Small World Early Learning & Dev Ctr I

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health report in the file for Child #1 was obtained more than 60 days after the child's first day of attendance at the facility.

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

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

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

Noncompliance Area: The most recent updated health reports in the files for Child #3, an older toddler, and #4, a preschool child, exceeded 12 months between reports.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility did not have a section for the prevention and identification of child maltreatment in the policy for shaken baby syndrome/abusive head trauma.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most recent health assessments in the file for Staff Person #2 exceeded 24 months between assessments.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The fee agreements in the files for Child #1, 3 and 4 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: 3270.182(3)/3270.182(5)

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

Noncompliance Area: The emergency contact forms in the files for Child #1 and #2 did not contain signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff. The blocks contained initials only.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: An emergency drill had not been conducted at the facility in the past 12 months (March, 2025).

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The parent letter explaining the emergency procedures did not include 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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The most recent fire safety trainings in the files for Staff Person #2 and #3 exceeded 12 months between trainings.

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 NSOR Certificate in the file for Staff Person #1 was acquired after the staff person's first day working in a child care position at the facility (See LIS Code Sheet). The most recent FBI clearances in the file for Staff Person #2 exceeded 60 months between clearances.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed two ceiling tiles discolored from water damage in the middle of the Preschool #1 Room and one ceiling tile discolored from water damage on the right side of the Older Toddler Room. Observed two boxes of shelving units propped against the walls, which create a toppling hazard, and several boxes of supplies, which creates a tripping hazard, in the gym.

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, flaking paint at the bottom of the wall by the gate between the crib and play areas of the Infant Room. Observes bubbling, flaking paint at the bottom of the walls in the two toilet stalls of the boy's restroom.

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

Regulation: 3270.111(c)/3270.112

Description: Promote development/Infant/Toddler Stimulation

Noncompliance Area: According to staff interview and facility video, on 2/10/2026 at 4:10pm two young toddlers were crying and pounding on the classroom door for ~10 minutes while staff person #1, who was responsible for supervising the toddlers, remained seated in a chair across the room holding her own child and did not attempt to offer any comfort or support to the toddlers in distress.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on a review of documentation, observations of video footage, and interviews with staff, the following occurred: On 12/18/25 at 5:34 PM, Staff Person #1 and Staff Person #2 were supervising a mixed group of seven children (1 infant, 3 older toddlers and 3 preschool) in the indoor play space. Child #1, an older toddler, was playing inside a playhouse and climbed onto and sat on the window ledge of the playhouse, which is three feet six inches from the floor. Neither Staff Person #1 nor Staff Person #2 intervened and Child #1 subsequently fell face first to the floor. Following the fall, the child sustained injuries, including bleeding from the mouth due to a tooth being pushed into the gum and an injury to the left leg. Neither Staff Person #1 nor Staff Person #2 attended to the child after the fall while the child was lying on the floor. The child's condition was not assessed until Staff Person #3 entered the room to assist. When Staff Person #1 left the child in the care of Staff Person #4 at 5:47 PM, Child #1 attempted to take two steps, but fell again due to the leg pain. Staff Person #4 did not intervene to assist the child. Child #1 laid on the floor until the parents arrived to pick the child up.

Correction Required: Tier 1: Children on the premises and on facility excursions off the premises shall always be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. This portion of the plan shall have an immediate correction date. Tier 2: The facility director shall develop and implement written supervision procedures that emphasize active supervision of children and appropriate staff response when a child is injured or appears to be injured. The procedures shall require staff to maintain continuous supervision to promptly recognize injuries or signs of distress and to respond immediately when a child is injured or appears to be injured. The supervision procedures shall require staff to immediately take appropriate action to protect the injured child from further harm, remain responsible for the supervision of the injured child, and ensure continued supervision of the remaining children without delay or interruption. Staff shall promptly notify the facility director in accordance with the supervision procedures. The facility director shall ensure all staff are trained on the supervision procedures, including recognizing injuries and responding promptly and appropriately within the scope of supervision. Training documentation, including sign-in sheets, shall be maintained. The written supervision procedures, training documentation, and the implementation date shall be submitted to the Western Regional Office within five (5) business days. The operator shall provide a date for when the portion of the plan will be completed.

Regulation: 3270.132(a)

Description: Contact parent/keep record

Noncompliance Area: Based on a review of documentation, observations of video footage, and interviews with staff, the following was verified: On 12/18/25 at 5:34 PM, Child #1 sustained injuries to the mouth and left leg because of a three-and-a-half-foot fall from a playhouse in the facility's indoor play space. Prior to the fall, Child #1 climbed onto and sat on the window ledge of the playhouse. The child then fell face first to the floor. Then the child's mouth was bleeding from a tooth pushed up into the gum, and the child could not bear weight on the left leg. The parents were not notified immediately.

Correction Required: Tier 1: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent. This portion of the plan shall have an immediate correction date. Tier 2: The legal entity will ensure that all facility persons complete the PA Required Health and Safety for Centers -- Group Child Care Part 1 and Part 2 trainings found on the Penn State Better Kid Care website within 21 calendar days of acceptance of this plan of correction. Facility persons who have already completed these trainings will be required to take the trainings again and provide documentation of completion after the acceptance date. Once all facility persons have completed these trainings, the legal entity will submit the training certificates to the Western Regional Office within five (5) business days of the last completion date. The operator shall provide a date for when the portion of the plan will be completed. Tier 3: Once Tier 2 is met, all facility persons will complete the one (1)-hour 911: Responding to Medical Emergencies training found on the Penn State Better Kid Care website within 21 calendar days. Once all facility persons have completed this training, the legal entity will submit the training certificates to the Western Regional Office within five (5) business days of the last completion date. The operator shall provide a date for when the portion of the plan will be completed. Tier 4: Once Tier 3 is met, the facility director and legal entity leadership shall participate in technical assistance through targeted training with PA Key and the ELRC to develop, implement, and operationalize two separate written documents: an Emergency Medical Response Plan and Procedures and a Written Incident Reporting Policy. The Emergency Medical Response Plan and Procedures shall address situations involving observed injuries, suspected injuries, medical concerns, or medical emergencies and shall focus exclusively on how staff respond to a child's medical needs once an injury or medical concern has been identified. The plan shall include clear, step-by-step procedures requiring staff to take immediate action to address the child's medical needs, establish criteria for when emergency medical services (EMS/911) must be contacted, identify staff roles related to seeking medical care, require ongoing monitoring and documentation of the child's condition, and require escalation of care when a child's condition changes or worsens. The Incident Reporting Policy shall establish the facility's requirements for notification and documentation when an injury or medical concern occurs. The policy shall require immediate assessment of the child and if needed, notification of the parent and facility leadership when an injury or medical concern is observed or suspected and shall require that injury reports are completed the same day the injury occurs and provided to the parent. The policy shall also include requirements for ongoing documentation to comply with reporting requirements under 3270.20 related to the incident as needed. The operator shall provide a date indicating when this portion of the plan will be completed. Both the Emergency Medical Response Plan and Procedures and the Incident Reporting Policy shall be placed in the facility handbook and the parent handbook and provided to all current parents, provided to all current staff, reviewed with staff, and acknowledged in writing through signed documentation verifying understanding of the written requirements. The written plan, policy, and signed staff acknowledgments shall be submitted to the Western Regional Office within five (5) business days of implementation. The operator shall provide a date indicating when this portion of the plan will be completed. Tier 5: Once Tier 4 is met, all facility persons shall complete training with PA Key related to the Emergency Medical Response Plan and Procedures and the Incident Reporting Policy. Staff shall also complete a post-training assessment specific to these documents and must score at least ninety percent (90%) to demonstrate understanding of the required emergency medical response procedures and incident reporting requirements. Documentation of completed post-training assessments and scores shall be submitted to the Western Regional Office within five (5) business days of completion. The operator shall provide a date indicating when this portion of the plan will be completed. Tier 6: Once Tier 5 is met, all facility persons will participate in monthly staff meetings for four (4) consecutive months. Agendas shall include review of the Emergency Medical Response Plan with Procedures, the Incident Reporting Policy, and the supervision policy, including staff-to-child ratio requirements, as well as review of any citations issued since January 2025. Agendas and sign-in sheets will be submitted to Western Reginal office within five (5) business days after each meeting. The correction date for this portion of the plan shall be a minimum of four (4) months from the date the Western Regional Office approves the implementation of the policy.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Based on a review of documentation, observations of video footage, and interviews with staff, the following was verified: On 12/18/25 at 5:34 PM, Child #1 sustained injuries to the mouth and left leg because of a three-and-a-half-foot fall from a playhouse in the facility's indoor play space. Prior to the fall, Child #1 climbed onto and sat on the window ledge of the playhouse. The child then fell face first to the floor. Then the child's mouth was bleeding from a tooth pushed up into the gum, and the child could not bear weight on the left leg. The parents were not given an incident report on the day of the injury.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: Based on a review of documentation, observations of video footage, and interviews with staff, the following was verified: On 12/18/25 at 5:34 PM, Child #1 sustained injuries to the mouth and left leg because of a three-and-a-half-foot fall from a playhouse in the facility's indoor play space. Prior to the fall, Child #1 climbed onto and sat on the window ledge of the playhouse. The child then fell face first to the floor. Then the child's mouth was bleeding from a tooth pushed up into the gum, and the child could not bear weight on the left leg. The parents were not notified immediately. Later that evening, parents informed Staff Person #5 that Child #1 had taken the child to the emergency room. The operator failed to notify the regional office by telephone within 24 hours of the incident.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Regulation: 3270.20(b)

Description: Mail or deliver written report to regional office within 72 hours

Noncompliance Area: Based on review of documentation and interviews with staff, it was verified that Child #1 sustained an injury that required emergency room treatment. The operator failed to mail or deliver a written report to the appropriate regional office of the Department within 72 hours after the incident.

Correction Required: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Based on observations of video footage, Staff Person #1 was over ratio in the indoor play space on 12/18/25 during the following times: 5:39-5:43 1:5 (1 infant, 1 older toddler, 3 preschool) and 5:47-5:48 1:5 (1 infant, 2 older toddlers, 2 preschool).

Correction Required: Tier 1: 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 § 3270.51 (relating to similar age level). This portion of the plan shall have an immediate correction date. Tier 2 The facility director will require staff to immediately notify the director before a classroom is non-compliant with ratio. Upon notification, the director will take immediate action, including assigning qualified staff as needed to maintain required staff-to-child ratios. The operator shall provide a date for when the portion of the plan will be completed. Tier 3 The director will implement written procedures to maintain ratio at all times, which includes notification to the director before the classroom is non-complaint with ratio. The legal entity will ensure staff are trained on these procedures, and maintain training sign-in sheets. The procedures, training documentation, and implementation date shall be submitted to the Western Regional Office within five (5) business days. The operator shall provide a date for when the portion of the plan will be completed.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed dirt and debris under the mats of the diaper changing tables in the Infant and OT Rooms.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A daily activity schedule was not posted in the Infant Room.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form in the file for Child #1 did not include the address or phone number of the child's physician.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms in the files for Child #1 and #5 did not include the work address and phone number of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form in the file for Child #1 did not include 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form in the file for Child #1 did not include the address of the 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.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The binder in the OT Room did not contain an emergency contact form for Child #3, who was receiving care in that room.

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(b)(2)/3270.182(1)

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

Noncompliance Area: The file for Child #5, a preschool child, did 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 shall contain initial and subsequent health reports.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report in the file for Child #1 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The initial health assessments in the files for Staff Person #6 and #7 were conducted more than 12 months prior to the staff persons' first day working in a child care position at the facility and are not valid. (See LIS Code Sheet).

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact form and the fee agreement in the file for Child #3 have not been updated by the parent within the past six months. The fee agreement in the file for Child #5 has not been updated by the parent within 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: 3270.182(3)/3270.182(5)

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

Noncompliance Area: The emergency contact form in the file for Child #2 did not contain signed parental consent for emergency medical care for the child. The emergency contact form in the file for Child #4 did not contain signed parental consent for emergency medical care for the child or 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 emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.182(8)

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

Noncompliance Area: The file for Child #1 did not contain a copy of the fee agreement.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for Staff Person #1, #3, #5 and #10 do not include documentation of emergency plan training conducted within the past 12 months.

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)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff Person #1 does not contain documentation of fire safety training conducted within the past 12 months. The most recent fire safety trainings in the files for Staff Person #2 and #5 exceeded 12 months between trainings.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent Mandated Reporter Trainings in the file for Staff Person #3 exceeded 60 months between trainings.

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 most recent State Police and Child Abuse Clearances and NSOR Certificate in the file for Staff Person #1 exceeded 60 months between clearances. The NSOR Certificate in the file for Staff Person #3 (hired prior to 2/1/25) was processed more than 45 days after the staff person's first day working in childcare. The most recent State Police and Child Abuse Clearances in the file for Staff Person #4 exceeded 60 months between clearances. The NSOR Certificate in the file for Staff Person #8 (hired after 2/1/25) was processed after the staff person's first day working in childcare. The file for Staff Person #9, who has lived out of state in the past five years (Florida) did not contain the out-of-state clearances required for that state (Sex Offender Registry and Child Abuse). (See LIS Code Sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include 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 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for Staff Person #1, #2, #3, #5 and #10 do not have a written evaluation conducted within the past 12 months.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed two outlets, under the shapes board in the OT Room, which lacked protective receptacle covers.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: The trash can in the dining area of the Infant Room lacked a liner.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed rust marks dripping from the ceiling down the wall in the right corner of the OT Room. Observed holes in the bottom of two wall panels, which were separating from each other on the yellow wall across from the entrance to the gym. Observed two rolled up carpets and a cart, which create potential tripping hazards, in the Preschool #2 Room.

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 flaking plaster in the gym where two wall panels were separating from each other.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on a review of video footage, it was verified that Staff Person #1 physically disciplined and restrained Child #1 on 9/11/25 in the gym. At approximately 4:02 PM, Staff Person #1 is observed yanking Child #1 up by the right arm and thrusting them forcefully into the wall. When the child #1 attempted to get up, Staff Person #1 picked up child #1 and pushed the child #1 back down. For the next 30 seconds, Staff Person #1 used their body to restrain the child against the wall. Staff Person #1 then led the child over to another area of the wall, where Staff Person #1 sat with Child #1 between their legs. For the next two minutes Staff Person #1 restricted the child's movement by wrapping their arms around child #1 and by placing their legs over child#1 legs.

Correction Required: Tiered LIS: Tier 1. A facility person may not use any form of physical punishment, including spanking a child. Tier 2. The legal entity, in collaboration with ELRC, will create a written discipline policy which clearly prohibits any form of physical punishment or humiliation and explains that staff are to use positive, age-appropriate methods, such as redirection, discussion, and encouragement, to guide behavior and help children develop self-control and responsibility. The written discipline policy must address specific steps to be implemented for individual, peer and group behavioral concerns. This policy must also incorporate staff responsibilities for mandated reporting. Each staff must review and sign the policy. A copy of the policy must be included in all staff files and the parent handbook. Documentation of policy will be provided to the OCDEL Regional Office within five business days of completion. Tier3. Once the requirements in Tier #2 are met. The legal entity shall require all staff at the facility to retake mandated reporting training. Documentation of the completed training will be provided to the OCDEL representative upon request. The training may count towards the mandatory 12 training hours required by the Department. Tier4. Once the requirements in Tier #3 are met. The legal entity shall require all staff at the facility to attend 2 hours in person training regarding appropriated discipline techniques by the ELRC within 2 months of the approval of this plan of correction. Documentation of the completed training will be provided to the OCDEL representative upon request. The training may count towards the mandatory 12 training hours required by the Department. Tier5. Once Tier #4 requirements are met Then the legal entity shall hold monthly staff meetings for a period of three months following the acceptance of this plan of correction. Each meeting must follow a structured agenda, which promotes a supportive environment, reinforces positive guidance strategies, and eliminates the use of inappropriate discipline, including punitive practices and restraint. The staff meeting agenda must also include a review of citations issued by the Department during the last 7 months. Provider must keep documentation of a dated agenda along with a signed attendance sheet for each monthly meeting. All related documentation will be submitted to the Regional Office within five business days of each meeting.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Based on a review of video footage, it was verified that Staff Person #1 physically disciplined and restrained Child #1 on 9/11/25 in the gym. At approximately 4:02 PM, Staff Person #1 is observed yanking Child #1 up by the right arm and thrusting them forcefully into the wall. When child #1 attempted to get up, Staff Person #1 picked up child#1 and pushed the child #1 back down. For the next 30 seconds, Staff Person #1 used their body to restrain child #1 against the wall. Staff Person #1 then led the child #1 over to another area of the wall, where Staff Person #1 sat with Child #1 between their legs. For the next two minutes Staff Person #1 restricted the child's movement by wrapping their arms around child #1 and by placing their legs over child #1legs.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A glue trap, used to trap mice and insects, was observed to be accessible on the floor of the Infant room next to the door, and could be harmful to children.

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

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

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

Noncompliance Area: The two most recent Pediatric First Aid/CPR trainings on file for Staff #1 and Staff #2 are dated 12/4/22 & 1/8/25, more than 24 months apart.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. The training was completed on 5/21/25.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 5/15/25 at 11:30 a.m., Staff Person #1 was supervising three young toddlers in the dining area of the Infant Room. The children were seated in highchairs. Staff Person #2 delivered lunches and remained in the doorway of the main childcare area. Staff Person #1 walked to the doorway to receive the lunches and, due to a partial wall in the kitchen, was unable to see, direct, or assess the three children. During this time, Child #1 pulled a clump of hair from Child #2's head.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Based on interviews with staff, it was verified that between May 13, 2025, and June 13, 2025, Staff Person #3 was over ratio after naptime on multiple occasions, being solely responsible for 6 children (1 young toddler and 5 older toddlers).

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: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: On 6/13/25, certification representatives conducted a facility walk-through and observed mouse droppings and dead cockroaches in both the Infant and Young Toddler Rooms. In the Infant Room, droppings and pests were found in the cabinets above and below the sink where food items were stored. In the Young Toddler Room, they were observed beneath the diaper changing table and under a toy bin across from the changing table.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 6/13/25, certification representatives conducted a facility walk-through and observed mouse droppings and dead cockroaches in both the Infant and Young Toddler Rooms. In the Infant Room, droppings and pests were found in the cabinets above and below the sink where food items were stored. In the Young Toddler Room, they were observed beneath the diaper changing table and under a toy bin across from the changing table.

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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on staff interviews and review of video footage, it was verified that Staff Person #1 physically disciplined Child #1 on 5/8/25 at 10:45 AM in the Preschool Room. In the video, Child #1 is observed running across the room to another staff who was also in the room. Child #1 points to their right wrist and points back to Staff Person #1. The other staff then walks across the room to confront Staff Person #1 regarding Child #1's allegation. It was confirmed that Staff Person #1 grabbed Child #1's right wrist with enough force to leave a visible red mark.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact forms were not present in the gym for the seven older toddlers who were there for playtime.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The emergency transportation plan was not posted in the gym or the Infant Room.

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

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

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

Noncompliance Area: The file for Child #2, an infant, did not include an updated health report conducted within the past six months.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most recent health assessments in the file for Staff Person #1 exceeded 24 months between assessments.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed a bottle in the infant room, which was not labeled for Child #1, to whom the bottle belonged.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed a pair of adult scissors, which were accessible to children, in an unlocked drawer in the OT Room.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #2 contained only 4 hours annual child care training for the last full year of service. The file for Staff Person #3 contained only 3 hours annual child care training for the last full year of service.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The first documented annual fire safety training in the file for Staff Person #3 was conducted more than 12 months after the staff person's first day working in child care (See LIS Code Sheet).

Correction Required: Staff persons shall participate, at least annually, in firesafety 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed cleaning products, which were accessible to children, in an unlocked cabinet in the OT Room.

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: The first aid kit in the gym lacked tape.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a ceiling tile, discolored from leaking water damage, above the monitor in the gym.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system at the facility cannot be tested monthly because the facility shares the fire detection system with other businesses and tenants. The most recent annual fire inspection on file was conducted more than one year ago: 10/17/23.

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

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: Many rodent droppings were observed in the Older and Younger Toddler, Pre-School and Infant Rooms. These droppings were observed in the following areas: In the base cabinets, on the bottom shelves of the two tone, tall plastic cabinets, in the gym behind the multi-colored fencing, on the windowsills, under the refrigerator and behind the clear, plastic bins behind the highchairs (infant room) and under multiple changing tables. These areas must be cleaned and sanitized. Additionally, a professional exterminator is required to exterminate the facility and a receipt needs to be issued to the Certification Representative within seven days. (October 11, 2024)

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Many rodent droppings were observed in the Older and Younger Toddler, Pre-School and Infant Rooms. These droppings were observed in the following areas: In the base cabinets, on the bottom shelves of the two tone, tall plastic cabinets, in the gym behind the multi-colored fencing, on the windowsills, under the refrigerator and behind the clear, plastic bins behind the highchairs (infant room) and under multiple changing tables. These areas must be cleaned and sanitized. Additionally, a professional exterminator is required to exterminate the facility and a receipt needs to be issued to the Certification Representative within seven days. (October 11, 2024)

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #5 lacked 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The disclosure statement in the file for Staff Person #5 was not witnessed or dated.

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 files for Staff Person #1 and #4, who have each been working for more than the 45-day provisional hiring period, lacked an NSOR (See LIS Code Sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include 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 #1 and #4 may not work in a child care position at the facility.

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

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

Noncompliance Area: The file for Staff Person #1 did not include documentation of education and childcare experience. The files for Staff Person #2, #3 and #5 did not include documentation of childcare experience. The file for Staff Person #2 contained a foreign degree that has not been evaluated.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed four outlets that lacked protective receptacle covers in the gym. Observed on outlet that lacked a protective electrical cover in the OT Room by the light-up desk.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed damaged/discolored ceiling tiles in the left corner of the OT Room and by the light in the activity area of the PS Room.

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, flaking paint in the Infant Room on the wall that faces the YT Room and near the entrance to the Gym.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #1 and #2 were observed to be caring for children unsupervised. Staff persons #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training, Pediatric First Aid/CPR and 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 #1 and #2 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Training and Pediatric First Aid/CPR (see LIS code sheet):

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #2 will have until 5/23/24 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed dirt and debris under the diaper changing mats in the Infant and Toddler 1 Rooms. The cabinet between the Math Center and Block Center in the Preschool 1 Room was wobbly, which creates a potential toppling hazard.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 10/12/23 at approximately 10:00 AM, Staff Person #4 was preparing a bottle for Child #2. During this time, she could not see Child #1 and Child #2 who were sitting in high chairs under a partition in Infant Room, which blocked Staff Person's field of vision.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The fee agreement in the file for Child #1 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #2, who has been enrolled for more than 60 days, lacked 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 shall contain initial and subsequent health reports.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent immunization record in the file for Child #3 did not include documentation of a flu shot administered within the past year or a letter of exemption from the parent of physician.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child # 3 must be dismissed from care by close of business 10/12/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report in the file for Child #4 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: Observed a purse for Staff Person #5 in an unlocked cabinet under the sink in the Preschool 1 Room. The purse contained meds, which were accessible to children, due to the unlocked cabinet.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The one-hour health and safety updates in the files for Staff Person #1 and #2 were conducted after the prescribed timeframe of 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff Person #2 did not include 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: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency contact form in the file for Child #1 did not include signed parental consent for emergency medical care for the child.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The emergency contact form in the file for Child #2 did not include 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Documentation of previous Mandated Reporter Trainings had been purged from the files of Staff Person #1 and #2.

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 request date/State Police Clearance in the file for Staff Person #3 was on 10/3/23, which was after the staff person's start date (See LIS Code Sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include 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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: The electrical outlet above the light-up desk on the left side of the Older Toddler Room 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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed splintering wood at the bottom of the exit door in the Older Toddler Room. Observed dirty ceiling vent in the Preschool 2/SA Room. Observed cracked ceiling tiles in the kitchen and play areas of the Infant Room. Observed discoloration from previous water damage on ceiling tiles in the following areas: Preschool 1 Room near entrance to Preschool 2/SA Room. Infant Room in play area.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system at the facility cannot be tested monthly because the facility shares the fire detection system with other businesses and tenants. The most recent annual fire inspection on file was conducted more than one year ago: August, 2022.

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: 3270.119

Description: Infant sleep position

Noncompliance Area: On 2/23/23 at approximately 11:30 AM in the Infant Room, Child #1. 2 and 3 were observed sleeping in rocker swings. Staff Person #1 stated that the children had been asleep for five to ten minutes.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed dirt and debris under the changing mat of the diaper changing table in the Young Toddler 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: 3270.107

Description: Refrigerator

Noncompliance Area: The bottoms of the door, trays, and shelves of the refrigerator in the kitchen were not clean.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 10/24/22 at approximately 8:45 AM, Staff Person #1 was supervising a group of four children. Staff Person #1 identified three of the four children by name. Staff Person #1 could not name Child #6 who was in this group.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The fee agreements in the files for Child #1, #2 and #4 were not signed by the operator.

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

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: The fee agreements in the files for Child #1 and #2 did not specify the amount of the fee or the date on which the fee is to be paid. The fee agreement in the file for Child #4 did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The fee agreements in the files for Child #1 and #2 did not specify the arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The fee agreement in the file for Child #2 did not specify the release persons.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The fee agreements in the files for Child #1, #2 and #4 did not specify the date of the child's admission.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms in the files for Child #1 and Child #4 did not include the work addresses and phone numbers of the enrolling parent.

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