Sweet Pea Childcare

Regulation: 3280.113(a)

Description: Supervised at all times

Noncompliance Area: On 6/12/26 at 9:00 AM, Staff Person #1 was observed preparing breakfast in the kitchen area of the large main room. The wall separating the kitchen is over 48" high and Staff Person #1 could not observe Child #3 who was seated in a highchair on the opposite side of the wall.

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: 3280.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 6/12/26 at 9:30, Staff Person #1 left the Main Room to let Staff Person #2 into the facility through the door in the Indoor Play Space. For approximately one minute, Staff Person #1 was not physically present to supervise Child #1 and #2, who were in the Main Room.

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: 3280.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The fee agreement in the file for Child #5 did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The initial child service reports in the files for Child #1 and #2 were conducted more than 6 months after the child's first day of attendance at the facility. The file for Child #4, who has been enrolled for more than 6 months, did not include a child service report.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form in the file for Child #3 did not include the physician's name. The emergency contact form in the file for Child #5 did not include the physician's address and phone number.

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

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The initial health report in the file for Child #3 was conducted more than 60 days after the child's first day of attendance at the facility. The initial health report in the file for Child #2 lacks a date so it cannot be determined if this health report is timely. This health report is not valid.

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 must contain initial and subsequent health reports.

Regulation: 3280.131(b)(2)/3280.182(1)

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

Noncompliance Area: The most recent updated health reports in the file for Child #1, a preschool child, exceeded 12 months between reports. The files for Child #4 and #5, preschool children, do not contain an updated health report conducted within the past 12 months.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 5/18/23. A Mandated Reporter Training for Staff Person #1, dated 6/12/24, was viewed on a previous inspection, but is no longer on file.

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. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, a primary staff person 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact forms and fee agreements in the files for Child #1, #2, #3, #4 and #5 have not been updated by the parents in the past six months.

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

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The current certificate of compliance was not posted at the facility. The certificate of compliance which was posted expired 9/25/25.

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: 3280.31(e)

Description: Age and training

Noncompliance Area: The file for Staff Person #1 contained only 8.5 annual hours of childcare training for the most recent full year of service (2025).

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

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: The Health and Safety Training in the file for Staff Person #2 was conducted more than 90 days after the staff person's date of hire: (See LIS Code Sheet).

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

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 5/18/23. A Mandated Reporter Training for Staff Person #1, dated 6/12/24, was viewed on a previous inspection, but is no longer on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, a primary staff person 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the main room lacked scissors.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3280.192(4)

Description: CPSL information

Noncompliance Area: The records for facility person #1 and facility person #2 did not include the PA State Clearance certificate required under the CPSL. Records from renewal inspection on 06/16/2025 indicate PA State Clearance certificates for staff #1 and staff #2 were in the records at that time.

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: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: The outlet between the sink and the child eating table had an open outlet with no protective receptacle cover and was accessible to children 5 years of age or younger.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The fire detection log test dates of 12/12/2025 and 01/14/2026 are greater than the 30-day testing requirement.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #3, who has been enrolled for more than 6 months, did not include a child service report.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.123(b)/3280.182(8)

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

Noncompliance Area: The files for Child #1 and #2 did not include a copy of initial and/or subsequent fee agreements.

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

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form in the file for Child #2 did not include the address 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: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms in the files for Child #1 and #2 did not include the enrolling parent's home address, work address or work phone number. The emergency contact form in the file for Child #4 did not include the enrolling parent's work phone number.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact forms in the files for Child #1 and #2 did not include the health insurance coverage and policy number. The emergency contact form in the file for Child #3 did not include the policy number.

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

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The files for Child #1, #2 and #4, who have been enrolled for more than 6 months, did not include an initial health report.

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

Regulation: 3280.131(b)(2)/3280.182(1)

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

Noncompliance Area: The file for Child #3, a preschool child, did not include an updated health report conducted within the past 12 months.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training, Pediatric First Aid/CPR, Mandated Reporter Training.

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. Until such time as the required pre-service trainings are completed, staff person #3 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The file for Staff Person #2 lacks an updated health assessment conducted within the past 24 months.

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: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact forms in the files for Child #1 and #2, who have been enrolled for more than 6 months, have not been updated by the parents. The emergency contact form and fee agreement in the file for Child #3 have not been updated by the parent in the last six months.

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

Regulation: 3280.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency contact forms in the files for Child #1 and #2 did not contain signed parental consent for emergency medical care for the child.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #3 lacks two written letters of reference.

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: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: Staff Person #2 has not completed Pediatric First Aid/CPR training on or before expiration of the most current certification. This is evidenced by the most previously documented Pediatric First Aid/CPR training on file expiring 5/18/25. Documentation of updated Pediatric First Aid/CPR training is not on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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. Until such time as the required pre-service trainings are completed, staff person #2 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 did not include documentation of an NSOR Certificate acquired within the past 60 months.

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 #1may not work in a child care position at the facility.

Regulation: 3280.33(a)/3280.192(2)(iv)

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: The file for Staff Person #3 lacks documentation of education and experience.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3280.62(a)

Description: Large muscle space provided

Noncompliance Area: The facility does not have an indoor or outdoor play space. At the time of the renewal inspection, the LE disclosed that the landlord informed LE the facility could no longer utilize the outdoor fenced area.

Correction Required: A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: The electrical outlet next to the toy cabinet across from the entrance lacked a protective receptacle cover.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed hand sanitizer, which was accessible to children, on the staff table.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: Observed a wobbly toy cabinet, which creates a potential toppling hazard, across from the entrance to the main room. Observed ceiling tiles, discolored from water damage, next to the ceiling vent in the kitchen and around the ceiling vent in the bathroom. The baby gate was broken in two spots, which creates sharp, rough edges.

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: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling paint on both sides of the toilet in the restroom.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The fire drill/fire system check log documents five occasions when fire system checks exceeded 30 days: 7/2-8/5, 10/2-11/3, 12/2-1/5, 3/5-4/7, and 4/7-5/9.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: The vinyl play blocks/mats were peeling exposing the foam inside.

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: 3280.123(a)(6)/3280.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The fee agreement for child #2 was missing date of admission for the child.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3280.124(b)(1)

Description: Child's name, birth date

Noncompliance Area: The emergency contact form for child #3 was missing a name for the child.

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

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The Emergency Contact form and Fee Agreements for Child #1 (7/19/23), Child #3 (2/6/233) & (3/14/23) and child #4 (2/6/23) & (3/14/23) were reviewed and signed by the parents over 6 months ago.

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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 did not have a completed one-hour health and safety update on file, which is required 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: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The file for staff person #1 contained a health assessment that was over 2 years old (10/16/2021).

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: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: The parent letter portion of the emergency plan was missing accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

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

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The most recent written documentation of an emergency drill on file at the facility is dated 6/2/22, more than 2 years ago.

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

Regulation: 3280.26(b)

Description: Emergency plan

Noncompliance Area: The emergency plan was missing any documentation for being reviewed annually.

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

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: Staff person #1 (01/01/23) and #2 (01/01/22) did not have updated yearly emergency plan training on file.

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.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: Staff person #1 and Staff person #2 did not complete 12 hours of annual PD.

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

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: Staff person #1 did not have a renewed certification in CPR and pediatric First aid on file as their certification expired 8/2023.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for Facility Person #1 contained an expired Child Abuse clearance (10/19/18) an expired State Police Clearance (10/15/18), and an expired FBI clearance (10/19/18). Staff person #1 had an expired mandated reporter training on file (02/02/19). The record for Facility Person #2 contained an expired Child Abuse clearance (10/19/18) an expired State Police Clearance (10/15/18), and an expired FBI clearance (10/17/18). Staff person #2 had an expired mandated reporter training on file (11/7/18). Staff #1 & Staff #2 are unable to return to work after 6/11/2024 and may only return once updated clearances are obtained.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. 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: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: On the 3-story, toy dollhouse, the top, right panel contained split wood/particle board, which was pulled away from the back panel, creating a pinching/cutting hazard for children in care.

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: 3280.123(a)(3)/3280.124(f)

Description: Services proceeded/Updated every 6 months

Noncompliance Area: The files for Child #1 and Child #4 contained Service Reports which were dated more than six (6) months apart.

Correction Required: An agreement shall specify 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 at § 3280.124(f). 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.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact form, in the file for Child #4, contained an incomplete home address of the enrolling parent.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact form, in the file for Child #4, did not contain the health insurance coverage or policy number.

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

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The files for Child #1, Child #2, Child #3, and Child #4 did not contain documentation that the parent reviewed/updated the Emergency Contact Form and Financial Agreement at least once in a 6-month period or as soon as there was a change in the information.

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: 3280.131(b)(2)/3280.182(1)

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

Noncompliance Area: The files for Child #1 and Child #2 did not contain updated, health reports within the last 12 months.

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

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The Immunization Record, in the file for Child #1, did not contain documentation of any immunizations since 2020. The following immunizations were not complete, according to the file: Hepatitis B, DTAP, HiB, Pneumococcal, Polio, MMR, Varicella, Hepatitis A, and Influenza. The Immunization Record, in the file for Child #2, did not contain documentation of the Influenza immunization in 2022. The Immunization Record, in the file for Child #5, did not contain documentation of the Influenza, MMR, or Varicella immunizations in accordance with the recommendation of the ACIP.

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 #1, Child #2, and Child #5 must be dismissed from care by close of business on 6.29.23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Emergency Plan did not contain Continuity of Operations. The file for Staff #2, did not contain documentation of the Health & Safety, 1-hour update, required by 12.30.22.

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

Regulation: 3280.15(b)

Description: Ongoing compliance

Noncompliance Area: The Occupancy Permit, issued 1.8.19, stated, "...operating Monday thru Sunday, 6 AM to 6 PM...," and the operator provides 24-hour care, which is non-compliant with the applicable requirements prescribed by the Department of Labor and Industry.

Correction Required: (b) The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance granted by the Department under this chapter. The operator may only operate in accordance with the Occupancy Permit, Monday thru Sunday, 6 AM to 6 PM. Child care may not be provided outside of that timeframe.

Regulation: 3280.181(a)

Description: Each child

Noncompliance Area: According to statements made by the operator, enrollment documents submitted for Child #5 had been misplaced for approximately two months. Once they were found, they were dated with the "found" date as opposed to the child's enrollment date. Therefore, there was no file for Child #5 for approximately two months.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3280.182(3)/3280.182(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 file for Child #5 did not contain signed, parental consent for emergency medical care or administration of minor first-aid.

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

Regulation: 3280.26(a)(1)

Description: Emergency plan

Noncompliance Area: The Emergency Plan did not contain Shelter in Place.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3280.26(a)(4)

Description: Contact when ended

Noncompliance Area: The Emergency Plan did not provide 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.

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: 3280.26(d)

Description: Plan posted

Noncompliance Area: The Emergency Plan was not posted in the facility, at a conspicuous location, as only the Evacuation Plan was posted.

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

Regulation: 3280.26(e)

Description: Letter to parents

Noncompliance Area: Documentation of letters, provided to the parent of each enrolled child, explaining the emergency procedures and subsequent updates to the plan, were not available.

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: 3280.26(f)

Description: Emergency plan

Noncompliance Area: No documentation was present to verify that a copy of the Emergency Plan was sent to the local municipality and to the county emergency management agency.

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

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: The file for Staff #1 contained documentation of Pediatric First-Aid/CPR on 2.21.21 and 5.18.23, which exceeded the expiration of the previous certification.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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: 3280.31(e)/3280.192(2)(iii)

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

Noncompliance Area: The file for Staff #2 did not contain documentation of 12 hours of child care training between 12.19.21 and 12.18.22.

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

Regulation: 3280.74

Description: Emergency Numbers Posted

Noncompliance Area: The posted telephone numbers for the nearest hospital, police department, fire department, and ambulance were not specific for the facility, as they each stated, "911."

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: Gray baseboard cove, near the tables, was pulled away from the wall, approximately 6", which created a tripping hazard for children in care.

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

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: A broken, plastic edge was located on a "treehouse" toy in the child care space, which created a scraping/cutting hazard for children in care. A pink, Lil' Tykes rocking horse had a broken handle with sharp edges, was located outside in the play yard, and created a scraping/cutting hazard for children in care.

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: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The Agreement, in the file for Child #3, did not specify the child's arrival and departure times.

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

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for Child #1 and Child #3 did not contain the enrolling parent's work address on the Emergency Contact form. The file for Child #1 did not contain the enrolling parent's work phone number on the Emergency Contact form.

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

Regulation: 3280.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The Health Report in the file for Child #2 did not contain a physician, physician's assistant, or a CRNP signature and title.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the restroom cabinet, under the white diaper changing table, the latch was broken, and the cabinet contained the following items which stated, "Keep out of reach of children," and were accessible to children in care: Ajax with Bleach (28 oz), Boulder Clean (28 oz), Enviro Cleanse (1 qt), Clorox Clean-Up (1 gal), 2 Lysol Power Toilet Bowl Cleaners (8 oz each). Boulder Clean (28 oz) which stated, "Keep out of reach of children," was accessible to children in care, and was located on the diaper changing table in the restroom.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: A proof of purchase was not available for the fire detection system.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Noncompliance Area: The agreement form on file for Child #2 did not include the names of the persons 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.

Noncompliance Area: The emergency contact form on file for Child #1 and Child #3 did not include complete addresses for all listed release persons.

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.

Noncompliance Area: The most recent 6 month review signature for the emergency contact form and agreement on file for Child #2 is dated, 7/2019, more than 6 months ago. The most recent 6 month review signature for the emergency contact form and agreement on file for Child #4 is dated, 5/2019, more than 6 months ago.

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 informationA 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.

Noncompliance Area: The file for Child #2, with an enrollment date of 7/5/19, does not include an initial health assessment , due to be completed within 60 days of enrollment.

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.

Noncompliance Area: The most recent health assessment on file for Child #4, a young toddler, is dated 6/4/19, is more than 6 months old

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

Noncompliance Area: The initial health assessment on file for Child #1, with an enrollment date of 10/11/19, is not signed and dated by the examining health care professional, making it invalid.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: The immunization record on file for Child #1, does not include verification of an influenza vaccination, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #3, dated 1/9/19, is dated more than 1 year ago.

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

Noncompliance Area: During the physical site inspection on 9/3/20, there was not a current weekly menu posted in the facility.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: There was not a written feeding plan submitted by the parent for the infant receiving care at the time of the renewal inspection.

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

Noncompliance Area: The most recent emergency plan training on file for Staff person #1 and Staff person #2 is dated 3/22/19, more than 1 year 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The file for Staff person #1 and Staff person #2 does not include 6 hours of required annual training for the most recently completed anniversary period between 3/25/19-2/35/20.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Recite from SIN-00156613: The agreement on file for Child #1was the original agreement; the facility is to retain a copy and give the original to the parent.

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

Noncompliance Area: Recite from SIN-00156613: The emergency contact form on file for Child #2 did not include 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.

Noncompliance Area: Recite from SIN-00156613: The file for Staff person #1 did not include 2 written nonfamily references attesting to the person's suitability to work in child care, which had previously been submitted to and reviewed by OCDEL.

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

Noncompliance Area: Recite from SIN-00156613: When the CR arrived at the facility at 9:07 am on 9/12/19, Staff person #1 was observed entering the parking lot and then walking into the facility with 1 pre-school child. When the CR entered the facility at 9:10 am on 9/12/19, there were 10 children in the facility with 2 staff, including Staff person #1 who had just entered the building a minute earlier. This means Staff person #2 had been alone in the facility with 9 children, including 2 infants, 3 young toddlers, 3 older toddlers, and 1 preschool child.

Correction Required: A primary staff person shall be present in a facility when six or fewer children are in care, unless the staff-child ratio specified in 3280.52(b) or (c) requires a second or third staff person.

Noncompliance Area: Recite from SIN-00156613: When the CR arrived at the facility at 9:07 am on 9/12/19, Staff person #1 was observed entering the parking lot and then walking into the facility with 1 pre-school child. When the CR entered the facility at 9:10 am on 9/12/19, there were 10 children in the facility with 2 staff, including Staff person #1 who had just entered the building a minute earlier. This means Staff person #2 had been alone in the facility with 9 children, including 2 infants, 3 young toddlers, 3 older toddlers, and 1 preschool child.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at 3280.52(b).

Noncompliance Area: Recite from SIN-00156613: The cabinet under the sink in the bathroom was unlocked and contained a bottle of Soft Soap refills labeled "keep out of reach of children."

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Recite from SIN-00156613: There was peeling paint on the tree mural.

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

Noncompliance Area: There was a googly eye smaller than 1 inch in diameter on the floor in the main child care area, which is occupied by toddlers.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: The daily activity schedule was not posted in the facility for parents to view.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: The file for Child #3 did not include an agreement.

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

Noncompliance Area: The agreement on file for Child #1 did not include arrival and departure times.

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

Noncompliance Area: The agreement on file for Child #1, #2, #4, and #5 was the original agreement; the facility is to retain a copy and give the original to the parent.

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