child for whom the medication was intended.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Observed in the medication box in the play space the following medications lacking written parental consent for administration: Diastat, Albuteral inhaler and Methylphenidate, ER.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre- service training required prior to caring for children unsupervised: Pa Health & Safety training topics.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #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 person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The file for staff person #3 contains a current health assessment that is lacking statements regarding results of an exam for communicable disease and assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: The file for child #1 is lacking a current health report. The file for child #3 is lacking an initial health report.

Correction Required: A child's record shall contain initial and subsequent health reports.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff person #4 contains current fire safety training that was completed greater than 12 months following the previous fire safety training as evidenced by trainings dated 6/10/2025 and 7/2/2026.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff person #1 contains current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training as evidenced by trainings dated 8/17/2020 and 6/4/2026. The file for staff person #2 contains current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training as evidenced by trainings dated 4/9/2021 and 7/7/2026. The file for staff person #3 contains current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training as evidenced by trainings dated 4/9/2021 and 4/19/2026. The file for staff person #4 contains current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training as evidenced by trainings dated 5/6/2021 and 7/2/2026.

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: The file for staff person #2 contains current clearances that were obtained greater than 60 months after the previous clearances as evidenced by clearances dated: criminal history 4/2/2021 and 4/20/2026, child abuse 4/7/2021 and 4/21/2026, DHS FBI 4/3/2021 and 4/22/2026, NSOR 4/7/2021 and 7/13/2026. The file for staff person #3 contains current clearances that were obtained greater than 60 months after the previous clearances as evidenced by clearances dated: criminal history 4/2/2021 and 4/20/2026, child abuse 4/7/2021 and 4/20/2026, DHS FBI 4/2/2021 and 4/21/2026, NSOR 4/7/2021 and 7/10/2026. The file for staff person #4 contains current clearances that were obtained greater than 60 months after the previous clearances as evidenced by clearances dated: criminal history 4/2/2021 and 4/20/2026, child abuse 4/6/2021 and 4/21/2026, DHS FBI 4/2/2021 and 4/23/2026, NSOR 4/7/2021 and 4/22/2026.

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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: On 7/24/2026 at approximately 2:00pm observed staff person #5 assisting a child alone in the bathroom. No other staff were present in the bathroom that could supervise staff #5. Staff person #5 is qualified as an aide. Also, on 7/24/2026 at approximately 2:30pm observed staff person #3 alone in the preschool classroom supervising 7 preschool and 2 school aged children. No other staff were present in the preschool classroom that could supervise staff person #3. Staff person #3 is qualified as an aide.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The door between the play space and the kitchen was not locked giving children access to cleaning supplies labeled keep out of reach of children.

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

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: The door between the play space and the kitchen was not locked giving children access to the stove which is a source of heat exceeding 110° F.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed on the pillars in the play space small protruding nails where plastic protective strips had been removed. Observed the protective tape on the corners of the furnace unit in the play space was coming off of the corners exposing sharp edges.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed on the blue doors leading from the play space to the sanctuary side of the building small spots of peeling paint just above the push bars.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The girl's bathroom is lacking a lidded waste receptacle.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.114

Description: Outdoor Activity

Noncompliance Area: According to staff, the children have not been going outside daily due to staffing and children's special behavioral needs.

Correction Required: Weather permitting, children shall be taken out doors daily.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for child #1 contains emergency contact and financial agreements that have not been updated in the past 6 months.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff person #2 contains a current health assessment that was conducted greater than 24 months after the previous health assessment.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1, date of hire (see IS code sheet), contains a child abuse clearance obtained for the purpose of volunteering which is not valid for employment in child care. The file for staff person #2, date of hire (see IS code sheet) contains a child abuse clearance with an incorrect birthdate and is therefore not valid for employment in child care.

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 Persons #1 and #2 may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed a container of sunscreen labeled keep out of reach of children in a child's hallway cubby 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: 3270.76/3270.82(g)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: Observed the toilets in the boy and girl bathrooms to have exposed protruding bolts at the base of the toilets.

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. Toilet areas and fixtures shall be cleaned daily and be in good repair.

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file for child #2 is lacking the date of the child's admission.

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: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The files for child #3 and child #4 contain the original agreement.

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: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for child #1, preschool aged, is lacking a health report conducted during the previous 12 month period.

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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff persons #1and #6 contain a current health assessment that was conducted greater than 24 months after the previous health assessment. The files are now current. The file for staff person #3 is lacking a health assessment conducted prior to initial service in the facility. The file does contain a current health assessment. The files for staff persons #4 and #5 are lacking a health assessment conducted during the previous 24 month period.

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for staff person #3 is lacking a TB test prior to initial employment. The file does contain a current TB test.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for staff person #1 contains current PFA/PCPR certification that was completed after the previous certification expired. The training is now current.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(e)/3270.192(2)(iii)

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

Noncompliance Area: The file for staff person #1 contains only 8 of the required 12 hours of training hours during the 8/2/22 to 8/2/23 time period. The file for staff person #4 contains only 1 of the required 12 training hours during the 7/5/23 to 7/5/24 time period.

Correction Required: A staff person shall obtain an annual minimum of 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2, hire date (see IS code sheet), contains a disclosure statement that was not witnessed and therefore is not valid. The file for facility person #7, serving as a volunteer, start date (see IS code sheet), contains a disclosure statement that is missing the signature page and is therefore not valid. The file is lacking a state police clearance, a DHS FBI clearance and a DHS NSOR clearance all required for volunteers serving in a child care facility under CPSL. Facility person #7 may not volunteer with children in the facility until all missing items are obtained.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #7 may not work in a child care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a plastic tunnel in the gym with cracks in the seams, creating rough edges.

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)

Description: Signed

Noncompliance Area: The agreements on file for children #3 and #5 were not signed by the operator.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for child #2 did not include the child 's arrival and departure time.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for child #2 did not include the release persons.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreements on file for children #1 and #2 did not specify the date of admission.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for child #2 did not include the health insurance information and policy 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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health assessment on file for child #4 was completed more than 60 days after the child's first day of attendance at the facility.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: There was no documentation of a current influenza vaccine on file for child #5.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #5 must be dismissed from care by close of business 7/10/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: There was an inhaler at the facility, labeled for use by an enrolled child, without any instructions from the prescriber at the facility.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility Persons #1, #2, #3, #4, and #6 did not complete the updated health and safety training required to be completed by all child care staff by 12/30/22.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not include a plan for continuity of operations in the event of an emergency.

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 health assessment on file for Facility Person #1 was completed more than 24 months prior.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The most recent copy of a written notification sent to traffic safety authorities regarding routes around the facility was dated 8/25/21.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The documentation of the required childcare experience on file for facility person #5 to be classified as an assistant group supervisor was not signed by a representative of the legal entity.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Documentation of emergency drills indicate that drills were conducted on 6/30/22, and 7/6/23, more than 12 months apart.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: Documentation of emergency drill reviews indicate that reviews were conducted on 6/20/22, and 7/10/23, more than 12 months apart.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The most recent emergency plan training documented and on file for facility person #1 was completed more than 12 months prior to the inspection.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was an uncovered outlet on the wall by a bookshelf in the preschool room.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There were air fresheners on the counter in the restrooms and a can of Glade on the stage in the gym. These items were labeled "keep out of reach of children" and accessible to children.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: There was a first aid kit in reach of children on the stage in the gym.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.75(d)

Description: On excursions

Noncompliance Area: The first aid kit in the gym did not include scissors tape and soap. The first aid kit in the preschool room did not include soap.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was a small spot of peeling paint by the trash can 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.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was a toilet in the girls restroom with no 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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: There was no lidded trash can in the boys' restroom.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The fire drill log at the facility indicates that for two consecutive fire drills, conducted on 9/30/22 and 11/17/22, the hypothetical location of the fire was the same.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The fire drill log did not include a listing of the names of all staff present at each fire drill.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The operator has a valid reason they are unable to test the smoke detectors at the facility. Documentation of professional inspections of the fire alarm system on file Indicate inspections were conducted on 4/5/22 and then again on 5/2/23, more than 12 months apart.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: There was no agreement on file for child #5.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The agreements on file for children #1-#4 were the originals.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for child #1 did not include the phone number and address of the child's physican.

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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for child #3 did not include the health insurance policy 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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Current emergency contact forms on file for children #1, #2, and #4 and the current agreement on file for child #2 were reviewed and updated by a parent in writing more than 6 months after the previous update. The most recent agreements on file for children #1 and #4 were not reviewed and updated by a parent in writing within the last 6 months.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: There was no health assessment on file for child #1, enrolled at the facility for more than 60 days.

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: 3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The written parental exemption statements regarding the flu vaccine on file for children #2 and #4 were not dated.

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

Regulation: 3270.165

Description: Menus

Noncompliance Area: The facility's menu was not posted or provided o 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: 3270.192(5)

Description: Two written references

Noncompliance Area: There was only one written nonfamily reference on file for Facility Person #2.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The reviews of the facility's emergency plan were documented as occurring on 5/29/21 and 6/22/22.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The facility's emergency plan was not posted in a conspicuous location.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: There was no letter to be provided to parents of enrolled children explaining the emergency plan.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: There was no documentation of any child care training hours completed by Facility Person #3 in the most recent review year (in the 12 months since the hire date).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see IS code sheet): Health and Safety training

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), (1-10) within 90 days of hire. Staff person #3 will have until 8/31/22. to complete the required training. Until such time as the required training has been completed, staff person #3 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 #3, staff person #3 may not work in a child-care position at the facility.ithin 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: There was no signed disclosure statement on file for Facility Person #1.

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 may not work in a child care position at the facility without a signed disclosure statement.

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

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

Noncompliance Area: There was no documentation of any previous child care experience on file for Facility Person #3, required for the classification as an assistant group supervisor based on the education level completed and documented.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water temperature at the portable sink in the main child care space was measured to be 128° F.

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

Regulation: 3270.94(a)(1)/3270.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: The first fire drill listed on the fire drill log, after opening in July 2021, was completed on 6/23/22.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A toddler-size ride on toy was observed to have a cracked, jagged edge that could cause laceration injuries. An approximately 3'x2' wooden table in an area accessible to children in care was observed to have exposed bolts protruding at each table leg on the underside of the table. Contact with said bolts could cause puncture and/or laceration injury. In the play space, approximately 20' of heavy duty electrical cord of an operating window mount air conditioning unit was observed lying on the floor in an area accessible to children. The electrical cord presented a potential strangulation hazard.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for Child #1 and #3 contained emergency contact forms that did not include the addresses of the persons listed to whom each child can be released. The file for Child #2 contained an emergency contact form that did not include the last names of the persons listed to whom the child can 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: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The file for Child #3 contained an emergency contact form that did not include signed parental consent for the administration of minor first-aid procedures by facility staff members.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for Staff #1 through #5 did not contain documentation of the completion of emergency plan training.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the hallway bathroom used by children in care, a container of disinfectant wipes labeled keep out of reach of children was observed on the sink countertop in an area accessible to children in care. In an adjacent hallway bathroom, also used by children in care, a bottle of hydrogen peroxide labeled keep out of reach of children was observed on the sink countertop in an area 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: 3270.76

Description: Building Surfaces

Noncompliance Area: Several approximately 18"x18" floor-to-ceiling columns throughout the play space were observed to have finish nails slightly protruding from corners where a protective plastic guard was installed. Contact with said nails could cause laceration and/or puncture injuries.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: Two pedestal fans were observed on either side of the child care space that were accessible to children. The protective front grate of each fan appeared to have gaps in which children could potentially fit their fingers. If children were to make contact with the fan blades, laceration injuries could occur.

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