St Martin Early Learning Center

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the multipurpose room (basement gross motor space), there were mats on the floor with torn edges, exposing foam 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The daily activity schedule was not posted in the Hippos 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 current approved children's developmental assessments on file for children #1 and #3 were completed and copies given to parents more than 6 months after their enrollment date or the date of their last assessment. The most recent developmental assessment completed and on file for child #5 was completed more than 6 months prior. The only developmental assessment completed and on file for child #8, enrolled more than 6 months, was not dated

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)(4)

Description: Arrival/departure times

Noncompliance Area: The arrival and departure times were not specified on the agreement on file for child #6.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The date of admission was not specified on the agreements on file for children #3 and #6.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: Original agreements were on file for children #1, #4, and #8.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The health insurance policy numbers were not listed on the emergency contact forms on file for children #1, #7 and #8.

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 forms on file for children # 6 and #7 did not include the addresses of the release persons listed.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The current agreements on file for children #3, #4, #5, and #7 and the current emergency contact forms on file for children #3, #4, #5, #6 and #7 were reviewed, updated and signed by parents more than 6 months after the prior respective document review date. The most recent agreement on file for child #6 was reviewed and updated by a parent in writing more than 6 months prior.

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: 3270.131(b)(2)

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

Noncompliance Area: The current health assessment on file for child #2, a preschooler, was completed more than 12 months after the previous health assessment on file. The most recent health assessment on file for child #5, a preschooler, was completed more than 12 months prior.

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: 3270.151(a)

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

Noncompliance Area: The current health assessment on file for Facility Person #1 was completed more than 24 months after the previous health assessment on file. The initial health assessment on file for Facility Person #5 was completed after their start date.

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 assessments on file for Facility Person #3 and #7 indicated the person had a communicable disease, but did not provide further information.

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

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: There was no signed parental consent for emergency medical care for the child on file for child #6.

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

Regulation: 3270.182(5)

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

Noncompliance Area: There was no signed parental consent for administration of minor first-aid procedures by facility staff on file for child #6.

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: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: Documentation of emergency plan update dates indicates that the emergency plan was updated in August of 2024, then next again in January of 2026.

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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The initial emergency plan training documented and on file for Facility Person #8 was completed more than 90 days after their start date.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: There was documentation of 8 of the 12 required hours of child care training on file for Facility Person #6 during the most recent completed annual review period for Facility Person #6 (January 2025-January 2026).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: There was no documentation of completion of part 2 of the required health & safety training on file for Facility Person #5, employed at the facility more than 90 days.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The criminal history clearance on file for Facility Person #2 was incomplete ("under review"). The disclosure statement signed and on file for Facility Person #5 was a version that was not current at the time of the facility person's hire. The child abuse clearance on file for Facility Person #5 was a volunteer 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 Persons #2 and #5 may not work in child care positions at the facility without all respective required clearances and the correct signed disclosure statement on file.

Regulation: 3270.35(b)(1)/3270.192(2)(ii)

Description: Bachelor's/Exp, educ., training prior to facility

Noncompliance Area: Facility Person #4 was classified as a group supervisor based on completion of a bachelors degree in human services. The documentation of education on file for Facility Person #4 was an international degree with no acceptable U.S. equivalency on file.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.36(b)/3270.192(2)(ii)

Description: Assistant Group Supervisor qualifications/Exp, educ., training prior to facility

Noncompliance Area: Facility Person #5 was classified as an assistant group supervisor based on completion of high school and 2 years of child care experience. There was no documentation of child care experience on file for Facility Person #5. Facility Person #7 was classified as an assistant group supervisor based on completion of 15 credits in human services and one year of child care experience. There was no documentation of child care experience on file for Facility Person #7.

Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5). 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: In the Cheetahs room, there was an uncovered outlet on the wall by the sink in the restroom.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the Baby Bear room, there was damaged plaster on the wall in the back left corner behind where the cots and chairs were stacked. In the multipurpose room (basement gross motor space), there was damaged plaster and peeling paint on the wall to the left of entry and on walls opposite the entry, in a nook.

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

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: The young toddlers receiving care in the Baby Bears room, walking and able to stand at a sink to wash hands, could not reach the sink in the classroom. Staff state they hold the children at the sink while they wash 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(h)

Description: Handwashing signs

Noncompliance Area: In the restroom on the first floor hallway, there was no handwashing sign at the sink.

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: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: There were no sources of running water at diapering areas in the Lions, Tigers, Turtles and Leopards rooms. The diapering areas were all located in these classrooms outside of restrooms shared with the adjoining classroom. Staff state they cannot leave the door to the restroom open while changing a child's diaper in the classroom due to privacy reasons and the need to contain children for supervision purposes who may be using the restroom from the other classroom. Because the bathrooms are separated by closed doors, the sinks in the bathrooms are not located in the classroom changing areas.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: In the Turtles room, there was a chair and a bouncy toy in front of the door exiting the building.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log indicated fire drills were conducted on 3/19/26, then again on 5/19/26, more than 60 days apart.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The documentation of smoke detector testing indicates that testing occurred on 4/16/26, then next again on 5/19/26, more than 30 days between testing.

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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: According to staff statements, Facility Person #1 has been observed handling children aggressively- pulling them by their arms roughly and lightly hitting Child #1 on the mouth.

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

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: According to staff statements, Facility Person #1 has, in the presence of children, pointed at specific children and said they didn't want to take them into their care. Staff state they have heard Facility Person #1 calling children "snots" and "babies." Staff state they have observed Facility Person #1 say a child "needed to be popped in the mouth".

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: According to staff statements, Facility Person #1 has been observed using a harsh tone of voice with children.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: There were four rest mats in the Lions room, 4 rest mats in the Tigers room, and 2 packnplays in the Bears room in use with less than 2 feet of space on 3 sides.

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: 3270.119

Description: Infant sleep position

Noncompliance Area: There was an infant asleep in a rocker in the Bears room, not in the position recommended by the AAP.

Correction Required: 1.Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE 2. The legal entity shall arrange for all facility staff to complete a training on the topic of safe sleep practices for infants. The training shall be submitted to the certification representative for approval prior to staff taking the training. Documentation of the training, once completed, to include the date and participant name, shall be retained in the staff file and submitted to the certification representative. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED.

Regulation: 3270.61(c)

Description: 40 square feet wall-to-wall

Noncompliance Area: According to staff statements and attendance records, at times there have been 10 children receiving care in the Turtles room, which has a designated maximum capacity of 9 children.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: There were two packnplays in front of an exit in the Bears room, obstructing the exit.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The most recent recorded fire drill was noted on the fire drill log as conducted on 9/19/25

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The most recent recorded smoke detector test was documented as conducted on 10/17/25.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 10:30 in the Baby Bears room, Facility Persons #1, #2 and #3 were caring for 6 infants. When asked to identify which children they were each supervising, Facility Person #1 indicated that they were a volunteer, not supervising any children, and Facility Person #2 indicated that they were supervising 3 infants. Facility Person #3 stated they were also not supervising any children, despite presented with the question a second time. There was no staff person who claimed supervision of the three remaining infants.

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

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: There was an infant observed asleep in a rocker in the Baby Bears room, not in the sleeping position recommended by the AAP.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: There was no FBI clearance on file for Facility Person #3, employed at the facility more than 45 days. Facility Person #3 was observed caring for children unsupervised.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #3 may not work in a child care position at the facility without all completed clearances on file.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were cracks on the front of a plastic kitchen playset in the Giraffe 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There were small paper clips (with a diameter of less than an inch) in an unlocked drawer within reach of toddlers in care in the Leopard 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(f)

Description: 2 feet apart

Noncompliance Area: There was less than 2 feet of space on three sides of two packnplays in use in the Bears room.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The daily activity schedule was not posted in the Leopards 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 current child service reports/approved child development assessments used by the program and on file for children # 3, #5, #8 and #10 were completed more than 6 months after the previous assessments or start date.

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)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for child #10 did not specify the release persons.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreements on file for children #1 and #3 did not specify their admission date.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: Original agreements were on file for children #2-#10.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact forms on file for children #1 and #3 did not include the health insurance policy numbers.

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 on file for child #1 did not include the phone numbers for all release persons listed. The emergency contact forms on file for children #3 and #10 did not include the addresses for all release persons listed.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: There was no emergency contact form in the Zebra room for one of the children receiving care in that 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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The current emergency contact forms on file for children #3, #5, and #9 and the agreement on file for child #3 were reviewed and updated by a parent in writing more than 6 months after the prior review. The most recent review date for the agreement on file for child #10 was completed more than 6 months prior.

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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The current health assessment on file for child #7, a young toddler, was completed more than 6 months after the prior health assessment on file.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The current health assessment on file for child #3, a preschooler, was completed more than 12 months after the prior health assessment on file. The most recent health assessment on file for child #5, a preschooler, was completed more than 12 months prior.

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 #8 indicates the child does not have sufficient doses of the DTAP, pneumococcal, MMR, varicella, and hepatitis A vaccines for their age as recommended by the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #8 must be dismissed from care by close of business 6/27/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: There was medication (Albuterol) in the Bears room not in the original packaging.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: In the Turtles Room, a child was observed being diapered and then the child did not wash their hands prior to engaging in another activity.

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(a)(3)

Description: Disposable diapers

Noncompliance Area: There was no hands-free covered can for diaper disposal in the Bears Room.

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: 3270.151(a)

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

Noncompliance Area: The health assessment on file for Facility Person #8 was completed more than 24 months after the prior health assessment on file.

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 current health assessment on file for Facility Person #7 indicated the staff person has a communicable disease, but provided no further information.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: There were two bottles not labeled with children's names in the Bears room.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: There were sharp (adult) scissors in reach of children in an unlocked drawer in the Leopard room.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: Documentation of the emergency plan reviews indicates reviews occurred in July of 2023 and September of 2024.

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.

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

Description: Age and Training

Noncompliance Area: The current pediatric first aid/CPR training documented and on file for Facility Persons #1 and #12 were completed after the expiration of the prior respective first aid training documented and on file.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The initial pediatric first aid/CPR training documented and on file for Facility Person #6 was completed more than 90 days after their start date.

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: Current mandated reporter trainings completed and documented on file for Facility Persons #5, #8, #11, #13, #14, #15 and #16 were each completed more than 60 months after their previous respective mandated reporter trainings documented and on file. Mandated reporter training documented an on file for Facility Person #7 was completed more than 90 days after their start date.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The FBI clearances on file for Facility Persons #2 and #6 were each completed after their respective start dates. There was no proof of application for an FBI clearance on file for Facility Person #2 or #6. The NSOR clearances on file for Facility Persons #5 and #7 were each completed after their respective start dates. There was no criminal history or NSOR clearance on file for Facility Person #9, employed at the facility for more than 45 days. There was no application for the criminal history clearance on file for Facility Person #9.

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

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

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

Noncompliance Area: Facility Person #3 was classified as the director without documentation of the required child care experience for the classification documented and on file. Facility Person #4 was classified as a group supervisor. There was documentation of a non-related bachelor's degree that includes 30 credits in human services on file for Facility Person #4. There was no documentation of the required child care experience for the classification based on the education completed and documented. Facility Person #6 was classified as a group supervisor. There was documentation of a related associates degree on file for Facility Person #6. There was no documentation of the required child care experience for the classification based on the education completed and documented. Facility Person #10 was classified as a group supervisor based on completion of related master's degree. The documentation of the required education was not on file.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The evaluations on file for Facility Person #8 were completed in May of 2023 and May of 2025.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: First aid kits were in reach of children receiving care in the preschool/schoolage outdoor playspace, hanging on a fence within their reach, and in the Hippos room, on a drawer unit within their reach.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There were areas of peeling paint in the Cheetahs room on a column in the room and on the wall on the right side of the room.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: There was no liddled trash can in the restroom between the Leopards and Turtles room.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.61(c)

Description: 40 square feet wall-to-wall

Noncompliance Area: At approximately 3:00 PM, there were 17 preschoolers receiving care in the Tigers Room. The Tigers Room has a measured maximum capacity of 12 children.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

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

Description: Age and Training

Noncompliance Area: The file for staff person #1 had current pediatric first-aid/CPR training with a completion date of 11-12-24 that was after the September 2024 expiration of the prior training.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 11-13-19. Staff person #2 had mandated reporter trainings dated 11-13-19 and 12-4-24 that were over 60 months between trainings. Staff person #3 had mandated reporter trainings dated 11-13-19 and 12-3-24 that were over 60 months between trainings. Staff person #4 had mandated reporter trainings dated 2-20-20 and 3-21-25 that were over 60 months between trainings. Staff person #5 had mandated reporter trainings dated 11-13-19 and 11-20-24 that were over 60 months between trainings. Staff person #6 had mandated reporter trainings dated 11-13-19 and 11-21-24 that were over 60 months between trainings. Staff person #7 completed mandated reporter training on 2-3-25 that was over 90 days after their date of hire. (see LIS code sheet)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 12-2-24 to 1-2-25.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *According to staff statements, on an undetermined date in late October 2024, Facility Person #1 left the Cheetahs room with a group of preschoolers and walked them down the hall to the Hippos Room where they transitioned responsibility for the children to Facility Person #2 before leaving the classroom. Shortly after this occurred, Child #1 was found by Facility Person #3 sitting on a chair in the hallway unsupervised. Based on the length of time Facility Person #3 was in the office, it can be estimated the child was unsupervised for approximately 2-3 minutes. Staff state they believe the child followed a parent out of the Hippos classroom when the parent was picking up their child. According to staff statements, on an undetermined date in early October 2024, Facility Person #4 took a group of 12 young schoolagers from the Elephants Room to the restroom down the hall and left Child #2 in the restroom unsupervised when the group returned to the classroom. The child was found by Facility Person #3 unsupervised in the restroom.

Correction Required: *The legal entity shall ensure all facility staff persons complete an in-person supervision training coordinated through the Early Learning Resource Center. The training shall include a component relating to supervision during transitions. The legal entity shall obtain from the trainer documentation of the date of the training and the names of all participants to retain on file and submit to the certification representative.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: **According to staff statements, on an undetermined date in late October 2024, Facility Person #1 left the Cheetahs room with a group of preschoolers and walked them down the hall to the Hippos Room where they transitioned responsibility for the children to Facility Person #2 before leaving the classroom. Shortly after this occurred, Child #1 was found by Facility Person #3 sitting on a chair in the hallway unsupervised. Based on the length of time Facility Person #3 was in the office, it can be estimated the child was unsupervised for approximately 2-3 minutes. Staff state they believe the child followed a parent out of the Hippos classroom when the parent was picking up their child. According to staff statements, on an undetermined date in early October 2024, Facility Person #4 took a group of 12 young schoolagers from the Elephants Room to the restroom down the hall and left Child #2 in the restroom unsupervised when the group returned to the classroom. The child was found by Facility Person #3 unsupervised in the restroom.

Correction Required: **The legal entity shall ensure all facility staff complete a supervision technical assistance program coordinated through the Early Learning Resource Center. The program shall include, but not be limited to, components relating to the supervision of children during transitions and the optimal usage of a hands-free tangible method of tracking the supervision of children. The legal entity shall obtain from the technical assistance provider documentation of the completion of the program by all staff which shall be retained on file and submitted to the certification representative.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: According to staff statements, on an undetermined date in late October 2024, Facility Person #1 left the Cheetahs room with a group of preschoolers and walked them down the hall to the Hippos Room where they transitioned responsibility for the children to Facility Person #2 before leaving the classroom. Shortly after this occurred, Child #1 was found by Facility Person #3 sitting on a chair in the hallway unsupervised. Based on the length of time Facility Person #3 was in the office, it can be estimated the child was unsupervised for approximately 2-3 minutes. Staff state they believe the child followed a parent out of the Hippos classroom when the parent was picking up their child. According to staff statements, on an undetermined date in early October 2024, Facility Person #4 took a group of 12 young schoolagers from the Elephants Room to the restroom down the hall and left Child #2 in the restroom unsupervised when the group returned to the classroom. The child was found by Facility Person #3 unsupervised in the restroom.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: *According to staff statements, on an undetermined date in late October 2024, Facility Person #1 left the Cheetahs room with a group of preschoolers and walked them down the hall to the Hippos Room where they transitioned responsibility for the children to Facility Person #2 before leaving the classroom. Shortly after this occurred, Child #1 was found by Facility Person #3 sitting on a chair in the hallway unsupervised. Based on the length of time Facility Person #3 was in the office, it can be estimated the child was unsupervised for approximately 2-3 minutes. Staff state they believe the child followed a parent out of the Hippos classroom when the parent was picking up their child. According to staff statements, on an undetermined date in early October 2024, Facility Person #4 took a group of 12 young schoolagers from the Elephants Room to the restroom down the hall and left Child #2 in the restroom unsupervised when the group returned to the classroom. The child was found by Facility Person #3 unsupervised in the restroom.

Correction Required: *A hands-free tangible method for tracking the supervision of children shall be developed and implemented at all times by all staff supervising children.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: According to staff statements, on an undetermined date in late October 2024, Facility Person #1 left the Cheetahs room with a group of preschoolers and walked them down the hall to the Hippos Room where they transitioned responsibility for the children to Facility Person #2 before leaving the classroom. Shortly after this occurred, Child #1 was found by Facility Person #3 sitting on a chair in the hallway unsupervised. Based on the length of time Facility Person #3 was in the office, it can be estimated the child was unsupervised for approximately 2-3 minutes. Staff state they believe the child followed a parent out of the Hippos classroom when the parent was picking up their child. According to staff statements, on an undetermined date in early October 2024, Facility Person #4 took a group of 12 young schoolagers from the Elephants Room to the restroom down the hall and left Child #2 in the restroom unsupervised when the group returned to the classroom. The child was found by Facility Person #3 unsupervised in the restroom.

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

Regulation: 3270.177(b)

Description: During boarding and exiting

Noncompliance Area: According to staff statements and video camera footage, on 9/5/24 at 2:36 PM, Facility Person #5 was driving and supervising 4 schoolagers on a van when they pulled into and parked in the facility parking lot. The children exited the vehicle while Facility Person #5 remained in the driver's seat of the vehicle. Child #2 jumped out of the vehicle and fell to the ground and, as a result, suffered a fracture of his left arm.

Correction Required: Children shall be supervised during boarding and exiting vehicles by an adult who remains outside the vehicle.

Regulation: 3270.20(b)

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

Noncompliance Area: According to staff statements and an incident report on file, on 9/5/24 a child in care was injured at the facility and received emergency room treatment for the injury. The incident was not reported to the regional office.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: According to staff statements, on an undetermined date in late October 2024, Facility Person #1 left the Cheetahs room with a group of preschoolers and walked them down the hall to the Hippos Room where they transitioned responsibility for the children to Facility Person #2 before leaving the classroom. Shortly after this occurred, Child #1 was found by Facility Person #3 sitting on a chair in the hallway unsupervised. Based on the length of time Facility Person #3 was in the office, it can be estimated the child was unsupervised for approximately 2-3 minutes. Staff state they believe the child followed a parent out of the Hippos classroom when the parent was picking up their child. According to staff statements, on an undetermined date in early October 2024, Facility Person #4 took a group of 12 young schoolagers from the Elephants Room to the restroom down the hall and left Child #2 in the restroom unsupervised when the group returned to the classroom. The child was found by Facility Person #3 unsupervised in the restroom.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Review of the facility's documentation of smoke detector testing indicates testing was completed on 6/7/24 and 7/18/14 then again on 8/12/24 and 9/12/24, exceeding 30 days between testing dates.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: According to staff statements and review of documentation on file at the facility, on 7/3/24 there were three occurrences of preschoolers from the Rhino classroom unsupervised, while Facility Persons #1 and #2 were supervising the group of children. At 8:44 AM, Child #1 left the classroom. The child was noticed missing and located at 8:51 AM. At 11:28 AM during restroom transition, Child #2 left the group in the hallway and went into another classroom where he was found at 11:34 AM. At 3:25PM the group left the classroom, leaving child #3 behind in the classroom where he was discovered by another staff person at 3:37 PM.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: According to staff statements and review of documentation on file at the facility, on 7/3/24 there were three occurrences of preschoolers from the Rhino classroom unsupervised, while Facility Persons #1 and #2 were supervising the group of children. At 8:44 AM, Child #1 left the classroom. The child was noticed missing and located at 8:51 AM. At 11:28 AM during restroom transition, Child #2 left the group in the hallway and went into another classroom where he was found at 11:34 AM. At 3:25PM the group left the classroom, leaving child #3 behind in the classroom where he was discovered by another staff person at 3:37 PM.

Correction Required: **The operator will ensure all staff participate in a staff meeting where the topic of appropriate supervision of children is discussed, to include discussion of challenges and effective strategies for supervising during times of transition. The date and time of the meeting, names of meeting attendees and the meeting agenda shall be documented and the documentation submitted to the certification representative and retained on file at the facility.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: According to staff statements and review of documentation on file at the facility, on 7/3/24 there were three occurrences of preschoolers from the Rhino classroom unsupervised, while Facility Persons #1 and #2 were supervising the group of children. At 8:44 AM, Child #1 left the classroom. The child was noticed missing and located at 8:51 AM. At 11:28 AM during restroom transition, Child #2 left the group in the hallway and went into another classroom where he was found at 11:34 AM. At 3:25PM the group left the classroom, leaving child #3 behind in the classroom where he was discovered by another staff person at 3:37 PM.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: According to staff statements and review of documentation on file at the facility, on 7/3/24 there were three occurrences of preschoolers from the Rhino classroom unsupervised, while Facility Persons #1 and #2 were supervising the group of children. At 8:44 AM, Child #1 left the classroom. The child was noticed missing and located at 8:51 AM. At 11:28 AM during restroom transition, Child #2 left the group in the hallway and went into another classroom where he was found at 11:34 AM. At 3:25PM the group left the classroom, leaving child #3 behind in the classroom where he was discovered by another staff person at 3:37 PM.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: There were 2 cots in the Rhinos room not labeled for the children who use them.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: There was a pack n' play in use in the Bears room without at least 2 feet of space on 3 sides.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: There was no daily activity schedule posted in the Elephants room.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact forms on file for children #1, #2 and #4 did not include the health insurance policy numbers.

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 on file for child #2 did not include the addresses of all release persons. The emergency contact form on file for child #4 did not include the phone numbers of all release persons.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The current health assessment on file for child #3 was completed more than 12 months after the previous health assessment on file.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The current health assessment on file for child #4, a young toddler, was completed more than 6 months after the pervious health assessment 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.

Regulation: 3270.35(b)

Description: Group sup qualifications

Noncompliance Area: Facility Persons #1 and #2 were listed as group supervisors despite not having met the educational requirements for the classification.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4).

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: There was a rest cot in front of a door leading from the Turtles room to the restroom between this classroom and another classroom.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There was exposed foam on a chair cushion in the Tigers room accessible to toddlers in care in the 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.