Elizabeth Norella Group Day Care Home

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection was conducted on 10/20/25. Child(ren) #1-4 did not have a child service report completed every 6 months on file. This is evidenced by the previous child service reports on file: Child#1's is 9/25/24, Child #2's is 7/21/23, Child #3's is 3/25, and Child #4 does not have one on file. (See code sheet for DOA's).

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: A renewal inspection was conducted on 10/20/25. The Back room, family room, sunroom, and classroom #1 did not have emergency contact information in the childcare spaces.

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

Regulation: 3280.131(a)

Description: Health Information

Noncompliance Area: A renewal inspection was conducted on 10/20/25. Child #3's initial health assessment was not received within 60 days following the first day of attendance at the facility. This is evidenced by child #3's initial health assessment on file dated 11/18/24. (See code sheet for DOA).

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: 3280.113(a)(1)/3280.113(a)(2)

Description: Staff assigned to specific children/Supervision on and facility premises

Noncompliance Area: An unannounced inspection was conducted on 7/23/25. Staff person(s) #1, #2, and #3 could not identify all the children in their assigned groups. Staff person #1 named 4 OT's and 4 PS, Staff person #2 named 1 YT, 1 OT, and 5 PS, Staff person #3 named 1 YT and 5 PS. Staff named several of the children that other staff had named and 3 children were not named at all. Cert Rep observed enough staff present to meet ratio however, the supervision groups exceeded the required staff: child ratio.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff: child ratio requirements in §§ 3280.51--3280.53. TIERED LIS: 1. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in their assigned group. The staff person shall be physically present with the children in their group. This portion of the plan shall have an immediate correction date. 2. The Legal Entity will establish a supervision & ratio policy. The policy must include a procedures for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in their assigned group and be physically present with the children in their group on the facility premises and on facility excursions off the facility premises and include name-to-face checks. The policy must include procedures for maintaining required staff: child ratios for single and mixed aged groups as well as, procedures . The legal entity must submit the policy to regional office for approval. All existing staff and new hires must be trained on the policy and sign an acknowledgment that must be kept on file. The operator shall provide a date for when this policy will be completed.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: An unannounced inspection was conducted on 7/23/25. Staff person #1 was observed to be caring for children unsupervised on the playground. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: PQAS approved Pediatric First Aid and CPR and PA Required Health and Safety for Centers-Group Child Care Part 1 AND PA Required Health and Safety for Centers-Group Child Care Part 2.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children at a minimum by, a primary staff person, 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3280.151(c)(2)

Description: Mantoux TB

Noncompliance Area: An unannounced inspection was conducted on 7/23/25. Staff person #1 had a tb screening at initial hire dated 7/5/23, which was not within 12 months of date of hire. (See LIS code sheet for DOH).

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: 3280.192(5)

Description: Two written references

Noncompliance Area: An unannounced inspection was conducted on 7/23/25. Staff person #1 had one nonfamily reference on file.

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: 3280.31(f)

Description: Age and training

Noncompliance Area: An unannounced inspection was conducted on 7/23/25. Staff person #1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 AND PA Required Health and Safety for Centers-Group Child Care Part 2. Staff person #1 has completed Adult first aid and CPR training, however, the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum and is not Pediatric.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, a primary staff person, 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection was conducted on 7/23/25. Staff #1 had a PSP clearance request dated 7/5/23 and no completed PSP clearance on file. Staff #1 had all other clearances on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff 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 may not be present in a childcare position at the facility.

Regulation: 3280.51

Description: Maximum Number of Children

Noncompliance Area: An unannounced inspection was conducted on 7/23/25. Cert Rep observed 16 unrelated children at the facility, 1 YT, 4 OT's, and 11 PS. The license capacity for the facility is 12.

Correction Required: No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator.

Regulation: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: An unannounced inspection was conducted. On 7/23/25, Cert Rep was inside the facility with the staff person #4 and observed staff person #2 enter the facility to use the restroom. Cert Rep then observed staff person #3 enter the facility with a child and begin to change the child's diaper. Cert Rep went outside and entered the play yard where she observed only staff person #1 with 11 children for approximately two to three minutes. As Cert Rep was counting the children, she turned around to see staff person #2 and #4 in the driveway between the side door of the facility and the play yard entrance.

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

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: An unannounced inspection was conducted on 7/23/25. Cert Rep observed the fire drill log to be out of compliance. The last fire drill on record is dated 5/21/25.

Correction Required: The primary staff person 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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: An unannounced inspection was conducted on 7/23/25. The fire detection log indicates the alarms were not tested every 30 days. The last fire detector testing was dated 5/21/25.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: A renewal inspection was conducted on 10/30/24. In the playroom the pack n plays were not labeled with the specific child's name.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection was conducted on 10/30/24. Child #1 had a child service report dated 12/14/21. Child #4 did not have a child service report. Child service reports are to be conducted every 6 months. (See code sheet for DOA).

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted on 10/30/24. The facility emergency plan does not address continuity of operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection was conducted on 10/30/24. Child #1's fee agreement was not reviewed in the last 6 months. Child #1's fee agreement is dated 6/23/23. Child #2's emergency contact form was not signed by the parent or dated in the last 6 months.

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: 3280.182(1)

Description: Initial and subsequent health assessments

Noncompliance Area: A renewal inspection was conducted on 10/30/24. Child #3 did not have an initial health assessment in the file. Child #3 has a current health assessment on file dated 9/25/24. (See code sheet for DOA).

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

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: A renewal inspection was conducted on 10/30/24. The operator did not provide the parent of each child enrolled with information on how to access the regulations.

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: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: A renewal inspection was conducted on 10/30/24. The facility emergency plan does not provide information for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: A renewal inspection was conducted on 10/30/24. Cert rep observed staff #1 supervising a mixed age group of 10 children that included older toddlers, preschool children, and 1 young toddler. No other staff was present. The required staff to child ratio for this mixed age group is 1 staff to 5 children.

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

Regulation: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: A renewal inspection was conducted on 10/30/24. Cert rep observed staff #1 supervising a mixed age group of 10 children that included older toddlers, preschool children, and 1 young toddler. No other staff was present. The required staff to child ratio for this mixed age group is 1 staff to 5 children.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements at §3280.52(b). The legal entity must create a policy regarding ratio which must include maintaining proper staff: child ratios and they must be maintained at all times. The policy must include how proper staff: child ratios will be maintained in the morning at drop off. The policy should include what the required ratios are and address what to do/whom to contact if a child arrives and makes an over ratio situation. The legal entity must submit the policy to regional office for approval. All existing staff and any staff hired in the future staff must be trained and sign an acknowledgment that must be kept on file.

Regulation: 3280.71

Description: Heat Source

Noncompliance Area: A renewal inspection was conducted on 10/30/24. Cert rep observed a stove in the kitchen and it did not have a stove guard. The stove is accessible to children.

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

Regulation: 3280.121(a)/3280.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: Facility does not have a supervision and dismissal policy that is given to parents at time of application.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency Contact Forms for children # 1, # 2 and # 3 did not contain address of release persons.

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: 3280.31(e)

Description: Age and training

Noncompliance Area: Files for Staff # 1, # 2, # 3 and # 4 did not contain verification if an annual of 12 hours of childcare training. Staff # 1, # 2, # 3 and # 3 completed 6 hours of childcare training.

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

Regulation: 3280.69(a)

Description: 110º F or less

Noncompliance Area: Hot water in the children's bathroom measured at 120 degrees.

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

Regulation: 3280.151(a)

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

Noncompliance Area: File for Staff # 3 did not contain an initial health assessment and TB test.

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: 3280.192(2)(ii)/3280.192(5)

Description: Exp, educ., training prior to facility/Two written references

Noncompliance Area: File for Staff # 2 did not contain verification of education. File for Staff # 1 did not contain 2 nonfamily references.

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 two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3280.124(e)

Description: Written emergency plan posted

Noncompliance Area: Facility did not have a posted written plan identifying the means of transporting a child to emergency care and staffing provisions in case of an emergency.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3280.171(c)

Description: Safe routes posted

Noncompliance Area: At time of inspection, facility did not have a written traffic letter posted with safe walking and driving routes.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3280.192(2)(iv)/3280.192(5)

Description: Transcript, diploma and letters/Two written references

Noncompliance Area: Files for Staff # 2 and # 4 did not contain verification of education and 2 written non-family references.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. 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: 3280.192(3)

Description: Health assessment, TB test

Noncompliance Area: File for Staff # 3 did not contain verification of a TB test at initial hire. Staff began employment on 9/24/21.

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

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: Files for Staff #1, # 2, # 3 and # 4 did not contain verification of Pediatric First-aid and CPR.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Files for Staff # 2, # 3 and # 4 were not in compliance with CPSL regulations. File for Staff # 2 contains a Dept. of Justice NSOR clearance dated 9/27/21, staff began employment on 9/24/21. File for Staff # 3 contains a Dept. of Education FBI clearance dated 9/7/17 and Mandated Reporter Training dated 6/29/15. Staff # 4 began employment on 9/24/21, Child Abuse clearance was dated 10/29/21, Staff # 4 did not have an FBI clearance and was not fingerprinted at time of inspection. File for Staff # 4 contain a Dept. of Justice NSOR clearance dated 9/27/21.

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. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. The CPSL also states that anyone hired after 9/30/19 was required to have the NSOR clearance to work in child care.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: At the time of the inspection, facility was unable to provide proof of date of purchase and installation of fire detection system as required by section 1016(c) of the act (62 P.S. §¿1016(c)).

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.