Primrose School Of Peters Township

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: On August 7, 2026 at approximately 10:55am, Certification Representative (CR) arrived at the facility for an unannounced visit. CR rang the bell, but no staff person was at the front desk or in the front office to answer. CR rang the bell an additional 8 times and knocked on the door before calling the facility's main number. There was no response to the door or phone. CR began ringing and knocking again for several minutes, with no response. During this time, CR Supervisor also called the facility's main number and an alternate number, with no answer or response. CR waited a total of twelve minutes before a staff person appeared in the front lobby, providing 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Pre-K 1 room, a play kitchen was observed to have a broken handle on its oven door.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the Pre-K room, the wooden backing of the L-shaped work area in the rear left corner of the room was pulling away from the wall, creating a potential pinch point.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the Infant 1 room, an infant was observed sleeping in a crib that did not have two feet of space on three 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the Pre-K 1 room, an area of peeling paint (approximately 5 inches wide) was observed on the windowsill in the rear left of the room.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Toddler 1 room, a play sink and stove located under the window was found not to be in good repair. Specifically, a long piece of the set separating the sink side from the stove side was loose, creating a potential hazard to children.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The Emergency Contact Form for Child #1 did not include information on the child's special needs; specifically, the portion of the form was not completed by the parent. (SEE LIS CODE SHEET)

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: 3270.131(b)(2)

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

Noncompliance Area: The file for Child #1, a pre-school aged child, included a recent Health Report which was more than 12 months old (dated 11/12/2024). (SEE LIST CODE SHEET)

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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The current health assessment on file for Staff Person #1 does not indicate that the staff person was examined for communicable disease.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The Financial Agreements and Emergency Contact Forms for Child #2 and Child #3 were dated more than six months apart. For both children, the updates were dated 2/21/2025 and 9/1/2025. (SEE LIS CODE SHEET)

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

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

Description: Age and Training

Noncompliance Area: The two most recent Pediatric First Aid and Pediatric CPR Trainings for Staff Person #3 were dated more than 24 months apart (1/21/2023 - 2/13/2025). (SEE LIS CODE SHEET)

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The last two Mandated Reporter Trainings for Staff Person #1 were dated more than 60 months apart (8/19/2019 - 6/7/2025). (SEE LIS CODE SHEET) The file for Staff Person #2 contained PA State Police Clearances that were dated more than 60 months apart (6/11/2020 - 7/8/2025). (SEE LIS CODE SHEET)

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent staff evaluation on file for Staff Person #2 was dated more than 12 months ago (11/20/2024). (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: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: In the Pre-K 1 room, a cabinet in the rear of the room contained two cans of Xtra Care Shave Cream and eight Dab-o-Ink Bingo daubers, all of which were marked "Keep Out of Reach of Children." Staff indicated that these items were used for arts and crafts activities with the children.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The First Aid Kit in the Toddler 2 room did not contain soap.

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: 3270.119

Description: Infant sleep position

Noncompliance Area: On 1/7/25, observed Child #1 sleeping in a bouncer in the Infant #1 Room.

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

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

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

Noncompliance Area: The file for Child #4, a Young Toddler, did not include an updated health report conducted within the past 6 months.

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

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

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

Noncompliance Area: The most recent health reports in the file for Child #7, a Preschool Child, exceeded 12 months between reports. The file for Child #3, an Older Toddler, did not include an updated health report conducted within the past 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed alcohol pads, which did not identify the name of the child for whom the medication was intended, in the first aid kits in the Infant #1 and Early Preschool #2 Rooms.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most recent health assessments in the file for Staff Person #3 exceeded 24 months between assessments. The initial health assessment/TB Screening in the file for Staff Person #4 was conducted more than one year prior to the staff person's first day working in child care and is not valid (See LIS Code Sheet).

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact form in the file for Child #1, who has been enrolled for more than 6 months, has not been updated by the parent. The first parent update for the emergency contact form in the file for Child #2 was more than 6 months after the child's first day in care. The most recent parent updates for the emergency contact form in the file for Child #5 exceeded 6 months between updates. The most recent parent updates for the emergency contact forms and fee agreements in the files for Child #3, 6, 7 and 8 exceeded 6 months between updates.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The most recent Child Abuse Clearances in the file for Staff Person #2 exceeded 60 months between clearances.

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

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

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

Noncompliance Area: The files for Staff Person #7 and #8 contained foreign degrees which had not been transcribed/evaluated by a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE).

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 most recent written evaluations in the files for #1, 3 and 5 exceeded 12 months between evaluations. The files for Staff Person #2 and 6 did not contain documentation of a written evaluation conducted within the past 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: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: The sink in the Infant #2 Room, which is currently being used by younger toddlers who can stand on their own, was not a proper height, nor was it easily approachable by means of a platform or steps.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: On 4/11/24, observed 5 cots in the Toddler 1 room which were in use and did not have 2 feet of space on three 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: 3270.111(c)

Description: Promote development

Noncompliance Area: Based on staff interviews, the staff in the preschool room have been instructed to require the children to remain on their mats for 3 1/2 hours, even though they were finished with their naps so as to maintain compliance with nap ratios.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Based on interviews with staff, staff have been instructed that the children may not get off their mats during naptime to use the restroom and some of the children have wet their pants.

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

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: Based on staff interviews, the most recent director is no longer employed by the facility and the facility has been without a director since approximately 4/5/24.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: ** Based on interviews at the facility, on 4/10/24, staff #1 was scheduled to be done at 3:45PM. At approximately 4:00 PM, staff #1 took her 7 preschool age children out to staff #2, who was on the playground with 8 preschool age children. Staff #1 provided staff #2 with her identification cards so that she could supervise those children and then she left. This left staff #2 alone with 15 PS age children for approximately 20 minutes. On 4/11/24, it was observed that code orange was called 2 times over the facility intercom. Based on interviews at the facility, code orange notifies administration that the room is over ratio. On 4/11/24, at approximately 10:15 AM, Staff #2 was alone with 11 PS age children for approximately five minutes. On 4/11/24, at approximately 8:30 AM, staff #1 was alone with 12 PS age children for approximately 15 minutes.

Correction Required: ** The required staff:child ratios must be maintained at all times. The legal entity shall monitor ratio in all childcare spaces and outdoor play spaces 3 times a week for a period of 3 months. The ratio checks will be documented. The documentation will include the date, time, staff person(s) present, number of children and age of children. The document shall be maintained on file at the facility for review by Certification Representative.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: * Based on interviews at the facility, on 4/10/24, staff #1 was scheduled to be done at 3:45PM. At approximately 4:00 PM, staff #1 took her 7 preschool age children out to staff #2, who was on the playground with 8 preschool age children. Staff #1 provided staff #2 with her identification cards so that she could supervise those children and then she left. This left staff #2 alone with 15 PS age children for approximately 20 minutes. On 4/11/24, it was observed that code orange was called 2 times over the facility intercom. Based on interviews at the facility, code orange notifies administration that the room is over ratio. On 4/11/24, at approximately 10:15 AM, Staff #2 was alone with 11 PS age children for approximately five minutes. On 4/11/24, at approximately 8:30 AM, staff #1 was alone with 12 PS age children for approximately 15 minutes.

Correction Required: * When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: *** Based on interviews at the facility, on 4/10/24, staff #1 was scheduled to be done at 3:45PM. At approximately 4:00 PM, staff #1 took her 7 preschool age children out to staff #2, who was on the playground with 8 preschool age children. Staff #1 provided staff #2 with her identification cards so that she could supervise those children and then she left. This left staff #2 alone with 15 PS age children for approximately 20 minutes. On 4/11/24, it was observed that code orange was called 2 times over the facility intercom. Based on interviews at the facility, code orange notifies administration that the room is over ratio. On 4/11/24, at approximately 10:15 AM, Staff #2 was alone with 11 PS age children for approximately five minutes. On 4/11/24, at approximately 8:30 AM, staff #1 was alone with 12 PS age children for approximately 15 minutes.

Correction Required: *** The required staff:child ratios must be maintained at all times. The Legal Entity will arrange for all staff and legal entity representatives to attend a minimum of 2 hours of online training on ratio. The training will be submitted to the regional office for approval prior to attendance. Proof of training will be submitted upon completion.

Regulation: 3270.61(h)(1)(i)

Description: Placement of rest equipment

Noncompliance Area: Based on staff interviews and observation of the preschool room, there are times that the preschool room which has a capacity of 19 is used for nap time and 20 cots have been in use in the room. The placement of the rest equipment does not allow for 2 feet of space on 3 sides as described at 3270.106(f).

Correction Required: The capacity established for an indoor space may be exceeded at naptime, when toddler or preschool children are resting on rest equipment. The capacity of the space is determined by the requirement for placement of rest equipment described at §  3270.106(f).

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: One of the toilets in the EPS 1 room is not flushing.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cracked bin and a cracked toy cup in the PS 1 room. There was a red cracked bin in the Infant 2 room. There was a clear cracked bin in the Toddler 1 room.

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

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: There was a highchair with missing straps in the infant 1 room.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.131(a)/3270.131(e)(3)

Description: Health information/Dismissal policy

Noncompliance Area: The file for child # 1contained a current health report that was obtained after 60 days following the first day of attendance at the facility. The child start date was 5/10/23 and the health report was dated 7/14/23. The file for child # 2 a preschooler lacked initial health report. The child has been in care longer than 60 days. start date 5/8/23. The file for child # 4 contained a current health report that was obtained after 60 days following the first day of attendance at the facility. The child start date was 6/20/23 and the health report was dated 10/31/23.

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 shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child # 2 must be dismissed from care by close of business 1/11/23and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child # 3 a preschooler lacked an updated Health Report. The previous report is dated. 9/9/22. The file for child # 5 a preschooler lacked an updated Health Report. The previous report is dated. 9/1/22.

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: 3270.133(1)

Description: Original container

Noncompliance Area: The Solus Cortel medication for child #7 lacked the original container.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: The EPI Pen for child # 6 was expired. The medication expiration date was 12/22/23.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for staff #1 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22.

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)

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

Noncompliance Area: The file for staff #2 contained a current health assessment dated 8/17/23. It was not obtained within 24 months of the previous assessment dated 5/21/21.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The rubber wall baseboard on the Early Learning PS 2 room was pulled off by the bathroom wall.

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(g)

Description: Clean and good repair

Noncompliance Area: There was urine in the boy's bathroom toilet in the Pre- K 1 room. There was toilet paper on the floor in the girl's bathroom in the Pre -K 1 room.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact form for child #1 was not present in the Pathway room where the child was receiving care.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Per staff statements, on 6/23/23, Child #1 was unintentionally left alone, asleep in a crib in Infant Room I for approximately 15 minutes at the end of the day when the staff in the room transitioned to Infant Room II.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Per staff statements, on 6/23/23, Child #1 was unintentionally left alone, asleep in a crib in Infant Room I for approximately 15 minutes at the end of the day when the staff in the room transitioned to Infant Room II.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: *Per staff statements, on 6/23/23, Child #1 was unintentionally left alone, asleep in a crib in Infant Room I for approximately 15 minutes at the end of the day when the staff in the room transitioned to Infant Room II.

Correction Required: *Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must create a written, active supervision policy statement that includes the following regulations: 3270.4 (definition of supervision), 3270.113 (Supervision of children). The policy should include the expectation and use of the child identification key cards, used at the facility. The policy must be approved by DHS. Each staff must review and sign the supervision policy and a copy of the policy shall be included in the child and staff handbooks.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: **Per staff statements, on 6/23/23, Child #1 was unintentionally left alone, asleep in a crib in Infant Room I for approximately 15 minutes at the end of the day when the staff in the room transitioned to Infant Room II.

Correction Required: **Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must create and implement a visual indicator to identify cribs that contain a napping child. The visual indicator must be approved by DHS.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Per staff statements, on 6/23/23, Child #1 was unintentionally left alone, asleep in a crib in Infant Room I for approximately 15 minutes at the end of the day when the staff in the room transitioned to Infant Room II.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: An Epinephrine Injection Pen, for a child in the Infant 2 Room, expired on 12/22.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two most recent Health Assessments in the file for Staff #1 exceeded the 24-month renewal requirement.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Based on a conversation with the provider, information was not provided to parents of each enrolled child, on how to access the regulations electronically.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During assessment of supervision and ratio in the PK 2 Room at 11:10 AM on 2/9/22, Staff #5 named 8 PS and Staff #12 named 6 PS. There were 15 children in the room at this time. When asked to name their groups again, Staff #5 named 9 PS and Staff #12 named 5 PS. Again, there were still 15 children in the room at this time.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for Child #5 and #7 contained emergency contact forms which lacked the work telephone numbers for the enrolling parents.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The files for Child #1 and #6 contained initial health reports dated more than 60 days after the enrollment date.

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)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for Child #5 contained consecutive health reports dated more than 6 months apart.

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(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The files for Child #2 and #3 contained records of immunization history which lacked current influenza vaccinations.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During described and observed diaper changes in the Infant, Tod 1 and Tod 2 Rooms, staff left the soiled diaper on the changer until completing the diaper change.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The files for Staff #1 and #9 contained consecutive health assessments dated more than 24 months apart.

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

Regulation: 3270.151(c)(1)

Description: Physical examination

Noncompliance Area: The file for Staff #11 contained a health assessment which lacked an indication that a physical examination was conducted.

Correction Required: An adult health assessment must include a physical examination.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: Notification of the location of the facility and program's use of pedestrian and vehicular routes around the child care facility.to local traffic safety authorities was not available at the time of inspection.

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: 3270.181(c)/3270.181(d)

Description: Emergency info/agreement updated 6 mos/Dated signature affixed

Noncompliance Area: The file for Child #1and #4 contained consecutive updates to the emergency contact form which were dated more than 6 months apart.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The observed emergency plan lacked accommodations for children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

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

Noncompliance Area: The file for Staff #3 contained 7 of the 12 required training hours between 12/19/20 and 12/19/21.

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

Regulation: 3270.31(f)(10)/3270.192(2)(iii)

Description: Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

Noncompliance Area: The files for Staff #3, #4 ,#7 and #8 contained documentation of certification in first-aid and CPR which were not listed as pediatric. The file for Staff #5 contained documentation of certification in CPR which was not listed as pediatric and lacked documentation of certification in pediatric first-aid.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation 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(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for Staff #6 and #10 lacked NSOR applications and contained NSOR clearances dated after the first day of employment in child care positions.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The boys' toilet in the PK 1 Room was observed to lack a handwashing sign.

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: Documentation of fire detection system testing contained dates of testing 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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During assessment of ratio and supervision on 1/10/22 at 9:00 AM in the Early PS Room, Staff #1 named 5 OT and Staff #2 named 4 OT. There were 10 children in the room at this time. When asked to re-name their supervisory groups, Staff #1 and #2 named the same children. When asked who was responsible for the unnamed child, staff realized who was missed and Staff #2 claimed that child in her group.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #1, a provisional hire whose file lacked a completed FBI and NSOR clearance, was observed working with children unsupervised on 12/17/21.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1-- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.