Red Apple Learning Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On the outside play space, deflated balls were observed to contain a black substance and not clean or in good repair. On the outside play space, a sit and spin contained a cracked handle, and not in good repair. On the outside play space, a toy fire truck contained peeling paint, and not in good repair. On the outside play space, a plastic bin was observed to be broken and not in good repair. In the Main Space, a plastic bin lid (lime green) was observed to be missing the handle, and not in good repair. In the Main Space, a baby doll was observed with a gray substance on the arms and legs and observed to not be kept clean. In the Main Space, the play kitchen was observed to contain a layer of an unknown substance and observed to not be kept clean.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the Main Space, trash bags were observed in an unlocked cabinet under the sink and accessible to children who are still placing objects in their mouths. In the Main Space, ripped book binds were observed and 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: 3270.108(b)

Description: Disposable discarded

Noncompliance Area: In the kitchen, disposable utensils were observed in the dish rack. Through conversation with Staff #4, it was determined that the disposable utensils were previously used.

Correction Required: Disposable cups, plates and eating utensils may be used if discarded after each use.

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: During the inspection, Staff #3 was observed using harsh language towards children and specifically aiming to degrade a child.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #3 lacked a child service report form. The most recent child service report form on file for Child #2 is dated 1/17/25, more than 6 months prior to the date of inspection. The most recent child service report form on file for Child #4 is dated 1/22/24, more than 6 months prior to the date of inspection.

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(b)/3270.182(8)

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

Noncompliance Area: The agreement forms on file for Child #1, Child #2, Child #3, Child #4, and Child #5 were the original, not a copy.

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: The emergency contact form for Child #5 lacked the enrolling parent's work address and work phone number.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for Child #5 lacked the child's health insurance policy number.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for Child #1, Child #2, Child #3, and Child #4 contained an emergency contact form that was not updated within 6 months of the previous update.

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(b)(2)/3270.182(1)

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

Noncompliance Area: The two most recent health report forms on file for Child #1 are dated 12/6/23 and 4/23/25, more than 12 months apart. The two most recent health report forms on file for Child #3 are dated 11/16/23 and 3/28/25, more than 12 months apart. The two most recent health report forms on file for Child #4 are dated 11/2/23 and 3/31/25, more than 12 months apart.

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: 3270.151(a)

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

Noncompliance Area: The two most recent health assessments on file for Staff #2 are dated 1/13/23 and 10/23/25, more than 24 months apart. The two most recent health assessments on file for Staff #3 are dated 8/23/23 and 11/4/25, 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: 3270.166(1)

Description: Written statement

Noncompliance Area: The facility lacked a feeding schedule from the parent for the enrolled infants.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #1, Child #3, and Child #4 contained an agreement form that was not updated within 6 months of the previous update.

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: Through observation and conversation with the Staff #4, child records are stored in a cabinet that is not locked.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The two most recent fire safety trainings on file for Staff #2 are dated 10/28/24 and 11/2/25, more than 12 months apart.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent Child Abuse clearances on file for Staff #1 are dated 11/3/20 and 11/7/25, more than 60 months apart.

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 #2 is dated 12/9/22, more than 12 months prior to the date of inspection.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On the outside play space, an electrical outlet was observed to lack a protective cover.

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: Method Glass Cleaner was observed on a desk in an unlocked office, and accessible to children. In the Main Space, Raid Insect Killer was observed in an unlocked cabinet under the sink, and accessible to children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On the outside play space, branches containing thorns were accessible to children and could cause injury. In the Main Space, ripped carpet was observed along the floor tile, and not in good repair. The floor tile in the Main Space and in the kitchen contained a layer of a dark substance and was observed to not be kept clean. The garbage cans in the Main Space and in the kitchen contained a layer of yellow and brown substances and was observed to not be kept clean. The bottom of the cabinets in the Main Space contained brown spots and was observed to not be kept clean.

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: In the Main Space, peeling paint was observed on the half wall to the right of the windows. In the Main Space, peeling paint/plaster was observed around the electrical outlet on the lime green wall.

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The facility's fire detection log most recently documented fire alarm test was dated 10/17/25, more than 30 days prior to the date of 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)).

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On the outdoor play space, a small basketball hoop net was observed to be ripped and not in good repair.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the bathroom, baby wipes, labeled " to avoid risk of choking and suffocation, keep wipes and bag away from children," were observed under the diapering area and accessible to children 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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 10:00am on 8/20/25, 3 children were not named in a group in the Main Room. Upon entering the Main Room, 18 total children were observed. Staff #1 identified 7 preschoolers, Staff #4 identified a combination of 4 young toddlers and older toddlers, and Staff #5 identified 4 infants, leaving 2 preschoolers and 1 older toddler not identified.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The Pediatric First Aid/CPR on file for Staff #3 is dated 11/13/24, more than 90 days after the date of hire.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent NSOR clearance on file for Staff #1 is dated 4/15/20, more than 60 months prior. The most recent State Police clearance and Child Abuse clearance on file for Staff #2 are dated 1/31/20, more than 60 months prior.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff #1 and Staff #2 -- may not work in a childcare position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On the outdoor play space, the fence to the left of the gate was observed to exposed sharp metal along the bottom.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The most recent documented date on the facility's fire drill log is dated 6/6/25, more than 60 days prior.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The most recent documented date on the facility's fire detection log is dated 7/10/25, more than 30 days prior.

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: In the Main Room in a toy box, a clear plastic bin was observed to be cracked on the bottom creating a potential pinch point.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The facility did not have the written plan of daily activities posted in the childcare space.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The file for Child #1 lacked an agreement form.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for Child #2, Child #3, and Child #4 contained an emergency contact form that was not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

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(b)(2)

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

Noncompliance Area: The file for Child #4, a preschool aged child, contained a health report form dated 12/8/23, more than 12 months prior.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: The facility did not have written feeding schedules, obtained from the parents, for enrolled infants.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #3 and Child #4 contained an agreement form that was not updated within 6 months of the previous update.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The provider did not have their current certificate of compliance posted in a conspicuous location used by parents.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 lacked a disclosure statement. The file for Staff Person #2 contained an FBI Fingerprint clearance dated 1/15/20, more than 60 months prior.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #2 -- may not work in a childcare position at the facility. 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 childcare position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Bingo Dabbers, labeled keep out of the reach of children, were accessible in an unlocked drawer in the main childcare 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: SECOND CITATION: PREVIOUSLY CITED ON 8/1/24. On a bookbag in the entrance area, a mini hand sanitizer labeled "Keep Out of the Reach of Children," was attached to the zipper and accessible to children.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In a bookbag in the entrance area, a tube of Boudreaux's Butt Paste and skin protectant cream labeled "Keep Out of the Reach of Children" was accessible to children.

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

Regulation: 3270.76/3270.82(g)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: In the bathroom, a toilet paper holder with exposed screws was accessible to children.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the bathroom, peeling paint and plaster were observed on the wall in the last stall.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: 2nd CITATION: PREVIOUSLY CITED ON 5/3/24. In the main room, small plastic french fries were observed to be less than 1 inch in diameter and 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: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 9:50 AM, Staff #1 and Staff #2 were observed in the main room of the facility with 11 children ranging from Infant to Preschool. At approximately 9:52 AM, Staff #3 returned to the main room, which corrected the noncompliance.

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: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: In the outside play space, a foam cushion with peeling plastic and a foam football with loose pieces less than one inch were accessible to children. In the bathroom, a plastic ring less than one inch in diameter was observed in the treasure box and was accessible to children. Paper books were observed with peeling edges less than one inch in diameter and were accessible to children who are still placing objects in their mouths.

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. 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Beads and rubber bands observed to be less than 1 inch in diameter were 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: 3270.105

Description: High Chairs

Noncompliance Area: A mini high chair in the eating area contained 2 of 3 safety straps.

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

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 file Staff #4 includes a health assessment (11/8/22) and tuberculosis screening (11/10/20), which are dated more than 12 months prior to hire (SEE IS 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: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: A copy of the letter and all inspection summaries issued by the Department were not posted in a conspicuous location used by parents.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #4 lacked Emergency Plan training within 90 days of hire (SEE IS CODE SHEET).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

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

Regulation: 3270.31(g)

Description: Professional development certificate

Noncompliance Area: The files for Staff #1 and Staff #2 contained the Health and Safety Basic Training 6 Hour Course dated after 6/30/18, and therefore lacked the 10 hour Get Started with Center-Based Care: Building Blocks for Quality.

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #3 contained a disclosure statement that lacked a date. The file for Staff #4 lacked a disclosure statement at date of hire (SEE IS CODE SHEET).

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A metal fence with sharp ends were accessible in the outdoor play space and could be harmful to children.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: A variety of toys and boxes were observed blocking an exit door obstructing the exit.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were not conducted every 60 days with the last documented fire drill dated 2/28/24.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm tests were not conducted every 30 days with the last documented fire alarm test dated 2/28/24.

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: 20.71(a)(7)

Description: Fraud or deceit in obtaining or attempting to obtain a certificate of compliance

Noncompliance Area: A health assessment for Staff #1 was submitted to the Certification Representative on 1/22/23 as a proof of correction. The health assessment for Staff #1, that was dated 12/13/23, is invalid after confirmation was received that Staff #1 was not seen in the office on 12/13/23 indicated on the health assessment form.

Correction Required: The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Empty plastic bags and empty garbage bags were observed in an unlocked cabinet accessible to children. Beads and rubber bands observed to be less than 1 inch in diameter were accessible to children who are still placing objects in their mouths.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Child #1, Child #4, and Child #5 lacked a child service report within 6 months from date of enrollment. (SEE LIS CODE SHEET). The file for Child #2 contained a child service report that was not dated. The most recent child service report in the file for Child #3 was dated 12/9/22, which is more than 6 months prior.

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: The financial agreement on file for Child #3 did not include the child's date of admission.

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: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The files for Child #2 and Child #3 contained the original copies of the financial agreement.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact Form for Child #2 and Child #3 lacked a complete address of the Physician or Medical Care Provider.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact Forms for Child Files #2 and Child #4 lacked the Enrolling Parent's Work Address and Work Phone Number.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The current emergency contact form on file for Child #1 and #2 does not indicate if the child has any special medical needs, which is needed 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(f)/3270.181(c)

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

Noncompliance Area: The file for Child #1 (8/18/22-11/8/23), Child #2 EC 11/2/22 FA 7/1/22), Child #3 (EC 11/2/22-11/7/23 FA 8/10/21-2/1/23), and Child #5 (EC 1/17/23-11/7/23) contained an emergency contact and financial agreement form that was not updated within 6 months of the previous update.

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(b)(2)

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

Noncompliance Area: The two most recent health assessments on file for Child #3, who is a preschool aged child, are dated 8/6/21/ & 11/22/23, more than 1 year apart.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #1, a 3 year old, included 3 of 4 polio vaccine recommended by the ACIP for a child this age. The most recent influenza vaccination on file for Child #1, who is 3 years old, is dated 8/19/21, more than 1 year ago, as is recommended annually by the ACIP. The immunization record on file for Child #2, a 5 year old, included 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #4, a 7 month old, included 1 of 3 rotavirus, DTAP, HIB, an pneumococcal vaccines and 1 of 2 polio vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #5, a 14 month old, included 2 of 3 rotavirus, DTAP, HIB, and pneumococcal vaccines recommended by the ACIP for a child this age. The file for Child #5 did not contain documentation of an influenza vaccination or a written, signed exemption letter. Child #1, Child #2, Child #4, and Child #5 must be dismissed from care by close of business on 11/14/23, and may only return to care when the immunization record is update or when a parent provides a written, signed exemption letter.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment policies were not available at the time of the inspection. The facility files lacked Continuity of Operations added to the Emergency Plan. The files for Staff #2 and #3 lacked completion of the UPDATED 1 Hour Health and Safety Training on or before 12/30/2022.

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(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The most recent health assessment in the file for Staff #1 is dated 10/22/21, more than 24 months prior.

Correction Required: An adult health assessment must include a physical examination. 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)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: A health assessment for Staff #1 was submitted to the Certification Representative on 1/22/23 as a proof of correction. The health assessment for Staff #1, that was dated 12/13/23, is invalid after confirmation was received that Staff #1 was not seen in the office on 12/13/23 indicated on the health assessment form.

Correction Required: An adult health assessment must include a physical examination. 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: 3270.18(a)

Description: On file at facility

Noncompliance Area: The facility was unable to provide a copy of the liability insurance during the inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Documentation of an emergency drill held in the past 12 months was not available 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: The observed emergency plan had not been updated in the past 12 months.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #1 lacks documentation of Emergency Plan training on an annual basis.

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(e)

Description: Letter to parents

Noncompliance Area: The facility's emergency plan was observed to not include a letter to parents explaining the emergency procedures for the following topics: shelter and lockdown, evacuation, method to contact parents during an emergency, method to inform parents the emergency has ended and instructions on how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities and 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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility files lacked evidence of the Emergency Plan and subsequent plan updates being sent to the local municipality and County Emergency Management Services.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

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

Noncompliance Area: The file for Staff #3 lacked documentation of an updated Mandated Reporter Training. The last training was dated: 2/3/2016. (See LIS Code Sheet)

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

Regulation: 3270.32(a)/3270.192(3)

Description: Comply with CPSL/Health assessment, TB test

Noncompliance Area: The file for Staff #1 lacked a Disclosure Statement.

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 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #4 did not contain documentation of application of a PA Child Abuse or NSOR clearance prior to date of hire (SEE LIS CODE SHEET) required for provisional hiring under CPSL. Staff #4 must be removed from the facility by end of business on 11/14/23 and can only return once all complete clearances are received.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the unlocked staff bathroom, it was observed a bottle of leave-in conditioner and detangler which was labeled, "Keep out of the reach of children" was accessible to children on the top of a lower cabinet.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: A variety of toys and boxes were observed blocking an exit door obstructing the exit.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were not conducted every 60 days (5/10/23-7/11/23, 7/11/23-9/12/23) with the last documented fire drill dated 9/12/23.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm tests were not conducted every 30 days (1/12/23-2/31/23, 3/13/23-4/14/23, 5/10/23-6/12/23, 7/11/23-9/12/23) with the last documented fire alarm test dated 10/10/23.

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: A basketball hoop on the playground was appeared to have a cracked base, causing a rough edge.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Glitter with a diameter of less than 1 inch was observed in an unlocked low cabinet, accessible to children who may still be placing objects in their mouth.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: An unsecure VHS/DVD player was observed on a low shelf under the TV, which could be pulled down by a child.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

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

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The file for Child #5 contained an agreement which lacked the release persons for the child.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The files for Child #2 and #4 contained agreements which lacked the children's enrollment dates.

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

Regulation: 3270.124(b)(1)

Description: Child's name, birth date

Noncompliance Area: The file for Child #1 contained an emergency contact form which noted an incorrect birthdate for the child.

Correction Required: Emergency contact information must include the name and birth date of the child.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for Child #3 contained an emergency contact from which lacked the work telephone number of the enrolling parent.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the child care room.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The files for Child #2 and #3 contained most recent health reports dated more than 12 months in the past.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #3 contained record of immunization history which lacked a current influenza vaccination. The file for Child #4 lacked record of immunization history.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The files for Staff #1 and #2 contained consecutive health assessments dated more than 24 months apart. The file for Staff #5 contained a most recent health assessment which was dated more than 24 months in the past. The file for Staff #6 contained an initial health report dated after the first day of employment. The file for Staff #7 lacked an initial 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.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for Staff #6 contained an initial tuberculosis screening by the Mantoux method which was dated after the first day of employment. The file for Staff #7 lacked an initial tuberculosis screening by the Mantoux method.

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.