Penn-mont Academy

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: Second citation, previously cited on 11-7-25 observed prescription and OTC medication for children #1 and #2 but no medication logs were present for the children and their respected medications.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Second citation previously cited on 11-7-25, the file of staff #1 lacked documentation of completing emergency plan training (see LIS code sheet).

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

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Second citation, previously cited on 11-18-25 the file of staff #1 lacked documentation of completing pediatric cardiopulmonary resuscitation (CPR)

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Second citation previously cited on 11-18-25, the file of staff #1 lacked documentation of completing fire safety training (see LIS code sheet).

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

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

Noncompliance Area: Second citation, previously cited on 11-18-25, the file of staff #1 lacked documentation of completing an annual minimum of 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Second citation previously cited on 11-18-25, Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Health and Safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. 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, an (AGS, primary staff person, or family child care home 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Second citation, previously cited on 11-18-25 the file of staff #1 had an initial invalid FBI clearance due to the fact it was and Department of Education rather than Department of Human Services.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the outdoor play space a broken rider toy.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed in children's house #1 a wooden table with a broken leg.

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

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: Observed a prescription medication for child #2 not in its original prescription container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: Observed a prescription medication for child #3 with an expiration date of 10-25. Observed a prescription medication for child #4 with an expiration date of 4-25.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: Observed prescription and OTC medication for children #1, #2, #3, and #5 but no medication logs were present for the children and their respected medications.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file of staff #5 lacked documentation of completing emergency plan training (see LIS code sheet).

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of the inspection, there was not documentation notification was sent to local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, there was not documentation an emergency drill was done annually.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, there was not documentation the emergency plan was sent to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The files of staff #1 and #3 lacked renewing pediatric cardiopulmonary resuscitation (CPR) on or before the expiration due to the fact they were dated: staff #1 12-16-22 and 10-30-25; and staff #3 12-6-22 and 8-17-25. The file of staff #5 lacked documentation of completing pediatric cardiopulmonary resuscitation (CPR)

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file of staff #5 lacked documentation of completing fire safety training (see LIS code sheet).

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

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

Noncompliance Area: The file of staff #5 lacked documentation of completing an annual minimum of 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file of staff #5 who was observed caring for children, lacked documentation of completing health and safety training (see LIS code sheet). The file of staff #7 lacked documentation of completing the 6 hour or 10 hour health and safety training. the only training in the file was the 1 hour health and safety update.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file of staff #4 lacked documentation of completing Mandated Reporter training within 60 months due to the fact the documents on file were dated: 9-4-25 and 5-24-19.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #2 lacked a complete PSP clearance due to the fact the clearance was missing the dissemination date. the file of staff #5 had an initial invalid FBI clearance due to the fact it was and Department of Education rather than Department of Human Services. The file of staff #6 had PSP clearances more than 60 months apart due to the fact they were dated: 7-23-20 and 7-25-25; and had an expired FBI clearance due to the fact it was dated 8-15-20.

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 Persons #5 and #6 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 Persons #5 and #6 may not work in a child care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Observed in toddler #2 room insufficient lighting during naptime for the staff to properly supervise the children in care.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed in the gym one electrical outlet lacking a protective receptacle cover

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

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Staff #1 was observed throwing child #1 to the ground and causing child #1 to cry.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff #1 was observed throwing child #1 to the ground and causing child #1 to cry.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files of staff #1 and #2 lacked 2 letters of recommendation.

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 lacked the PA State Police, Child Abuse, and National Sex Offender Registry clearances. The file of staff #2 had the PA State Police clearance dated 9-4-25, which was after the staff's first day in care with children.

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: 3270.37(b)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The files of staff #1 and #2, both aides lacked proof of education and experience (if applicable).

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of assessing supervision in the infant room, staff #1, #2, and #3 named the same children in their respected groups.

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.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: Observed an Epi Pen for child #1 in the infant room but no medication log was present.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed the supply closet located downstairs between the boys' and girls' restroom was unlocked; there were cleaning supplies present in the closet.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed in the infant room a window with a broken handle/crank to open the window.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a small trampoline in room T-1 with loose handlebars. Observed a small trampoline in room T-3 with torn rubber around the base creating a pitch hazard. Observed a cracked plastic bin of dinosaurs in the lower playground space.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed in the gym, large foam building blocks with bite marks and/or chunks bitten from the equipment. Observed on the white shelf used for before/after school care, 5 foam blocks with bite marks.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person(s) #1, #2, and #3 whom are by themselves during after school care, lacked completion of Health and Safety training. The files of staff persons #8, #9, and #12 lacked documentation of completing the 1-hour Health and Safety training. Staff person #3 lacked documentation of completing the required pre-service training in Pediatric First Aid and CPR prior to being left alone with children.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f) 1-10 prior to working alone with children. Staff person #1, #2, and #3 will have until December 28, 2024 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, and #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 persons #1, #2 and #3, staff persons #1, #2, and #3 may not work in a child care position. 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 #4 lacked a current health assessment due the fact the most recent one in the file was dated 8-8-22. The file of staff #7 had health assessments more than 24 months apart due to the fact they were dated: 7-1-24 and 2-7-22. The file of staff #8 had health assessments more than 24 months apart due to the fact they were dated: 1-15-24 and 1-10-22

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: 3270.181(a)

Description: Each child

Noncompliance Area: There was not a file for child #1 at the time of reviewing children's files.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file of staff #12 lacked completion of Health and Safety training.

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 #3 lacked documentation of completing the required pre-service training in Pediatric First Aid and CPR prior to being left alone with children. Staff #10 lacked completion of Pediatric First Aid and CPR in an approved curriculum.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f) 1-10 prior to working alone with children. Staff persons #3 and #10 will have until December 28, 2024 to complete the required training. Until such time as the required training has been completed, staff persons #3 and #10 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 persons #3 and #10, staff persons #3 and #10 may not work in a child care position.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #6 had late clearances due to the fact they were dated: PA State Police 10-8-23 and 9-26-18; PA Child Abuse 10-11-23 and 10-2-18; DHS FBI 8-16-24 and 4-3-19. The file of staff #8 had late clearances due to the fact they were dated: PA State Police 11-16-22 and 4-9-17.

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. 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 the supply closet located downstairs between the boys' and girls' restroom was unlocked; there were cleaning supplies present in the closet.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed in the gym, in the far-right corner, peeling paint on wall.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There were not handwashing signs in the 2 restrooms in room C-4.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The interior door that leads from room E-2 to E-3 was blocked with a cart and activity supplies. The interior door from E-3 to E-2 was blocked with a cabinet. The interior door from T-3 to C-5 was blocked with a drying rack and laundry basket.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, observed in the upper playground space a tan and brown metal climbing structure with triangle shaped steps that had rust in the corners. Observed in the bottom playground, a Little Tikes brand brown and tan house with an exposed hole in the hard plastic on the left side of the doorway. Observed in room 117, Toddler 2 room, a broken basket housing work activity mats. Observed in the gross motor space, large foam blocks 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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: At the time of the inspection, observed in room 117, Toddler 3 room a red checkered print cushioned chair with holes on both arms; in room 121 a green cushioned chair with a hole in the stitching.

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

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: At the time of the inspection, there were not daily schedules posted in the following child care spaces: Room 121, Room 117 left side, and in the gross motor room downstairs.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, there was not a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted conspicuously in the following rooms: Room 121, Room 117 left side and right side, and in the gross motor room downstairs.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file of child #1 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan lacked 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file of staff persons #1, #4, and #5 lacked completion of the 1-hour updated Health and Safety training (see LIS code sheet).

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

Regulation: 3270.151(c)(4)/3270.151(c)(5)

Description: Information re: medical problems/Physician/CRNP assessment

Noncompliance Area: The file of staff #1 lacked a health assessment that included information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children and an assessment of the person's suitability to provide childcare.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The director reported the annual traffic letter to the local traffic safety authorities was not sent in 2023.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: At the time of the inspection, observed on the patio of the outdoor play space, a flowerpot approximately 2 feet tall and 1 foot wide filled with only water.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection, the current certificate of compliance was not posted in a conspicuous location used by parents.

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: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: Based on conversation with the director, the emergency plan that is shared with the parents at the time of enrollment does not speak to a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person(s) #2 and #7 had not completed the following required pre-service training within 90 days of hire (see LIS code sheet): Health and Safety training. Staff person #3 had not completed the following required pre-service training within 90 days of hire (see LIS code sheet): Pediatric First Aid and CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person(s) #2, #3, and #7 will have until December 26, 2023 to complete the required training. Until such time as the required training has been completed, staff person(s) #2, #3, and #7 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person(s) #2, #3, and #7, staff person(s) #2, #3, and #7 may not work in a child care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files of staff #3 had an FBI clearance requested from PDE, rather than DHS; and the DHS FBI clearance on file was dated 3 months after the staff's initial start date (see LIS code sheet). The files of staff #6 had an FBI clearance requested from PDE, rather than DHS; and the DHS FBI receipt for fingerprinting and clearance on file were dated after the staff's initial start date (see LIS code sheet).

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: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: At the time of the inspection, there were no postings of the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center in the following rooms: Room 121, Room 117 left side and right side,

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: At the time of the inspection, the first-aid kit located downstairs for the gross motor space lacked scissors.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: At the time of the inspection, observed in room 121 and room 117 hand washing signs were not posted at each adult sink.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on the fire drill log, a fire drill was held more than 60 days apart due to the fact the dates documented were April 27, 2023 and July 5, 2023 which is 69 days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: At the time of the inspection, the evacuation routes were not posted in a conspicuous location on each floor of the facility.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There was not documentation of testing the smoke detection system every 30 days. Rather, the facility had documentation of a fire professional testing the system annually even though the facility does not fall under the Panic Act 42.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in room CH #1, 2 broken wooden spoke and wheel manipulatives. Observed in the gym, a damage outlet plate that was cracked with a sharp edge.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed in the childcare room used by young school age children, a pink foam square with a circle in the middle building block with bite marks. Observed in the gym, exposed foam on the climbing/building block.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed 2 white shelving units on wheels used for before and after school care with damaged walls; the walls to the back of the cabinets were not attached.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator used for before and after school care 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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files of children #3, #4, #5, #6, #7, and #8 lacked child service reports within the last 6 months.

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The files of children #3, #4, #5, and #7 lacked documentation of a flu shot or an exemption letter submitted by the parent(s).

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: 3270.133(5)

Description: Original label

Noncompliance Area: Observed an epi pen labeled for child #1 with an expiration date of 10-17-22. Observed an epi pen labeled for child #2 with an expiration date of 6-2022.

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

Regulation: 3270.161(c)

Description: Food served discarded

Noncompliance Area: Observed a bottled labeled for child #9 and a cup labeled for child #10 both with milk that were previously served and returned to the refrigerator.

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

Regulation: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: The file of staff #1, an aide lacked documentation of education. The file of staff #3, a group supervisor lacked proof of experience.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files of staff #1 and #7 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of hire (see LIS code sheet): 31f 10 Pediatric First Aid and Pediatric CPR training. Staff persons #8 and #9 have not completed the following required per-service training within 90 days of hire (see LIS code sheet): 31f 1-10 health and safety pre-service training modules and Pediatric First Aid and Pediatric CPR training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons #1, #8, and #9 will have until 12-31-22 to complete the required training. Until such time as the required training has been completed, staff person #1, #8, and #9 must be supervised, when interacting with children, by a (GS, AGS) who has completed the required training related to this citation. If there are on staff available to supervise staff #1, #8, and #9 staff #1, #8, and #9 may not work in a childcare position 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 #10 had late mandated reporter training due to the fact the trainings in file were dated 8-13-17 and 11-2-22, which is more than 60 months apart. The file of staff #4 had late mandated reporter training due to the fact the trainings in file were dated 8-17-17 and 9-17-22 which is more than 60 months apart.

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 childcare 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 lacked valid FBI clearances due to the fact the one on file was for the Dept. of Education; there was a receipt on file for DHS FBI clearance dated 11-3-21 which was after the start date (see LIS code sheet) and a disclosure statement not dated. The file of staff #2 had a late Child Abuse clearance due to the fact they were dated 7-10-15 and 7-24-20. The file of staff #5 had only the receipt for the National Sex Offender Registry (see LIS code sheet). The file of staff #6 had an invalid PA State Police clearance due to the fact it was for the purpose of volunteer rather than employment. The file of staff #8 had a PA State Police Clearance more than 90 days from start date due to the fact it was date 11-3-22 (see LIS code sheet) and a disclosure statement not dated. The file of staff #9 lacked a PA State Police clearance (see LIS code sheet) and a disclosure statement not dated.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #5, #6, and #9 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 Persons #5, #6, and #9 may not work in a child care position at the facility.

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: Observed in the toddler twos room shaving cream labeled "keep out of the reach of children" used for crafting.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed red peeling paint on the base of the "telephone tower" in the outdoor play space.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: 3rd citation. Previously cited on 11/15/21 and 1/10/22. Staff #1, with a start date of 8/25/21, lacked a valid FBI Clearance. Staff #1 had a Department of Education FBI Clearance dated 9/21/17.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: 2nd citation. Previously cited on 11/15/21. Observed a cracked hole where the door was located on the Step 2 Playhouse creating rough edges on the Toddler Playground. Observed a frayed cream rug used to place activities in the E 2 Room.

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

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: At approximately 9:45 AM Certification Staff observed Child #1 sleeping on his/her belly on a mat. When Certification Staff questioned Staff #1, Staff #1 indicated Child #1 was placed on his/her side to sleep at the parents' request and rolled to the belly position.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: 2nd citation. Previously cited on 11/15/21. Staff #3 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting.

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

Regulation: 3270.151(c)(3)/3270.151(c)(4)

Description: Exam communicable disease/Information re: medical problems

Noncompliance Area: 2nd citation. Previously cited on 11/15/21. Staff #4 lacked a health assessment which included an examination for communicable diseases and the results of that examination and information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: 2nd citation. Previously cited on 11/15/21. From 12/19/20 until updated on 1/29/21, the facility did not have an emergency plan that provides for accommodations for infants and toddlers. The emergency plan dated 1/29/21 did not provide for accommodations for 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: 2nd citation. Previously cited on 11/15/21. Staff #2, with a start date of 8/25/21, lacked a valid FBI Clearance. Staff #2 had a Department of Education FBI Clearance dated 9/21/17.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: 2nd citation. Previously cited on 11/15/21. Observed an electrical outlet which lacked a protective receptacle cover by the handicap stall in the Girls' Bathroom located across from the Art Room.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Observed a first-aid kit hanging on the hook by the door in the Children's House 4 Room which was accessible to children in care.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: 2nd citation. Previously cited on 11/15/21. Observed peeling paint around the French Door located in the Toddler Playground.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 11/15/21 observed a frayed basket containing paper under the window by the world maps in the Children's House 1 Room. On 11/15/21 observed a cracked hole where the door was located on the Step 2 Playhouse creating rough edges on the Toddler Playground. On 11/15/21 observed a frayed cream rug used to place activities in the E 2 Room. On 11/15/21 observed 5 frayed cream rugs used to place activities in the E 3 Room.

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

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On 11/15/21 observed embedded equipment in the School-Age Outdoor Play Space with approximately 7 inches of mulch. On 11/15/21 observed embedded equipment in the Children's Place Outdoor Play Space with approximately 2 to 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator temperature was 46.9 degrees in Children's House 3 Room.

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)(2)

Description: Date fee to be paid

Noncompliance Area: The files of children #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 lacked the date on which the fee is to be paid on the agreement.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #4 lacked the complete work address of the enrolling parent on the emergency contact form.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file of Child #8 lacked the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable, on the emergency contact form.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The Art Room lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously.

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: 3270.131(a)

Description: Health information

Noncompliance Area: The file of Child #2 lacked an initial health report no later than 90 days following the first day of attendance at the facility. The file of child #2, with an admission date of 6/14/21, lacked any health report.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file of Child #8 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #8 contained a health report dated 11/5/20 with a previous one dated 2/7/19.

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)(3)/3270.133(8)

Description: Current medication and reason/Special diet - parent's instructions

Noncompliance Area: The file of Child #9 lacked a health report which included a list of the child's current medication and the reason for the medication as well if a special diet is prescribed for a child and if the diet is administered to the child, written instructions.

Correction Required: A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.