Shady Lane School

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Self-reported noncompliance incident occurred on 4.7.26, at approximately 10:30 AM. Staff #1 and Staff #2 were supervising a group of ten (10) toddlers in the gym. Child #2 was assigned to Staff #2's care and was left unsupervised in the gym when the group transitioned back to the Yellow Room. Staff #3 located Child #2 alone and unsupervised in the gym and returned the child to the classroom.

Correction Required: TIERED LIS 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. The operator must provide an immediate correction date for this portion of the plan. Tier 2 - The legal entity shall ensure the director and a representative of the executive leadership team register for and attend the next available Existing Provider Training conducted by the Western Region Office. (Completed 7.22.26) Registration for the training shall occur within (2) weeks of the plan of corrections being accepted. Training hours may apply toward the annual clock-hour training requirements. Documentation of training completion shall be submitted to the Western Regional Office within five (5) business days of completion. The operator shall provide a date for when this portion of the plan will be completed. Tier 3 - The legal entity shall ensure the director, and a representative of the executive leadership team, participate in supervision focused technical assistance with the Early Learning Resource Center (ELRC) Region 5 representative and the Program Quality Assessment team to complete a comprehensive program assessment to obtain authentic data as a baseline for feedback conversations to address any systemic issues that may arise from observations. An observation window shall be scheduled within two (2) weeks of the plan of corrections being accepted. Following completion of the assessment, the legal entity shall work with the ELRC Region 5 representative and Program Quality Assessment team to develop and implement procedures to address any identified systemic issues related to child accountability and supervision during transitions. The procedures shall include assigning children to a specific staff person, conducting a child count prior to each transition, lining children up before leaving a childcare space, gym, outdoor play space, or restroom, and conducting a visual sweep of the childcare space prior to transition. These procedures shall be followed during all transitions throughout the facility. All facility persons shall receive training on the procedures and sign an acknowledgement confirming receipt of the training. The legal entity shall implement any additional recommendations identified through the assessment process and submit a copy of the assessment findings, staff training acknowledgements, and documentation of implementation to the Western Regional Office within five (5) business days of completion. The operator shall provide a date for when this portion of the plan will be completed. Tier 4 - The director shall complete a minimum of three (3) weeks of observation before holding monthly meetings with staff. A minimum of three (3) consecutive monthly meetings shall be held. The director shall prepare an agenda for each monthly meeting that includes review of monitoring observations and relevant Department-issued inspection summaries. Staff in attendance shall sign an acknowledgement for each meeting. The director shall document that meeting content was communicated to staff who were not in attendance. The agenda, meeting documentation, and staff acknowledgements shall be submitted to the Western Regional Office within five (5) business days after each monthly meeting for a minimum of three (3) months. The operator shall provide a date for when this portion of the plan will be completed. Tier 5 - The legal entity shall ensure the director, and a representative of the executive leadership team shall schedule a follow up observation window with the Program Quality Assessment team, three (3) months following the initial observation. Follow-up technical assistance shall be conducted in conjunction with the ELRC and Program Quality Assessment team to apply recommendation from the Program Quality Assessment team. Contact with the ELRC shall be made within (2) weeks of this plan of correction being accepted. This tier shall be completed within four (4) months from the date the plan of correction is accepted by the Department. The operator shall provide a date for when this portion of the plan will be complete. The overall provider correction date is acceptable. However, because this citation includes directed tiers, the Provider Correction Required must include a specific completion date for each tier, indicating when each corrective action will be completed.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Self-reported noncompliance incident occurred on 4.7.26, at approximately 10:30 AM. Staff #1 and Staff #2 were supervising a group of ten (10) toddlers in the gym. Child #2 was assigned to Staff #2's care and was left unsupervised in the gym when the group transitioned back to the Toddler Room. Staff #3 located Child #2 alone and unsupervised in the gym and returned the child to the 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. These citations do not include directed tiers. The provider correction date must be changed from 9/2/2026 to an immediate correction date.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: A complaint of non-compliance was investigated. On 4.10.26, at approximately 11:00 AM, in the Pink Room, Staff #1 was physically aggressive with Child #1 when grabbing the child by the biceps/upper arms and holding the child in the air.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. These citations do not include directed tiers. The provider correction date must be changed from 9/2/2026 to an immediate correction date.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: A complaint of non-compliance was investigated. On 4.10.26, in the Pink Room, Staff #1 lifted Child #1 up to eye level and loudly screamed, "Stop," in Child #1's face while showing frustration.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children. These citations do not include directed tiers. The provider correction date must be changed from 9/2/2026 to an immediate correction date.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Green Room, there was a chair in the circle area with 2 protruding screws on the seat where the cover is torn, and the door hinge on the play kitchen cabinet is broken at the bottom. In the Blue Room, the plastic bin storing the yarn was broken.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Cots lacked 2 feet of space on 3 sides in the Yellow Room (3 cots), Red Room (2 cots), Green Room (3 cots), Orange Room (4 cots), and Violet Room (2 cots).

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #2 lacked information about the child's growth and development on an approved form. The most recent information about the child's growth and development was reported on 10/3/25 which was more than 6 months from the previous report dated 3/7/25.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #1 lacked the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The most recent health report on file for Child #2, a younger toddler at the time, was dated 10/6/25 which was obtained more than 6 months from the previous health report dated 2/17/25.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff #4 contained a health assessment dated 8/25/25 which was obtained more than 24 months from the previous health assessment dated 8/9/22. The file for Staff #8 contained a health assessment dated 10/29/25 which was obtained more than 24 months from the previous health assessment dated 1/24/23. The file for Staff #11 contained a health assessment dated 11/23/25 which was obtained more than 24 months from the previous health assessment dated 10/12/23.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility lacked annual documentation of written notification to the local traffic safety authorities of the facility location and use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the green room on a shelf by the door, 2 pair of adult scissors, push-pins, and a jaw-style staple remover were accessible to children. In the blue room in an unlocked drawer at the sink there was a potato peeler. Also, in the blue room a stapler was on a low shelf accessible to children.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The most recent Emergency Drill was conducted on 11/5/25, more than 12 months from the previous Emergency Drill conducted on 4/8/24.

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 most recent Emergency Plan training was conducted on 8/27/25 more than 12 months from the previous Emergency Plan training conducted on 7/31/24. The files for Staff #1 and #9 contained documentation of Emergency Plan Training completed on 8/27/25. The files for Staff #1 and #9 lacked documentation of Emergency Plan Training for the previous year. The files for Staff #3, #4, #6, #8, and #10 contained documentation of Emergency Plan Training completed on 8/27/25 which was more than 12 months from the previous Emergency Plan training conducted on 7/31/24. The file for Staff #7 contained documentation of Emergency Plan Training completed on 8/27/25 which was more than 12 months from the previous Emergency Plan training conducted on 1/10/24.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility lacked a parent letter explaining the emergency plan procedures.

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

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

Description: Age and Training

Noncompliance Area: The file for Staff #3 contained pediatric first aid and CPR training completed on 6/3/25 which was obtained after the previous first aid and CPR training expired in June 2024.

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 #8 contained fire safety training completed on 11/4/25 which was more than 12 months from the previous fire safety training dated 5/24/24.

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)

Description: Health and Safety Training

Noncompliance Area: Staff #5 has completed first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff #5 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff #5, staff #5 may not work in a child-care position at the facility.

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

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

Noncompliance Area: The files for Staff #2 and #8 (See LIS Code Sheet) contained Mandated Reporter trainings obtained more than 60 months from the previous Mandated Reporter trainings. The file for Staff #2 contained Mandated Reporter training dated 11/21/25 which was obtained more than 60 months from the previous Mandated Reporter training dated 9/4/20. The file for Staff #8 contained Mandated Reporter training dated 5/28/25 which was obtained more than 60 months from the previous Mandated Reporter training dated 2/25/20.

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(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #3 (See LIS Code Sheet) contained an NSOR certificate dated 5/22/25 which was obtained more than 60 months from the previous NSOR certificate dated 4/30/20. The file for Staff #8 (See LIS Code Sheet) contained a PA State Police clearance dated 10/6/25 obtained more than 60 months from the previous PA State Police clearance dated 1/21/20; PA Child Abuse clearance dated 8/12/25 obtained more than 60 months from the previous PA Child Abuse clearance dated 1/28/20; DHS FBI clearance dated 5/15/25 obtained more than 60 months from the previous DHS FBI clearance dated 1/28/20; NSOR certificate dated 5/15/25 obtained more than 60 months from the previous NSOR certificate dated 4/30/20. The file for Staff #9 (See LIS Code Sheet) contained a PA State Police clearance dated 10/8/25 which was obtained more than 60 months from the previous PA State Police clearance dated 1/17/20; NSOR certificate dated 5/19/25 obtained more than 60 months from the previous NSOR certificate dated 4/30/20.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #6 contained a written evaluation dated 12/2025 which was completed more than 12 months from the previous written evaluation on file dated 1/26/24. The file for Staff #9 contained a written evaluation dated 12/2025. There was no previous written evaluation on file for Staff #9. The file for Staff #10 contained a written evaluation dated 12/2025 which was completed more than 12 months from the previous written evaluation dated 11/22/24.

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 the Empower Room, liquid white out was on an open shelf accessible to children. In the 3rd floor kitchenette, wood stain was stored in an unlocked drawer. There was an unlocked custodian cabinet in the hallway on the 3rd floor accessible to children which contained two cans of paint and Goo Gone sealer. There was an unlocked custodian closet in the hallway on the 2nd floor accessible to children which contained bleach and Peroxy cleaner on the floor.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water temperature in the Yellow Room was 118°F. The water temperature in the Silver Room was 113°F. The water temperature in the Indigo Room was 119°F.

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

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: There was a hot water tank accessible to the children in an unlocked cabinet under the sink in the bathroom connected to the Blue room.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit in the Empower Room was on a low hook and accessible to children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The ceiling in the Little Gym was leaking. In the corner room past the elevator, the Old Pink Room, the baseboard needed repaired next to the door and under the cabinet on the left wall and the glass in middle window was broken. The blue mats mounted to the walls in the Big Gym were frayed. There were stained ceiling tile in the Green Room, Orange Room, and in the 2nd floor restroom.

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: There was peeling or damaged paint in the following areas: The wall by the light switch, the left wall, and the right side wall in the corner room past the elevator, the Old Pink Room; The metal display unit in the glass-doored space in the Empower Room was rusty and had flaking paint on the feet; The gray wooden castle, the red metal car, the green wooden pillars, and the green metal climber in the large outdoor play area; The front of the cabinet under the sink in the Pink Room.

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

Regulation: 3270.81

Description: Glass

Noncompliance Area: The glass door in the Empower Room lacked a visual strip or visual identification.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The 2nd floor restroom in the hall and the Empower room lacked a lidded waste receptacle.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation of the fire alarm system test showed more than 30 days between testing (7/7/25 and 8/14/25; 8/14/25 and 9/23/25).

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Continued Non-Compliance: On 10/28/25 at approximately 10:05am in the Red Room, Staff #1 identified 4 of the 5 children in their supervision group; When prompted, Staff #1 utilized their ID Tags and correctly identified the 5th child in their supervision group. On 10/28/25 at approximately 10:10am, in the Blue Room, Staff #2 identified 8 of the 9 children in their supervision group; Staff #2 had 8 ID Tags and a sticky note for the 9th child. On 10/28/25, at approximately 10:30am, Staff #3, #4, and #5 were each supervising 4YT in the outdoor play area; Staff #3, #4, and #5 left the ID Tags in the classroom. On 10/28/25, at approximately 10:35am, Staff #6 was observed to be supervising 3 children at the restroom; Staff #6 had 6 ID Tags. 5 of the ID Tags were for children being supervised by other staff in the outside play area at that time. On 11/13/25 at approximately 2:55pm in the Yellow Room, Staff #7 reported that they did not have ID Tags for the 6 OT they were supervising; Staff #8 had 6 ID Tags but only 5 OT were present in their supervision group. On 11/13/25, at approximately 3:00pm, Staff #9 identified 6 of the 7 children in their supervision group; When prompted, Staff #9 utilized their ID Tags and correctly identified the 7th child in their supervision group. Previously Cited on 5/6/25

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. TIERED LIS: 1. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all childcare leadership staff, to participate with the ELRC 5 Leadership Development Strategist to identify the roles and expectations of each childcare leadership staff. The legal entity will complete a minimum of 3, in-person meetings with the ELRC 5 Leadership Development Strategist. The meetings must be completed within 3 months of the approval of this plan of correction. Upon completion of the visits, documentation including the meeting dates and meeting participants will be provided to the OCDEL-DHS representative by email. The operator shall provide a date for when this training will be complete. 3. The legal entity will require all childcare staff persons at the facility to complete an Active Supervision Training including a review of using a tangible system to identify what children are assigned each staff. The training must be offered by ELRC 5, in-person and a minimum of 2 hours. The training must be completed within 2 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete. 4. The legal entity will require all childcare staff to participate in technical assistance visits provided by the ELRC regarding classroom supervision and the utilization of the selected system to identify what children are assigned each staff. The legal entity will complete a minimum of 3, in-person technical assistance visits provided by ELRC 5. The technical assistance visits must be completed within 3 months of the approval of this plan of correction. Upon completion of the visits, documentation will be provided to the OCDEL-DHS representative by email. The operator shall provide a date for when this training will be complete.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: At approximately 3:00pm, CR observed 2 infants sleeping in cribs in the Rainbow Room that lacked at least 2 feet of free space on three sides.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The health assessment on file for Staff #9, dated 8/25/25, was obtained after starting work in a child care position. There is no health assessment on file for Staff #11. The health assessment on file for Staff #14, dated 12/12/24, was obtained after starting work in a child care position.

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: 3270.192(4)

Description: CPSL information

Noncompliance Area: The file for Staff #13 lacked a disclosure statement.

Correction Required: 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #5 lacked one written, nonfamily reference from individuals attesting to the person's suitability to serve as a facility person. The files for Staff #6, #8, #9, and #10 lacked two written nonfamily references from individuals attesting to the person's 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for Staff #5, #9, #10, #11, and #12 lacked documentation of emergency plan training at initial time of hire. The file for Staff #7 contained emergency plan training dated 7/31/24, more than 12 months ago.

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 #2 did not complete following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 and Part 2 dated 4/21/25. Staff person #3 did not complete following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1, dated 6/8/25, and Part 2, dated 9/17/25. Staff person #4 did not complete following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid and CPR training dated 10/12/24. Staff person #9 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training 3270.31(f)(1-9). Staff #12 has completed Pediatric first aid and CPR training, however the training was completed through a trainer that has not provided documentation that they are PQAS-certified in that training curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required pre- service trainings are completed, staff #9 and #12 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff #9 and #12, staff #9 and #12 may not work in a child-care position at the facility.

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

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

Noncompliance Area: The file for Staff Person #1 contained a mandated reporter training dated 5/28/25 which was obtained more than 60 months from the previous mandated reporter training dated 2/25/20.

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(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #8 contained a PA Child Abuse clearance dated 9/14/25 which was obtained after starting in a child care position (See LIS Code Sheet). The file for Staff #12 contained an FBI Clearance dated 5/28/25 and NSOR Certificate dated 5/30/25 which were obtained after starting in a child care position (See LIS Code Sheet). The file for Staff #12 lacked the required out of state clearances. The file for Staff #16 lacked the required out of state clearances. The file for Staff #15 lacked an FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #12, #15, and #16 may not work in a child care position at the facility.

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

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

Noncompliance Area: The files for Staff #9 and #10, identified as GS, lacked documentation of staff qualifications for the position in which they were performing. The file for Staff #16, serving as an aide, lacked documentation of qualifications for the position in which they were performing.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation of the fire alarm system test shows more than 30 days between testing. (5/7/25 and 6/9/25; 8/14/25 and 9/23/25)

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: 3270.162(c)

Description: Not withheld as discipline

Noncompliance Area: Based staff interviews, it was verified that Staff Person #1 and #2 withheld a popsicle from Child #1 on 6/2/25 because the child had refused to take a nap.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 11:05AM Staff #1 and Staff #2 were observed with 12 children (2 PS and 10 OT) in room 105. When asked to identify the children they were responsible for supervising, staff #1 and staff #2 named the same two children during multiple attempts to identify their assigned groups. This left two children unidentified as assigned to a care group. In the gym, staff #3 and staff #4 were observed with 10 YTs. When asked, staff #4 was unable to identify which children she was assigned to supervise. Staff #4 named 2 children already identified as part of staff #3's assigned care group.

Correction Required: 1. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. This portion of the plan shall have an immediate correction date. 2. For a period of 3 months, the facility is required to maintain its hands-free method for identifying the specific children for which each staff person is responsible. It will include, minimally, the name and a picture of the child and staff will utilize the identification method at all times while on duty at the facility. When a new child enrolls at the facility, a supervision card will be present at the facility before the child's first day of attendance. The correction date for this portion of the plan shall be 3 months from the date of approval by the Regional Office. 3. For a period of 3 months, the director or designated staff person will conduct random assessments of each classroom at least once daily. During the assessment, the director will ask each staff person in each classroom to identify the children that are in their group, and are therefore, responsible for. The director will document all assessments in a log, including the date, time, staff persons, number and ages of children. The log will be made available to OCDEL-DHS representatives upon request. The correction date for this portion of the plan shall be 3 months from the date of approval by the Regional Office.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: At approximately 10:55AM child #1 and child #2, both infants, were observed sleeping in inclined seats in the Rainbow Room.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR and Pediatric First Aid.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, then staff person #5- may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff persons #6, #7, and #8 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/24/20 for staff #6, 1/27/20 for staff #7, and 2/21/20 for staff #8.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff persons #6-8- must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #6-8-, staff persons #6-8 may not work in a child-care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: 4/16/26 between 9:30-10:50AM staff #1 was responsible for the supervision of 11 PS children on 3 occasions. Sixteen children were present. Staff #2 exited the room with 5 children two separate times while Staff #1 remained in the room with the other 11 children. Later, staff #1 exited the room to go to the playground with 11 PS children. Staff #2 remained in the room with 5 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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on the facility's fire drill log, a drill has not been conducted in over 60 days. The last documented drill occurred 1/28/25.

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: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: The play couch in the Orange room has a ripped vinyl covering on the corner, exposing foam padding to children still placing objects in their mouths. The changing pad in the Silver room has a hole in the final covering.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: The cribs in the Rainbow Room lacked 2 feet of space around them while in use. An infant was sleeping in a crib in the corner next to the rocking chair and there was a bouncy seat on the other side of the crib impeding access. Another child was observed sleeping in a crib next to two other empty cribs on either side less than 2 feet apart.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement form for Child # 1 lacked the signature of the operator.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for child #4, #5, #6, #9 & #10 contained child growth and development forms dated more than 6 months ago. The file for Child #4 contained a child growth and development form dated 9/24/23. The file for Child #5 contained a child growth and development form dated 10/13/23. The file for Child #6 contained a child growth and development form dated 10/25/23. The file for Child #9 contained a child growth and development form dated for the Fall of 2023. The file for Child #10 contained a child growth and development form dated October 2023.

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 file for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, Child #7, Child #8, Child #9, and Child #10 contained the original fee agreement form signed by the parent.

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 #7 lacked the name of the physician or source of medical care.

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 form for Child #1, Child #4, Child #5, Child #6, Child #8 and Child #10 lacked the enrolling parent's work address and work phone number; The emergency contact form for Child #3 lacked the enrolling parent's home address, 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)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #1 lacked the release person's address and phone number; The emergency contact forms for Child #3, Child #8, Child #9, and Child #10 lacked the release person's address.

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 Pink room lacked a copy of the emergency transportation plan displayed conspicuously in the child care space.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The financial agreement for Child #4 was last updated on 7/25/23, more than 6 months ago. The emergency contact form for Child #10 was updated on 9/6/24 more than 6 months after the previous review dated 9/18/23. The financial agreement for Child #10 was updated on 11/12/24 more than 6 months after the previous review dated 12/5/22.

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)(1)/3270.182(1)

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

Noncompliance Area: The health report on file for Child #5, a toddler (See LIS Code Sheet), was dated 7/29/24 more than 6 months after the previous health report dated 7/31/23. The health report for Child #6, a toddler (See LIS Code Sheet) was dated 11/4/24 more than 6 months after the previous health report dated 4/20/24.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for Child #7, enrolled more than 60 days, lacked verification of vaccinations in accordance with the ACIP.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #7 will be dismissed from care by close of business 12/13/24 until either the immunization record is updated or a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked prevention and identification of child maltreatment as per Announcement C-22-03.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff Person #1 lacked the one hour Health and Safety Update as per Announcement C-22-06.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff Person #15 (See LIS Code Sheet) contained a health assessment dated 8/14/23, and TB screening results dated 8/21/23 which were more than 12 months old when hired. The file for Staff Person #18 (See LIS Code Sheet) contained a health assessment dated 1/8/24 which was more than 24 months from the previous health assessment dated 12/29/21. The file for Staff Person #12 (See LIS Code Sheet) lacked a health assessment. The file for Staff Person #24 (See LIS Code Sheet) lacked a health assessment.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment on file for Staff Person #4 (See LIS Code Sheet) lacks assessment results for communicable diseases.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for Staff Person #16, Staff Person #20, and Staff Person #21 lacked one written, nonfamily reference from individuals attesting to the person's suitability to serve as a facility person. The files for Staff Person #1, Staff Person #5, Staff Person #12, Staff Person #13, Staff Person #15, Staff Person #22, Staff Person #24, and Staff Person #25 lacked two written, nonfamily references from individuals attesting to the person's 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: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: The facility's emergency plan lacked a method for facility persons to inform parents that the emergency has ended and instructions as to how parents can safely be reunited with their children as per Announcement C-22-04.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility lacked a current annual emergency drill. The most recent emergency drill was recorded on 11/16/23, more than 12 months ago.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The parent letter lacked information explaining the emergency procedures for lockdown situation and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #2 contained 3 of the 12 required annual training hours for the most recent review period, June 2023 and June 2024.

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: Staff Person #7 completed pediatric first aid and CPR training on 10/12/24, more than 24 months from the previous training on 8/11/22. Staff Person #14 completed pediatric first aid and CPR on 5/24/24 more than 24 months from the previous training on 3/8/22.

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(f)(10)

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

Noncompliance Area: The files for Staff Person #3, Staff Person #8, and Staff Person #9 completed professional development in pediatric first aid and pediatric CPR on 5/24/2024, more than 90 days following their date of hire (See LIS Code Sheet). The file for Staff Person #4 lacked a pediatric first aid and pediatric CPR training provided by a certified PQAS instructor more than 90 days following their date of hire (See LIS Code Sheet). The pediatric first aid and pediatric CPR on file for Staff Person #4 completed on 4/14/24 was not provided by a certified PQAS instructor. The files for Staff Person #5 completed professional development in pediatric first aid and pediatric CPR on 12/10/2024, more than 90 days following their date of hire (See LIS Code Sheet). The files for Staff Person #6 completed professional development in pediatric first aid and pediatric CPR on 12/10/2024, more than 90 days following their date of hire (See LIS Code Sheet).

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

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

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

Noncompliance Area: The file for Staff Person #11 contained a mandated reported training dated 8/26/19 which was obtained more than 60 months ago.

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(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #4 lacked a current FBI clearance; the FBI clearance in the file for Staff Person #4 was dated 8/22/19. The file for Staff Person #5 contained a Volunteer PA Criminal Clearance. The file for Staff Person #10 lacked a current FBI clearance; the FBI clearance in the file for Staff Person #10 was dated 5/24/19. The file for Staff Person #11 contained an NSOR dated 11/6/19 which was obtained more than 60 months ago. The file for Staff Person #11 contained an FBI clearance dated 12/2/24, more than 60 months from the previous clearance dated 10/17/19. The file for Staff Person #12 lacked an NSOR clearance as well as a DHS FBI clearance. The file for Staff Person #12 contained a Criminal Justice FBI clearance dated 8/28/24. The file for Staff Person #13 contained a PA Child Abuse clearance dated 11/23/24 which was obtained after starting in a child care position (See LIS Code Sheet). The file for Staff Person #25 lacked a Texas Criminal History Check and the Texas Sex Offender Registry Check.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Persons #4, 5, 10, 11, 12, and 25 may not work in a child care position at the facility.

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

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

Noncompliance Area: The file for Staff Person #1 lacked a copy of their High School Diploma and years of experience working with children. The file for Staff Person #12 lacked documentation of education and years of experience working with children. The file for Staff Person #16 lacked documentation of experience working with children. The file for Staff Person # 21 lacked documentation of education and years of experience working with children. The file for Staff Person #22 lacked documentation of education and years of experience working with children. The file for Staff Person #23 lacked documentation of education and years of experience working with children. The file for Staff Person #24 lacked documentation of education and years of experience working with children.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff Person #7 contained a staff evaluation completed in October 2024 more than 12 months after the previous staff evaluation dated June 2022; The file for Staff Person #19 contained a staff evaluation completed in October 2024 more than 12 months after the previous staff evaluation dated May 2022.

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

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: There was a hot water tank accessible to the children in an unlocked cabinet under the sink in the bathroom connected to the Blue room.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There is peeling paint in the Red room under the mirror. There is peeling paint in the Orange room around the far left window and around the stars along the window wall.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The toilet in the bathroom off the Violet room lacked a handwashing sign. The sink in the bathroom off the Red room lacked a handwashing sign.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The bathroom off the Blue room lacked a lidded waste receptacle.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: Documentation of the fire alarm system test shows more than 30 days between testing. (11/1/24 and 12/6/24; 8/5/24 and 9/9/24; 3/7/24 and 4/8/24)

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)).

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff #1 and staff #2 were supervising a group of 9 younger toddlers in the facility's outdoor play space. As staff #1 and staff #2 were transitioning the children from the building to the area designated for younger children in the outdoor play space, child #1 stopped midway between the two points while the staff and children continued to move ahead. Child #1 was left alone and unsupervised until staff #3 entered the outdoor play space and discovered the child had been left behind.

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: Staff #1 and staff #2 were supervising a group of 9 younger toddlers in the facility's outdoor play space. As staff #1 and staff #2 were transitioning the children from the building to the area designated for younger children in the outdoor play space, child #1 stopped midway between the two points while the staff and children continued to move ahead. Child #1 was left alone and unsupervised until staff #3 entered the outdoor play space and discovered the child had been left behind.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The written plan of daily activities was not posted in room 111.

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 for child #1 did not specify the amount of the fee to be charged per day or per week.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement for child #2 did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #4 did not include the name, address and telephone number of the child's physician or source of medical care.

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

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

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

Noncompliance Area: The emergency contact information for child #4 did not include the written consent signed by a parent for emergency medical care.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

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

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: An emergency contact form was not present in room G1 for child #10 who was receiving care in the space.

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: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in room G1 and room 201.

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(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The record for child #2, #4 and #5 lacked an initial health report more than 60 days following their first day of attendance. The record for child #7 contained an initial health report dated more than 60 days following their first day of attendance.

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

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

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

Noncompliance Area: The record for child #6 lacked a current health report.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: There was no means for children to dry their hands after handwashing at the sink in room G4..

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the prevention and identification of child maltreatment, as per Announcement C-22-03. Staff Person #5, #7, #8, #9, #13, #14 and #19 completed the Pennsylvania Health and Safety Update 2022 following the prescribed timeframe of December 30, 2022, as required by OCDEL per Announcement C-22-06.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The TB results for Staff Person #4 were read after the staff person's start date. The file for Staff Person #5 did not include an updated health assessment conducted within the past 24 months. The date of the initial health assessment for Staff Person #6, #11 and #15 was after their start date. (See LIS Code Sheets). The current health assessment for Staff Person #7, #8, #9 and #13 was dated more than 24 months following the date of their previous health assessment. The initial health assessment for Staff Person #12 was conducted more than one year prior to the staff person's start date and is not valid.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: A written statement giving the formula and feeding schedule was not obtained from the parents of child #8 and #9, who are both infants.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.171(c)

Description: Safe routes posted

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

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

Regulation: 3270.182(5)

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

Noncompliance Area: The record for child #3 and #7 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for staff #1 and #10 lacked two written, nonfamily references from individuals attesting to the person's 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.