Pipsqueaks Child Care Center Inc

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for Child #1 contained an emergency contact form that was lacking the phone number of the child's 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(f)/3270.181(c)

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

Noncompliance Area: The file for Child #2 contained agreement forms and emergency contact forms that were updated on 3.27.25 and then on 2.5.26 which is more than 6 months.

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(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The file for Child #2 contained a child health report that was lacking the physician's signature.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff #2 contained 2 health assessments that were more than 24 months apart.

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: 3270.31(f)(10)

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

Noncompliance Area: Staff person #3 has not completed pediatric first aid required pre-service training within 90 days of their date of hire (see LIS code sheet):

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire .Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #3 will have until 3.05.2026 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 contained 2 mandated reporter trainings that were more than 60 months apart. The file for Staff #3 contained an FBI clearance obtained thru the Department of Education and not the Department of Human Services and was lacking an NSOR certificate. The file for Staff #4 contained a state police clearance that contained the wrong birth year on it.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3may not work in a child care position at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On August 14, 2025, at approximately 9:45 a.m., two children, ages 1 year 10 months and 2 years 7 months, exited the outdoor play space through a broken and unsecured section of fencing. At the time, Staff Person #1 accepted items from a parent and walked across the play space to hand them to another staff at the door, leaving the children without proper supervision. When she turned back, the children were no longer in the play space and were located in a neighboring yard by a parent, with no staff present with the children.

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. TIERED LIS: 1.Children must be supervised at all times. 2.The legal entity must work with the ELRC to develop and ensure all staff at the facility participate 2 hours in person training to include active supervision at all times while indoors and outdoors. The training will focus on maintaining continuous supervision, by requiring staff to position themselves without turning their backs from where the children are so that they can observe the entire child care space and play space where children are receiving care. Staff will be trained to not accept items from parents in the play space or at the fence line as this takes away from active supervision, instead parents will be required to take items to the front door of the facility and drop them off with a designated staff person. This training needs to take place within 60 days of acceptable plan of correction being received. This training may count towards the mandatory 12 training hours required by the Department. Copies of Certificates will be provided to Department Representative upon completion. 3.The Legal Entity will develop an environmental hazard reporting form for staff to immediately document safety concerns. The form will be completed after the children are transitioned back indoors and submitted the same day directly to the Director or in the designated file or box. The Director will then document the concern and make a plan to correct and then correct the hazard as soon as possible. This needs to be developed within 15 days of plan of correction. The hazard reporting form must be available to the Department Representative for review. 4. The Legal Entity must develop and implement a written Drop-Off Policy to ensure children remain under continuous supervision. A designated drop-off point will be located near the front door, where parents hand belongings to the assigned staff person. Parents may not hand items to staff supervising children in the outdoor play space, at the fence line, or while children are present in the active play area. One staff member must remain in the play space at all times, while another greets parents and receives belongings. Staff may not switch roles unless approved by the director or lead staff. All belongings must be received at the door and placed directly inside the building, as staff are prohibited from carrying items across the play space. This policy must be shared with all staff and parents, included in both the parent and employee handbooks, and made available to the Department Representative upon request. The policy must be developed, implemented, and distributed within 30 days. 5. The Director will do random supervision checks at least three times a week when the children are outside on the play space and throughout the building. These supervision checks will be done for all age groups and will be recorded on charts approved by the Department. These supervision checks will be done for a period of three months and will be sent to Department Representative upon request.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On August 14, 2025, at approximately 9:45 a.m., two children, ages 1 year 10 months and 2 years 7 months, exited the outdoor play space through a broken and unsecured section of fencing. At the time, Staff Person #1 accepted items from a parent and walked across the play space to hand them to another staff at the door, leaving the children without proper supervision. When she turned back, the children were no longer in the play space and were located in a neighboring yard by a parent, with no staff present with the children.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: On August 14, 2025, at approximately 9:45 a.m., two children, ages 1 year 10 months and 2 years 7 months, exited the outdoor play space through a broken and unsecured section of fencing. At the time, Staff Person #1 accepted items from a parent and walked across the play space to hand them to another staff at the door, leaving the children without proper supervision. When she turned back, the children were no longer in the play space and were located in a neighboring yard by a parent, with no staff present with the children.

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.

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: On August 14, 2025, at approximately 9:45 a.m., two children, ages 1 year 10 months and 2 years 7 months, exited the outdoor play space through a broken and unsecured section of fencing. At the time, Staff Person #1 accepted items from a parent and walked across the play space to hand them to another staff at the door, leaving the children without proper supervision. When she turned back, the children were no longer in the play space and were located in a neighboring yard, which had a 3 foot above ground swimming pool with a ladder attached making it accessible to the children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: .On August 14, 2025, at approximately 9:45 a.m., two children, ages 1 year 10 months and 2 years 7 months, exited the outdoor play space through a broken and unsecured section of fencing.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The YT/OT room was lacking a posted daily schedule.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The file for Child #3 contained an agreement form that was lacking the fee amount to be charged.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Child #1, and 2, who were both enrolled for more than 6 months were lacking 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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The file for Child #4 contained an agreement form that was lacking the child's arrival and departure times.

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

Regulation: 3270.124(b)(4)/3270.182(3)

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

Noncompliance Area: The files for Child #2, 3 and 4 all contain emergency contact forms that are lacking signed parental consent for emergency medical care.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for Child #4 contained an emergency contact form that was lacking the name and policy number of the child's medical insurance information.

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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for Child #3 contained an emergency contact form that was lacking the addresses of the persons to whom the child may be released.

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

Regulation: 3270.131(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, a preschool aged child, contained a child health report that was more than 12 months old.

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: 3270.182(5)

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

Noncompliance Area: The files for Child #2, 3 and 4 all contained emergency contact forms that were lacking signed parental permission for the administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: There was no documentation of an emergency drill being conducted in the last 12 months.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: There was no documentation in writing that the emergency plan had been reviewed within the last 12 months.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff #1 completed 10 hours PD and still needs to complete 2 hours. Staff #2 completed 2 hoursPD and still needs to complete 10 hours. Staff #3 completed 1 hour PD and still needs to complete 11 hours.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #3 is lacking the 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #4 contained a State Police Clearance that was in the still pending status.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4 may not work in a child care position at the facility.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files of child #2, #3, #5 and #6, all enrolled for more than 6 months (see coded LIS sheet), did not contain documentation of the Department's approved form to provide information to the family about the child's growth and development.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The financial agreement of child #7 did not include the arrival and departure times of the child.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form of child #5 did not include the address and telephone number of the child's 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 form of child #1 did not contain the work address and 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 of child #5 did not contain 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 or documentation this is not applicable to the child.

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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form of child #1, #4 and #5 did not include the child's health insurance policy number.

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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form of child #3 and #5 did not contain telephone numbers for each of the persons designated by the parent to whom the child may be released.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file of child #2 contained an initial health assessment dated 1/30/2024, which was more than 60 days from their start date at the facility (see coded LIS sheet). The file of child #4, enrolled for more than 60 days (see coded LIS sheet), did not contain documentation of 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: 3270.131(b)(1)/3270.182(1)

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

Noncompliance Area: The 2 most recent health assessments of child #3 were dated 4/24/2023 and 5/6/2024 exceeding 6 months as a young toddler (see coded LIS sheet). The file of child #6, identified as a young toddler (see coded LIS sheet), contained a health assessment 6/19/2023 but did not contain an updated assessment within 6 months.

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(e)

Description: ACIP recommended immunization record

Noncompliance Area: The facility did not have documentation of an immunization recorded for child #4, who had been enrolled for more than 60 days (see coded LIS sheet).

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

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessments of staff #1 were dated more than 24 months apart (7/26/2021 and 8/24/2023) and the most current health assessments of staff #3 (7/10/2021) and staff #8 (8/23/2021), were both dated more than 24 months prior to the date of the inspection.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Documentation of a review and/or update to the emergency contact forms and financial agreements of child #2, #3 and #7 exceeded 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(c)

Description: Training regarding plan

Noncompliance Area: The most current documentation of emergency plan training for staff #1, #2, #3, #4, #6, #7, #8 and #9 was completed more than 12 months prior to the date of the inspection.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file of staff #3 contained 2 hours and staff #5 contained 8 hours of the required 12 annual training hour during their annual training year of 12/19/2022 to 12/19/2023.

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

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

Description: Age and Training

Noncompliance Area: The file of staff #8 contained documentation of pediatric first aid and pediatric CPR dated 6/25/2021 and updated on 8/9/2023, after the prior training 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #6 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 1/21/2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff #6 will have until 6/6/2024 to complete the mandated reporter training. Until such time as the required training has been completed, staff #6 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 person(s) available to supervise staff #6, staff #6 may not work in a child-care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file of staff #9, employed for more than 12 months (see coded LIS sheet), did not have documentation of an annual 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: 3270.72(c)

Description: Good repair

Noncompliance Area: A window in the main room was open and the screen was detached from the frame on the top.

Correction Required: Screens shall be in good repair.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The telephone number to the nearest hospital was not posted in the school age and toddler classrooms.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file of child #5 did not contain documentation of 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. being completed and provided to the family at least every 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information of child #2 and #3 did not contain addresses of persons designated by the parent to whom the child may be released.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file of child #5, identified as a young toddler (see coded LIS sheet), contained a health assessment dated 8/9/2022 and an updated health assessment dated 4/26/2023, which exceeded more than 6 months from the prior assessment.

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.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record of child #1 did not contain documentation of a current influenza vaccination and child #5 was lacking documentation of 1 Pneumococcal and 1 HIB vaccination as recommended by the ACIP or acceptable exemptions.

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).

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: An Ep-Pen with an expiration date of 12/2022 was observed in the medication box in the kitchen.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility persons #5, #6, #7, #8, #9, #10, #11, #12, #13, #14 and #15 completed the health and safety pre-service training modules Get Started with Center-Based Care: Building Blocks for Quality or the Health and Safety Basics BKC training prior to October 4, 2022, but did not have documentation of completion of the additional 1-hour Pennsylvania Health and Safety Update 2022 Pennsylvania Health and Safety Update 2022 completed by 12/30/2022 as per Announcement C-22-06.

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 facility did not have documentation of a contingency plan or contingency fund to help strategize how to pay for repairs, pay staff, and continue to run the business after a disaster or emergency.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files of facility persons #5 and #6 contained health assessments which were more than 24 months apart.

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(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file of child #4 contained documentation of a review and/or update of the financial agreement and emergency contact forms exceeded 6 months (5/20/2022 and 5/25/2023) and the review and/or update for child #5 also exceeded 6 months (5/24/2022 and 5/28/2023).

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file of facility person #3, identified as an assistant group supervisor, contained a high school diploma, but did not contain the full 2500 hours of experience with children to qualify for the position.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files of volunteers #1 and #2 did not contain 2 written, nonfamily references and the file of facility person #3 contained 1 written non-family and 1 written family reference 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Documentation of a current emergency drill was not presented at the time of the renewal inspection.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: Documentation of the last review and/or update of the emergency plan was dated 7/13/2022 which was more than 1 year ago.

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

Regulation: 3270.31(a)

Description: Age and Training

Noncompliance Area: The file of facility person #2 contained documentation they started as a volunteer at the facility prior to their 16th birthday (see coded LIS sheet).

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person.

Regulation: 3270.31(b)

Description: Staff person - 18 yrs.

Noncompliance Area: The file of facility person #4 contained documentation they started as a staff person at the facility prior to their 18th birthday (see coded LIS sheet).

Correction Required: A staff person shall be 18 years of age or older.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The following facility persons did not have 12 annual hours or training in the designated calendar year 12/19/2021 to 12/19/2022 but had additional hours after the training year to meet the regulation: Facility person #5 contained documentation of 11 hours between 12/19/2021 and 12/19/2022 (additional 3 hours dated 6/5/2023) and facility person #7 contained documentation of 11 hours between 12/19/2021 and 12/19/2022 (additional 2 hours dated 3/18/2023).

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

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

Description: Age and Training

Noncompliance Area: Documentation of acceptable pediatric first aid and pediatric CPR of facility person #11 was dated 6/25/2021 and did not contain documentation of renewed training on or before its expiration of 6/2023.

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(f)

Description: Health and Safety Training

Noncompliance Area: The completion of the health and safety topics listed in subsections (f)1-10 for facility person #4 were dated 7/5/2023 which was more than 90 days from their start date with children (see coded LIS sheet).

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: Documentation of pediatric first aid and pediatric CPR in approved curriculum and from a PQAS instructor for facility person #4 was dated 6/19/2023 which is more than 90 days from their start date with children (see coded LIS sheet).

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files of facility persons #1 and #2, both identified as volunteers, contained PA state police clearances which were "pending," signed disclosure statements on the 11/2015 form, and did not contain completed child abuse and FBI clearances. Volunteers are not permitted to be provisionally hired under the CPSL. The file of facility person #3 contained a PA state police clearance which was "pending," an NSOR application dated 6/8/2023 which was after their start date (see coded LIS sheet) but now has a completed NSOR and a signed disclosure statement on the 11/2015 form. The file of facility person #4 contained an NSOR application dated 6/3/2023 which was after their start date (see coded LIS sheet) and does not have a completed NSOR, contained a signed disclosure statement on the 11/2015 form and mandated reporter training dated 7/6/2023 which was more than 90 days from their start date (see coded LIS sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #2, #3 and #4 may not work at the facility.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The sink and changing table in the green room did not contain handwashing signs.

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: Documentation of fire drills exceeded 60 days on the following occasion: 10/14/2022 to 12/15/2022.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation of manual testing of the fire detection system exceeded 30 days on the following occasion: 10/17/2022 to 11/17/2022, 12/16/2022 to 1/16/2023 to 2/16/2023, 3/16/2023 to 4/17/2023 to 5/18/2023 and 6/16/2023 to 7/20/2023.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The tall gray cabinet (about 6 feet tall) in the corner of the school age classroom was not anchored to the wall and was not stable when opened and closed.

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

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: At approximately 11:13 AM, facility person #4 brought a child to the door of the school age classroom and allowed them to go down the hall to use the restroom unsupervised. The facility person then went back into the classroom. At approximately 11:20 AM, a child was using the restroom in the main classroom, left the facility person they were with, walked out the door to the mulched outdoor play space unsupervised. At approximately 11:22 AM, another child was observed to come into the building from outside alone and went to the restroom unsupervised by a facility person.

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. Children must be supervised at all times. 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)(1)

Description: Amount of fee

Noncompliance Area: The financial agreement of child #6 did not contain the amount the fee is to be charged per day or week.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The financial agreement of child #6 did not contain the date 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)(4)

Description: Arrival/departure times

Noncompliance Area: The financial agreements of child #2 and 4 did not contain the arrival and departure times of the child.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information of child #5 did not contain the work address and #6 did not contain the work phone 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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information of child #5 did not contain the health insurance coverage or policy number.

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

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

Noncompliance Area: The file of child #3, a preschool age child, contained a health assessment dated 6/28/2021 but did not contain contain an updated health assessment within 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(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Immunization records for child #1, 3 and 7 did not contain documentation of a current annual influenza vaccination.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessments of facility person #5 contained health assessments dated 3/16/2020 and updated 5/17/2022, exceeding 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.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: A bottle in the refrigerator of the infant room was not labeled with the name of the child for which it was intended.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Documentation of the 6 month review of the emergency contact form (dated 8/3/2021 and updated 5/19/2022) and financial agreement (dated 8/27/2021 and updated 5/19/2022) of child #6 exceeded 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: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: The file of facility person #1, 3 and 5, all identified as assistant group supervisors, contained documentation of education, but lacked at least 2500 hours of child care experience to qualify as an assistant group supervisor,

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The annual letter to the parents did not address the lockdown procedure of the facility.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility did not have documentation of submitting the emergency plan to their local municipality and 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)

Description: Age and Training

Noncompliance Area: The file of facility person #5 contained 2 hours of professional development lacking 10 hours, facility person # 6 contained 6 hours (an additional 10 dated 6/29/2022) and facility person #7 did not contain any hours (has 10 hours dated 6.26.2022) between 12/19/2020 and 12/19/2021,

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: Documentation of fire safety training for facility person #5, 6 and 7 exceeded 12 months (3/29/2021 and updated 5/2/2022). Based on conversation with facility person #11, facility person #8-13 also have fire safety training exceeding 12 months. All fire safety training is now current.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Documentation of the 9/10 health and safety topics under 3270.31(f)(1-9) of facility person #2 was dated more than 90 days from their start date with children (see CODED LIS).

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #3 does not contain the acceptable signed disclosure statement. The file of facility person #4 contained volunteer child abuse and PA state police clearances, a PDE FBI clearance and documentation of submitting the NSOR clearance but not the completed clearance. Facility person #4 was observed to be working unsuprvised with the school-age group on the day of the inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 may not work 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 #4 may not work at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the main classroom, sunscreen and hand sanitizer were observed to be on a ledge accessible to children. Sunscreen is stored in a small area by the entrance in individual pockets of shoe holders. The gate present did not lock and made the sunscreen accessible to the children. In the boys restroom, hand sanitizer and diaper cream labeled keep out of the reach of children were accessible on a shelf and the window ledge. Bleach water and Odor Ban were also accessible on the shelf.

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: The end of the hand railing when walking up the ramp had a hole by the nail and the wood was splintering which could cause injury to a child or adult.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The diaper changing table in the boys bathroom and in the bathroom downstairs did not contain handwashing signs.

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: One of the exits from the school age classroom was obstructed by plastic block chairs and a child's rocker.

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: Documentation of testing the fire detection system exceeded 30 days between 1/4/2022 and 2/10/2022.

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.