Nurturing Creative Minds Childcare

Regulation: 3270.124(d)

Description: Excursions

Noncompliance Area: At the time of renewal inspection observed that emergency contact forms does not accompany staff when children leave the facility for walks. Additionally, the Brightwheel app used by the provider does not contain all of the information required on the emergency contact forms.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

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: At the time of renewal inspection, a record of children #1, #2, and #3 didn't contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of unannounced inspection on 9/29/25observed visible signs of water damage on the ceiling tiles in the main room.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: At the time of unannounced inspection on 9/29/25, peeling paint was observed on both sides of the bathroom door.

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

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: At the time of inspection, Child #1 overheard inappropriate/foul language directed at their parent. Per Manager, the language was used by the individual Staff Person #1 was speaking with on speakerphone while discussing the child's family.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of renewal inspection, emergency contact form of child #2 and #3 did not include the work address and phone number 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)(5)

Description: Information re: special needs

Noncompliance Area: At the time of renewal inspection, emergency contact information did not include information on the child #3 special needs, as specified by the child's parent, physician, physician's assistant of 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)(6)

Description: Insurance coverage information

Noncompliance Area: At the time of renewal inspection, emergency contact information of child #3 did not include health insurance coverage and 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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: At the time of renewal inspection, file of child #1 did not include an updated health report required at least every 6 months. Child health report on file was dated 4/16/24.

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: 3270.182(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: At the time of renewal inspection, a record of child #2 and #3 didn't contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, file of staff person #1 included PSP criminal history that was not complete and had "request under review for control" status. File of staff person #1 did not include current PA child abuse clearance.

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 # 1 must be removed from child care position by close of business. PA child abuse clearance and updated state police clearance must be obtained before facility person #1 may resume a child care position.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: At the time of renewal inspection, a sign on which requirements to wash hands after toileting, diapering and before eating is written was not posted at the sink in the facility.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of renewal inspection, emergency contact form of child #1 and #2 did not include the work address and phone number of the enrolling parent.

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

Regulation: 3270.131(d)(5)/3270.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: At the time of renewal inspection, immunization record of children #2 and #4 did not include current influenza immunization recommended by ACIP, record of child #3 did not include Rotavirus, DTAP, HIB, Pneumococcal, Polio, Influenza, MMR, Varicella and Hepatitis A immunization recommended by ACIP. An acceptable letter of exemption was not observed in the file of child #2, #3, and #4 .

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of renewal inspection, file of staff person #1, #2, #3, #4, and #5 did not include Pennsylvania Health and Safety Update 2022 1 hour professional development training required by OCDEL within the prescribed timeframe which is by December 30, 2022.

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: At the time of renewal inspection, file of staff person #1 did not include current health assessment as well as the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of renewal inspection, verification that local traffic safety authorities are notified annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was not observed.

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

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: At the time of renewal inspection, a current copy of the insurance policy was not 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: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of renewal inspection record of staff person #3 included two written family references. File of staff person #3 had to 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: 3270.24(f)

Description: Director ID

Noncompliance Area: At the time of renewal inspection, staff person #5, who holds the position of the director, was not present during the renewal inspection with a valid photo identification.

Correction Required: A valid photo identification of the director or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of renewal inspection, file of staff person #1, #2, #3, #4, and #5 did not include written record that emergency plan training was conducted on an annual basis.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of renewal inspection, certificate of achievement of fire safety/emergency preparedness/shelter in place issued by Tri-State Training and Safety Consultant LLC was handed in for staff person #5. Upon further review, it was verified that certificate is not valid.

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: 3270.31(e)(4)(iv)

Description: Water safety

Noncompliance Area: At the time of renewal inspection, certificate of achievement of "The Pa Child Water Safety Program" issued by Tri-State Training and Safety Consultant LLC and American Red Cross was handed in for staff person #1, #2, #3, #4, #5, and #6. Upon further review, it was verified that these certificates are not valid.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At the time of renewal inspection, files of staff persons #1, #2, #3, and #4 did not include an annual staff evaluation. Staff evaluation on file for staff person #1 was from 4/8/22, for staff person #2 was from 4/7/22, for staff person #3 was from 3/29/22, for staff person #4 was from 4/7/22.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of renewal inspection observed ceiling tiles with visible signs of water damage.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: OBSERVED DURING THE INSPECTION, CEILING TILES WERE DAMAGED AND STAINED THAT APPEAREDTO BE FROM A LEAK.

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: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: CHILD 1 AND CHILD 2 HAD A PHYSICAL THAT WAS MISSING THE STATEMENT THAT THE CHILD WAS ABLE TO PARTICIPATE IN CHILDCARE AND FREE OF COMMUNICABLE DISEASE.

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

Regulation: 3270.151(a)

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

Noncompliance Area: STAFF 1 HAD A PHYSICAL THAT WAS MORE THAN 24 MONTHS OLD (DATED 11/4/19).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: STAFF 1 DID NOT HAVE THEIR NSOR ON FILE (START DATED 1/16/21).

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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: PROVIDER DID NOT HAVE PROOF OF PURCHASE FOR THE FIRE ALARM 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.