Pennbriar Child Care Services Inc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed dirt build-up on the steps of the diaper changing table in the Toddler Front Room and on a toy shelf in the 2s and 3s PS 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed small beads, less than one inch in diameter, in an unlocked cabinet under the sink in the Toddler Back Room. This presents a potential choking hazard for children who may still be placing objects in their mouths.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form in the file for Child #3 did not include the address and telephone number of the physician.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms in the files for Child #1, 2 and 3 do not include the work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact forms in the files for Child #2 and 3 do not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms in the files for Child #1 and 3 do not include the release persons' addresses.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: The binder in the Infant Room did not contain an emergency contact form for Child #5 who was receiving care in that room.

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: 3270.124(d)

Description: Excursions

Noncompliance Area: The binder in the 2018 Dodge Caravan did not contain an emergency contact form for Child #6 who was being transported from school in that van.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most recent health assessment in the file for Staff Person #1 exceeded 24 months between assessments. The file for Staff Person #8 does not include a health assessment conducted within the past 24 months.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: The bottles in the Infant Room were not labeled.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility does not have an annual traffic letter on file dated within the past 12 months (January, 2025).

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: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: The first aid kit in the 2019 Dodge Caravan lacked tweezers.

Correction Required: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent parent updates for the emergency contact form and fee agreement in the file for Child #4 exceeded 6 months between updates. The emergency contact form in the file for Child #2 has not been updated by the parent in the past 6 months.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility does not have documentation of an annual emergency drill conducted within the past 12 months (6/5/24).

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff Person #1, 2, 3, 4, 5, 6, 9 and 11 do not contain fire safety training conducted within the past 12 months. The files for Staff Person #7, 10 and 12, who have been working at the facility for more than 12 months, do not contain documentation of annual 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff Person #4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/21/21.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children at a minimum by, an AGS or higher 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 #4, staff person #4 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: Required clearances and/or NSOR Certifications exceeded 60 months between clearances/certifications for the following staff persons: Staff Person #1: State Police, Child Abuse, FBI. Staff Person #3: State Police, Child Abuse, NSOR. Staff Person #4: State Police, Child Abuse. Staff Person #9: NSOR. Staff Person #11: State Police, Child Abuse, FBI, NSOR. The file for Staff Person #4 does not contain a DHS FBI Clearance acquired within the past 60 months. The NSOR Certificate in the file for Staff Person #13 was acquired after the staff person's first day working in child care (See LIS Code Sheet).

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. Facility Person #4 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for Staff Person #7 and #10, who have been working at the facility for more than 12 months, do not contain a written evaluation.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed three outlets on an extension cord in the 2s and 3s PS Room and one outlet in the Infant Room by the butterflies, which lacked protective receptacle covers.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: The trash receptacles in the infant room and the gym, which contained soiled tissues, were not lidded.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Toddler Back Room lacked tweezers.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a loose, bowed ceiling tile above the number signs in the 2s and 3s PS Room. Observed crumbs and sticky food residue in the cabinet under the snack drawer in the 2s and 3s PS Room. In the rear stairwell, observed dirt and debris on the floor and steps, a broken chair, a ceiling tile and windows propped up against the wall. Observed protruding bolts on the bases of two of the toilets in the SA bathroom. Observed a frayed washer, which creates a sharp edge, in the wall below the clock in the PreK Room. Observed trash and debris in the Toddler Playground. Observed protruding pegs from the structure enclosing the rubber mulch in the PS/SA Playground.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed flaking plaster between the main child care space and dining area of the PreK Room.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire drill/fire system test log documents five times when fire system checks exceeded thirty days between tests: 6/14-7/17, 8/12-9/17, 9/17-11/7, 12/4-1/5, 1/5-2/5.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A hands-free can was not located next to the diaper changing table in the Toddler Front Room. The trashcan, which is not hands-free, in the bathroom between the Toddler and PS 2s and 3s Rooms, contained soiled pull-ups.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6/18/20.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children, at a minimum by, an AGS or higher 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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff person #2 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring8/31/25. Documentation of updated Pediatric first aid and CPR training is not on file.

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. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS or higher 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person/facility person/volunteer #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6/18/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, staff person/facility person/volunteer #1 must be supervised, when interacting with children at a minimum by, an AGS or higher 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/facility person/volunteer #1, staff person/facility person/volunteer #1 may not work in a child-care position at the facility.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water temperature in the Tiny Tots Room measured 130° F.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a ceiling tile, discolored from water damage, above the flag in the PS 2s and 3s Room.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling, flaking paint on the two ceiling vents in the PS 2s and 3s Room.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The Fire Drill/Fire System Test Log documented two times when fire system checks exceeded 30 days between checks: 7/7/25-8/12/25 and 8/12/25-9/17/25. On the day of the inspection (11/7/25) a fire system test had not been conducted within the past 30 days (9/17/25).

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The 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 dirt and debris under the mat and in the compartments of the diaper changing table in the Twos/PS Room. Padding was torn on the basketball set on the left side of the gym.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The daily activity schedules were not posted in the Infant and PS Rooms.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms in the files for Child #3 and #4 lacked the release persons' addresses.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact binder in the Ones Room lacked an emergency contact form for Child #1, who was receiving care in this space.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The Emergency Transportation Plan was not posted in the Infant and PS Rooms.

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 initial health report in the file for Child #5 was conducted more than 60 days after the child's first day in care.

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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent immunization record in the file for Child #3 did not include two Hep A immunizations or a letter of exemption from the parent or physician.

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 #3 must be dismissed from care by close of business (DATE of provider notification) and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed a bottle of Tylenol in the medication box that was not labeled with the name of Child #2 for whom the medication was intended.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most recent health assessments in the files for Staff Person #3, 5, 6 and 7 exceeded 24 months between assessments.

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: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The most current health assessment in the file for Staff Person #8 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

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 the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The most current health assessment in the file for Staff Person #2 states that the individual is not suitable for child care and requires clearance from PCP due to physical limitations.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The first parental updates for the emergency contact form and fee agreement in the file for Child #5 were conducted more than 6 months after the child's first day of attendance.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The most recent Pediatric First Aid/CPR Certification in an approved curriculum from an approved PQAS Instructor in the file for Staff Person #6 is expired.

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 files for Staff Person #9 and #11 did not include documentation of firesafety training conducted within the past 12 months.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The Mandated Reporter Training in the file for Staff Person #1 was conducted more than 90 days after the staff person's first day working in child care. The most recent Mandated Reporter Trainings in the file for Staff Person #10 exceeded 60 months between trainings.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The most recent NSOR Certificates in the files for Staff Person #4 and #8 exceeded 60 months between certificates.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed in the following areas: Tiny Tots Room: Sections of overhang that had fallen from the outside were laying on the play pool table. Ones Room: Hinges are becoming detached, and wood is bowed on the closet doors upon entrance to the room, which creates a pinch hazard between the doors. Twos/PS Room: Hole in the wall behind the first toilet in bathroom where the water pipe connects. Infant Room: Holes in the wall where the diaper shelf had been removed. Gym: Holes in the wall on the right side of the right wall next to the blue wall mat, corner molding by pump room separating from the wall. Broken and missing ceiling tiles above both racquetball courts.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/8/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until 8/3/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised when interacting with children by an AGS or higher who has completed the required training related to this citation. 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The metal connectors securing the frame of the playset in the PS/SA Playground were protruding. Observed several cracks, which create sharp edges, in the roof of the playhouse in the Infant/Toddler Playground. Observed dirt and debris under the diaper changing mat in the 2's'PS 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed teeth marks in the foam blocks in Tiny Tots Room and the Pre-K Room. Observed a plastic baggy on the table of the 2's/PS Room. This creates a potential choking hazard to children who may still be placing objects in their mouths.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the 2's/3's Preschool Room 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)(2)/3270.123(a)(6)

Description: Date fee to be paid/Admission date

Noncompliance Area: The fee agreement in the file for Child #2 did not specify the date on which the fee is to be paid and the date of the child's admission.

Correction Required: An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the date of the child's admission.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent child service reports in the files for Child #1, 2 and 3 were dated more than six months after the child's first day in child care. The file for Child #4, who has been enrolled for more than six months, did not include a child service report.

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: The emergency contact form in the file for Child #6 did not include the work address and telephone number of the enrolling parent. The emergency contact form in the file for Child #7 did not include the work telephone number of the enrolling parent.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form in the file for Child #6 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms in the files for Child #1 through Child #7 did not include the addresses of the release persons.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health report in the file for Child #2 was conducted more than 60 days after the child's first day of attendance at the facility.

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: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The most recent health reports in the file for Child #1, a young toddler, exceeded six months between reports.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for Child #3, an older toddler, did not include an updated health report conducted within the past 12 months.

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

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent health report in the file for Child #1 did not include an immunization record or a letter of exemption from the parent or physician.

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 #1 must be dismissed from care by close of business 6/4/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The most recent health report in the file for Child #5 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of 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) to maintain compliance with 45 CFR § 98.41(a)(1)(vii).

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent parent updates for the emergency plans and fee agreements in the file for Child #1, 3, 4, 6 and 7 were updated more than six months after the child's first day in care. The emergency contact form and fee agreement in the file for Child #2, who has been enrolled for more than 6 months, have not been updated by the parent.

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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: An annual emergency drill had not been documented within the past 12 months.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #2 contained documentation of 9 annual hours of child care training for the most recent year of childcare. The file for Staff Person #5 contained documentation of 10 annual hours of child care training for the most recent year of childcare.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff Persons #1, 2, 3, 4, 5, 6, 7, 9 and 10 did not include documentation of annual fire safety training conducted within the past 12 months.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The most recent FBI clearances in the file for Staff Person #6 exceeded 60 months between clearances.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent annual evaluations in the files for Staff Persons #1, 3, 4, 5, 6, 7 and 10 exceeded 12 months between evaluations. The first annual evaluations in the files for Staff Persons #8, 9 and 11 were conducted more than 12 months after the staff persons' first day working in child care (See LIS Code Sheet).

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: 3270.75(a)

Description: In child care spaces

Noncompliance Area: The Toddler Back Room lacked a first aid kit.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the excursion bag for the 2's/3's Preschool Room lacked tweezers and gloves.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed an exposed bolt protruding from the cap of a drain cover in the Tiny Tots Room. Observed rust on the bottom of the partitions between the toilet stalls in the restroom between the Toddlers Rear and 2's/3's PS Rooms. Observed an outlet box separating from the wall in the 2's/3's PS Room. Observed a loose screw on the power strip mounting in the Infant Room. Observed two ceiling tiles discolored from water damage in the Pre-K Room.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The exit door to the hallway of the Pre-K Room was blocked by a toy shelf. The door between the two rear portions of the Pre-K Room was blocked by chairs and rest mats.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire drill/fire detection log documented one time when monthly fire system checks exceeded 30 days between checks: 3/15/24-4/15/24.

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: 3270.182(7)

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

Noncompliance Area: Based on an interview with Staff Person #1, it was determined the original incident report, for an incident dated January 25, 2024, was not given to the parent the day of the incident. The incident report was signed and dated by the parent: January 26, 2024.

Correction Required: 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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: * Previously cited on 11/9/23 SIN-00233634. During correction verification visit on 1/30/24 at 3:45 PM, Cert Rep observed four School Age children open the door of the van from the inside, exit the vehicle and walk up the steps to let themselves into the facility. The children were not supervised by a staff person from the time they exited the vehicle until the time they entered the facility. The driver, Staff Person #2, remained in the vehicle for an additional five minutes before entering the facility.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: * * * * Previously cited on 11/9/23 SIN-00233634. During correction verification visit on 1/30/24 at 3:45 PM, Cert Rep observed four School Age children open the door of the van from the inside, exit the vehicle and walk up the steps to let themselves into the facility. The children were not supervised by a staff person from the time they exited the vehicle until the time they entered the facility. The driver, Staff Person #2, remained in the vehicle for an additional five minutes before entering the facility.

Correction Required: * * * * The Legal Entity shall require all staff persons, including van drivers, at the facility to attend a minimum 2-hour in-person training regarding supervision of children presented by the ELRC within 1 month of the approval of this plan of correction. The training may count towards the mandatory 12 training hours required by the Department.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: * * * Previously cited on 11/9/23 SIN-00233634. During correction verification visit on 1/30/24 at 3:45 PM, Cert Rep observed four School Age children open the door of the van from the inside, exit the vehicle and walk up the steps to let themselves into the facility. The children were not supervised by a staff person from the time they exited the vehicle until the time they entered the facility. The driver, Staff Person #2, remained in the vehicle for an additional five minutes before entering the facility.

Correction Required: * * * The Director shall monitor supervision in all childcare spaces and indoor/outdoor play spaces 3 times a week for a period of 3 months. The supervision checks will be documented. The documentation will include the date, time, staff person(s) present, number of children by similar and mixed age levels and childcare space/indoor/outdoor play space, as well as the staff person's ability to meet the definition of supervision per the regulations. The document shall be maintained on file at the facility for review by Certification Representative.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: * * Previously cited on 11/9/23 SIN-00233634. During correction verification visit on 1/30/24 at 3:45 PM, Cert Rep observed four School Age children open the door of the van from the inside, exit the vehicle and walk up the steps to let themselves into the facility. The children were not supervised by a staff person from the time they exited the vehicle until the time they entered the facility. The driver, Staff Person #2, remained in the vehicle for an additional five minutes before entering the facility.

Correction Required: * * The Legal Entity must develop a site-specific supervision policy. The policy shall specifically address how supervision will be maintained in all groups in childcare rooms, play spaces, facility van pick up/drop off points, and when children move during transition periods. This policy will be discussed in detail with all regular and substitute staff. All staff will sign and date an attestation that they understand this supervision policy and that the policy is in effect immediately. The policy will be posted conspicuously in all childcare rooms of the facility.

Regulation: 3270.177(b)

Description: During boarding and exiting

Noncompliance Area: * Previously cited on 11/9/23 SIN-00233634. During correction verification visit on 1/30/24 at 3:45 PM, Cert Rep observed four School Age children open the door of the van from the inside, exit the vehicle and walk up the steps to let themselves into the facility. The children were not supervised by a staff person from the time they exited the vehicle until the time they entered the facility. The driver, Staff Person #2, remained in the vehicle for an additional five minutes before entering the facility.

Correction Required: * Children shall be supervised during boarding and exiting vehicles by an adult who remains outside the vehicle.

Regulation: 3270.177(b)

Description: During boarding and exiting

Noncompliance Area: * * Previously cited on 11/9/23 SIN-00233634. During correction verification visit on 1/30/24 at 3:45 PM, Cert Rep observed four School Age children open the door of the van from the inside, exit the vehicle and walk up the steps to let themselves into the facility. The children were not supervised by a staff person from the time they exited the vehicle until the time they entered the facility. The driver, Staff Person #2, remained in the vehicle for an additional five minutes before entering the facility.

Correction Required: * * The Director shall monitor supervision during facility van pick up and drop off of school-age children 3 times a week for a period of 3 months. The supervision checks will be documented. The documentation will include the date, time, driver and other staff person present, if applicable, and the number of children by similar and mixed age levels, as well as the staff person's ability to meet the definition of supervision during transportation per the regulations. The document shall be maintained on file at the facility for review by Certification Representative.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: 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: Pediatric First Aid and CPR.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1, a provisional hire was observed working alone with children unsupervised in the preschool room with 5 preschool children and 2 older toddlers.

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.

Regulation: 3270.78/3270.113(a)

Description: Lighting/Supervised at all times

Noncompliance Area: During naptime, upon entry to the preschool room and the young toddler room, there was not sufficient lighting for staff to see the children who were napping on their cots.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *Through staff interviews it is verified that child #1, a young toddler, fell approximately halfway down an unrestricted flight of stairs while in the supervision group of staff person #1. Child #1 was not being adequately supervised to prevent his/her access to the stairs.

Correction Required: *Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: **Through staff interviews it is verified that child #1, a young toddler, fell approximately halfway down an unrestricted flight of stairs while in the supervision group of staff person #1. Child #1 was not being adequately supervised to prevent his/her access to the stairs.

Correction Required: **The Legal Entity will require all staff to complete 2 hours of training on the topic of infant toddler supervision within 2 weeks of the acceptance of the plan of correction. Staff may choose between Better Kid Care's 'Infant-Toddler Care: Quality Supervision' or 'Infant-Toddler Care: Safety'. The LE will submit the training certificates to OCDEL certification rep upon completion. The training hours may count toward annual training requirements.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Through staff interviews it is verified that child #1, a young toddler, fell approximately halfway down an unrestricted flight of stairs while in the supervision group of staff person #1. Staff person #1 was not aware of the whereabouts of Child #1 which allowed for his/her access to the stairs.

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: 3270.91(c)

Description: Door opens in at landing

Noncompliance Area: Observed the stairway located in the center of the Main Floor child care space was lacking a barrier to the stairwell allowing a young toddler receiving care in the child care space to access the stairs.

Correction Required: If a door or doorway opens or exits directly into a stairwell and if there is no landing beyond the door or doorway, the door shall be restricted from opening or shall be removed and a secure barrier to prevent access to the stairwell shall be erected.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the back toddler room a toy grocery check-out shelf with exposed screws. Observed in the preschool room a plastic bin labeled for 'music' on the toy shelf 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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The rest cots in the pre-k room were not labeled with the children's names for individual use.

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: 3270.111(a)

Description: Written plan

Noncompliance Area: There was not a written daily schedule posted in the back toddler room.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Based on conversations with Director and Staff, it is verified that Staff Person #1 and Staff Person #2, the drivers employed by the facility, drop off younger and older school-age children from the second school pickup run daily. Then the drivers do not exit the vehicle and walk the children up the steps to the facility after this second run and no staff person escort the children into the facility. The children are allowed to enter the entry code to let themselves into the facility. Additionally, the children are not assigned to a staff person from the time they exit the van until the time a staff person meets them inside which leads directly into the Main School Age Room where a staff person is waiting.

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: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The files for child #4 and #5 contain financial agreements that are missing a date on which the fee is to be paid.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for child #1,#2 and #3 are lacking child service reports completed during the previous 6 month period.

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(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The files for child #1, #5 and #6 contain current emergency contact and financial agreements that were updated greater than 6 months after the previous update. The file for child #3 has not been updated in the previous 6 month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #6 contains an initial health report that was conducted greater than 60 days after the first date of attendance. The file is now current. The file for child #4, school aged, is lacking an initial health report and has been in attendance greater than 60 days.

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: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for child #3, preschool aged, is lacking a health report during the previous 12 month period.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed in the infant room a bottle of Midol and observed in the front toddler room a bottle of children's Motrin, both lacking the name of the person for whom they were intended.

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