Rainbow Dreams

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A child service report was not completed for child #5 in the last 6 months.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement for child #4 did not specify the child's departure time.

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

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The facility retained the original agreement for child #4 and #5.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for child #1 did not include the parent's home and work telephone numbers. Emergency contact information for child #3 did not include the parent's work telephone number.

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: Emergency contact information for child #4 did not include the 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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #3 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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 record for child #2, #3 and #5 did not include the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The financial agreement and emergency contact information for child #1 was not reviewed and updated by a parent at least once in a 6-month period between 5/2/2024 to 6/9/2025.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The record for child #3 and #4, who have been enrolled more than 60 days, lacked an initial health report.

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

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

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

Noncompliance Area: The record for child #1, #2 and #5, who are preschool children, included a current health report dated more than 12 months following the date of their previous health report.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: In room 1, soiled disposable diapers were discarded in a plastic-lined, covered can that was not hands-free.

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)/3270.192(3)

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

Noncompliance Area: The record for staff #1 and #2 included a current health assessment dated more than 24 months following the date of their previous health assessment.

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: 3270.182(5)

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

Noncompliance Area: The record for child #4 did not contain 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Documentation of an emergency drill conducted within the last 12 months was not on file at the facility.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff person #1 did not complete an annual minimum of 12 clock hours of child care training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff #2 lacked a current NSOR Verification Certificate.

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 work in a child care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system was not tested at least once every 30 days during the following time periods: 8/14 to 9/18/2024; 10/18 to 11/20/2024; 5/9 to 6/9/2025; and 6/9 to 7/10/2025.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A written plan of daily activities was not posted in room #3 and #4.

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

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

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

Noncompliance Area: Emergency contact information for child #4 did not include the 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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #3 did not include policy number for a child under a family policy or Medical Assistance benefits, if applicable. The emergency contact information for child #4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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

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

Noncompliance Area: The record for child #1, a preschool child, did not contain a current health report. The record for child #2, a preschool child, contained a current health report dated more than 12 months following the date of their previous health report.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff person #4 was observed diapering a child in room #2 and did not wash the child's hands after being diapered.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The record for staff #2 included a current health assessment dated more than 24 months following the date of their previous health assessment.

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: 3270.182(5)

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

Noncompliance Area: The record for child #4 did not contain 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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The record for staff #1-6 included verification of their participation in fire safety training on 9/12/2023, which was more than 12 months following the date of their previous participation in fire safety training on 8/4/2022.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person/facility person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 8/5/2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person/facility person #2 will have until 8/29/2024 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff #3 included a current state police clearance dated 7/2/2024, which was more than 60 months following the date of their previous clearance dated 3/8/2018.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 8/13/2024, staff #1 was observed supervising a group of 14 children of mixed age levels in room #1 at approximately 1 PM and when staff #1 was asked to name their assigned supervision group, they identified 1 younger school age child and 13 older school-age children.

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).

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: There was a large gap under a section of the chain link fence surrounding the outdoor play space where the ground surface had washed away.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Protective receptacle covers were not placed in 2 electrical outlets in a 3-prong adapter that was plugged in by the water fountain in the outdoor play space.

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: A bottle of hand sanitizer, labeled keep out of the reach of children, was sitting on a shelf by the television in the gross motor room, accessible to children in care.

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(b)

Description: Inaccessible to children

Noncompliance Area: There were 2 excursion bags containing first-aid kits hanging on the inside of the fence surrounding the outdoor play space, accessible to children in care.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Water stains were observed on 4 ceiling tiles in the gross motor room and 1 ceiling tile in the bathroom off the gross motor room. A drain grate was protruding from the ground right outside the door used to access the outdoor play space and on the hillside where children walk to the upper section of outdoor play space, which posed a potential tripping hazard for children in care. A piece of plywood with splintering edges was being used to cover a drain on the ground in the outdoor play space, which posed a potential hazard for children in care.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed on the exterior of the building by the back door, accessible to children using the outdoor play space.

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

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: A sink in room #2 was not at a proper height for the children using it and a platform or steps was not being used for it to be easily approached.

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: 3270.94(a)(3)

Description: Various activity times

Noncompliance Area: Fire drills were not conducted during various program activities.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted during various program activity times.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection devices were not tested at least once every 30 days during the following time periods: 8/15 to 9/15/2023; 10/16 to 11/17/2023; 12/19/2023 to 1/19/2024; 1/19 to 2/19/2024; 3/19 to 4/19/2024; and 5/17 to 6/17/2024.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There were (2) stuffed animals that had parts with a diameter of less than 1 inch and were labeled for children ages 3 and up observed in room #1 and #2, 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: 3270.131(b)(1)/3270.182(1)

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

Noncompliance Area: The record for child #1, an infant, lacked a current health report.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #1-#8 did not complete the Pennsylvania Health and Safety Professional Development Update 2022, as required per Announcement C-22-06. The facility's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the prevention and identification of child maltreatment, as required per Announcement C-22-03.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The record for staff #1, #3, #4 and #6 included a current health assessment dated more than 24 months following the date of their previous health assessment.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not 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.

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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Written notification of safe routes were not posted by the operator in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.182(7)

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

Noncompliance Area: Based on a conversation with staff, it was determined that reports of accidents, injuries and illnesses involving children in care at the facility were not retained in the children's files.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not 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.

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)(6)

Description: Emergency plan

Noncompliance Area: There was no documentation of an annual emergency drill on file at the facility.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: An annual review of the emergency plan was not documented in writing and kept on file at the faciliy.

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: The record for staff #1, #2, #4, #5, #6, #7 and #8 lacked documentation that they received annual training regarding the emergency plan.

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: 3270.27(d)

Description: Plan posted

Noncompliance Area: The operator did not post the emergency plan in the facility.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The operator provided a letter to the parent of each enrolled child explaining the emergency procedures that did not include the following subsequent updates: the lockdown procedure and accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff #1-#8 did not participate, at least annually, in fire safety training.

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: Staff person #2 and #6, who have worked in a child care position at the facility for more than 90 days, have not completed the CCDBG health and safety professional development training as listed in subsections (f)1-10 (see LIS code sheet).. Staff #2 completed Health and Safety Basics: Requirements for Certification on 8/16/2016, which was not an accepted training prior to 9/30/2016. Staff #6 completed Health and Safety Basics: Requirements for Certification on 7/24/2019, which was not an accepted training after 6/30/2018.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #2 and #6 will have until 10/3/2023 to complete the required training. Until such time as the required training has been completed, staff person #2 and #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2 and #6, then staff person #2 and #6 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #1 completed mandated reporter training on 7/12/2023, more than 60 months following the completion of their previous training on 3/16/2018. Staff #5 did not complete mandated reporter training within 90 days of their hire (see LIS code sheet). Staff #7 completed mandated reporter training on 10/25/2020, more than 60 months following the completion of their previous training on 6/4/2015.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #5 will have until 10/3/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person/facility person #5 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 #5, then staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff #1 included a current state police clearance dated 5/30/2023, more than 60 months following their previous clearance dated 12/2/2017; a current child abuse clearance dated 6/4/2023, more than 60 months following their previous clearance dated 12/2/2017; and a current FBI clearance dated 7/17/2023, more than 60 months following their previous clearance dated 12/26/2017. The record for staff #4 included a current state police clearance dated 5/31/2023, more than 60 months following their previous clearance dated 3/8/2018 and a current FBI clearance dated 5/31/2023, more than 60 months following their previous clearance dated 3/6/2018.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The director did not complete a minimum of one written evaluation of staff #1, #2, #5, #6, #7 and #8 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: An open bag of fertilizer labeled keep out of the reach of children was observed in the outdoor play space.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The following visible hazards were observed in the outdoor play space: chicken wire that being used to prevent children from accessing the electrical components of the central air conditioning unit had sharp and pointy edges; a stake used to anchor a sun shelter was protruding from the ground and (3) stakes used to anchor the merry-go-round were protruding from the ground.

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(e)

Description: Toilet and sinks proper height

Noncompliance Area: A sink in room #1 was not at a proper height for the children using it and unable to be easily approached 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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted at a toilet in the bathroom and at a sink in the preschool area of room #1.

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: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: A source of running water was not present by the changing table in the toddler area of room #1.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Fire detection devices were not tested at least once every 30 days during the periods from 8/1 to 9/16/2022; 10/6 to 11/18/2022; and 6/8 to 7/26/2022.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were metal ground stakes protruding from the base of play equipment (a car and two airplanes) in the outdoor play space.

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(f)/3270.181(c)

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

Noncompliance Area: A parent did not review the emergency contact information for child #1 since 12/22/2021.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The record for staff #1 included a current health assessment dated more than 24 months prior to the date of their previous health assessment.

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

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The initial health assessment for staff #2 did not include the results of a tuberculin skin test.

Correction Required: 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. 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: A parent did not review the financial agreement for child #1 since 12/22/2021.

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: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: Child records were not stored in a locked cabinet.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.193(a)

Description: Confidential; stored in locked cabinet

Noncompliance Area: Facility persons' records were not stored in a locked cabinet.

Correction Required: Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: An emergency drill was not conducted annually during the period between 12/19/2020 to 8/16/2022.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The operator did not post the emergency plan in the facility.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff persons did not participate, at least annually, in fire safety training during the period between 10/1/2020 to 8/4/2022.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The director did not complete a minimum of one written evaluation every 12 months of all existing staff persons (#1 and #3-7) during the period between 1/6/2021 to 3/18/2022.

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: 3270.64

Description: Outside Walkways

Noncompliance Area: A drainage grate was protruding from the ground in the middle of the walkway used by children access to the upper level of the outdoor play space and it posed a potential tripping hazard for them.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.