Noahs Ark

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A play kitchen in the facility's pre-K room was observed to be off balance and easily tottered.

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(f)/3270.181(c)

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

Noncompliance Area: The file for child #1 was observed to lack documentation that the emergency contact and the financial agreement were updated at least once in a 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(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The file for child #2, a young toddler, was observed to lack updated health reports obtained at least every 6 months for an infant or young toddler. This was evidenced by health reports dated 08/07/2025 and 04/13/2026 a period of 8 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.23

Description: Parent Access & Participation

Noncompliance Area: The facility admitted to entering into an agreement with a parent that required prior notice and limited access, throughout the center whenever their child was in care. The facility admitted to subsequently revoking their permission for access all together. The facility lacked a court order from a competent jurisdiction limiting the parental right of access to the child on file at the facility

Correction Required: A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on the fire drill log drills were conducted more than 60 days apart due to the fact they were dated: 1-30-25 to 3-11-25 = 40 days; 3-11-25 to 7-1-25 = 112 days.

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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on the smoke detection testing log, the smoke detection system was tested more than 30 days apart on the following dates: 1-30-25 to 3-11-25 = 40 days; 3-11- 25 to 7-1-25 = 112 days.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for child #1 was observed to contain an emergency contact form that did not 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.

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: 3270.131(b)(2)

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

Noncompliance Area: The file for child #2, a pre-school aged child was observed to lack an updated health report obtained at least once every 12 months. The was evidenced by a health report dated 9/14/23 present in the file.

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: 3270.133(7)(i)

Description: Name of medication

Noncompliance Area: The facility was observed to have a Medication log for child #3, that lacked the name of the medication.

Correction Required: A medication log shall include the name of the medication.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff person #2 was observed to lack documentation of having completed the Pennsylvania Health and Safety Update 2022 1-hour training by December 30, 2022. This was evidenced by the only completed Pennsylvania Health and Safety training certificate present in the file was a 6-hour training certificate dated 10/30/16.

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

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

Noncompliance Area: The file for staff person #1 and #3 were observed to lack documentation of obtaining an annual minimum of 12 clock hours of child care training.

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: 3270.66(b)

Description: Original container

Noncompliance Area: The facility was observed to have a clear spray bottle that contained a clear liquid but failed to be labeled with the bottle's contents.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The facility was observed to have a first-aid kit in the school aged room that lacked scissors.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: 2nd citation. Previously cited on 4/23/24. Observed a cord to a baby swing which was not secured creating a potential tripping and/or strangulation hazard in the Infant Room.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: 2nd citation. Previously cited on 4/30/24. The file of Volunteer #1 lacked a National Sex Offender Registry Certificate.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, 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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 4/23/24 observed a bin labeled "sports" with rough edges in Wilson 1 Room. On 4/23/24 observed a cracked LEGO and a cracked LEGO base with a corner missing creating rough edges in Wilson 2 Room. On 4/23/24 observed a cracked stencil with rough edges in Wilson 2 Room.

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

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On 4/23/24 observed embedded equipment in the Preschool/Pre K/ School-Age Outdoor Play Space with approximately 6 to 8 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.102(f)

Description: Indoor climbing- protective surface

Noncompliance Area: On 4/23/24 observed indoor play equipment for climbing not installed or used over a protective surface covering which does not interfere with the stability of the equipment in the Young Toddler Room.

Correction Required: Indoor play equipment for climbing shall be installed or used over a protective surface covering which does not interfere with the stability of the equipment.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 4/23/24 observed rest equipment not labeled for the use of a specific child in the Infant Room.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: On 4/23/24 the written plan of daily activities was not posted in the Older Toddler Room.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files of Children #6, #8, #9, and #10 lacked child service reports completed at least every 6 months. The file of Child #6 with an admission date of 9/27/22 contained a child service report dated 11/1/23. The file of Child #8 with an admission date of 10/31/22 contained child service reports dated 5/23/23 and 11/14/23. The file of Child #9 with an admission date of 10/24/22 contained child service reports dated 5/30/23 and 11/16/23. The file of Child #10 with an admission date of 8/29/22 contained child service reports dated 5/30/23 and 11/29/23.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #1 did not include the work address of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency contact information for Child #5 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information for Child #3 did not include the complete address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: Child #4 lacked a health report no later than 60 days following the first day of attendance at the facility. Child #4 who had an admission date of 3/4/24 had a health report in the file, but it was not dated.

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 file of Child #2 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #2 contained a health report dated 11/10/22.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Child #4, a 5-month-old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, and Polio immunizations according to the recommendations of the ACIP. Child #4 had documentation of 1 Rotavirus immunization, 1 DTAP/DTP/TD immunization, 1 HIB immunization, 1 Pneumococcal immunization, and 1 Polio immunization. Child #7, a 6-month-old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, and Polio immunizations according to the recommendations of the ACIP. Child #7 had no documentation of Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, and Polio immunizations. Child #9, a 20-month-old lacked DTAP/DTP/TD and MMR immunizations according to the recommendations of the ACIP. Child #9 had documentation of 3 DTAP/DTP/TD immunizations and no MMR immunization.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file of Staff #1 lacked documentation of completing the Pennsylvania Health and Safety Update within 90 days of hire (SEE LIS Code Sheet).

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 files of Staff #3 and #7 lacked a health assessment conducted every 24 months. The file of Staff #3 contained a current health assessment dated 3/26/24 with a previous one dated 2/15/22. The file of Staff #7 contained a health assessment dated 10/13/21.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: On 4/23/24 observed multiple lunch boxes containing potentially hazardous foods such as yogurt which were not refrigerated in the Older Toddler, Younger Toddler, and Preschool Rooms.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 4/23/24 observed bottles which were not labeled with the child's name in the Infant Room.

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

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: The first-aid kit in the van used to transport children lacked soap.

Correction Required: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.193(a)

Description: Confidential; stored in locked cabinet

Noncompliance Area: On 4/30/24 observed Volunteer #6's file was not stored in a locked cabinet.

Correction Required: Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On 4/23/24 observed a cord to a baby swing which was not secured creating a potential tripping and/or strangulation hazard in the Infant Room. On 4/23/24 observed 3 cribs and 3 pack 'n plays with loose sheets in the Infant Room creating a potential suffocation hazard.

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

Regulation: 3270.27(a)(3)

Description: Contact when arises

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

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

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: The facility did not have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Emergency drills were not conducted annually. The facility provided documentation of an emergency drill being conducted on 9/14/22 but did not have documentation for 2023.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file of Volunteer #6 lacked documentation of training regarding the emergency plan on an annual basis. The file of Volunteer # 6 contained documentation of emergency plan training on 10/5/22 but no documentation for 2023.

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: 3270.27(e)

Description: Letter to parents

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

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files of Staff #2, #4, #7, #8, and #9 lacked documentation of obtaining a minimum of 12 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: The file of Staff #3 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional (SEE LIS Code Sheet). The file of Staff #3 contained documentation of fire safety training completed on 10/24/22 but no documentation for 2023.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Volunteer #6 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Volunteer #6 will have until June 4, 2024, to complete the mandated reporter training. Until such time as the required training has been completed, volunteer #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 person(s) available to supervise volunteer #6, volunteer #6 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 Staff #5 lacked a valid DHS FBI Clearance because it did not contain a disposition for all charges. The file of Volunteer #6 lacked a valid State Police Clearance because it did not have a "disseminated by" date. The file of Volunteer #6 lacked a DHS FBI Clearance and National Sex Offender Registry Certificate. The file of Volunteer #6 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Volunteer #6 was not the one updated in 2020. The file of Staff #9 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. The file of Staff #9 contained a State Police Clearance dated 3/20/24 with a previous one dated 8/24/18. The file of Staff #9 contained a Child Abuse Clearance dated 3/20/24 with a previous one dated 9/4/18. The file of Staff #9 contained a DHS FBI Clearance dated 3/25/24 with a previous one dated 8/21/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #5 and Volunteer #6may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #5 and Volunteer #6 may not work in a child care position at the facility.

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

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

Noncompliance Area: The file of Staff #5, who was designated as an assistant group supervisor, lacked documentation of 2 years of experience with children.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 4/23/24 observed Kids Babyganics hand sanitizer on the radio/CD player stand which Indicated "keep out of the reach of children" which was accessible to children in the Pre K 2 Room.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: On 4/23/24 the hot water temperature at the sink in the women's bathroom near the Pre K 1 Room was 118 degrees.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 4/23/24 observed rust on the heat registers in the bathrooms located by the Infant Room. On 4/23/24 observed rust on the heat registers in the bathrooms located by the Director's Office. On 4/23/24 observed rust on the heat registers in the bathrooms located by the Preschool and Pre K 2 Rooms. On 4/23/24 observed raised stakes used to secure the black barriers in the Preschool/School-Age Outdoor Play Space.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The toilet in the Older Toddler Room lacked a handwashing sign.

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

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The file of Child #1 contained a health report which did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: 2nd citation. Previously cited on 6/26/23 under SIN-00225831. Observed Boudreaux's Butt Paste, Desitin, Aquaphor, Tubby Todd Sweet Cheeks Diaper Paste, Triple Paste Zinc Oxide Diaper Rash Cream, and Parent's Choice Diaper Rash Ointment which indicated "keep out of the reach of children" by the sink and changing mat which were accessible to children in the Young Toddler Room.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 6/26/23 observed a frayed farm area rug and a cracked bin containing wooden blocks in the Older Toddler Room. On 6/26/23 observed a broken green connector piece in the Pre K Room. On 6/26/23 observed cracked marble connectors in the Wilson 1 Room. On 6/26/23 observed a cracked large orange square Magna Tile and cracked pretend pizza in the Genesis Room. On 6/26/23 observed a cracked green dantoy in the grassy play space at the back of the facility.

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(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On 6/26/22 observed embedded equipment in the Preschool/Pre K/ School-Age Outdoor Play Space with approximately 7 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: On 6/28/23 observed approximately 8 inches between 2 cots and 12 inches between 2 cots in the Pre K Classroom.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files of Children #2, #3, and #5 lacked child service reports completed at least every 6 months. The file of Child #2, with an admission date of 1/4/21, did not contain child service reports. The file of Child #3, with an admission date of 8/29/22, contained a child service report dated 5/7/23. The file of Child #5, with an admission date of 8/29/22, contained a child service report dated 5/29/23.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #3 lacked the work address of the enrolling parent on the emergency contact form.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Emergency contact information for Child #2 did not 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.

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: Emergency contact information for Child #4 lacked the complete address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 6/26/23 emergency contact information was not present for Child #6 in the Young Toddler Room when receiving care in that room.

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(a)

Description: Health information

Noncompliance Area: The file of Child #1 lacked a health report no later than 60 days following the first day of attendance at the facility. Child #1 who had an admission date of 3/13/17 did not have a health report on file.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file of Child #4 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #4 contained health reports dated 9/2/21 and 12/21/22.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file of Child #1 lacked a health report which included a review of the child's immunized status according to recommendations of the ACIP. The file of Child #1 did not contain documentation of any immunizations. The file of Child #3, a 5-year-old, lacked an influenza immunization according to the recommendations of the ACIP. The file of Child #4, a 3-year-old, lacked an influenza immunization according to the recommendations of the ACIP. The file of Child #5, a 2-year-old, lacked an influenza immunization according to the recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: The operator did not establish and maintain a medication log if prescription or nonprescription medication is administered for Child #7.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan did not address continuity of operations. The files of Staff #2, #3, #5, #8. and #9 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The file of Staff #11 lacked documentation of completing the Pennsylvania Health and Safety Update within 90 days of hire (SEE LIS Code Sheet). The file of Staff #2 contained no documentation of completing the health and safety update. The file of Staff #3 contained documentation of completing the health and safety update on 5/10/23. The file of Staff #5 contained documentation of completing the health and safety update on 5/19/23. The file of Staff #8 contained documentation of completing the health and safety update on 5/10/23. The file of Staff #9 contained documentation of completing the health and safety update on 5/6/23. The file of Staff #11 contained documentation of completing the health and safety training on 7/3/17 and the health and safety update on 6/18/23.

Correction Required: Staff person #2 will have until July 29, 2023, to complete the Pennsylvania Health and Safety Update 2022. A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)

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

Noncompliance Area: The file of Staff #11 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #11 contained health assessment dated 6/2/21.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file of Staff #11 lacked an initial health assessment which included a tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #11 had a Mantoux read date of 6/4/21.

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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The file of Staff #4 contained a health assessment which did not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.151(c)(4)

Description: Information re: medical problems

Noncompliance Area: The file of Staff #4 contained a health assessment which did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.165

Description: Menus

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

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

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: The first-aid kit in the van lacked an assortment of adhesive bandages.

Correction Required: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The legal entity did not have a current copy of the comprehensive general liability insurance policy to cover the persons who are on the premises on file at the facility.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact and agreement were reviewed on 6/16/22 and 2/2/23.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file of Staff #7 lacked documentation of receiving training regarding the emergency plan on an annual basis. The file of Staff #7 contained documentation of emergency plan training on 10/1/21 but contained no documentation for 2022.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files of Staff #5, #7, and #10 lacked documentation of obtaining an annual minimum of 12 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(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #11 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 from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #11 will have until July 29, 2023, to complete the required training. Until such time as the required training has been completed, staff person #11 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 #11, staff person #11 may not work in a child-care position at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file of Staff #9 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (See LIS Code Sheet). Staff #9 had documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 6/14/22.

Correction Required: Staff persons shall complete professional development in 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: The file of Staff #1, a provisional hire, did not contain documentation of the results of the PA Child Abuse Clearance prior to employment (SEE LIS Code Sheet). The file of Staff #1 contained a PA Child Abuse Clearance dated 6/27/23. The file of Staff #1 did not contain a National Sex Offender Registry Certificate. The file of Staff #6 lacked a valid State Police Clearance because it did not have a disseminated by date. The file of Staff#7 lacked an FBI Clearance updated every 60 months. The file of Staff #7 contained an FBI Clearance dated 12/6/21 with a previous one dated 12/5/16. The file of Staff #11 lacked a valid Child Abuse and Registry Check from the State(s) in which Staff #11 resided because the date of the clearance was unreadable.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #1, #6, and #11 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1, #6, and #11 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files of Staff #7 and #10 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #7 contained a written evaluation dated 7/2022 but did not contain one for 2021. The file of Staff #10 contained a written dated 7/2022 with a previous one dated 6/1/21.

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: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The files of Staff #4 and #10, who were designated as Assistant Group Supervisors, lacked documentation of 2 years' experience with children.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 6/26/23 observed Fresh Scent Disinfecting Wipes which indicated "keep out of the reach of children" at the changing table which were accessible to children in the Young Toddler Room. On 6/26/23 observed Boudreaux's Butt Paste, 3 Desitin, 3 Aquaphor, Tubby Todd Sweet Cheeks Diaper Paste, Triple Paste Zinc Oxide Diaper Rash Cream, and Parent's Choice Diaper Rash Ointment which indicated "keep out of the reach of children" in the drawer under the changing table which were accessible to children in the Young Toddler Room.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The urinal in the Men's Bathroom by Wilson 1, Wilson 2, and the Genesis Rooms lacked a handwashing sign.

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

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The Director or designated staff person who is responsible for compliance with this chapter did not conduct fire drills and ensure that the hypothetical locations of the fire were rotated around the facility for each drill such that the hypothetical location was never the same for consecutive drills.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a cracked purple square Magna Tile and a cracked green square Magna Tile in the Genesis Preschool Room.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed 2 cubbies in the Genesis Preschool Room which were not anchored creating a potential tipping hazard. Observed 2 bookcases to the right of the entrance in the Genesis Preschool Room which were not anchored creating a potential tipping hazard. Observed a microwave on top of a mini fridge in the Genesis Preschool Room which was not anchored creating a potential tipping hazard.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The mini fridge in the Genesis Preschool Room lacked an operating thermometer.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #1, #2, #4, #5, #6, #7, #8, #9, and #10 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). Staff #1, #2, #4, #5, #6, #7, #8, #9, and #10 have no documentation of completing the health and safety update.

Correction Required: Staff #1, #2, #4, #5, #6, #7, #8, #9, and #10 will have until May 27, 2023, to complete the Pennsylvania Health and Safety Update 2022. 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: 3270.31(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 LIS code sheet): 10-hour Health and Safety Training and pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1- 10) within 90 days of hire. Staff person #3 will have until May 27, 2023, 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #3 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #3 will have until May 27, 2023, to complete the mandated reporter 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 person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.69(c)

Description: Drinking water available

Noncompliance Area: Based on interviews, Child #1 a younger aged toddler was offered only breast milk to drink and not offered drinking water throughout the day on March 30, 2023.

Correction Required: Safe drinking water shall be made available to children of all ages throughout the day.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The urinal in the Men's Bathroom located in the Church Basement lacked a handwashing sign.

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

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: 3rd citation. Previously cited on 6/16/22 and 9/6/22. Observed embedded equipment in the Preschool/Pre K/School-age Outdoor Play Space with approximately 2 to 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: 3rd citation. Previously cited on 6/30/22 and 9/6/22. The file of Child #1, a 33 month old, lacked Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #1 contained documentation of one Hepatitis A immunization.

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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: 3rd citation. Previously cited on 6/30/22 and 9/6/22. The file of Staff #1 lacked documentation of completing an annual minimum of 12 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: 2nd citation. Previously cited on 6/16/22. Observed a loose roof on a Step 2 Play House located in the Preschool/Pre K/School-Age Outdoor Play Space.

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

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: 2nd citation. Previously cited on 6/16/22. Observed embedded equipment in the Preschool/Pre K/School-Age Outdoor Play Space with approximately 2 to 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: 2nd citation. Previously cited on 4/28/22. Based on interviews and video footage, Staff #1 and Staff #2 left Child #1 alone on the playground for approximately 9 minutes. Once Staff #1 and #2 realized Child #1 was not in the group in the classroom, Staff #2 went to the playground to look for Child #1.

Correction Required: The legal entity must arrange for all facility staff to receive a minimum of two hours of in person training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: 2nd citation. Previously cited on 6/30/22. The files of Children #1, #2, #3, #4, #5, #8, and #9 lacked the services to be provided on the agreement.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: 2nd citation. Previously cited on 6/30/22. The file of Child #6 lacked the persons designated by a parent to whom the child may be released on the agreement.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: 2nd citation. Previously cited on 6/30/22. The file of Child #6 lacked the work address of the enrolling parent on the emergency contact form.

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

Regulation: 3270.131(d)(4)

Description: Acute or chronic health problem

Noncompliance Area: 2nd citation. Previously cited on 6/30/22. The file of Child #7 contained a health report which did not include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing, or lead poisoning.

Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: 2nd citation. Previously cited on 6/30/22. The file of Child #7 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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