Precious Ones Child Care Ii

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: An unannounced inspection was conducted 4/22/26. At that time, Child #1, an infant, was observed sleeping in a bouncer with a pacifier attached their clothing by a strap clasped to the child's clothing. A soft toy was on top of the child as they slept. Child #2, an infant, was observed sleeping in a pack-n-play propped up by two c-shaped pillows behind the child's head and one c-shaped pillow under the child's feet. Neither child had any medical documentation on file stating that the infant should be placed in a sleeping position other than what is recommended by the American Academy of Pediatrics.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. TIERED LIS 1. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. This portion of the plan shall have an immediate correction date. 2.The legal entity must arrange for all staff to complete the Better Kid Care trainings entitled "Reduce the Risk of SUID Through Safe Sleep Practices". The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.103/3270.133(4)

Description: Small Toys and Objects/Locked

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, diapers in plastic packaging sleeves were observed on the bottom portion of the changing table, where they were accessible to the infant and toddlers in the classroom who are still placing objects in their mouths. Aquaphor labeled "keep out of reach of children" was observed on the changing table where it was accessible to the children in the room.

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. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. TIERED LIS 1. 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. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all staff to receive a minimum of two hours of training regarding Health & Safety -- Healthy Environment. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, a young toddler was observed sleeping in a pack-n-play. The pack-n-play was against the wall on one side and had a bouncer and baby toys up against it on the three other sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

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

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

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. Upon arrival to the child care facility, Staff Person #1 was observed getting into their car. Staff Person #1 stated that they were moving their car from a handicap parking spot to another spot in the parking lot. Facility Person #2, a volunteer, was inside the facility with one infant, one young toddler, three older toddlers, and one preschool child. No other staff were at the facility. No staff person was present with the children during this time.

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. TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2.The legal entity must update the center's policy to maintain proper supervision. The update to the policy must include the role of an aide, volunteer, and facility person. The policy must address how staffing will work when only two facility persons are present at the center and one of them is an aide or facility person. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. The director must review the supervision policy with new staff within one week of their date of hire. The operator shall provide a correction date for when the supervision policy will be updated and reviewed with all staff.

Regulation: 3270.134(b)

Description: Towels labeled and laundered

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, two cloth towels were observed hanging in the bathroom. No paper towels were in the bathroom. The director stated that the cloth towels are used for handwashing.

Correction Required: Cloth towels and washcloths shall be labeled with the child's name, used by only the named child and laundered weekly. The director shall arrange a laundry schedule with the parent.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, Staff Person #1 was observed changing a child's diaper, going across the room to the bathroom to wash the child's hands and their own hands, and then sitting down in a chair. When asked how the changing table is sanitized, Staff Person #1 stated either baby wipes or Lysol is used to sanitize the changing table. Staff Person #1 then got up and used Lysol to sanitize the changing table.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, the emergency plan did not include the role of a volunteer or facility person during an emergency. The facility now has volunteers and facility persons at the facility.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include procedures for evacuation, relocation, shelter-in-place and lock down, staff and volunteer emergency preparedness training and practice drills, communication and reunification with families, continuity of operations, and accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

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

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

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, the files for the new facility persons were reviewed. The file for Facility Person #2, a volunteer, did not include a health assessment or TB test results. Facility Person #2 was holding an infant at the onset of the inspection and was observed playing and interacting with the children throughout 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. 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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, an unlabeled bottle filled with milk was observed on a highchair in the facility.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, the files for the new facility persons were reviewed. The file for Facility Person #2 did not include any written references. The file for Staff Person #4 only included one written, nonfamily reference.

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(b)

Description: Plan reviewed/updated annually

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, the emergency plan had not been reviewed since 12/2024.

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. TIERED LIS 1. 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. The operator shall provide a correction date for when the emergency plan will be updated. 2. The legal entity must arrange for the legal entity, the director, and anyone responsible for maintaining the facility emergency plan to complete the Better Kid Care training entitled "Center and Group Emergency Plans and Preparation." The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, the files for the new facility persons were reviewed. Staff Person #3, who has been employed longer than 90 days, did not have emergency plan training on file 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(a)

Description: Age and Training

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. Upon arrival to the child care facility, Staff Person #1 was observed getting into their car. Staff Person #1 stated that they were moving their car from a handicap parking spot to another spot in the parking lot. Facility Person #2, a volunteer, was inside the facility with one infant, one young toddler, three older toddlers, and one preschool child. No other staff were at the facility.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. Upon arrival to the child care facility, Facility Person #2, a volunteer, was inside the facility with one infant, one young toddler, three older toddlers, and one preschool child. No other staff were inside the facility at that time. Facility Person #2 had a volunteer PA State Police Clearance, a volunteer PA Child Abuse Clearance, and an NSOR certificate on file. Facility Person #2, who resides in NJ, did not have an FBI Clearance, a NJ CARI, or a signed disclosure statement on file. Staff Person #4 had a PA Child Abuse Clearance and an NSOR certificate on file. A PA State Police Clearance was not on file. The request for the PA State Police Clearance was not on file. An illegible FBI Clearance was in the staff's file, but the name and date were not clear enough to determine any identifying information. Staff Person #1 stated that Facility Person #1 has been volunteering occasionally and Staff Person #4 helped out as a staff person twice.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not volunteer or work at the child care until an FBI Clearance, NJ CARI, and a signed disclosure statement are on file at the facility. Staff Person #4 may not work at the child care until an FBI Clearance and a PA State Police Clearance are on file at the facility. TIERED LIS 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for the director and anyone responsible for hiring new staff to register for and attend the existing provider orientation conducted by a Regional Office. The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, Staff Person #1 was at the facility with one infant, one young toddler, three older toddlers, and one preschool child. Staff Person #1 cannot have more than four children in their group. The only other person at the facility was Facility Person #2, a volunteer. A volunteer is a person 16 years of age or older who is not included in the staff:child ratio and who assists in implementing daily program activities under the supervision of a staff person.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: An unannounced inspection was conducted 2/3/26. At that time, a source of running water was not present in the diaper changing area. The diaper changing table was across the room from the bathroom. Staff Person #1 was observed changing a child's diaper, walking with the child to the bathroom, opening the door, and then washing their hands and the child's hands.

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

Regulation: 3270.94(a)(1)/3270.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, the fire drill log was reviewed. The last fire drill on the log was dated 10/20/25. The director stated the fire drills were conducted when the smoke detectors were tested. The director showed a calendar in their phone stating the system was scheduled to be tested 11/20/25, 12/20/25, and 1/20/25. The schedule did not indicate whether the system had been tested on those dates. When questioned if the facility is open on Saturdays because 12/20/25 was a Saturday, the director stated the system was tested 12/19/25 and a fire drill was conducted that day. Nowhere in the phone did it indicate the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter ensure a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. TIERED LIS 1. The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter ensure a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. This portion of the plan shall have correction date of when the next fire drill will be completed. 2. The operator must create a fire drill schedule for conducting fire drills through 12/31/2026 that must be provided to the Northeast Regional Office. The operator shall provide a correction date for when the schedule will be submitted.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, the thirty day testing log of the fire detection system was reviewed. The most recent testing date on the log was 10/20/25. The director stated the fire drills were conducted when the smoke detectors were tested. The director showed a calendar in their phone stating the system was scheduled to be tested 11/20/25, 12/20/25, and 1/20/25. The schedule did not indicate whether the system had been tested on those dates. When questioned if the facility is open on Saturdays because 12/20/25 was a Saturday, the director stated the system was tested 12/19/25 and a fire drill was conducted that day.

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. TIERED LIS 1. 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. The fire detection system must be tested every 30 days and documented on the fire drill log. This portion of the plan shall have a correction date of when the fire detection system will next be tested. 2. The operator must create a thirty-day testing schedule for testing the fire detection system through 12/31/2026 that must be provided to the Northeast Regional Office. The operator shall provide a correction date for when the schedule will be submitted.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, a toaster was observed on a shelf approximately 30 inches high and was accessible to the children in the room. The toaster had been used to heat an Ego waffle and had reached a temperature of 140° F. An acceptable plan of correction was received 9/7/25 with a correction date of 8/15/25. An unannounced inspection was conducted 10/20/25. At that time, the radiator next to the front entrance reached a temperature of 170°F and the metal pipe underneath the radiator reached a temperature of 193°F. The radiator in the classroom reached a temperature of 170°F and the metal pipe underneath the radiator reached a temperature of 172°F. The radiators were accessible to the children in care.

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: A renewal inspection was conducted 8/15/25. At that time, the date of the last testing of the fire detection system was 7/15/25, thirty-one days prior to the inspection. An acceptable plan of correction was received 9/7/25 with a correction date of 8/15/25. An unannounced inspection was conducted 10/20/25. At that time, the thirty day testing log was reviewed. The fire detection system was tested during the renewal inspection on 8/15/25. The date of the next testing of the fire detection system after the renewal inspection was 10/6/25, 52 days later.

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

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

Noncompliance Area: A renewal inspection was conducted 8/15/25. During the inspection, Child #3 was observed leaving the classroom to go into the hallway twice without a staff person. Child #5 was observed leaving the classroom to go into the hallway once without a staff 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. TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2.The legal entity must create a policy in order to maintain proper supervision. This policy must address how staff will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and outdoor excursions. The policy must address how staff will prevent children from eloping from the classroom. The policy must address how staffing will work when only two staff are present at the facility and one of them is an aide. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. The operator shall provide a correction date for when the supervision policy will be reviewed with all staff.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the child files were reviewed. The fee agreements for Child #1 and Child #3 were not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the child files were reviewed. The fee agreements for Child #4 and Child #5 did not include the dates to be paid.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the child files were reviewed. The fee agreement for Child #4 and Child #5 did not include the services provided by the facility.

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)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the child files were reviewed. The fee agreement for Child #2 did not include the date of admission to the facility.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(1)/3270.124(b)(3)

Description: Child's name, birth date/Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the child files were reviewed. The emergency contact form for Child #4 did not include the child's date of birth. The emergency contact form for Child #3 did not include the work address and phone number of the father. The emergency contact form for Child #5 did not include the work name, address, and number of the mother.

Correction Required: Emergency contact information must include the name and birth date of the child. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. TIERED LIS 1. Emergency contact information must include the name and birth date of the child. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. The operator shall provide a correction date for when the information will be added to the child files. 2. The legal entity must arrange availability for the director and anyone responsible for the filing of child files to participate in an interactive online Microsoft TEAMS meeting with the certification representative to review the Child Files Vodcast: https://www.youtube.com/watch?v=MHtznGWo7yU The operator shall provide a correction date agreed upon with the certification representative when the Vodcast can be reviewed together.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the child files were reviewed. The emergency contact form for Child #3 did not include the name, address, and 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(b)(4)/3270.182(3)

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

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the child files were reviewed. The emergency contact form for Child #3 did not include signed parental consent for emergency medical care for the child.

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)(5)

Description: Information re: special needs

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the child files were reviewed. The emergency contact form for Child #3 did not include information on any special needs for the child in an emergency situation.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the child files were reviewed. The emergency contact forms for Child #2 and Child #3 did not include the health insurance information 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the child files were reviewed. The emergency contact form for Child #3 did not include the address of the release person.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the emergency bag that accompanies children and staff when they leave the building for outdoor activities did not include the emergency contact information of the children.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the child files were reviewed. The file for Child #3 did not include a health report. Child #3 has been enrolled at the facility longer than 60 days.

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

Regulation: 3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the child files were reviewed. The file for Child #3 did not include a health report or immunization record. The parents of Child #3 had provided a form letter of exemption for immunizations. The form letter did not specify which immunizations the child was exempt from.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, Desitin diaper cream, Aquaphor, and Aveeno baby eczema therapy nigh balm were observed hanging in a basket of the changing table where they were accessible to children. All were labeled "keep out of reach of children."

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, Child #5 did not wash their hands before being served an Ego waffle for breakfast.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted 8/15/25. At the onset of the inspection, Staff Person #2 was alone at the facility with one child. Staff Person #2 has not yet completed approved pediatric first aid and cpr training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pediatric first aid and cpr training is completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, then staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, Staff Person #2 did not wash their hands before preparing and serving the Ego waffle to Child #5 for breakfast.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, string cheese and a go gurt were observed in a lunch box intended for the child's afternoon snack. The lunch box was on a table in the classroom and then hung on the child's hook in the hallway. The food was not refrigerated.

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

Regulation: 3270.182(5)

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

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the child files were reviewed. The emergency contact form for Child #3 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.192(2)(ii)/3270.192(5)

Description: Exp, educ., training prior to facility/Two written references

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, the staff files were reviewed. The file for Staff Person #1 did not include verification of education. The file for Staff Person #1 did not include two written, nonfamily letters of reference.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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. TIERED LIS 1. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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. The operator shall provide a correction date for when the documents will be added to the staff file. 2. The legal entity must arrange availability for the director and anyone responsible for hiring new staff to participate in an interactive online Microsoft TEAMS meeting with the certification representative to review the Staff Files Vodcast: https://www.youtube.com/watch?v=xFc0fzv7ICg&feature=youtu.be The operator shall provide a correction date agreed upon with the certification representative when the Vodcast can be reviewed together.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 8/15/25. At the onset of the inspection, Staff Person #2 was alone at the facility with one child. Staff Person #2, who was hired after 2/2025, did not have an NSOR certificate on file. The FBI Clearance on file for Staff Person #2 did not include the rap sheet. The file for Staff Person #1 did not include the FBI Clearance. A copy of the FBI Clearance was provided by the Regional Office and added to the staff's file during the inspection.

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

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: A renewal inspection was conducted 8/15/25. At the onset of the inspection, Staff Person #2, an aide, was alone at the facility with one child.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, an unlidded trash can containing a discarded applesauce container, dirty tissues, and dirty baby wipes was observed in the classroom.

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

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: A renewal inspection was conducted 8/15/25. At that time, a toaster was observed on a shelf approximately 30 inches high and was accessible to the children in the room. The toaster had been used to heat an Ego waffle and had reached a temperature of 140° F.

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: A renewal inspection was conducted 8/15/25. At that time, the date of the last testing of the fire detection system was 7/15/25, thirty-one days prior to the inspection.

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: A renewal inspection was conducted 5/19/25. At that time, diapers in plastic sleeves were observed on the open bottom shelf of the diaper changing table and were accessible to the young toddler in 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A renewal inspection was conducted 5/19/25. At that time, the written plan of daily activities could not be located in the classroom.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 5/19/25. At that time, the child files were reviewed. The emergency contact form for Child #1 did not include the business name, address, and phone number of the mother.

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

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

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

Noncompliance Area: A renewal inspection was conducted 5/19/25. At that time, the child files were reviewed. The emergency contact form for Child #1 did not include written consent signed by a parent for emergency medical care.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 5/19/25. At that time, the child files were reviewed. The emergency contact form for Child #1 did not include the address of the release persons.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A renewal inspection was conducted 5/19/25. At that time, the emergency transportation plan was not posted in each child care space or located in the emergency backpacks that accompany children when leaving the facility.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: A renewal inspection was conducted 5/19/25. At that time, the director stated that a letter notifying 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 had not been sent.

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: 3270.182(5)

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

Noncompliance Area: A renewal inspection was conducted 5/19/25. At that time, the child files were reviewed. The emergency contact form for Child #1 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: A renewal inspection was conducted 5/19/25. At that time, a power strip with an uncovered electrical outlet was observed next to the desk in the room.

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

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: A renewal inspection was conducted 5/19/25. At that time, the diaper changing table was located in the corner of the room and was not near the bathroom. There was no other source of running water for handwashing in the area.

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

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: A renewal inspection was conducted 5/19/25. At that time, the director stated that fire drills had been conducted but had not documented the fire drills on a fire drill log.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection was conducted 5/19/25. At that time, the director stated that fire detection system had been tested but the testing had not been documented.

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.