Salem Crossroads Day Care Inc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A cracked bin with a potential pinch point was observed in Classroom 5.

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: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement for Child #1 lacked the admission date.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The file for Child #4 was observed to contain an original agreement.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #3 lacked the address and telephone number of the physician listed.

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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for Child #1 lacked the policy number for the child's health insurance coverage.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms for Children #2 and #6 lacked the addresses for the release persons listed.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The emergency transportation plan was not posted in Classroom 5.

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 updates to the health reports on file for Child #4, a preschool age child, exceeded 12 months between reports dated 4.1.24 and 2.25.26.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: An expired bottle of Children's Motrin was observed in the medication box in Classroom 5.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The health reports on file for Staff Person #3 exceeded 24 months between examinations dated 1.22.23 and 2.1.25. The health reports on file for Staff Person #5 exceeded 24 months between examinations dated 4.20.23 and 9.12.25.

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(4)

Description: Bottles labeled

Noncompliance Area: Two unlabeled bottles, intended for an infant in care, were observed in the refrigerator in Classroom 1.

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

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: A copy of the current liability insurance policy was not on file at the time of the inspection. The most recent policy on file expired on 4.6.26.

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: 3270.182(3)/3270.182(5)

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

Noncompliance Area: The emergency contact form for Child #5 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid by facility staff.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The updates to the emergency plan training on file for Staff Person #4 exceeded 12 months between trainings on 1.6.25 and 7.22.26. The updates to the emergency plan training on file for Staff Person #5 exceeded 12 months between trainings on 8.2.24 and 12.29.25.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #3 lacked 1.5 of their 12 hours of annual training during their respective training year of December 2024-December 2025.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff Person #4 lacked completion of annual fire safety training within 12 months of starting at the facility. The fire safety training was completed 475 days after starting at the facility.

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 disclosure statement on file for Staff Person #1 lacked a witness signature. The mandated reporter trainings on file for Staff Person #2 exceeded 60 months between trainings dated 6.10.21 and 7.13.26.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility until an updated disclosure statement is on file.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff Person #4 lacked a written staff evaluation within 12 months of starting at the facility. The written staff evaluation was completed 465 days after their start date at the facility.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water at the restroom sinks and the sink in Classroom 6 were observed to measure at 116.5° F.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The fencing surrounding the outdoor Toddler Play Space was observed to have sharp edging around the bottom of the fencing.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A hand-washing sign was missing from the sink at the changing area in Classroom 4 and at the changing table in the restroom.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 10:40am, 18 children were observed in the preschool classroom. When asked to identify their primary supervision groups, staff #1 identified 10 preschool age children and staff #2 identified 9 preschool age children, which included a child outside the classroom in the hallway area with 2 non-facility persons. Staff #2 is unable to effectively supervise a child that is not in the same child care space as the staff person.

Correction Required: TIER 1: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. This portion of the plan will have an immediate correction date. TIER 2: The Legal Entity will develop a policy to ensure proper supervision of children who receive care or services from a third-party entity. Once the policy has been created, it will be submitted to the regional office for review. Once reviewed by the regional office, current staff will read and sign off on receiving the policy. The policy will be added to the staff handbook. The Legal Entity will submit the handbook and staff acknowledgement forms to the department within 5 business days of completion. This portion of the plan will have a date within 5 business days of completion. TIER 3: The month following the completion of Tier 2, the Legal Entity will convene a staff meeting and require all staff to be in attendance to discuss the policy in Tier 2. Attendance sign-in sheets will be submitted to the regional office within 5 business days of completion. This portion of the plan will have a date within 5 business days of completion. TIER 4: After the completion of Tier 3, all staff will attend an in person "active supervision" training. The training must be approved by the regional office prior to participation. Attendance sign-in sheets will be submitted to the regional office within 5 business days of completion. This portion of the plan will have a date within 5 business days of completion. TIER 5: The month following the completion of Tier 4, all staff will participate in a follow-up staff meeting to review the contents of the training from Tier 4 and discuss active supervision strategies. Attendance sign-in sheets will be submitted to the regional office within 5 business days of completion. This portion of the plan will have a date within 5 business days of completion.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 10:40am, 18 children were observed in the preschool classroom. When asked to identify their primary supervision groups, staff #1 identified 10 preschool age children and staff #2 identified 9 preschool age children, which included a child outside the classroom in the hallway area with 2 non-facility persons. Staff #2 was not physically present with the child in the hall. There was not a Transfer of Care plan for the child in the hall on file.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on interviews with staff, Staff #3 has been handsy with children including picking a child up and pushing them into a chair by their arms as they were being disciplined.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Based on interviews with staff, Staff #1 put a 2-year-old child in a restroom stall then closed the door telling the child they need to use the bathroom. The child is not currently potty training at home or at the facility. Children have asked Staff #1 to use the restroom and were told they needed to wait. While waiting 2 children relieved themselves in their clothes.

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.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Based on interviews with staff, Staff #1 has been heard inappropriately yelling and screaming at children in the classroom and while in the restroom which would scare the children and make some staff uncomfortable. The tone of Staff #2 had been described as harsh, angry, demeaning and nasty.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Based on staff interviews, Staff #1 placed a 2-year-old child in a restroom stall and closed the door telling the child they need to use the bathroom. The child is not currently potty training at home or at the facility. Based on staff interviews, when children have been on their mats for rest time, staff have placed their legs over children to prevent them from moving.

Correction Required: TIER 1: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. This portion of the plan will have an immediate correction date. TIER 2: After staff have completed the staff meeting regarding supervision, all staff will participate in a training focused on managing staff emotions. This training requires prior approval from the regional office. Once approved and conducted, the sign-in sheet must be submitted to the regional office within 5 business days of completion. This portion of the plan will have a date within 5 business days of completion. TIER 3: The following month after Tier 2 is completed, all staff are required to attend a staff meeting to review and discuss the training on managing staff emotions. Attendance will be documented and submitted to the regional office within 5 business days of completion. This portion of the plan will have a date within 5 business days of completion.

Regulation: 3270.162(c)

Description: Not withheld as discipline

Noncompliance Area: Based on interviews with staff, Staff #1 utilizes a timer for lunch. If a child has not finished eating when the timer expires, their food is either packed up and put away or thrown in the trash, regardless of whether the child is still hungry or eating. Based on interviews, the practice for putting away or throwing away uneaten food was viewed as punishment for not finishing with eating by the time the timer went off.

Correction Required: Food may not be withheld from a child for purposes of discipline.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in Classroom 6 lacked an operable thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 9:10am in Classroom 3, Staff Person #12 reported that they, and Staff Person #6, had 21 children in the classroom. It was reported 20 were present in the classroom and 1 was in the restroom. The restroom is located across the entrance area and is not a part of the classroom. Staff Person #6 reported that the child in the restroom had returned to the classroom already. Cert Rep asked Staff Person #12 if the child had been with another staff person in the restroom or if they were alone. Staff Person #12 reported that the facility has allowed school age children to use the restroom in the hallway without a staff person being present. This practice does not allow for a staff person to be able to see, hear, direct and assess the child for appropriate supervision as they are not in the vicinity of the restroom.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 9:10am in Classroom 3, Staff Person #12 reported that they, and Staff Person #6, had 21 children in the classroom. It was reported 20 were present in the classroom and 1 was in the restroom. The restroom is located across the entrance area and is not a part of the classroom. Staff Person #6 reported that the child in the restroom had returned to the classroom already. Cert Rep asked Staff Person #12 if the child had been with another staff person in the restroom or if they were alone. Staff Person #12 reported that the facility has allowed school age children to use the restroom in the hallway without a staff person being present. This practice does not allow for a staff person to be physically present with the child as they are not in the vicinity of the restroom and providing care to other children in a separate classroom.

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Certification Representative entered Classroom 2 at approximately 9:33am. A young toddler was observed to be seated in a bucket table seat while the other 9 children in the group were in the play area. Staff Person #13 was observed to ask the child if they were ready to play nicely with their friends. Certification Rep confirmed that the child has been placed in the bucket table seat for time out purposes. Certification Rep addressed with Staff in the classroom that this is considered restraint and not permitted.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement form for Child #2 lacked the date of admission.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #1 lacked the work address and 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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent immunization record on file for Child #3 lacked verification that the child had received the ACIP recommended Polio, Varicella and MMR vaccinations. A written exemption was not on file at the time of the inspection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 will be dismissed at the close of business on 1.23.26.

Regulation: 3270.131(d)(7)/3270.131(d)(8)

Description: Free from contagious/communicable disease/Age appropriate screenings complete

Noncompliance Area: The most recent health report on file for Child #1 lacked information that the child is able to participate in child care, free from contagious illnesses, and that they have received all age-appropriate screenings recommended by the AAP.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A hands-free garbage can was missing from the changing table in Classroom 1. The garbage can in place was not hands-free and did not allow for appropriate disposal of soiled diapers.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The updates to the health examinations on file for Staff Person #5 exceeded 24 months between assessments dated 4.18.23 and 6.16.25. The updates to the health examinations on file for Staff Person #7 exceeded 24 months between assessments dated 6.1.23 and 1.8.26. The updates to the health examinations on file for Staff Person #8 exceeded 24 months between assessments dated 4.12.23 and 9.10.25.

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 tuberculosis screening on file for Staff Person #3 was completed in excess of 12 months prior to starting in a child care taking position. The tuberculosis screening on file was completed 484 days prior to starting in a child care taking position.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #10 lacked one of their two written, nonfamily references from individuals attesting to their suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A packing tape dispenser was observed on a desk accessible to children receiving care in Classroom 6. The dispenser was observed to have a sharp edge for cutting the tape and created a risk to children. A pair of adult scissors were observed in an unlocked desk drawer accessible to children receiving care in Classroom 3.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #11 lacked verification that they had completed emergency plan training within the last 12 months. The most recent emergency plan training was dated 5.21.24.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person's #4 and #6 lacked 7.5 hours of annual child care training in their respective training year of 12.2024 to 12.2025. The file for Staff Person #11 lacked 12 hours of annual child care training in their respective training year of 6.2024 to 6.2025.

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

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

Description: Age and Training

Noncompliance Area: The file for Staff Person #11 lacked current Pediatric First Aid and CPR training. The most recent Pediatric First Aid and CPR training expired in October 2025.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff Person #11 lacked verification that they had completed annual fire safety training within the last 12 months. The most recent fire safety training on file was dated 5.25.24.

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: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: The files for Staff Person #3 and #9 lacked verification that they had completed the required Pediatric First Aid and CPR training within 90 days of their hire date. The Pediatric First Aid and CPR training on file for Staff Person #3 was completed 211 days after their hire date. The Pediatric First Aid and CPR training on file for Staff Person #9 was dated 194 days after their hire date.

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The updates to the PA State Police and FBI Clearances, and NSOR Certificates on file for Staff Person #1 exceeded 60 months between updates. This is evidenced by PA State Police Clearances being dated 10.30.20 and 1.8.26, FBI Clearances being dated 11.12.20 and 1.8.26 and NSOR Certificates being dated 1.8.21 and 1.12.26. The updates to the mandated reporter training for Staff Person #1 exceeded 60 months between trainings dated 11.2.20 and 1.9.26. The file for Staff Person #3 lacked a PA Child Abuse Clearance for employment purposes. The PA Child Abuse Clearance on file for Staff Person #3 was completed for volunteer purposes and not acceptable for employment in a child care position. The updates to the PA State Police and PA Child Abuse Clearances on file for Staff Person #4 exceeded 60 months between updates. This is evidenced by PA State Police Clearances being dated 12.29.20 and 1.6.26 and PA Child Abuse Clearances being dated 12.30.20 and 1.6.26. The file for Staff Person #6 lacked a complete updated PA State Police Clearance and a current FBI Clearances. A complete PA State Police Clearance was not on file until 1.23.26. The prior PA State Police Clearance was dated 1.14.21. The most recent FBI Clearance on file was dated 1.18.21. The updates to the PA State Police, PA Child Abuse and FBI Clearances and the NSOR Certificate for Staff Person #8 exceeded 60 months between updates. This is evidenced by PA State Police Clearances being dated 8.5.20 and 9.17.25, PA Child Abuse Clearances being dated 8.7.20 and 9.25.25, FBI Clearances being dated 8.13.20 and 1.7.26 and NSOR Certificates being dated 11.6.19 and 1.22.25. The updates to the mandated reporter trainings on file for Staff Person #8 exceeded 60 months between trainings dated 2.1.20 and 2.8.25. The file for Staff Person #9 lacked a completed NSOR Certificate prior to starting in a child care taking position. A completed NSOR Certificate was not on file until 4 days after starting in a child care taking position. Verification that they had requested their FBI Clearance prior to starting and a completed FBI Clearance was not on file until 221 days after starting. The updates to the PA Child Abuse and FBI Clearances and NSOR Certificate for Staff Person #10 exceeded 60 months between updates. This is evidenced by PA Child Abuse Clearances dated 10.1.20 and 10.9.25, FBI Clearances dated 9.28.20 and 1.8.26, and NSOR Certificates dated 1.8.21 and 1.12.26. The updates to the mandated reporter trainings on file for Staff Person #10 exceeded 60 months between trainings dated 10.4.20 and 1.8.26. The disclosure statements on file for Staff Persons #2, #3 lacked a witness signature. The disclosure statement on file for Staff Person #9 lacked a date.

Correction Required: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #3 and #6 may not work in a child care position at the facility. This part of the plan will have an immediate correction date. 2. Operator will develop a physical tracking form that will be posted in the office to track all required CPSL requirements for all Facility Persons. The form will be submitted to Certification for approval prior to implementation. Operator will provide a correction date for this part of the plan. 3. Operator will designate one person in management to ensure the chart is reviewed at a minimum of once per month. Operator will provide a correction date for this part of the plan.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff Person #11 lacked a written evaluation within 12 months of their hire date. A written staff evaluation was not on file until 503 days after their hire date.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 9:10am in Classroom 3, Staff Person #12 reported that they, and Staff Person #6, had 21 children in their classroom. It was reported 20 were present in the classroom and 1 was in the restroom. The restroom is located through the entrance area and is not a part of the classroom. Staff Person #6 reported that the child in the restroom had returned to the classroom already. Cert Rep asked Staff Person #12 if the child had been with another staff person in the restroom or if they were alone. Staff Person #12 reported that the facility has allowed school age children to use the restroom in the hallway without a staff person being present. This practice does not meet the staff:child ratio requirement as a staff person would not be with the child in the vicinity of the restroom.

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

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: At approximately 9:10am, Staff Persons #6 and #12 reported and were observed by Cert Rep to be caring for 21 school age children in Classroom 3. The classroom has a measured capacity of 19 children. An exception was not posted at the time.

Correction Required: 1. The capacity established for an indoor space may not be exceeded except in situations described in § 3270.61(h)(1-3) This part of the plan will have an immediate correction date. 2. Operator will post the capacity of each classroom in a conspicuous location visible to all staff. Operator will provide a correction date for this part of the plan. 3. Operator will post a chart conspicuously in each classroom that includes permanent lines/spaces equal to the measured maximum capacity of the classroom. As children enter the classroom, Staff will write the child's name on a line. This will serve as a visible reminder that they cannot accept children once the maximum capacity has been reached. Operator will provide a correction date for this part of the plan.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A piece of splintering wood and two exposed nails were observed on a climbing structure in the open outdoor play space. Three exposed bolts were observed on the fence near the gate to enter the fenced in outdoor play space.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Classroom 5, four mats were observed to be in disrepair causing the inside foam to be exposed. In Classroom 6, two mats were observed to be in disrepair causing the inside foam to be exposed.

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 written plan of daily activities was not posted in Classroom 3 (School Age).

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreements on file for Children #1 and #2 lacked an Operator signature.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for Child #1 lacked a fee amount.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for Child #7 lacked the arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The current agreement on file for Child #6 lacked the designated release persons.

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 agreements on file for Children #1 and #5 lacked a date of admission.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #2 lacked the addresses and telephone numbers for two of the release persons listed.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: An emergency contact form was missing for one child receiving care in Classroom #2 and one child receiving care in Classroom #4.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for Child #8, a school-ager, lacked an initial health report and the child has exceeded 60 days since their first day of attendance on 8.10.20.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for Child #3, an older toddler, lacked a current health report. The most recent health report was dated 10.9.23. The file for Child #4, a preschooler, exceeded 12 months between health reports completed on 1.11.22 and 7.31.24.

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 file for Child #5 lacked an immunization record for the child and they have exceeded 60 days since their first day of attendance at the facility (refer to LIS code sheet). A completed immunization record was not on file until 146 days in care. The file for Child #3 lacked verification that the child had received their 15--18-month DTAP vaccination. A written exemption was not on file at the time of the inspection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 will be dismissed from care at close of business on 1.28.25.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: One expired Ibuprofen was observed in the medication box in Classroom 5. One expired Motrin and one expired Ibuprofen were observed in the medication box in Classroom 6.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: In Classroom 3, written consent from the parent was missing for a prescription Nayzilam intended for a child in care in the event of an emergency medical situation. In Classroom #5, written consent from the parent was missing for an opened Ibuprofen intended for a child in care.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.151(a)

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

Noncompliance Area: The files for Staff Person's #1 and #5 lacked a current health assessment. The most recent health assessment on file for Staff Person #1 was dated 3.17.22 and the most recent health assessment on file for Staff Person #5 was dated 2.4.22.

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)(3)

Description: Exam communicable disease

Noncompliance Area: The current health assessment on file for Staff Person #3 lacked information that an examination for communicable diseases had been completed and the results of that examination.

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

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: The emergency contact form for Child #5 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid by facility staff.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The updates to the State Police, Child Abuse and FBI clearances on file for Staff Person #2 exceeded 60 months between update. This was evidenced by State Police clearances dated 11.27.18 and 1.8.24, Child Abuse clearances dated 11.28.18 and 1.9.24, and FBI clearances dated 11.29.18 and 1.5.24. The updates to the Mandated Reporter training for Staff Person #2 also exceeded 60 months between 4.23.19 and 12.16.24. The updates to the Child Abuse clearances on file for Staff Person #4 exceeded 60 months between clearances dated 10.8.18 and 1.4.24. The updates to the NSOR Certificates on file for Staff Person #6 exceeded 60 months between NSOR certificates dated 11.6.19 and 1.22.25. The updates to the FBI clearances on file for Staff Person #7 exceeded 60 months between clearances dated 8.1.19 and 1.2.25.

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

Regulation: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: A portable space heater was observed in the staff office at the facility.

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The facility has exceeded 60 days since their most recent fire drill was completed on 11.6.24.

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: 3270.113(d)

Description: No harsh language

Noncompliance Area: Based on consistent interviews with staff, it has been determined that Staff Person #1 has used harsh language towards children receiving care at the facility. This included behaviors described as "yelling" and "screaming" at the children.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: At approximately 10:05am, 19 preschool age children were observed to be receiving care in Classroom #4. The classroom has a measured capacity of 17 children.

Correction Required: The capacity established for an indoor space may not be exceeded.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: In Classroom #2, one expired acetaminophen was observed in the medication bin.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Adult scissors were observed on desks accessible to the children receiving care in Classrooms #3 and #4.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: A copy of the facility's current Certificate of Compliance was not posted in a conspicuous location.

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: The facility lacked verification that they had participated in an annual emergency drill within the last 12 months. The last documented emergency drill was completed on 4.12.23.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #1 lacked verification that they have received updated emergency plan training within the last 12 months. The last documented emergency plan training was on 6.12.23.

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 #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10-hour health and safety training and mandated reporter training. The 10-hour health and safety training was completed 211 days after starting at the facility. The mandated reporter training was completed 212 days after starting at the facility.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #1 lacked a completed PA State Police Clearance and they have exceeded 45 days in a child care taking position. A completed PA State Police Clearance was not on file until 408 days after starting.

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 file for Staff Person #1 lacked a written staff evaluation. Staff Person #1 has exceeded 12 months as a staff person at the facility.

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: In Classroom #3, a bottle of hand sanitizer was observed on the desk in the classroom. The desk was accessible to school age children receiving care in the space. In Classroom #6, diapering ointments were observed in the open cubes at the changing table. The cubes would be accessible to toddler children being diapered in the space. Diapering ointments were observed in an unlocked cabinet in the restroom. The diapering ointments would be accessible to children using the restroom. All items were labeled Keep Out of Reach of Children.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: In Classrooms #3 and #5 unlidded trash cans containing used plates, utensils and food that had been served to children were observed.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Exposed bolts were observed on the fencing in the outdoor toddler play space. The exposed bolts posted a visible hazard 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: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The facility was unable to locate the fire drill log at the time of the unannounced inspection. This did not allow for assessment that fire drills are being completed as required.

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

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: SECOND CITATION Young Toddlers receiving care in Classroom #2 were observed to be seated in the feeding table without the safety straps being engaged. FACILITY PREVIOUSLY CITED ON 1.18.2024.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 10:00am, Staff Person #2 was observed in the doorway of Classroom #6 talking with Operator. Upon entering Classroom #4 Staff Person #1 was observed with 13 preschool age children. Staff Person #2 entered the classroom behind Cert Rep and reported they had just stepped out to inform Operator of something. Staff Person #2 leaving had placed Staff Person #1 out of required staff:child ratio of 1:10 for preschool age children.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Torn rest mats, causing foam to be exposed, were observed in Classroom #6.

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

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: The high chair seats in Classroom #2 were observed to be missing safety straps from 5 of the seats.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The rest mats in Classroom #2 were not labeled to identify which mat belonged to which child.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A daily plan of activities was not posted in Classroom #3 (School Age Classroom).

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement on file for Child #2 lacked the fee amount to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement form for Children #7 and #10 lacked the arrival and departure times.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement form for Child #8 lacked the admission date.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The files for Children #1, #2, #3, #4, #6, #7, #8, #9 and #10 were observed to contain the original agreements.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #2 lacked the telephone number of the child's physician.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Children #4, #5 and #6 lacked the addresses for the release persons listed. The emergency contact form for Child #5 also lacked the telephone number for one of the release persons listed.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact forms were missing for two children receiving care in Classroom #4.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The written emergency transportation plan was not posted in Classroom #4.

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 updates to the health assessments for Child #5, an older toddler, exceeded 12 months between examinations on 3.17.22 and 9.28.23.

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.