New Holland Early Learning Center

Regulation: 3270.102(e)/3270.103

Description: Infant/toddler - no material less than 1 inch/Small Toys and Objects

Noncompliance Area: At the time of the follow up visit to verify corrections for SIN-00291564 (from 7/7/26), it was observed that the plan of corrections for the violation citing 3270.102(e) and 3270.103 had not been fully implemented. On 8/12/26, Mulch was still accessible along the edge of the fence on the toddler playground. In addition, pieces of rubber mulch from the preschool playground were observed on the sandy area of the toddler playground.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. 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: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the follow up visit to verify corrections for SIN-00291564 (from 7/7/26), it was observed that the plan of corrections for the violation citing 3270.76 had not been fully implemented. On 8/12/26, sharp/prickly creeping thistle was still present along the fence in preschool play area.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Blacktop - A cloth soccer ball was ripped and pieces were coming off of it. (CORRECTED ON SITE) The tic-tac-toe on the large climber has a sharp broken piece.

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: 3270.102(e)/3270.103

Description: Infant/toddler - no material less than 1 inch/Small Toys and Objects

Noncompliance Area: Landscaping mulch was accessible to the toddlers playing on the blacktop area. Mulch was accessible to toddlers along the edge of the toddler fence.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The written plan of daily activities was not posted in Pod #1.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information on file for child #2 did not include the child's health insurance coverage 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: Pod #4 group - Only 2 emergency contact forms were present with a group of 7 children.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The most recent health assessment on file for child #1 (toddler) was more than 6 months old (dated 9/2025). Health assessments on file for child #3 (toddler) were dated in June of 2025 and subsequently more than 6 months later in February of 2026. Health assessments on file for child #4 (toddler) were dated in March of 2025 and subsequently more than 6 months later in February of 2026. The most recent health assessment on file for child #5 (toddler) was more than 6 months old (dated 8/2025).

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.

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The immunization records on file for children #1 and #5 were not in accordance with the schedule recommended by the ACIP. Child #1 - Missing 3rd DTAP, 3rd Pneumococcal, 1st MMR and 1st Varicella. Child #5 - Missing 4th DTAP, 3rd HIB, 1st MMR, 1st Varicella, and 1st Hep A.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.151(a)

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

Noncompliance Area: Staff person #5 did not have a health assessment on file that was dated in the 12 months prior to their start date. The health assessments on file for staff person #8 were dated in March of 2023 and subsequently more than 24 months later in May of 2026. Facility person #13 did not have a health assessment on file. Facility person #16 did not have a health assessment on file that was dated in the 12 months prior to their start date. The health assessments on file for staff person #25 were dated in October of 2023 and subsequently more than 24 months later in April of 2026.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health assessment on file for staff person #12 does not include an examination for communicable diseases and the results of that examination. The health assessment also does not include the physician's or CRNP's 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(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The record for child #2 did not include signed parental consent for emergency medical care or for the administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for staff persons #7 and #8, and for facility person #16 each included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for facility person #24 does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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(e)

Description: Letter to parents

Noncompliance Area: The information given to parents about the emergency plan does not address accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection 3270.27a. (1) Shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. (2) Evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by § 3270.94 (relating to fire drills). (3) A method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. (4) 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. (5) Accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. (6) Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the previous training year (2025), staff person #1 completed 9 clock hours of child care training. During the previous training year (10/24-10/25), staff person #9 completed 10 clock hours of child care training.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff persons #1, #2, #3, #12, #14, #15, #17, #18, #20, #22, and #25 participated in fire safety training in January of 2025 and subsequently more than 12 months later in May of 2026. Staff person #11 participated in fire safety training in January of 2025 and subsequently more than 12 months later in April of 2026. Facility person #12 participated in fire safety training in October of 2023 and subsequently more than 12 months later in May of 2026. Facility person #19 participated in fire safety training in April of 2025 and subsequently more than 12 months later in June of 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: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Staff person #23 completed professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation 325 days after the date of hire.

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #4 worked for a period of time during the previous year with expired clearances on file. The child abuse clearance expired 10/28/2025, but was not updated until 5/6/26. The DHS FBI clearance expired 4/22/26, but was not updated until 4/29/26. Staff person #5's criminal record was not submitted to the regional office for review. Upon beginning work in the facility, the record for staff person #7 did not contain completed a completed NSOR as required under the CPSL. The record for facility person #8 did not include a DHS FBI clearance. In addition, the facility person's previous child abuse clearance expired 12/1/2020, but was not updated until 4/3/26. Upon beginning work in the facility, the record for staff person #10 did not contain completed a completed PA state police clearance as required under the CPSL. The record also did not include documentation the facility person has requested the outstanding clearance as required for provisional hiring under the CPSL. The clearance was obtained 222 days after the employee began working with children. The record for facility person #13 did not include a current NSOR certificate. The record for facility person #16 did not include a DHS FBI clearance and an NSOR certificate as required under the CPSL. In addition, the facility person's file did not include a disclosure statement that was completed upon hire. The mandated reporter training on file for staff person #19 expired 7/2/25, but was not updated until 7/14/25. Staff person #21 does not have employment child abuse and PA state police clearances on file. Volunteer clearances were 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. Staff Person #7 and #21 may not work in a child care position at the facility until complete clearances are on file. Facility Person #8, #13, and #16 may not have contact with children at the facility until complete clearances are on file.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff evaluations were completed for staff persons #1, #2, #6, #9, #14, #17, #19, and #20 in July of 2024 and subsequently more than 12 months later in August of 2025. Staff person #23 has been employed for more than 12 months and does not have a staff evaluation on file.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: Pod #4 - The first aid kit did not include gloves. (CORRECTED ON SITE)

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Backpacks containing first aid kits were accessible to children on the blacktop area and in the outdoor school-age area. (CORRECTED ON SITE)

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A portion of a ceiling tile was missing in the Ladybugs room. 9 ceiling tiles were wet in Pod #3. 1 ceiling tile was wet in Pod #4. Large fence screws were protruding inwards towards the playground on the toddler playground. Old volleyball netting was on the ground on the blacktop where toddlers were playing. (CORRECTED ON SITE) Sharp/prickly creeping thistle was present along the fence in preschool play area.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was not handwashing sign in the little bathroom.

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: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The proof and date of purchase of an interconnected fire detection device was not on file with the facility's fire drill logs.

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)). A child care center shall keep the proof and date of purchase of an interconnected fire detection device or system with the facility's fire drill logs.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #1 does not contain a completed Ohio child abuse clearance or a completed Ohio sexual offender document.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility person #1 must be removed from a childcare position by the close of business [effective 11.7.25]. All required clearances must be obtained before facility person #1 may resume a childcare position.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During the unannounced monitoring, it was confirmed by the facility director that the last logged fire alarm system test was completed on 10.9.25 [Current date: 11.18.25], so therefore the maximum period of 30-days has been exceeded between required testing of the system.

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: 3270.175(a)

Description: Age appropriate restraints

Noncompliance Area: Both the Facility Director and the Assistant Director confirmed that on 7.15.25, approximately 8-10 younger school aged children were transported in private vehicles of staff persons without the use of required safety booster or full car seats in place for each child.

Correction Required: A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: Upon inspection of each childcare space, it was found that a written plan of daily activities and routines was not posted within the school-aged childcare space.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: Upon inspection of children's files, it was found that the agreement on file for Child #1 - Child #6 did not specify the services which are to be considered as extra.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Upon inspection of children's files, it was found that the health assessment on file for Child #1 [dated 2.28.25] did not include a response to the statement that the child is able to participate in childcare 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 childcare and appears to be free from contagious or communicable disease.

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: Upon inspection of children's files, it was found that the health assessment on file for Child #1 [dated 2.28.25] did not include a response to the statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Upon inspection of Staff Person records, it was found that the file for Staff Person #3 included a health assessment dated 5.17.23 [expired 5.31.25].

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: 3270.27(d)

Description: Plan posted

Noncompliance Area: Upon entry into the facility for the purpose of a renewal inspection, it was observed that the most currently updated emergency plans were not posted, but rather a copy of an outdated emergency plan.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff Person #1 contains a NSOR dated 6.18.20 which is more than 60 months old. There is an updated NSOR dated 7.15.25, but the facility director admitted that Staff Person #1 was working with children after the expiration of the 6.18.20 document and prior to receiving the updated record. The file of Staff Person #2 does not contain a completed DHS required FBI clearance [Dept. of Education record on file dated 5.30.24]. The file of Staff Person #4 contains a DHS FBI clearance dated 5.18.20 which is more than 60 months old. There is an updated DHS FBI clearance dated 7.16.25, but the facility director admitted that Staff Person #4 was working with children after the expiration of the 5.18.20 document and prior to receiving the updated record.

Correction Required: Staff Person #1 must be removed from a childcare position by the close of business following the expiration of the 6.18.20 record because she/he does not have all the required clearances or requests for clearances. Staff Person #2 must be removed from a childcare position by the close of business [effective 7.28.25]. Staff Person #4 must be removed from a childcare position by the close of business following the expiration of the 5.18.20 record because she/he does not have all the required clearances or requests for clearances.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Upon inspection of the physical site area hallways, it was found that multiple containers of sunscreen and diaper ointment had been placed into cubby's that were accessible to children in care.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Upon inspection of each childcare space, it was found that the first aid kits [2] for both portions of the school-aged childcare space were being kept in locations that were within easy access to the children in care.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Upon inspection of each childcare space, it was observed in the Ladybugs space that some cardboard blocks were ripped/torn and not in good condition.

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

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

Noncompliance Area: Immediately upon arrival at the facility for an Unannounced Monitoring, it was observed that one group [Dragonflies] was playing outdoors. Three staff persons were observed in ratio with 14 children. When Staff Person #2 was asked to name and identify her primary childcare group, she indicated that she could not fully understand the instructions [language barrier], but she could not clearly identify the 5 specific children in her primary care group [however she could identify all 14 children in the outdoor space by name].

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 Staff Person #2 to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

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

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

Noncompliance Area: Immediately upon arrival at the facility for an Unannounced Monitoring, it was observed that one group [Dragonflies] was playing outdoors. Three staff persons were observed in ratio with 14 children. When Staff Person #2 was asked to name and identify her primary childcare group, she indicated that she could not fully understand the instructions [language barrier], but she could not clearly identify the 5 specific children in her primary care group [however she could identify all 14 children in the outdoor space by name].

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 staff person shall know the names and whereabouts of the children in his/her assigned group.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Upon entry to the facility for an Unannounced Monitoring, it was immediately observed that an expired copy [expired 10.28.24] of the Facility Certificate of Compliance was posted at the entryway door.

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

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

Description: Age and Training

Noncompliance Area: Staff person #3 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring (8.6.22). Documentation of updated Pediatric first aid and CPR training is not on file, however a document indicating completion of an online component of the required training dated 4.27.24 was on file.

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 #3 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 #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #3 contains a NSOR dated 1.9.2020 which is more than 60 months old. There is no application in the file for an updated child abuse clearance. In addition, the file for facility person # 3 does not contain an up-to-date verification of the completion of Mandated Reporter Training [certificate on file expired on 2.25.25]. The file of facility person #4 does not contain a completed NSOR verification. The file does not contain copies of request(s) for the clearances/verification. The file of facility person #5 contains a NSOR dated 1.9.2020 which is more than 60 months old. There is no application in the file for an updated child abuse clearance. The file of facility person #6 contains a NSOR dated 1.9.2020 which is more than 60 months old. There is no application in the file for an updated child abuse clearance. The file of facility person #7 contains a NSOR dated 1.9.2020 which is more than 60 months old. There is no application in the file for an updated child abuse clearance. The file of facility person #8 contains a NSOR dated 1.9.2020 which is more than 60 months old. There is no application in the file for an updated child abuse clearance. The file of facility person #9 contains a NSOR dated 1.9.2020 which is more than 60 months old. There is no application in the file for an updated child abuse clearance.

Correction Required: Facility person #3 must be removed from a childcare position by the close of business [3.12.25] because she/he does not have all the required clearances or requests for clearances. Facility Person #3 must complete the required training and must remained supervised by a qualified and trained facility person at all times. Facility person #4 must be removed from a childcare position by the close of business [3.12.25]. Facility person #5 must be removed from a childcare position by the close of business [3.12.25] because she/he does not have all the required clearances or requests for clearances. Facility person #6 must be removed from a childcare position by the close of business [3.12.25] because she/he does not have all the required clearances or requests for clearances. Facility person #7 must be removed from a childcare position by the close of business [3.12.25] because she/he does not have all the required clearances or requests for clearances. Facility person #8 must be removed from a childcare position by the close of business [3.12.25] because she/he does not have all the required clearances or requests for clearances. Facility person #9 must be removed from a childcare position by the close of business [3.12.25] because she/he does not have all the required clearances or requests for clearances.

Regulation: 3270.66(a)/3270.66(d)

Description: Locked or inaccessible/Toxic plants not permitted

Noncompliance Area: Upon inspection of each childcare space, it was observed in the Fireflies space that two types of plants were present that were easily accessible to children in care. Staff Person # 1 identified the plants as Narcissus and Amaryllis, which upon further investigation are found to be toxic to humans.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Upon inspection of children's files, it was found that an updated [within 6 months] Child Service Report was not completed or on file for Child #1.

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: 3270.133(4)

Description: Locked

Noncompliance Area: Upon inspection of each of the physical childcare spaces, it was found that there was prescription medication accessible to children in the backpack of the school-aged childcare space.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Upon inspection of personnel files, it was found that the results of an initial TB screening were not included in the file of Staff Person #1. The record did show that a screening had been initiated, but no results were found anywhere in the file.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff Person #1 does not contain a completed NSOR verification. The file does not contain copies of request(s) for the clearances/verification.

Correction Required: Staff Person #1 must be removed from a childcare position by the close of business [7.16.24].

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Upon inspection of each of the physical childcare spaces, it was found that the first aid kit in the school-aged space was accessible to children in care.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Upon inspection of each of the physical childcare spaces, it was found that there was 1 ceiling tile missing and 8 damaged in the Lady Bugs [OT] childcare space.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Upon inspection of each of the physical childcare spaces, it was found that there was peeling paint near the sink in the school-aged childcare space.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Upon investigation of the self-reported non-compliance concerns resulting in child injury on 6.5.24, it was confirmed that the facility did have scooters that did not have rubberized grip protection [as originally equipped by the manufacturer] on the handlebars, which contributed to the injury of Child #1 when two children collided while at play.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: Upon inspection of the children's files, it was found that the emergency contact document for child #6 did not contain the name, address and telephone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Upon inspection of the children's files, it was found that the designated area for special needs/disabilities on the emergency contact document for child #6 was blank.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Upon inspection of the children's files, it was found that the emergency contact document for child #6 did not include the address[s] of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Upon inspection of children's files, it was found that the emergency contact document for child #1 was last reviewed on 12.27.22 and the financial agreement was last reviewed on 12.27.22; Upon inspection of children's files, it was found that the emergency contact document for child #2 was last reviewed on 1.11.23 and the financial agreement was last reviewed on 1.11.23; Upon inspection of children's files, it was found that the emergency contact document for child #3 was last reviewed on 8.3.22; Upon inspection of children's files, it was found that the emergency contact document for child #4 was last reviewed on 12.29.22 and the financial agreement was last reviewed on 12.29.22; Upon inspection of children's files, it was found that the emergency contact document for child #5 was last reviewed on 8.5.22 and the financial agreement was last reviewed on 8.5.22; Upon inspection of children's files, it was found that the emergency contact document for child #6 was last reviewed on 12.27.22 and the financial agreement was last reviewed on 12.27.22;

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. Child #1 is no longer in care at the facility.

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

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

Noncompliance Area: Upon inspection of the children's files, it was found that the health assessment on file for child #3 was dated 3.10.21 and therefore expired on 3.10.22. No updated health assessment is on file after that date.

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: 3270.134(a)/3270.134(d)

Description: Child's hands washed/Liquid or powdered soap

Noncompliance Area: Upon inspection of the infant childcare space, two diaper changes were observed and in both cases, the child's hands were wiped with a diaper wipe, but no soap and water were used prior to returning the child to the childcare space.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Liquid or powdered soap shall be used for handwashing.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Upon inspection of the facility emergency plans, it was found that a continuity of operations plan was not included in the most recently revised plans.

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)/3270.192(3)

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

Noncompliance Area: Upon inspection of staff files, it was found that no initial health assessment or TB test was on file for staff person #4. Facility director confirmed that staff person #4 had been working with children. Also, it was found that the health assessment on file for staff person #6 was dated 4.5.21 and therefore expired on 4.5.23.

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: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: Upon inspection of each individual childcare space, it was found that multiple emergency contact documents on file in each space was old/expired and did not match the master file documentation.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.192(2)(ii)/3270.192(2)(iii)

Description: Exp, educ., training prior to facility/Exp, educ., training at facility

Noncompliance Area: Upon inspection of staff files, it was found that the records for staff persons #1, #2, #3, #4, #6, #7 and #8 did not contain verification of childcare experience either prior to OR from the outset of service 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Upon inspection of the facility person's files, it was found that facility person #3 had only one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person; that facility person #4 had no written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person; that facility person #5 had only one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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(a)(5)

Description: Emergency plan

Noncompliance Area: Upon inspection of the facility emergency plans, it was found that accommodations for infants and toddlers was not included in the most recently revised plans.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Upon inspection of the facility's emergency drill logs, it was found that no emergency drill had been performed since the last renewal inspection.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training 2022 update; Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training; Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training ; Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training 2022 Update. Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training 2022 Update.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until 8.2.23 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 an (AGS) 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. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #3 will have until 8.2.23 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. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #4 will have until 8.2.23 complete the required training. Until such time as the required training 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 child-care position at the facility. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #6 will have until 8.2.23 complete the required training. Until such time as the required training has been completed, staff person #6 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 #6, staff person #6 may not work in a child-care position at the facility. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #8 will have until 8.2.23 complete the required training. Until such time as the required training has been completed, staff person #8 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 #8, staff person #8 may not work in a child-care position at the facility.

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: Upon inspection of the exterior play space, it was found that the area used by the older toddlers and preschool aged children had embedded playground equipment with a mulch depth of less than 1" directly under the equipment.

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.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Upon inspection of the facility first aid kits, it was found that the first aid kit used by the school aged children did not contain 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Upon inspection of the facility fire safety logs, it was found that the minimum testing limit of 30 days was exceeded between the testing on 2.20.23 and 3.23.23

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: Upon inspection of each child care space, it was found that the refrigerator in the young toddler room [Bumblebees] was at/above 50 degrees.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Upon inspection of the children's files, it was found that the emergency contact document for child #2 - #5 had not been reviewed/updated within the past six months and the parental agreement for child #3 had not been reviewed/updated within the past six 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(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Upon inspection of the children's files, it was found that the health assessment for child #2 was dated 1.11.21 and therefore expired.

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

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

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: Upon inspection of the children's files, it was found that the record for influenza vaccination for child #2 was missing with no exemption on file AND for child #4, the last influenza vaccination was dated from 2020.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: Upon inspection of the facility fire safety logs, it was found that testing of the alarm system was conduct on the following dates: 10.28.21, 11.30.21, 2.14.22, 2.15.22, 3.8.22, 3.14.22, 4.21.22, 5.25.22, 6.21.22. Therefore the required 30 day testing threshold was exceeded on multiple occasions.

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

Regulation: 3270.133(8)

Description: Special diet - parent's instructions

Noncompliance Area: Child #1 was served and did consume a fish-based product, despite the fact that facility records showed that the child did have a seafood allergy.

Correction Required: If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.