Precious Angels Daycare And Early Learning Center

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form(s) for Child(ren) #2 lacked the "Health Insurance/MA Coverage." (SEE LIS CODE SHEET)

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(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The Initial Child Health Report and Immunizations for Child File(s) #1 (PS; Dated: 10.23.2025) and #3 (PS; Dated: 10.23.2025) were more than 60 days following the first day of attendance at the facility. (SEE LIS CODE SHEET)

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. 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: 3270.182(5)

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

Noncompliance Area: The Emergency Contact Form(s) for Child(ren) #1 lacked a signature for "Consent for Minor First Aid." (SEE LIS CODE SHEET)

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file(s) for Staff #1, #2, #3, #4 and #5 lacked fire safety training in 2024. (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: The last two Mandated Reporter Trainings for staff #2 were dated more than 60 months apart. (SEE LIS CODE SHEET)

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file(s) for Staff Person(s) #2 contained PA State Police Clearances and NSOR Certificates that were dated more than 60 months apart. (SEE LIS CODE SHEET) The file(s) for Staff Person(s) #3 contained NSOR Certificates that were dated more than 60 months apart. (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.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: The kitchen stove was accessible to children in care due to a missing safety gate separating the kitchen from the main care space and/or the lack of stove knob covers to prevent operation by children.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility's fire alarm test report documented testing of the fire alarm system between 08.08.2025 -- 09.08.2025 (31 Days). The test was conducted more than 30 days apart.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The Child Service Report for child #2 and #3 was lacking a six-month update from the last. (SEE LIS CODE SHEET)

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)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form for Child #2 lacked the "Health Insurance/MA Policy Number." (SEE LIS CODE SHEET)

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 for child file #1 lacked the "Address of the Listed Release Person." (SEE LIS CODE SHEET)

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: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The facility lacked a 12-month (annual) review of the Emergency Plan. The last 12-month (annual) review was 05.2023.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff Persons #2, #3, #4 and #5 lacked Emergency Plan Training that was conducted within the past 12 months. The last Emergency Plan Training was 05.2023. (SEE LIS CODE SHEET)

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: Staff Person #1(0 Hours) #2 (0 Hours) #3 (1.5 Hours) #4 (0 Hours) and #5 (0 Hours) lacked a minimum of 12 hours of childcare training. (SEE LIS CODE SHEET)

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: Staff Persons #1, #2, #3 and #4 lacked Fire Safety Training that was conducted within the past 12 months. The last Fire Safety Training for Staff Persons #1, #4 and #5: 10.2023 and Staff Persons #2 and #3: 05.2023. (SEE LIS CODE SHEET)

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 two most recent FBI Clearances for Staff #4 were dated more than 60 months apart. (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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff persons #2, #3 and #4 and #5 lacked an annual written Staff Evaluation that was conducted within the past 12 months. The last Staff Evaluation was written 04.2023. (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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water temperature in the "Basement" Bathroom sink, was measured at 118 degrees which was accessible to children.

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

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The facility has recently installed an anchored loft playhouse/swing set structure in the outdoor play space. The structure was not mounted over a loose fill or unitary playground protective surface covering that meets the recommendations of the USCPSC.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Small wooden blocks with a diameter of less than 1 inch were observed in the Toddler Classroom where a young and older toddler were observed to be receiving care.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #1 lacked an updated Child Service Report that had been completed within the last 6 months. The last Child Service Report on file was dated 5.3.2023.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #3 lacked the 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)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #2 lacked the address for one of the release persons listed for the child.

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(e)

Description: Written emergency plan posted

Noncompliance Area: The written emergency transportation plan was missing from the downstairs Multi-purpose and Small Classrooms and the upstairs Enclosed Porch, Infant and Toddler Classrooms. The written emergency transportation plan posted in the Living Room Classroom was missing staffing provisions.

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(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for Child #1, a young toddler, lacked an updated health report that had been completed within the last 6 months. The most recent health report on file is dated 12.12.2022.

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(b)(2)

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

Noncompliance Area: The updated health reports on file for Child #2, who is now a young school ager, exceeded updated health reports between 2.9.2022 and 3.20.23, when they were still considered a preschool age child at the facility.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: At the time of the file review, the file for Child #1 lacked verification that the child had received their 15-18 month DTAP, their 12-15 month HIB and Pneumococcal, and their MMR, Varicella and Hep A vaccinations.

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: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: The file for Staff Person #2 lacked verification that they had completed an initial health assessment and tuberculosis screening within 12 months prior to starting at the facility. The health assessment and tuberculosis screening on file was dated 2 years, 1 month, 2 weeks and 6 days after their reported starting date.

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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The updates to the agreements for Children #2 and #4 have exceeded 6 months since their last review in February 2023. The updates to the agreement for Child #1 exceeded 6 months between updates in September 2022 and September 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 for Staff Person #3 lacked verification of education and experience to qualify them for the position they were hired to perform at the facility.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #3 lacked verification that they had received emergency plan training within 90 days of starting at the facility.

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 for Staff Person #1 lacked 11 of their annual 12 hours of childcare trainings between July 2022 and July 2023.

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

Regulation: 3270.31(g)

Description: Professional development certificate

Noncompliance Area: Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour health and safety training.

Correction Required: 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 March 15, 2024 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 Person #2 lacked a current Child Abuse and FBI Clearance that had been completed within the last 60 months. The most recent Child Abuse Clearance on file was dated 7.13.2018 and the most recent FBI Clearance was dated 7.25.2018. Staff Person #3 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 may not work in a child care position at the facility. The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #3 will have until March 15, 2024 to complete the mandated reporter 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 person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A bottle of hand sanitizer was observed on the piano in the Living Room Classroom. The hand sanitizer was labeled Keep Out of Reach of Children and could be accessed by Preschool and School Age children who receive care in the space. Lysol wipes were observed in the open area of the cabinet above the toilet in the downstairs restroom. The Lysol wipes would be accessible to school age children who would receive care in the downstairs classrooms. The Lysol wipes were labeled Keep Out of Reach of Children.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kits in the Enclosed Porch and Infant Classrooms were missing 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: Exposed bolts were observed on the gate area of the outdoor play space 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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A hand washing sign was missing from the two changing areas in the Infant Classroom.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility exceeded 30 days between smoke alarm testing on 1.3.2024 and 2.8.2024.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The crib and pack and play reported to be in use in the Infant room were observed to be unlabeled for use of a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The written plan of daily activities was not posted in the enclosed porch classroom.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Children #1, #2, #3, #4 and #5 lacked completed child service reports.

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 agreement form for Child #1 lacked the arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement form for Children #1 and #4 lacked the designated release persons to whom the child may be released.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The files for Children #1, #2, #3, #4 and #5 were observed to contain the original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #3 lacked the address and telephone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #2 lacked the telephone number for 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 form for Child #3 lacked the policy number for the child's health insurance coverage.

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 forms for Children #1, #2, #3 and #4 lacked the completed addresses for the release persons listed.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The written emergency transportation plan was not posted in the Enclosed Porch, the Green/Toddler room, the Infant classroom, the Blue room downstairs, The Large room downstairs, or the Small room downstairs. The emergency transportation plan in the Living room lacked information related to the staffing provisions in the event of an emergency.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for Child #3 lacked an initial health assessment within 60 days of enrollment (refer to LIS code sheet).

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The files for Children #2 and #4, both Preschool age children, lacked a health assessment that had been completed within the last 12 months. The most recent health assessment on file for Child #2 was dated 2.9.22 and the most recent health assessment on file for Child #4 was dated 7.9.21.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: The file for Child #2 and #4 lacked verification that the children had received annual influenza vaccinations as recommended by the ACIP. Written exemptions were not on file at the time of the inspection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Children #2 and #4 will be dismissed from the facility close of business 3.8.2023.

Regulation: 3270.131(e)(3)

Description: Dismissal policy

Noncompliance Area: The file for Child #2 and #4 lacked verification that the children had received annual influenza vaccinations as recommended by the ACIP. Written exemptions were not on file at the time of the inspection.

Correction Required: 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). Children #2 and #4 will be dismissed from the facility close of business on 3.8.2023.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan lacked Continuity of Operations as required by Federal Regulation. The required Health and Safety Training update was not completed prior to 12.30.22 for Staff Persons #3, #4 and #5. The training was completed on 3.7.23 for the Staff Persons.

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)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: The files for Staff Persons #1 and #2 lacked an initial health assessment and tuberculosis screening within 12 months prior to starting at the facility. The health assessment and chest x-ray on file for Staff Person #1 was completed 200 days after starting at the facility. The health assessment on file for Staff Person #2 was completed 51 days and the tuberculosis screening on file was completed 53 days after starting at the facility.

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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health assessment on file for Staff Person #2 lacked verification that they had been examined for communicable diseases and the results of that examination and the physician's assessment of their 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: 3270.166(1)

Description: Written statement

Noncompliance Area: A written statement from the parent giving the formula and feeding schedule was missing for Child #1.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility lacked verification that they had submitted annual written notification to the local traffic safety authorities notifying them of the facility's location and use of pedestrian and vehicular routes around the facility.

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

Regulation: 3270.173(a)/3270.173(b)

Description: Ratios apply/Driver not counted in ratio - I, T, PS

Noncompliance Area: Staff Person #5 was observed to return to the facility with Preschool Age Children who had been picked up from two local PreK Programs. Another Staff Person was not present in the vehicle to meet the staff:child ratio requirement when the Preschool children were being transported as the driver does not count in the staff:child ratio.

Correction Required: The staff-child ratios specified in §§3270.51 and 3270.52 apply when infant, young or older toddler and preschool children are transported. The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The updates to the emergency contact forms for Children #2, #4 and #5 and the agreement form for Child #4 exceeded 6 months between review and updated signature at the time of the inspection.

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

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: The emergency contact form for Children #1, #2 and #3 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid procedures by facility staff.

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

Regulation: 3270.192(1)

Description: Name, address, and phone

Noncompliance Area: The file for Staff Person #1 lacked a telephone number.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: A copy of the current certificate and the instructions for contacting the regional office with information as to how to access the regulations was not posted in a conspicuous location at the facility. The Certificate was posted in the Operator's office but it is not in an area that would be conspicuous to parents arriving to the facility.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The emergency plan on file lacked information related to the facility's shelter in place and lock down procedures.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #2 lacked verification that they had received emergency plan training within 90 days of starting at the facility. The training on file was dated 184 days after starting at the facility. The file for Staff Person#3, #4 and #5 lacked verification that they had received current emergency plan training within the last 12 months.

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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff Persons #3, #4 and #5 lacked fire safety training that had been completed within the last 12 months. The last documented fire safety trainings were completed on 11.24.21.

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: The required 10 hour health and safety training on file for Staff Persons #1 and #2 was not completed within 90 days of their start date at the facility. The health and safety training for Staff Person #1 was completed 167 days after starting at the facility. The health and safety training for Staff Person #2 was completed 317 days after starting at the facility.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 lacked a disclosure statement that had been signed prior to starting at the facility. The disclosure statement was completed 30 days after starting. The file for Staff Person #1 also lacked a completed Child Abuse Request, verification that they had been fingerprinted for their FBI clearance and that they had requested their NSOR Certificate prior to starting at the facility. The Child Abuse Clearance on file was dated 82 days after starting, the FBI clearance was dated 23 days after starting and the NSOR Certificate was dated 81 days after starting at the facility. The file for Staff Person #2 lacked a signed disclosure statement prior to starting at the facility. The disclosure statement on file was dated 13 days after starting at the facility. The file for Staff Person #2 also lacked verification that they had requested their PA State Police Clearance prior to starting at the facility. The State Police Clearance on file was dated 50 days after starting at the facility. The file did contain a request indicating their Child Abuse Clearance was requested 147 days prior to starting at the facility. A completed Child Abuse Clearance was dated 197 days after this request and 50 days after starting at the facility. The file for Staff Person #2 lacked mandated reporter training within 90 days of starting at the facility. The mandated reporter training on file for Staff Person #2 was dated 317 days after starting at the facility.

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: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff Person #1 lacked verification of education and experience to qualify them for the position of Assistant Group Supervisor, which they were observed to be performing. The files for Staff Persons #2 and #3 lacked verification of experience to qualify them for the position of Assistant Group Supervisor that they have been observed to be performing.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff Person #3 lacked a written staff evaluation that had been completed within the last 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An electrical outlet was missing a protective receptable cover in the Enclosed Porch room. A power strip was observed to be in use in an unlocked drawer in Large classroom downstairs. Seven of the outlets on the strip were observed to be uncovered.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the first floor restroom toxics, including disinfectant spray and arthritis cream, were observed in an unlocked cabinet under the sink. A container of disinfecting wipes was observed on the ledge in the bathtub. In the downstairs restroom packets of disinfecting wipes were observed in an unlocked cabinet under the sink. All items were labeled Keep Out of Reach of Children.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water in the first floor restroom was measured at 121.2° F and the hot water in the downstairs restroom was measured at 121.5° F.

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

Regulation: 3270.70(a)

Description: 65º F minimum

Noncompliance Area: The indoor temperature of the Enclosed Porch room was measured at 60.1° F.

Correction Required: The indoor temperature shall be at least 65° F.

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: The windows located above the ground floor in the Green/Toddler and Infant rooms were observed to be unrestricted which would allow the windows to open more than 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted at the telephone in the kitchen or in the Large room downstairs.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: A first aid kit was not present in the Enclosed Porch room.

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 kits in Green/Toddler and Infant rooms and the downstairs Blue room, the Large room and Small rooms were missing scissors, soap and gloves. The first aid kit in the Living room was missing tweezers, soap and scissors.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A hand washing sign was missing from the potty chair and the toilet in the first floor restroom and from the toilet and sink in the downstairs restroom. A hand washing sign was also missing from the changing area in the Infant room.

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: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: A portable space heater was observed in the Enclosed Porch room and in the downstairs Large room.

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The smoke alarm testing log indicated that the smoke detection system was last tested on 2/23/22. The system is required to be tested at least once every 30 days.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed white rocks with a diameter of less than one inch in the outdoor play space that are accessible to children who are still placing objects in their mouths.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #1 - #5 lack service reports.

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 children #1, #2, #3, #4 and #5 lack updated parental signatures.

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 informationA 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 files for children #3, #4 and #5 lack initial health assessments. The health assessments were due 8/7/21, 7/5/21 and 10/2/21.

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)/3270.182(1)

Description: Immunization record/Initial and subsequent health reports

Noncompliance Area: The file for child #2 lacks verification of a flu vaccination.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(e)(3)/3270.182(1)

Description: Dismissal policy /Initial and subsequent health reports

Noncompliance Area: The files for children #3, #4 and #5 lack any immunization records. Both children have been in care for more than 60 days. Both children can no longer be in child care.

Correction Required: 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).A child's record shall contain initial and subsequent health reports.

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: The file for child #5 lacks signed permission for minor first aid and emergency medical care.

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

Regulation: 3270.31(f)/3270.192(2)(iii)

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

Noncompliance Area: The files for staff #1 and #2 lack health and safety training. The health and safety training was due 10/15/21.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

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

Noncompliance Area: The files for staff #1 and #2 lack mandated reporter training. The trainings were due 10/15/21.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: Each child care space lacked it's own first aid kit.

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

Regulation: 3280.23(a)

Description: Immediate access

Noncompliance Area: On 12/8/21, staff person #1 denied an agent of the Department immediate access to the facility.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records

Regulation: 3280.113(a)

Description: Supervised at all times

Noncompliance Area: Children were not adequately supervised for a brief period when staff #2 left them in the care of a volunteer to go to the back of the facility to get the operator.

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: 3280.123(a)(1)/3280.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: The file for child #2 lacked a fee amount and the date that the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3280.123(a)(4)/3280.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: The file for child #2 lacks arrival and departure times and release persons.

Correction Required: An agreement shall specify the child's arrival and departure times.An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3280.123(a)(6)

Description: Admission date

Noncompliance Area: The operator did not sign the agreement for child #1 and #2. The parent did not sign the agreement for child #1 through #4.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3280.124(a)/3280.181(c)

Description: Each child emergency contact person/Emergency info/agreement updated 6 mos

Noncompliance Area: The files for children #1 and #2 lack emergency contact forms / information.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.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: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #3 and #4 files lack work addresses and work telephone numbers.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child file #3 lacks a 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.