Smartkids Child Care And Learning Center

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: Exposed foam filling was accessible to children in the infant room on the changing pad due to a split seam and on a rocking chair seat cushion due to the cover being unzipped.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Soft foam rectangles were accessible to children in the science center of room 6, a toddler room.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: At nap time, children were observed on cots which, based on the posted cot assignment charts, were labeled for use by other children. Two were observed in room 4 and two were observed in 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)(1)

Description: Amount of fee

Noncompliance Area: The agreement for child #2 did not specify the amount of the fee to be charged.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The initial child service report (via Teaching Strategies) was completed and shared with the parents more than 6 months after the child's date of admission. The child was admitted on 3/24/25 and the report was dated 11/05/25.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #1 lacked a complete address for the child's source of medical care. Only the city was listed.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #1 and child #3 contained incomplete home and/or work addresses 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)(4)/3270.182(3)

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

Noncompliance Area: The emergency contact information for child #1 lacked written consent signed by the parent for emergency medical care. The box contained the word "yes" instead of a signature.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #3 did not include health insurance coverage and policy number for the child.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection, the digital version of the emergency contact information accessed by staff in the infant room, did not include all the required information. Paper emergency contact forms were not present in the care 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)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #1, enrolled since 5/12/25, did not include a health report. The file for child #4 contained an initial health report dated more than 60 days following their first day of attendance, but is now current.

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 file for child #3 contained two health reports which both lacked dated physician signatures; thus compliance could not be determined. The initial health report did not have a date, while the subsequent health report included a partial date of 11/6, but lacked a year. The files for children #2 and #5 contained consecutive health reports dated more than 12 months apart. The most recent health reports on file for children #2 and #5 are now current.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #1. enrolled since 5/12/25, did not include a vaccination record. Child #1 will be dismissed from care by close of business 11/19/25 until either the immunization record is updated or a parent provides a written, signed exemption letter.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A soiled diaper was observed in a trash can which lacked a liner in the restroom of Room 4.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The emergency contact information for child #3 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. The box only contained the parent's first name.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: The following items were accessible to children in an unlocked adult desk drawer in the preschool room; 2 pairs of adult scissors, 1 stapler, and 1 sharp jaw-style staple remover.

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

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for facility person #6 lacked current emergency plan training. The most recent documented training was dated 9/26/23.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The updated emergency plan was sent to the county EMA, but was not sent to the local EMA.

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)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: Staff #1, #2, #3, and #5 did not participate in fire safety training annually between 2024 and 2025. Current training documentation is now on file for each staff person.

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

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

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

Noncompliance Area: Facility person #6 did not update their mandated reporter training within 60 months. The previous training was dated 7/15/20 and was updated 7/25/25. Current training is now on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #4 contained a disclosure statement which was not signed by a witness. Staff #5 did not update the child abuse clearance within 60 months. The clearance was previously obtained 11/06/20 and was renewed on 11/12/25.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A Vaporesso brand vape device was accessible to children in the pocket of a staff jacket hanging on the back of a chair in the preschool room. A box of lens wipes was accessible to children in a low, unlocked file cabinet drawer in the preschool room. The lens wipes box was labeled keep out of reach of children.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Annual inspection reports for the facility's fire alarm system were conducted more than 12 months apart; 8/22/24 and 8/27/25. A current report is now on file.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #1, a volunteer, lacked an NSOR clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Two separate cribs in use in the infant room lacked 2 feet of space on three sides. Both were blocked on one side by empty cribs. One of the two also had equipment, including a Bumbo seat, blocking an additional side of the crib.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: Expired epi pens, labeled for child #1, were observed in the preschool room. The box label stated expiration 11-2024.

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

Regulation: 3270.31(f)/3270.192(2)(iii)

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

Noncompliance Area: Staff #2 did not complete training in topics 1-9 within 90 days of hire. Prior to hire, Staff #2 completed health and safety training on 12/13/21, however, the required 1-hour update (or equivalent) was not completed within 90 days of hire at the facility. The revised version was completed on 12/09/24. Staff #2 now has complete health and safety training on file. (SEE LIS code sheet)

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained a disclosure statement which was not dated.

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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Two first aid kits were accessible to children. In the gym, a first aid kit was in a backpack observed sitting on the floor. In the outdoor play space, a first aid kit was in a backpack observed sitting on a storage box. In both instances, children were present in the play space.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Upon arrival at the facility, at approximately 9:25AM, staff #1 was observed walking down the hall to the gym. Upon entering the gym, the certification representative observed staff #1 and staff #2 with 7 children; 2 older toddlers and 5 young toddlers. When asked, staff #1 stated she had left the gym to retrieve supplies from the classroom which resulted in staff #2 being over ratio with all 7 children under their supervision in the gym.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Dried food and other soiling was observed on the mirror in the infant room. The mirror is mounted on the wall, low to the floor, and accessible to children. Two pieces of broken Lincoln logs, with sharp ends, were observed in the school age 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: Written plans of daily activities were not posted in the school age and older toddler rooms.

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 for child #1 lacked the address for the child's physician or source of medical care.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for child #3 did not include the health insurance policy number for the child.

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 for children #1 and #2 lacked phone numbers of the individuals designated by the parent to whom the child may be released.

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

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

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

Noncompliance Area: The file for child #1 contained consecutive health reports dated more than 12 months apart; 11/14/22 and 10/31/24. A current health report is now on file.

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: 3270.151(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 #2 contained consecutive health assessments dated more than 24 months apart; 7/21/22 and 10/24/24. The file for staff #5 did not contain a current health assessment. The most recent health assessment on file for staff #5 was dated 9/26/22.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility's letter to parents explaining the emergency procedures did not include details regarding accommodations for infants and toddlers, lockdown procedures, and communication with parents during and after the emergency.

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

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

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

Noncompliance Area: Staff #2 and #5 did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Both staff previously completed the training in 9/2022 and renewed the training in 10/2024.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. 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)(10)/3270.192(2)(iii)

Description: Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

Noncompliance Area: Staff #4 did not complete training in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. The training was dated 3/13/24. (SEE LIS CODE SHEET)

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained a state police clearance applied for on 8/29/24 which is after their date of hire. (SEE LIS CODE SHEET).The file for staff #6, observed caring for children unsupervised, lacked a completed NSOR clearance and lacked a copy of the application for the NSOR clearance.

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

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 #3, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the hours of experience required for the position.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Stained ceiling tiles were observed in the following rooms; 1 in Toddler 2, 1 in the restroom of toddler 3, and 4 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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Visible feces smears were observed on a toilet and toilet seat in the boy's restroom.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A broken red plastic bin was observed in the preschool room. A wood framed tambourine with cracked and splintering wood was observed in toddler 3.

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 written plan of daily activities was not posted in the infant room.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for child #1 and #2 lacked documentation of sharing the child service reports with the parents.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement for child #1 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)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for child #2 did not include the telephone number of the child's physician or source of medical care.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact forms were not present in the infant room for the two children observed in care.

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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: An inhaler, which was not labeled for use by a specific child, was observed in the medication cabinet in the preschool room. The medication was intended for child #3.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: An expired Epi Pen was observed in the medication cabinet in the school age room. The medication expired Sept 2023 and was labeled for child #4.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: An inhaler, which lacked written parental consent for administration, was observed in the medication cabinet in the school age room. The inhaler was labeled for child #4.

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

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Two lunches, containing yogurt, cheese sticks and a yogurt smoothie, were observed on the counter in the preschool room.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: The facility lacked a written statement from the parent giving the formula and feeding schedule for an infant observed in care, child #5.

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

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

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The file for staff #3 contained documentation of consecutive fire safety trainings dated more than 12 months apart. The trainings were dated 9/27/22 and 11/08/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #2 contained an expired FBI clearance dated 9/11/18. The file contained an application for a new FBI clearance, however the completed clearance was not present.

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

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

Noncompliance Area: The file for staff #1, designated as the director, lacked documentation of experience with children.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Two outlets on a power strip in the preschool room lacked protective covers. The outlets were accessible to children 5 years of age or younger.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Purell hand sanitizing wipes were accessible to children in a low bin near the supply cabinets of the preschool room. Lysol wipes were accessible to children in the Toddler 3 room under the restroom sink in an unlocked cabinet.

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: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: A cordless phone observed in the preschool room lacked emergency phone numbers.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A detached binding was observed on a floor covering under the table in toddler 3. The detached binding created a loop resulting in a tripping hazard.

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: 3270.101(a)

Description: Age appropriate

Noncompliance Area: On 3/30/23, blue blunt-tip Colorations brand scissors, which based on the manufacturer's instruction are intended for use by children 5 and up, were accessible to children in the preschool room.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 3/30/23 at approximately 9:45AM, child #1 was not supervised when the child was able to obtain a pair of scissors from the craft area and take them to the block area. Due to the positioning of Staff #1 and the placement of the equipment in the preschool room, Staff #1 was unable to supervise Child #1. Child #1 used the scissors to accidentally cut their tongue and required 3 stitches.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Cracks which created sharp edges and pinch points were observed on a blue plastic sink basin and a plastic storage drawer in the preschool room. A protruding nail head was observed on the front of the wooden play sink 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: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: Split seams, which left the inner foam padding accessible to children, were observed on the changing pad in the older 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. 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: 3270.103/3270.104(a)

Description: Small Toys and Objects/Clean, good repair, proper size

Noncompliance Area: Cracks were observed on the seat of red adult chair in the infant room. The cracks exposed the inner foam padding of the seat leaving it accessible to children.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #1 contained emergency contact information which did not include the work address and telephone number of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #1 contained emergency contact information which did not include health insurance coverage and policy number for the child.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact information for child #3 was not present in the infant room where the child was observed in care.

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(f)/3270.181(c)

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

Noncompliance Area: The file for child #2 contained emergency contact information and a financial agreement which have not been updated by the parent in over 6 months. The last documented update occurred in January 2022.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained an FBI clearance dated after their first day in a child care position (SEE LIS CODE SHEET). The certificate was dated 4/29/22. The file did not contain the application for the FBI clearance. The file for staff #2 contained a DOE FBI clearance dated 8/16/2020 instead of the required DHS FBI, therefore the clearance is invalid. The file for staff #3 contained a DOE FBI clearance dated 8/27/21 instead of the required DHS FBI, therefore the clearance is invalid.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #2 and #3 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 #1, designated on the staff data sheet as an assistant group supervisor, did not contain documentation of the qualifications required to perform the position.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Rust was observed on the door to The girls restroom. The rust was located around the door handle and on the base of the door. A sharp pointed metal clip was observed on the fence of the outdoor play space.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on the facility's fire drill log, consecutive drills documented on 1/10/22 and 3/30/22 were conducted 79 days apart.

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: 3270.151(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 #3 contained Health Assessments dated 5.22.17 and 6.20.19, which exceeded the 24 month requirement.

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: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff #2, with a date of hire of 9.20.21, contained documentation of emergency plan training on 10.2020, which exceeded the 1 week requirement.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 contained State Police Clearances dated 5.20.16 and 6.1.21, and FBI clearances dated 5.31.16 and 6.7.21, which exceeded the 60 month renewal requirement.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Several pieces of the "star peg" building toy were cracked, creating a scraping/cutting hazard, in the School-Age room, and was accessible to children in care. A pink, toy crib, was broken, as it was missing one (1) of the four (4) legs, in the School-Age room, and was accessible to children in care. A green, cacti-looking plastic structure was broken, creating a scraping hazard in the outdoor space, and was accessible to children in care. A broken, large, plastic puzzle piece, in the outdoor space, created a pinching hazard, and was accessible to children in care.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Seven (7) animal gel, window clings, located on the door window of the Toddler #2 room, were able to be torn, and had a diameter less than 1", creating a choking hazard.

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: 3270.107

Description: Refrigerator

Noncompliance Area: Two (2) refrigerators, in the kitchen, had thermometers which were not operating properly, as demonstrated by a recheck with a different thermometer.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The Agreement in the file for Child #1 did not contain the release person(s)' information.

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

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The Agreement in the file for Child #1 was the original, which was not provided to the parent.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: An emergency transportation plan was not located in the Toddler #1 room, which is currently not occupied by children.

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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: A bottle of Tylenol, located in a locked medicine box in the Toddler #1 room, was not labeled with a name.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Following a diaper change, Staff #1 did not wash the infant's hands in the Infant room.

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: 3270.135(c)

Description: Diapering area not used for food prep

Noncompliance Area: In the Infant room, following a diaper change, Staff #1 used the same sink to wash her hands as is used to make infant formula.

Correction Required: The diapering area may not be used for food preparation or food service.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The Health Assessment in the file for Staff #1, signed by the CRNP/physician, indicated that this staff member is not suitable to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: Following a diaper change in the Infant Room, Staff #1 entered the diaper change on the computer app and moved a toy, prior to washing her hands.

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

Regulation: 3270.161(e)

Description: Fresh fruit/vegetables refrigerated

Noncompliance Area: Bartlett pears, which were purchased the previous day, were located on the counter by the sink in the Early Head Start room, and they were not refrigerated.

Correction Required: Fresh fruits and vegetables that are not used on the day of purchase shall be refrigerated.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A large, wooden, unanchored, playhouse structure was located on a wooden shelf, accessible to children, and posed a falling hazard.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The lock on the kitchen, half-door was broken, permitting access to children in care, where the following toxics were located in an unlocked cabinet: Clorox bleach, SaniDate Surface Sanitizer, and First Force Degreaser.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water temperature, from the restroom sink used by children, in the Toddler #2 room, measured 115° F.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The desk and wall area behind the computer center, in the School-Age room, was not clean, as it was dusty, and was accessible to children in care. In the outdoor space, standing water was present on the blue chair, on the cover of the plastic sand table, and on the blue plastic table, creating an illness hazard. One (1) ceiling tile in the gym was unsecured, which created a falling hazard for children in care.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The toilet in the Toddler #2 room, which is currently not being used by children, was unclean as evidenced by black particles in the water.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The urinal in the boys', hall restroom, was not working properly, as it required two (2) flushes after each use.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: No handwashing sign was present at one (1) toilet and one (1) sink in the Toddler #1 room. No handwashing sign was present at one (1) toilet in the girls', hall restroom.

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

Noncompliance Area: A green plastic bin and a yellow plastic bin in the School Age Room, a clear plastic bin in the Young Toddler Room, a clear plastic bin in the Older Toddler Room, and a clear plastic bin in the Preschool room were observed to have cracks in the plastic, exposing the children to potential sharp edges and pinch points.

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.

Noncompliance Area: The emergency contact form in the file for Child #1 lacked a work phone number for the enrolling parent.

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

Noncompliance Area: The emergency contact forms in the files for Child #1, #2, and #4 lacked information on the child's special needs.

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.