Somewhere Over the Rainbow-Zelienople

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: A crib in the infant classroom was not labeled to identify the specific child assigned to the crib.

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 financial agreement of Child #2 did not contain the fee amount to be charged per day or week.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #2 did not contain the street address, only the city and state, of 2 persons 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 of Child #1, identified as a preschool age child (see LIS code sheet), contained consecutive health assessments dated more than 12 months apart (2/26/2025 and 3/26/2026).

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

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

Noncompliance Area: The file of Staff #1 and #2 contained consecutive mandated reporter trainings dated more than 60 months apart. Staff #1's trainings were dated 10/27/2020 and 1/19/2026 and Staff #2's were dated 8/13/2019 and 1/29/2025).

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 of Staff #2 contained consecutive NSOR verification certificates dated more than 60 months apart (6/16/2020 and 7/3/2025).

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: The staff restroom located off the main preschool/school-age classroom was unlocked, providing children access to Lysol Disinfectant Spray and Lysol Disinfectant Wipes labeled "keep out of the reach of children." Vaseline Advanced Healing Lip Protectant labeled "keep out of the reach of children" was accessible to children in a cubby in the main preschool/school-age classroom.

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: 3270.66(b)

Description: Original container

Noncompliance Area: In the back toddler classroom, a spray bottle of rubbing alcohol was not labeled with its contents.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: In the front toddler classroom, the first-aid kit was accessible to the children on a low shelf in an unlocked cabinet.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form of child #3 did not include the work address and work 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)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact forms of child #1 and #2 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP or documentation this is not applicable to the child.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The most current health assessment on file for child #3, now identified as an older toddler (see LIS code sheet), was dated 8/18/2023, lacking a health assessment 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.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent immunization record on file for child #3 was not in accordance with the recommendations of the ACIP lacking 1 HepA, 1DTaP, 1 Hib, 1 pneumococcal, 1MMR and 1 varicella.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file of staff #1 contained a health assessment dated 1/9/2025, after their start date with children (see LIS code sheet). The file of staff #3 contained documentation of the two most current health assessments dated 10/17/2022 and 1/29/2025, which were more than 24 months apart.

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 file of child #3 did not contain signed parental consent for emergency medical care for the child.

Correction Required: A child's record shall contain signed parental consent to obtain 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 file of child #3 did not contain signed parental consent to administration of minor first aid procedures by staff.

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

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: The disclosure statement in the file of staff #1 was not signed by a witness.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of staff #1 contained 1 of 2 written, nonfamily reference attesting to their suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Mandated reporter trainings of staff #2 were dated more than 60 months apart (8/13/2019 and 1/19/2025).

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the young toddler classroom, 1 area of stitching on a soft red chair and 2 areas of stitching on a blue soft chair were pulling apart.

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: In the young toddler classroom, 1 area of stitching on a soft red chair and 2 areas of stitching on a blue soft chair were pulling apart exposing foam, which is a choking hazard to children still placing objects in their mouths.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file of staff #1 did not contain documentation of a health assessment.

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file of staff #1 did not contain documentation of a tuberculosis screening.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment of staff #2 did not contain an examination for communicable diseases and the results of the examination.

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

Regulation: 3270.151(c)(4)

Description: Information re: medical problems

Noncompliance Area: The health assessment of staff #2 did not contain information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children or documentation.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file of staff #1 did not contain documentation of experience, education and training prior to working at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of staff #1 and #2 did not include 2 written, non-family references from persons attesting to the individual to serve as a staff person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1, employed for less than 45 days (see LIS code sheet), did not contain the correct documents to be provisionally hired. The file for Staff #1 contained a PDE FBI clearance and not an acceptable DHS FBI clearance/request for clearance and did not contain a completed NSOR verification certificate or documentation of submission. The file of staff #1 and, based on a conversation with staff #3, staff #2 did not contain a disclosure statements.

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

Regulation: 3270.94(a)(1)/3270.95(a)

Description: Every 60 days/Devices must be compliant

Noncompliance Area: Based on documentation on the fire drill log, the last fire drill conducted was on 3/22/2024, which was more than 60 days prior to the date of the inspection.

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. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Based on documentation on the fire drill log, the last manual test of the fire detection system was conducted on 3/22/2024, which was more than 60 days prior to the date of the inspection.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The diapering area of the facility contained 2 cabinets approximately 6 feet tall and the main classroom also contained a cabinet about 6 feet tall, all of which were not anchored to the wall causing them to be tipping hazards.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form of child #2 did not include the telephone 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)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form of child #1 and #2 did not contain release addresses of the persons 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: 3270.133(2)

Description: Written instructions

Noncompliance Area: The written instructions from the parent of child #4 and #5 did not include the dosage of the non-prescription medication to administer to each child.

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

Regulation: 3270.133(7)(i)

Description: Name of medication

Noncompliance Area: A medication log for child #3 in the infant classroom did not contain the name of the medication.

Correction Required: A medication log shall include the name of the medication.

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 of staff #2 contained a health assessment dated 12/8/2020 and an updated health assessment dated 3/2/2023, which exceeded 12 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: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility emergency plan did not include accommodations for children with disabilities.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The current child abuse and PA state police clearances of staff #1 were dated more than 60 months from the past clearances (both dated 7/10/2018 and updated 7/12/2023). The file of staff #3 did not contain documentation of fingerprinting to be a provisional hire and contained a completed FBI clearance dated 2/21/2024, more than 45 days from their start date at the facility (see coded LIS sheet).

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form of child #1 did not contain 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(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form of child #1 did not contain 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: 3270.133(2)/3270.133(6)

Description: Written instructions/Written consent

Noncompliance Area: The facility did not have written parental consent or written instructions for administration of medication at the facility for child #2.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan did not contain a continuity of operations plan (which can include, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster) or a contingency plan/contingency fund (which can help strategize how repairs for be paid for, how staff will be paid, and continue to run the business after a disaster or emergency).

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: 3270.182(5)

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

Noncompliance Area: The emergency contact form of child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of facility person #3 contained 1 of 2 written, nonfamily references.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility did not have information for the parents to access the regulations electronically.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The health and safety training topics of facility person #1 and 2 were taken prior to 9/30/2016 which not valid but a valid training was completed after the required date of 4/30/2022.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the outdoor play space, approximately 5 bolts by the gate did not have bolt covers.

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 2 faucets in the preschool bathroom each contained one broken handle.

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 bin in the school-age side of the main classroom, which contained play cars and people, was cracked exposing rough 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.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The infant, young toddler and main classrooms contained tall white cabinets, approximately 5-6 feet tall, were wobbly and not anchored to the wall causing a hazard to children.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The financial agreement of child #2 did not contain 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form of child #1 did not contain the enrolling parents work address and telephone number.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form of child #2 and 4 did not contain information of 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 if applicable to the child.

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

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: Documentation of the updated/review of the emergency contact and financial agreement of child #1 (dated 8/23/2021 and 3/9/2022), 3 (dated 8/23/2021 and 3/2/2021) and 4 (dated 8/23/2021 and 3/16/2022) exceeded 6 months.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The immunization record of child #1 did not contain documentation of a current influenza vaccination in accordance with the recommendations of the ACIP.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessment of facility person #1 was dated 3/27/2022, which was after their start date with children.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment of facility person #1 did not contain documentation of an examination for communicable diseases and the results of the examination.

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

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

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

Noncompliance Area: The file of facility person #3 and 4 contained 12 training hours, however, 6 of the hours for each facility person were in 6/2022 after the requirement of having 12 annual hours between 12/19/2020 and 12/19/2021.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Pediatric first aid and CPR of facility person #1 was dated 3/15/2022, more than 90 days from their date of hire.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The FBI clearance of facility person #1 was a PDE FBI clearance and the acceptable FBI clearance was not on file. The signed disclosure statements of facility person #1 and 2 were not the current disclosure statements. The FBI (dated 6/13/2016 and 3/21/2022), PA state police (dated 6/14/2016 and 3/15/2022), child abuse (dated 6/7/2016 and 4/1/2022) clearances of facility person #4 were all updated over 60 months from the previous clearance.

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

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

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

Noncompliance Area: The file of facility person #4 contained mandated reporter training (dated 6/14/2016 and 3/15/2022) exceeding 60 months from the previous training.

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: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: After diapering, a facility person was observed to be holding an older toddler at the sink to wash their hands.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The 2 toilets off the main classroom contained screws protruding approximately 1.5 inches from the base of each toilet which could cause injury if stepped on.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted at the toilets off the changing room and older toddler classroom.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Documentation of fire drills exceeded 60 days on the following occasions: 3/3/2021 - 5/6/2021 - 7/6/2021 - 9/8/2021 - 11/16/2021 and 1/7/2022 - 3/30/2022.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation of testing the fire detection system exceeded 30 days on the following occasions: 3/3/2021 - 4/4/2021 - 5/6/2021- 6/8/2021 and 7/2/2021 - 8/4/2021 - 9/13/2021 and 1/7/2022 - 2/22/2022 - 3/30/2022.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: The diaper changing pad was torn in 2 places exposing the foam mat to children still placing objects in their mouths. The changing pad was discarded at the time of the inspection.

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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form of child #1 did not contain the health insurance coverage name or 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: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The immunization record of child #1 did not contain current vaccinations lacking documentation of a rotavirus, DTAP, pneumococcal, polio and HIB vaccination or written exemption of the vaccinations.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file of facility person #1 contained a most recent health assessment dated 6/3/2019 and did not contain documentation of an updated health assessment within 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.

Noncompliance Area: The file of child #1 contained a health assessment dated 12/10/2018 but did not contain an updated health assessment within 12 months. (Prior to COVID suspension).

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.

Noncompliance Area: The infant room refrigerator contained 3 bags of breastmilk which were not labeled with the child's name.

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

Noncompliance Area: The file of facility person #1 did not contain two written nonfamily references attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: The file of facility person #3 contained mandated reporter training dated 4/21/2015 and updated mandated reporter training dated 10/27/2020, exceeding 60 months. Facility person #3 now has current mandated reporter training 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 prior to service at the facility.

Noncompliance Area: The file of facility person #1, with a start date of 9/22/2020, did not contain a completed NSOR verification certificate and was observed to be caring for children. The file of facility person #2 contained an NSOR verification certificate dated 7/31/2020 and facility person #3's was dated 8/26/2020 which was beyond the requirement of having the NSOR verification certificate by 7/1/2020. The facility does not have a provisional hire waiver.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

Noncompliance Area: The infant room contained a bottle of cleaner which the written label was worn off and not legible. The toddler classroom contained a bottle of cleaner which was not labeled with its contents.

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

Noncompliance Area: The diapering table in the toddler room and the toilet in the restroom off the toddler room did not have a posted handwashing signs.

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: The play kitchen in the older toddler room had a missing burner in the play stove area exposing children to sharp, rough plastic.

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: In the older toddler room, a box television is on a shelf where the children can reach. The box television is not stable and could fall or be pulled down on a child.

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

Noncompliance Area: The financial agreement of 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.

Noncompliance Area: The original financial agreement was in the file of child #1, 3 and 4.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The emergency contact form of child #3 did not contain the work address of he 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 form of child #2 and 4 did not contain the addresses of all of the release persons 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.

Noncompliance Area: The health assessment of child #1, with a start date of 8/29/2018, was dated 9/27/2019, exceeding the requirement of an initial health assessment no later than 60 days following the first day of care at the facility. Child #1 now has a current health assessment.

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

Noncompliance Area: The health assessment of child #4 did not contain a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease or a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report.

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. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Noncompliance Area: The facility did not contain documentation of the annual written notification of the location of the facility and the program's use of pedestrian and vehicular routes around the facility.

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

Noncompliance Area: The facility did not have documentation in writing the emergency plan was reviewed at least annually or updated as needed on file at the facility.

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

Noncompliance Area: The emergency plan was not posted in a conspicuous location at the facility.

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

Noncompliance Area: The facility did not have documentation of at least 6 annual hours of training for facility person #1.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: The file of facility person #2, with a start date of 6/5/2019, did not contain documentation of mandated reporter training within 90 days of starting work with children.

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

Noncompliance Area: The bathroom off of the main room contained an outlet on the wall which did not have a protective receptacle cover accessible to children.

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

Noncompliance Area: Hand sanitizer was attached to a backpack in a cubby accessible to children on the school-age side of the main room. On the preschool side of the main room, the kitchen door was not locked and Lysol, Clorax Bleach and a fire extinguisher, all labeled keep out of the reach of children, were on the floor in the kitchen accessible to children.

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

Noncompliance Area: The lunch/craft room did not contain a first-aid kit.

Correction Required: A first-aid kit shall be in a child care space.

Noncompliance Area: The first-aid kit in the vehicle used for transporting school-age children did not contain 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.

Noncompliance Area: In the infant classroom, a facility person had to lift able toddler children to the sink to wash their hands.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Noncompliance Area: The toilet off the older toddler room had exposed bolts protruding from each side of the toilet base. The cold water handle at the sink in the bathroom off the main room had a broken handle.

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

Noncompliance Area: The toilet in the bathroom off of the older toddler room did not have handwashing sign posted.

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: The young toddler and the preschool classrooms each contained a storage shelf which had a small hole at the top.

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: In the older toddler classroom, a box television set was on thin shelf not anchored and could fall on a child.

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

Noncompliance Area: The file of child 2, 3, 4 and 5 contained financial agreements which were not signed by the parent.

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