Pen Argyl Early Learning Academy Llc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, the small blue sofa in the toddler room was in poor repair. It was torn and the inside foam was exposed.

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(f)

Description: Indoor climbing- protective surface

Noncompliance Area: At the time of the inspection, the indoor pieces of equipment used for climbing in the toddler room were not being used over a protective surface covering.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection, there was only one child service report in the file for child #1, #4 and #5. The child service report in the file was not dated and therefore it could not be determined when it was conducted. These children have been enrolled for more than 12 months, and child service reports were not completed every 6 months, as required (see LIS code sheet for date of admission).

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: At the time of the inspection, on the emergency contact form for child #4, there was no 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(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection, in both the toddler and preschool classrooms, emergency contact forms were not present for all children receiving care in those 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: 3270.131(b)(2)

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

Noncompliance Area: At the time of the inspection, the health report on file for child #1, child #4 and child #5 was not updated every 12 months, as required. This is evidenced by the most current health assessment on file dated 5/24/24, 5/13/22 and 2/1/23, respectively.

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: At the time of the inspection, the immunization records on file for children #4 and #5 were not in compliance with recommendations of the ACIP. Children #4 and #5 were missing the following immunizations: Hep A #2.

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 childcare group settings). Children #4 and #5 must be dismissed from care by close of business on 9/24/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre- service training required prior to caring for children unsupervised: mandated reporter training and Pediatric First Aid/CPR training.

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 #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of the inspection, the agreement form for children #1, #4 and #5 was not reviewed and/or updated by the parent every 6 months, as required. This is evidenced by the current review date of 3/3/25, 9/13/25, and 8/16/25, respectively. The previous parent review/update date was conducted on 4/9/24, 9/13/24 and 2/14/23, respectively. The emergency contact form for children #4 and #5 was not reviewed and/or updated by the parent every 6 months, as required. This is evidenced by the current review date for the emergency contact form dated 6/17/25 and 8/16/25, respectively. The previous parent review/update was conducted on 9/13/23 and 2/14/23, respectively.

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: 3270.182(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 the inspection, the emergency contact form for child #2 and child #5 did not include signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, staff person #2 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person 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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the inspection, staff person #4 did not have documentation of fire safety training on file since 2023. Staff person #6 did not have any documentation of fire safety training on file prior to the training on file dated 9/13/25 and has been employed at the facility for more than 12 months (see LIS code sheet for date of hire).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection on 9/24/25, staff person #2 did not receive her child abuse clearance until 9/2/25, which was not at initial hire (see LIS code sheet for date of hire). Staff #2 was not hired correctly as a provisional hire. Staff #3 did not have a completed NSOR certificate or completed NY Child Abuse and Sex Offender Registry checks on file. Staff #3 has resided in the state of New York in the previous 5 years. Staff #3 was observed having direct contact and routine interaction with children and was not hired appropriately as a provisional hire.

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 OCDEL Announcement C-25-01, effective 2/1/25, states that an individual may be employed on a provisional basis in a certified child care facility when the following conditions are met, and documentation is maintained on file: Have results of the following, no older than 60 months: 1. PA Child Abuse History Clearance; 2. NSOR verification; 3. Out-of-state clearances (if applicable); 4. Signed Disclosure Statement for Child Care Employment; and 5. Either FBI Criminal History Clearance; or PSP Criminal History Clearance In addition to those obtained, the following clearances must be applied for prior to starting provisional employment: 1. FBI Criminal History Clearance; or 2. PSP Criminal History Clearance. Staff person #3 may not work in a childcare position with direct contact and routine interaction with children until all completed clearances and out-of-state clearances are on file at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: At the time of the inspection, there was no education on file for staff person #2 to determine the staff qualifications for the position in which the person is performing.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At the time of the inspection, there was no evaluation on file for staff person #6. Staff person #6 has been employed for more than 12 months.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Child #1 was observed in a pack and play. The child was removed from the pack and play to have a diaper change, then placed in a different pack and play while staff prepared lunches for children. The pack and plays being used by child #1 were not labeled for specific use by that child.

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: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Child #1 was observed in a pack and play. The child was removed from the pack and play to have a diaper change, then placed in a different pack and play while staff prepared lunches for children. The child was not observed to be sleeping or going to sleep during this time. The staff admitted that they keep the child in pack and plays throughout the day, which restricts his movement in the classroom.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During the inspection, the emergency contact form for child #2 did not include the address of the individual designated by the parent to whom the child may be released. The emergency contact form for child #5 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. 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)/3270.181(e)

Description: Each child care space/Emergency master file updated

Noncompliance Area: During the inspection, children present in both the preschool and young toddler rooms did not have their emergency contact forms in the space they were receiving care. Also, other emergency contact forms present in the childcare space were not updated in accordance with the emergency contact information in the master file.

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

Regulation: 3270.131(c)/3270.131(d)(7)

Description: Completed or signed by physician, PA, or CRNP/Free from contagious/communicable disease

Noncompliance Area: The health report on file for child #1, child #4 and child #5 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. It was also not signed by the physician, physician's assistant or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. 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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: Child #4 was missing the following immunizations and was immunized according to the recommendations of the ACIP: HEP A #2.

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). Child #4 must be dismissed from care by close of business on 9/11/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: During the inspection, in the young toddler room, it was observed that both the child and the staff person's hands were not washed after diapering.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

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. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff person #3 did not have a health assessment on file at time of hire. This is evidenced by the health assessment on file dated 7/20/24 (see LIS code sheet for date of 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.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During the inspection, in the preschool room, lunchboxes was observed sitting on a shelf by the door. Inside a child's lunchbox there was chicken nuggets and cheese. In the toddler room, lunchboxes were observed on a shelf as well. Inside a child's lunchbox was sliced turkey lunchmeat. These potentially hazardous food items brought from the child's home shall be refrigerated.

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: During the inspection, written notification of safe routes were not posted at a conspicuous location in the child care facility.

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

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: The emergency contact form on file for child #5 did not include the signed parental consent for emergency medical care for the child or signed parental consent for emergency medical care for the child.

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 emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: During the inspection, staff person #1 admitted to discarding previous health assessments prior to this year's inspection. This is evidenced by the only health assessment on file dated 8/5/24.

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: 3270.20(e)/3270.182(7)

Description: Copies of reports in file at facility/Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: During the inspection, the operator admitted to not having a facility file for reports of accidents, injuries and illnesses involving a child in care at the facility.

Correction Required: Copies of reports of injury, death or fire shall be kept in a file at the facility. A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.27(a)(6)/3270.27(b)

Description: Emergency plan/Plan reviewed/updated annually

Noncompliance Area: During the inspection, the last documented emergency drill was done on 5/10/23 and not annually as required. The last review to the emergency plan was documented as being conducted on 7/9/23 and not annually as required.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff person #5 did not have documentation of emergency plan training on file at time of initial employment (see LIS code sheet for date of hire).

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(c)(3)(i)

Description: Min. 400 hrs classroom training

Noncompliance Area: During the inspection, staff person #3 did not have a minimum of 400 clock hours of classroom training on file and therefore could not qualify as a staff person.

Correction Required: An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person if the curriculum includes, at minimum, a total of 600 clock hours including a minimum of 400 clock hours of classroom training.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 did not complete Pediatric First Aid/CPR training within 90 days of hire. This is evidenced by the Pediatric First Aid CPR training on file dated 6/15/24 (see LIS code sheet for date of hire). Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #3 will have until 9/27/24 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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #3 does not have a NSOR certificate on file and has been employed at the facility for more than 45 days (see LIS code sheet for date of hire). Staff person #5 did not sign the disclosure statement until 2/15/24, which is not at initial employment (see LIS code sheet for date of hire).

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 #3 may not work in a child care position at the facility until the NSOR certificate is received.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: Staff person #2 had foreign education on file that was not evaluated and translated. Staff person #5 did not have the transcript to accompany the Bachelor of Science degree or documentation of 2,500 hours of childcare experience on file. These staff could not qualify for the position they were performing.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Regulation: 3270.33(b)

Description: No more than 50% aides

Noncompliance Area: The facility has 5 staff employed. Staff person #2, staff person #3 and staff person #4 are qualified as aides. No more than 50% of the staff persons may be of aide qualification level.

Correction Required: At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

Regulation: 3270.63/3270.102(e)

Description: Unsafe Areas in Outdoor Space/Infant/toddler - no material less than 1 inch

Noncompliance Area: During the inspection, the outdoor play space was observed to be covered with rubber mulch with pieces measuring less than one inch in diameter. The operator and staff admitted to infants and toddlers using the outdoor play space. The operator also acknowledged that children use play space which is not measured or approved by the department and the children have access to the road.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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: 3270.76

Description: Building Surfaces

Noncompliance Area: During the inspection, in the preschool room, the plastic cubbies holding supplies were stacked on top of each other and posed a falling hazard. In the young toddler room, the plastic cubbies holding diapers were stacked on top of each other. The television wires were dangling and were accessible to children. These all pose a hazard to children.

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: During the inspection, handwashing signs were not posted at each toilet or diapering area.

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: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: During the inspection, in the young toddler room, the sink used for handwashing in the diapering area was not functional. The staff admitted to the sink not functioning properly. There was no other source of running water for handwashing.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: During the inspection, a portable space heater was observed on a shelf in the young toddler room.

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the inspection, the operator was not in compliance with fire drills being conducted every 60 days. This is evidenced by the current drill on file dated 9/10/24 and a previous drill date of 6/10/24.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: There is no child service report for Child #1, Child #2, Child #3, Child #4 or Child #5

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 did not complete the required 1-hour 2022 update to the health & safety training by 12/30/22. Staff person #3 did not complete the 10-hour health & safety training within 90 days of starting at the facility. She started at the facility on 3/8/23 and completed the training on 6/22/23, which is 106 days.

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: Staff person #1 started at the facility on 9/5/23 and does not have a FBI clearance; there is no verification that she was fingerprinted for the FBI clearance prior to starting at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons # 1 may not work in a childcare position at the facility. 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 childcare position at the facility. 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 childcare. Current staff must have the NSOR clearance no later 7/1/20. CPSL was revised to include new hires that have resided out of Pennsylvania with in the 5 previous years must obtain State Police and Child abuse clearances from the state that they have resided.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills are not being conducted every 60 days. Fire drills have been conducted on 3/10/23, 6/10/23 & 9/11/23. There are 92 days between the fire drills conducted on 3/10/23 and 6/10/23. There are 94 days between the fire drills conducted on 6/10/23 and 9/11/23.

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(b)(3)/3270.124(b)(6)

Description: Parent home/work address, phone/Insurance coverage information

Noncompliance Area: CHILD # 2 emergency contact form did not include enrolling parent's work address, work phone number and health insurance policy number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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(d)(5)/3270.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: CHILD # 1 and CHILD # 3 (see code sheet for date of birth) did not have influenza immunization which is recommended by the ACIP for children 6 months and above. There were no exemption from immunization in either child's file.

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: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: CHILD # 1 has an initial health assessment dated 9/27/22 and CHILD # 4 has an initial health assessment dated 9/23/22. See code sheet for start dates. Both health assessments were submitted more than 60 days after their start dates.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection on 10/12/22 CR asked to see policy for shaken baby syndrome, abusive head trauma and child maltreatment. Provider did not have one.

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(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: STAFF # 1 (see code sheet for start date) did not have a health assessment that includes a physical examination and results of tuberculin skin test.

Correction Required: An adult health assessment must include a physical examination. 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: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Staff # 1, an aide, did not have verification of their education in file.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During renewal inspection on 10/12/22 damaged paint was observed in the PS room under the TV and by the 2nd window on the playground wall.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During unannounced monitoring on 6/13/22 cert rep reviewed the files of 3 new staff persons. STAFF # 2 (see code sheet for start date) does not have verification of child care experience, education and training prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: During unannounced monitoring on 6/13/22 cert rep reviewed the files of 3 new staff persons. STAFF # 3 (see code sheet for start date) does not have a health assessment with TB results to confirm freedom from communicable disease in file.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: During unannounced monitoring on 6/13/22 cert rep reviewed the files of 3 new staff persons. STAFF # 1, STAFF # 2 & STAFF # 3 (see code sheet for start dates) do not have 2 written nonfamily references in 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: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: During renewal inspection on 11/30/21 cert rep reviewed several children's files. CHILD # 2 Emergency Contact form did not include written parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During renewal inspection on 11/30/21 cert rep reviewed several children's files. CHILD # 1 Emergency Contact form did not include addresses for release persons listed. CHILD # 2 Emergency Contact form di not include address for one of the three release persons listed.

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: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During renewal inspection on 11/30/21 cert rep reviewed several children's files. CHILD # 2 Emergency Contact form did not include written parental consent for administration of minor first-aid procedures by facility staff

Correction Required: 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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 11/30/21 cert rep observed 2 outlets in the preschool room that did not have protective receptacle covers. Outlets could be accessible to children.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection on 11/30/21 cert rep observed a container of Clorox wipes on top of the cubbies in the vestibule area.

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