Faith And Grace Learning Center

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: At the time of the inspection, the large embedded equipment lacked sufficient loose fill due tot he fact it was immeasurable around the fall zones.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed pieces of mulch in the toddler playground used by children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed at the entrance to gate of the toddler playground a hole in the grassy area upon stepping off the macadam walkway approximately 4 inches deep and 6 inches wide. Observed at the corner of the school age playground a long narrow hole leading from the macadam to the playground.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The file of child #2 had an agreement lacking the child's arrival and departure times.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file of child #3 had an emergency contact form lacking the name, address and telephone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of child #1 had an emergency contact form that 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file of staff #3 lacked health assessments every 24 months due to the fact they were dated 6-2-23 and 6-3-25. The file of staff #4 lacked health assessments every 24 months due to the fact they were dated 11-5-22 and 1-27-25.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: At the time of the inspection, observed a bottle for child #1 not labeled.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed adult scissors stored on the teacher's desk accessible to children in care.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files sf staff #4 and #6 lacked documentation of completing the 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #5 lacked the NSOR clearance at the time in care with children due to the fact it was dated 1-29-26 (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files of staff #1, #2, #3, and #4 lacked written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months due to the fact they were each completed 13 months apart.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed the following toxics accessible to children: In the preschool room - Hand sanitizer and lotion labeled "keep out of the reach of children." Febreeze in the restroom used by children. cleaning materials in due to the fact the kitchen door was not locked.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: At the time of the inspection the first-aid kit in the older toddler room was accessible due to the fact it was stored on a shelf in which the children could reach.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the outdoor play space binoculars attached to the frame of the top tier of the white and green climbing equipment. Both the ocular lens and objective lens were damaged.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 lacked a Disclosure statement with a witness.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file of staff #3 had an initial health assessment dated after their date of hire. Staff #5 had health assessments more than 24 months apart due to the fact they were dated 4-6-23 and 2-1-21.

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. 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 had 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 Parts 1 and 2.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #4 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR.

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(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file of staff #2 completed Mandated Reporter training more than 60 months apart due to the fact they were dated 2-7-25 and 10-23-19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 had the NSOR clearance more than 60 months apart due to the fact they were dated 1-30-25 and 12-1-20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed in the toddler space Equate brand lotion, Johnson and Johnson brand lotion, and Germs be Gone labeled "keep out of the reach of children" stored on the ledge of the teacher's desk accessible to children in care.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Observed in the school-age room a no-lidded garbage can in the back of the room with partially eaten food and a non-lidded garbage can at the front of the room near the exit door with used tissues.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Observed in the preschool room the first-aid was accessible to children in care due to the fact it was hanging on a hook low enough for children to reach.

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

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 detectors were tested more than 30 days apart on the following dates: 11-15-24 to 12-18-24 = 33 days; 12-18-24 to 1-28-25 = 41 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: 3270.133(2)/3270.133(3)

Description: Written instructions/Name on bottle

Noncompliance Area: At the time of the inspection, observed prescription eye drops for child #1 lacking written instructions from the individual who prescribed the medicine and lacking the name of the child for whom the medication is intended.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(7)/3270.133(7)(iv)

Description: Medication log/Amount to administer

Noncompliance Area: At the time of the inspection, observed prescription eye drops for child #1 lacking a medication log completed by the parent.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. A medication log shall include the amount of medication administered.

Regulation: 3270.192(1)/3270.192(2)(i)

Description: Name, address, and phone/Age

Noncompliance Area: The file of staff #1 lacked address and telephone number, and verification of age.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of staff #1 lacked 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 had a Child Abuse clearance for the purpose of volunteer rather than employment; and there was no PA State Police clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of reviewing the fire drill log it had been more than 60 days since the last fire drill based on the date: 6-24-24.

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: 3270.124(d)

Description: Excursions

Noncompliance Area: At the time of the swimming monitor inspection, there was not an emergency contact form present for child #1.

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: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: Observed mulch chips in the toddler playground.

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

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: The file of child #2 lacked an immunization record.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the inspection, the director indicated volunteers assist at the facility. The emergency plan lacked information regarding the role(s) of the volunteer(s).

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: The files of staff #1, #2, and #3 had late health assessments at initial hire.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Observed in a lunchbox stored in the cubby for child #1, 2 pudding cups not refrigerated.

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: Observed 4 Dr. Brown bottles and one bottle with a cloud pattern in the infant room not labeled with a child's name.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed in the preschool space, 2 pairs of adult scissors and 2 straight screw drivers stored on the teacher's desk, accessible to children.

Correction Required: 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: The file of Staff #4 lacked documentation of completing the Pennsylvania Health and Safety Update within 90 days of their date of hire (see LIS code sheet).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 had clearances more than 60 months apart due to the fact they were dated: PSP 10-12-18 and 11-20-23; Child Abuse 10-17-18 and 11-24-23; and FBI 10-16-18 and 11-22-23.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Observed staff in the toddler space wipe children's hands with baby wipes and do not wash hands at the sink present in the space.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed in the outdoor play space for the toddlers many pieces of mulch which measured less than 1 inch.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the toddler childcare space lacked a 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of child #1 lacked an emergency contact form with the full 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)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file of child #1 lacked an annual health assessment for the year 2021. The file of child #2 lacked an initial health assessment.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed prescription medication for child #3 not labeled.

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

Regulation: 3270.133(6)/3270.133(7)

Description: Written consent/Medication log

Noncompliance Area: Observed prescription medication for child #3 without written parent consent for administration and no medication log.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. 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 Shaken Baby, Abusive Head Trauma, and Child Maltreatment policy lacked the prevention of child maltreatment.

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: The file of staff #1 lacked a health assessment at the time of hire due to the fact it was dated 8-30-22 (see LIS code sheet).

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: 3270.31(f)(10)

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

Noncompliance Area: Staff person #7 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): first aid/CPR due to the fact the training on file was dated 1-27-22. Staff person #8 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): first aid/CPR due to the fact the training on file was dated 1-27-22.

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(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: Staff person(s) #4 and #6 did not complete the mandated reporter training within 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10-7-16 and 12-11-21 for staff #4; 7-22-15 and 5-5-21 for staff #6. Staff person(s) #2 and #5 did not complete the mandated reporter training within 90 days of hire date (see LIS code sheet) due to the fact they were dated 3-29-21 for staff #2 and 2-28-21 for staff #5.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 had a late PA State Police clearance due to the fact the one on file was dated 8-29-22 and a late Child Abuse clearance due to the fact the one on file was dated 8-30-22 (see LIS code sheet). Staff #3 had late clearances due to the fact the PA State Police clearances on file were dated 7-21-16 and 1-21-22; and late FBI clearances due to the fact the ones on file were dated 12-10-15 and 3-3-21.

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.

Regulation: 3270.35(b)(3)/3270.192(2)(iv)

Description: Associate's + 2 yrs/Transcript, diploma and letters

Noncompliance Area: The file of staff #3, a group supervisor lacked documentation of education to support the position.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

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

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: The file of staff #1, an assistant group supervisor lacked documentation of experience to support the position.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed in the "K prep" room, a dog print bookbag hanging on a low hook accessible to children with Children's Motrin and Aveeno brand sunscreen both labeled keep out of the reach of children.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on documentation, the smoke detection system was not tested every 30 days on the following dates: 12-14-22 to 11-8-22 = 34 days; 11-8-22 to 10-3-22 = 36 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: 3270.133(7)

Description: Medication log

Noncompliance Area: Observed medication for children #1 and #2 in the "go" bag at the swimming pool.

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

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: At the time of the inspection, there were not emergency contact forms with signed parental consent to swim for all children present and swimming.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the preschool space a rest mat labeled 2-2 #10 torn along the side with exposed foam. Observed in the toddler space rest mats labeled #1, #2, and #10 torn with exposed foam.

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: 3270.105

Description: High Chairs

Noncompliance Area: Observed in the infant room 2 Graco high chairs manufactured with shoulder straps but 1 Graco high lacked the straps and the other Graco high chair had straps but they were not threaded through the fabric for use with a child.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of the inspection, there was not a thermometer in the refrigerator in the toddler space.

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: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The files of children #2 and #3 lacked agreements with the fee amounts to be charged per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The files of children #2 and #3 lacked agreements with dates on which the fees are to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The files of children #1 and #3 lacked agreements with the children's arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The file of child #3 lacked an agreement with the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of child #3 lacked an emergency contact form with the 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: 3270.133(5)

Description: Original label

Noncompliance Area: Observed in the toddler space, Desitin brand diaper cream labeled for child #4 with an expiration date of 1/22; and located in a bin labeled "boys" Desitin not labeled for a specific child, Triple Paste not labeled for a specific child, and Butt Paste not labeled with an expiration date of 10/21. Observed in the infant room, Desitin not labeled for a specific child and with an expiration date of 9/21.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file of staff #2 had health assessments more than 24 months apart due to the fact they were dated 7-10-19 and 12-3-21. The file for staff person #4 was observed not to contain documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET); and subsequent health assessments were more than 24 months apart due to the fact they were dated 4-16-19 and 12-13-21

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.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: 3270.161(c)

Description: Food served discarded

Noncompliance Area: During the inspection, CR observed cups of milk in the refrigerator in the toddler space. Based on conversation with the director, the leftover beverages are reserved at lunch.

Correction Required: Food that has been previously served to a person or returned from a table shall be discarded.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Based on conversations with the owner and director, an emergency plan drill was not conducted by 12-19-21.

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

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file of staff #1 had documentation of completing Mandated Reporter training more than 60 months apart due to the fact the documents on file were dated 10-7-16 and 12-11-21. The file of staff #3 had documentation of completing Mandated Reporter training more than 60 months apart due to the fact the documents on file were dated 7-15-15 and1-21-22.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 had State Police Clearances more than 60 months apart due to the fact they were dated 6-21-16 and 7-22-21. The file of staff #3 had Child Abuse clearances more than 60 months apart due to the fact they were dated 5-12-15 and 5-27-20; and FBI clearances more than 60 months apart due to the fact they were dated 7-1-15 and 8-6-20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.35(e)

Description: 46 or more children- additional group sups

Noncompliance Area: Based on information provided by the director, there are 55 children enrolled at the facility; 48 children in attendance daily with a director and 1 Group Supervisor on staff.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed in the School Age room, a Damp Rid container labeled "keep out of reach of children" stored on the lower shelf in a closet with an unlocked door.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the inspection, there was not documentation of testing the smoke detection system every 30 days. The director reported testing is done, but wasn't documented.

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.