Small Town Hope

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a cracked white clothes basket containing toys with rough edges in the Preschool Outdoor Play Space. Observed a Little Tykes red car with a cracked eye creating rough edges in the Preschool Outdoor Play Space.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling paint around the door frame of the entrance/exit to the building in the Infant/ Toddler Outdoor Play Space. Observed peeling paint on the left side of the gate leading from the Infant/Toddler Outdoor Play Space to the Preschool Outdoor Play Space.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 1/27/26 observed cracked magna tiles in the Blue section and Tod Pod section of the main room downstairs. On 1/27/26 observed 3 torn rest mats with exposed foam in the Preschool Room. On 1/27/26 observed 3 wooden blocks with rough edges in the Tod Pod section of the main room downstairs. On 1/27/26 observed a wooden block with a hollow middle with loose screws in the Preschool Room.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: On 1/27/26 observed a pencil bookcase which was unstable because it moved from side to side in the Preschool Room.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 1/27/26 observed rest equipment not labeled for the use of a specific child in both the main room downstairs and the Preschool Room.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file of Child #1 lacked child service reports completed at least every 6 months (SEE LIS Code Sheet). The file of Child #1 did not contain child service reports. The files of Children #2 and #4 lacked child service reports completed at least every 6 months. The file of Child #2 contained child service reports dated 6/2/24, 3/3/25, and 10/25/25. The file of Child #4 contained child service reports dated 3/25/25 and 10/23/25.

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)(4)/3270.182(3)

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

Noncompliance Area: Emergency contact information for Child #3 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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: On 1/27/26 staff did not ensure a child's hands were washed after being diapered in the Green section of the main room downstairs.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The files of Staff #4, Volunteer #7, Volunteer #8, and Volunteer #10 lacked a health assessment conducted every 24 months. The file of Staff #4 contained a current health assessment dated 1/2/26 with a previous one dated 12/17/23. The file of Volunteer #7 contained a current health assessment dated 12/8/25 with a previous one dated 4/2/23. The file of Volunteer #8 contained a current health assessment dated 12/12/25 with a previous one dated 8/30/23. The file of Volunteer #10 contained a current health assessment dated 12/19/25 with a previous one dated 11/30/23.

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.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The files of Staff #3 and Volunteer #11 lacked an adult health assessment which included tuberculosis screening by the Mantoux method at initial employment (SEE LIS Code Sheet). Staff #3 had a Mantoux read date of 7/2/21. Volunteer #11 had a Mantoux read date of 1/22/26.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: On 1/27/26 a facility person did not wash their hands after diapering a child in the Green section of the main room downstairs.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.182(5)

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

Noncompliance Area: The file of Child #3 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 file of Volunteer #11 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Volunteer #11 contained only one 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: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility did not have an emergency plan that provides for accommodations for toddlers.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The files of Staff #3 and #6 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #3 contained documentation of fire safety training conducted on 1/3/25. The file of Staff #6 contained documentation of fire safety training conducted on 1/6/25.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files of Staff #2 and #5 lacked a National Sex Offender Registry Certificate updated every 60 months. The file of Staff #2 contained a NSOR dated 12/4/25 with a previous one dated 7/20/20. The file of Staff #5 contained a NSOR dated 12/4/25 with a previous one dated 7/2/20. The file of Volunteer #9 lacked a DHS FBI Clearance and National Sex Offender Registry Certificate dated prior to or on the date of having direct contact or routine interaction with children (SEE LIS Code Sheet). The file of Volunteer #9 contained a DHS FBI Clearance dated 12/11/25 and a NSOR dated 1/7/26.

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 files of Staff #1, #2, and #5 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #1 contained a written evaluation dated 12/20/25 with a previous one dated 11/1/24. The file of Staff #2 contained a written evaluation dated 12/20/25 with a previous one dated 11/1/24. The file of Staff #5 contained a written evaluation dated 12/23/25 with a previous one dated 11/1/24.

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: 3270.36(b)(5)/3270.192(2)(iii)

Description: HS/GED + 2 yrs/Exp, educ., training at facility

Noncompliance Area: The file of Staff #6, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: On 1/27/26 observed trash contaminated by human secretions or excrements which was not contained in a closed, plastic-lined receptacle in the Preschool Room.

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

Regulation: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: On 1/27/26 observed a portable space heater on the cubby by the bathroom in the kitchen/lunchroom used by preschoolers.

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.92(b)

Description: Fixed space heater approved

Noncompliance Area: On 1/2726 observed 2 space heaters mounted to the wall in the Preschool Room. On 2/5/26 observed a space heater in the kitchen/lunchroom used by preschoolers. The facility lacked documentation that fixed space heaters were approved for use by a local fire safety professional.

Correction Required: A fixed space heater shall be approved for use by a local fire safety professional. Written approval of the installation and written approval for use shall be on file at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The Director or designated staff person who is responsible for compliance with this chapter did not ensure fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 1/3/25, 2/2725, 4/25/25, 6/26/25, 8/22/25, 10/17/25, and 12/15/25.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: 2nd citation. Previously cited on 1/27/25. The operator did not post the emergency plan in the facility at a conspicuous location.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: 2nd citation. Previously cited on 1/27/25. Observed Isagel Handwashing No-Rinse Antiseptic Hand Cleansing Gel with Added Moisturizers which indicated "keep out of the reach of children" on the bookcase between the bathrooms located in the kitchen/lunchroom which was accessible to children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed approximately a 1 by 1-inch hole and approximately a 2 by 3-inch hole on the fence to the right of the gate in the Outdoor Play Space on the deck.

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: Observed peeling paint to the right and left of the gate separating the play spaces in the Outdoor Play Space with grass.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 1/27/25 observed a cracked green square magna tile in the downstairs classroom.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On 1/29/25 observed plastic bags hanging beside the changing table in the downstairs classroom which were accessible to children who are still placing objects in their mouths.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: On 1/27/25 observed a shelf containing pretend food which was not anchored in the upstairs classroom creating a potential tipping hazard. On 1/27/25 observed a shelf containing art supplies which was not anchored in the upstairs classroom creating a potential tipping hazard. On 127/25 observed a shelf containing blocks which was not anchored in the upstairs classroom creating a potential tipping hazard.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 1/27/25 observed rest equipment not labeled for the use of a specific child in the downstairs classroom.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #3 did not include the complete work 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information for Child #4 did not include the telephone number of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 1/27/25 emergency contact information for Children #5 and #6 were not present in the Infant Room when they were 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: 3270.131(a)

Description: Health information

Noncompliance Area: The file of Child #3 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #3, with an admission date of 9/8/23, contained a health report dated 12/23/23. The file of Child #4 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #4, with an admission date of 10/3/24, contained a health report dated 12/19/24.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file of Child #1 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #1 contained health reports dated 12/20/22, 8/18/23, and 12/18/24. The file of Child #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained health reports dated 12/23/23 and 11/19/24.

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.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file of Child #2, a 3-year-old, lacked Hepatitis A immunizations according to the recommendations of the ACIP. Child #2 had documentation of no Hepatitis A immunizations. The file of Child #3, a 20-month-old, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #3 had documentation of 3 DTAP/DTP/TD and 3 Pneumococcal immunizations. The file of Child #4, a 7-month-old, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #4 had documentation of 2 DTAP/DTP/TD and 2 Pneumococcal immunizations.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file of Staff #1 lacked a health assessment conducted every 24 months. The file of Staff #1 contained a current health assessment dated 12/17/23 with a previous one dated 5/6/21. The file of Staff #6 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #6 contained a health assessment dated 10/25/23. The file of Staff #7 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #7 contained health assessments dated 6/23/22 and 12/27/24. The file of Volunteer #9 lacked a health assessment conducted every 24 months. The file of Volunteer #9 contained a current health assessment dated 4/2/23 with a previous one dated 3/28/21.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file of Staff #7 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). The file of Staff #7 had a Mantoux test read date of 6/27/22.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.165

Description: Menus

Noncompliance Area: The operator did not conspicuously post the menu at least 1 week in advance.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact and agreement were reviewed on 11/9/23, 7/18/24, and 1/2/25. The emergency contact and agreement for Child #4 were not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was signed on 9/11/23 and reviewed on 7/18/24 and 12/16/24. Child #4's agreement was signed on 8/14/23 and reviewed on 7/18/24 and 12/16/24.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On 1/27/25 observed 1 pack 'n play with a loose sheet in the Infant Room creating a potential suffocation hazard.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: The facility did not have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file of Volunteer #9 lacked documentation of emergency plan training on an annual basis (SEE LIS Code Sheet). The file of Volunteer #9 contained documentation of emergency plan training completed on 3/24/23. The file of Volunteer #11 lacked documentation of emergency plan training at the time of initial service and on an annual basis (SEE LIS Code Sheet). The file of Volunteer #11 did not contain documentation of emergency plan training.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The operator did not post the emergency plan in the facility at a conspicuous location.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter provided to the parent explaining emergency procedures did not address 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: Staff #3 lacked 1.5 hours of annual child care training required from March of 2023 through March of 2024. Staff #3 had 2.5 hours of child care training completed on 12/10/24 used for correction.

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 #5 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The most current certification on file for Staff #5 was dated 12/21/24 with the previous certification dated 1/4/22.

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)

Description: Health and Safety Training

Noncompliance Area: The files of Staff #3 and #4 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #3 contained documentation of completing health and safety training on 1/8/23. The file of Staff #4 contained documentation of completing health and safety training on 1/8/23.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #2 lacked documentation of completing mandated reporter training every 60 months. Staff #2 had documentation of completing mandated reporter training on 12/28/23 with previous training completed on 10/19/18.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Volunteer #8 lacked a State Police Clearance and National Sex Offender Registry Certificate prior to or on the date of initial service in a child care setting (SEE LIS Code Sheet). The file of Volunteer #8 contained a State Police Clearance dated 1/10/25 and a NSOR dated 1/13/25. The file of Volunteer #9 lacked an FBI Clearance updated every 60 months. The file of Volunteer #9 contained an FBI Clearance dated 9/19/23 with a previous one dated 3/1/18. The file of Volunteer #9 lacked a valid FBI Clearance. Volunteer #9 had an FBI Clearance dated 9/19/23 from fieldprint.com. The files of Volunteers #10 and #11 lacked a valid disclosure statement (SEE LIS Code Sheet). The files of Volunteers #10 and #11 did not contain the disclosure statement updated in 2020. The file of Volunteer #11 lacked a valid FBI Clearance. Volunteer #11 had an FBI Clearance dated 8/17/23 from fieldprint.com.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 9 and #11 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #9 and #11 may not work in a child care position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: The file of Staff #7 lacked documentation of meeting one of the applicable staff qualifications for the position in which the person was 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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files of Staff #3 and #6 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #3 did not contain a written evaluation for 2023, 2024, or 2025. The file of Staff #6 contained a written evaluation dated 11/1/24.

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: On 1/27/25 observed Hello Mineral Sunscreen Lotion which indicated "keep out of the reach of children" hanging on the downstairs bathroom door which was accessible to children. On 1/27/25 observed Equate Hand Sanitizer which indicated "keep out of the reach of children" in the wooden bin by the downstairs bathroom which was accessible to children. On 1/27/25 observed A&D Ointment, 8 tubes of Desitin, and Aquaphor which indicated "keep out of the reach of children" under the changing table in the downstairs which were accessible to children. On 1/27/25 observed a bottle labeled "bleach water" hanging beside the changing table in the downstairs which was accessible to children. On 1/27/25 observed 2 Aquaphor, Desitin, and Parent's Choice Diaper Rash Ointment which indicated "keep out of the reach of children" on the changing table in the Infant Room which were accessible to children.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: On 1/27/25 the first-aid kit used for excursions lacked soap, tweezers, and disposable nonporous gloves.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: On 1/27/25 observed one sink in the downstairs bathroom that 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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: On 1/27/25 observed a round children's table and 5 children's chairs obstructing the front exit from the building in the downstairs classroom.

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

Regulation: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: On 1/27/25 observed a portable space heater in the kitchen/lunchroom used by preschoolers.

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: 2nd citation. Previously cited on 7/15/24. The file of Staff #2 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #2 contained only one written 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: 2nd citation. Previously cited on 7/15/24. The file of Staff #1 lacked a disclosure statement. The file of Staff #3 lacked a dated and witnessed disclosure statement.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The files of Staff #8 and #9 lacked an initial health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #8 contained a health assessment dated 1/24/24. The file of Staff #9 did not contain 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.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: An individual record was not established for Staff #7.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files of Staff #8 and #9 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The files of Staff #8 and #9 contained only one written 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file of Staff #9 lacked documentation of receiving training regarding the emergency plan at the time of initial service.

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

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

Description: Age and Training

Noncompliance Area: Staff #1, #2, #3, #5, and #6 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The most current certification on file for Staff #1, #2, #3, #5 and #6 was dated 2/24/24 with the previous certification dated 1/4/22.

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)

Description: Health and Safety Training

Noncompliance Area: The file of Staff #3 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #3 contained documentation of completing health and safety training on 1/17/22.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #4 will have until September 10, 2024, to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file of Staff #1, who is currently designated as an Administrative Assistant but formerly was designated as a work study student, lacked a State Police Clearance, Child Abuse Clearance, DHS FBI Clearance, and a National Sex Offender Registry Certificate. The file of Staff #2, who is currently designated as an aide but formerly was designated as a work study student, lacked a State Police Clearance and Child Abuse Clearance.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #8 who was designated as a work study and is now designated as an aide lacked an FBI Clearance prior to or on the date of initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #8 contained an FBI Clearance dated 6/7/24. Staff #9 who was designated as a work study and is now designated as an aide lacked a State Police Clearance, Child Abuse Clearance, and FBI Clearance prior to or on the date of initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #9 contained a State Police Clearance dated 1/25/24, a Child Abuse Clearance dated 1/26/24, and an FBI Clearance dated 2/7/24. The file of Staff #9 lacked a disclosure statement.

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

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: The file of Staff #9 lacked documentation of meeting one of the applicable staff qualifications for the position in which the person was 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.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Based on interviews, on 6/5/24 Staff #3 was left alone with 11 children including preschoolers and school-agers for approximately 15 minutes before a 2nd staff person arrived.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 6/8/23, 8/4/23, 9/29/23, and 11/22/23.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 6/8/23, 7/7/23, 8/4/23, 9/1/23, 9/29/23, 10/6/23, 11/3/23, 12/1/23, 12/28/23, 1/2/24, 2/2/24, and 3/1/24.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The facility's infant room was observed to have a refrigerator that contained a thermometer that indicated the temperature was greater than 45 degrees F.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The files for children #2 and #3 were observed to have files that contained an emergency contact form that failed to include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #3 was observed to contain an emergency contact form that failed to include the health insurance coverage and policy number.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #1 was observed to contain an initial health assessment that was not obtained within 60 days of enrollment as evidenced by a health assessment dated 11/3/2023 present in the file.

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)

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

Noncompliance Area: The file for child #2, a pre-school aged child was observed to lack an updated health report at least every 12 months as evidenced by health assessments dated 09/27/2022 and 12/15/2023.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for Child #4 was observed to lack 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 within 60 days. This was evidenced by an immunization record dated 11/21/2023 present in the file.

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.

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: The facility was observed to have a medication and written instructions provided by the parent for child #5, that failed to include the dose or amount of medication that should be administered.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: The facility was observed to lack written statements from the parents giving the formula and feeding schedules for all enrolled infants.

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

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: The facility was observed to have an emergency plan that did not provide 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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility was observed to have documentation that their emergency plan and subsequent updates had been sent to the county emergency management agency but lacked documentation that the emergency plan and subsequent updates had been sent to the local municipality's 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for Staff person #1, #3, #4 and #5 were observed to lack documentation of completing 12 hours annually of child care training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On 02/16/2024, staff person #1 and staff person #5 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet). Staff person #1: pediatric first-aid training and pediatric cardiopulmonary resuscitation (CPR), Staff person #5: Get Started with Center-Based Care: Building Blocks for Quality.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.32(f)(1-10), 3280.31(f)(1-10), or 3290.31(g)(1-10) within 90 days of hire. Staff persons #1 and #5 will have until March 26, 2024, to complete the required training. Until such time as the required training has been completed, staff persons #1 and #5 must be supervised when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1 and #5, Staff persons #1 and #5 may not work in a child care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: The facility was observed to have an outlet in the infant room near the bottle warmer at highchair height that did not have a protective outlet cover.

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

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: The files for child(ren) #1, #3, and #5 were observed to contain an agreement form that lacked information specifying the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for Child #4 was observed to contain an emergency contact form that lack 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(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #1 was observed to lack an initial health report no later than 60 days following the first day (09/07/2021) of attendance at the facility, as evidenced by an initial health report dated 08/11/2022 present in the file.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The files for child(ren) #1, #2, #4, and #5 were observed to lack an immunization record that verifies the child's immunized status according to recommendations of ACIP, as there is no documentation that an influenza vaccine was administered or of a request for exemption by the parent.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for Child #1 was observed to lack written verification of immunization no later than 60 days following the first day (09/07/2021) of attendance at the facility, as evidenced by an immunization record dated 08/11/2022 present in the file.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility was observed to lack a policy regarding shaken baby syndrome, abusive head trauma, and child maltreatment.

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for Staff person #1 was observed to lack documentation of a tuberculosis screening by the Mantoux method.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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(2)(i)

Description: Age

Noncompliance Area: The file for staff person #3 was observed to lack documentation that verifies their age.

Correction Required: A facility person's record shall include verification of age.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #2 was observed to lack verification they received training regarding the emergency plan at the time of initial employment, and after the plan update.

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 #3 had not completed the following pre-service training within 90 days of their date of hire (See LIS code sheet): Valid Pediatric First-Aid training and Pediatric Cardiopulmonary Resuscitation (CPR).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #3 will have until March 23, 2023, to complete the required training. Until such time as the required training has been completed, Staff Person #3 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are not staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Observed rest mats located in the main room downstairs, not labeled for the use of a specific child and used only by the specified child.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file of child #1 lacked an emergency contact form with the 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: 3270.151(a)

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

Noncompliance Area: The file of staff #4 with a start date in care with children of 11-3-21 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.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file of staff #4 with a start date in care with children of 11-3-21 lacked documentation of tuberculosis screening by the Mantoux method.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.