Stepping Stones Daycare And Ps Inc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The facility was observed to have two broken toys, a yellow angelfish rocker and a kid's climber with rock wall were cracked.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #1, #2 and #3 were observed to lack the Department's approved form (Child Service Report) to provide information to the family about the child's growth and development in the context of the services being provided.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #3 was observed to contain an emergency contact form that lacked the work addresses and telephone numbers of the enrolling parent

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #4 was observed to lack an initial health report no later than 60 days following the first day of attendance at the facility.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for child #4 was observed to lack written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: The facility was observed to have a medication for child #5 that was not in an original container.

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: 3270.151(a)

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

Noncompliance Area: The file for staff person #2 was observed to lack a health assessment that was obtained within the last 24 months. This was evidenced by the most recent health assessment present in staff person #2's file was dated 02/28/24.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: The facility was observed to have infant bottles that lacked a label with the child's name.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #4 was observed to lack two 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files for staff persons #1 and #5 were observed to lack documentation of completing mandated reporter training within the last 60 months. This was evidenced by the most recent mandated reporter training certificate in the file for staff person #1 was dated 04-08-21, and staff person #5's was dated 04-29-21.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 -- may not work in a child care position at the facility until the required training certificate is on file.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: The facility was observed to have a trash can used to discard trash that has been contaminated by human secretions or excrement in the baby's room and in the bathroom that lacked lids.

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

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

Description: Age and Training

Noncompliance Area: The files for staff persons #1, #2, #3, were observed to lack documentation of renewing their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. As evidenced by a certificate dated 05/03/2022 in the file for staff #1, a certificate dated 11/6/2025 in the file of staff person #2, and a certificate dated 04/25/2023 in the file for staff person #3.

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 file for staff person #4 was observed to lack documentation of acquiring a certificate of competence in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) within 90 days of hire.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files for staff #3 and staff #4 were observed to lack all required clearances. This was evidenced by the file for staff person #3 containing a PA State Police Clearance dated 10/21/20 and a Pa child abuse dated 10/26/2020. The file for Staff person #4 lacked NJ state CARI (child abuse record information check) clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons # 3 and #4 may not work in a child care position at the facility after 12/09/2025 if documented clearances are not on file.

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: The facility was observed to have a Highchair with a wide base but lacked a T-shaped safety strap. This was evidenced by staff explaining the strap was sent to laundry but hasn't yet returned.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #1, #2, #3, and #4 were observed to lack documentation of providing the family with the Department's approved form (Child Service Report) to provide information to the family about the child's growth and development in the context of the services being provided.

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: 3270.133(6)

Description: Written consent

Noncompliance Area: The facility was observed to have a medication log signed by the parent but lacked a date of the signature.

Correction Required: 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 facility was observed to lack a written policy that addresses Shaken Baby Syndrome and Abusive Head Trauma.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The facility was observed to lack a posting of the emergency plan in the facility at a conspicuous location

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility was observed to be providing a letter explaining the emergency procedures to the parent of each enrolled child, however, this letter was observed to lack information regarding accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for staff persons #1, #2, #3, #4 and #5 were observed to lack documentation of obtaining an annual minimum of 12 clock hours of child care training

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

Regulation: 3270.61

Description: Measurement and use of indoor child care space

Noncompliance Area: Staff persons were observed over room capacity in the toddler room which is measured for 5 children. This was evidenced by staff caring for 7 childen in the toddler room. Staff person #1 was observed caring for 5 1-year-olds in the Toddler room along with Staff person #6 who was observed caring for 1 infant and 1 older toddler in the toddler room.

Correction Required: Measurement and use of inodoor child care space.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The facility's Preschool room was observed to have a carpeted toe kick that was torn and frayed along the top.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed in the preschool room, a cracked bin and a wooden oven with a large crack causing pinching and splinters. It was also observed in the infant/toddler room a torn rest mat.

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: A crib in the infant room was observed to have bite marks on the upper rail.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: It was observed in the infant room 3 diaper creams that were not labeled with the name of the child for whom it is intended for.

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

Regulation: 3270.134(b)

Description: Towels labeled and laundered

Noncompliance Area: In the infant room, it was observed that all the staff and children are using the same towel to dry their hands after hand washing.

Correction Required: Cloth towels and washcloths shall be labeled with the child's name, used by only the named child and laundered weekly. The director shall arrange a laundry schedule with the parent.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's Emergency Plan did not address continuity of operations.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: In the infant room, it was observed that bottles were not labeled with the child's name.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: It was observed a waste receptacle located in the kitchen area of the infant room did not contain a lid containing used tissues that contained human secretions.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: It was observed in the infant diaper area and in the bathroom that a lidded waste receptacle was not available.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed children #1 and #2 sleeping in pack and plays that were less that 2 feet apart from one another.

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: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: At the time of the unannounced visit, cert rep observed child #2, an infant sleeping in a pack and play with a hard, plastic mobile activity arch present in the pack and play over the infant's body.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: **At approximately 10:15, on 10-20-23 cert rep had staff #1, #2, and #3 identify the children for whom they were responsible. Staff #1 who was present in the toddler room, named 3 toddlers. Staff #2 who was sitting in a chair at the threshold of the toddler and infant room named 2 infants and 1 toddler. However, one of the infants, child #1 was sleeping in a bouncer located on the other side of a half wall that runs halfway up from the floor located across the room from where staff #2 was sitting and child #5, the other infant, was sleeping in a pack and play on the far side of the other half wall that runs from ceiling to floor and covers approximately half the width of the infant room. Therefore, staff #2 could not properly supervise child #1 or child #5. Staff #3 named 2 toddlers. However, staff #3 was present in the infant room and 1 toddler was present in the toddler room; and the other toddler they named was also named by staff #1. No staff named child #3 and child #4 who were present in the infant room.

Correction Required: The Legal Entity will arrange for all staff employed by the facility at the time this POC is accepted to attend a minimum of 3 hours in person training on supervision conducted by ELRC Region 6 staff. The training must be approved by the Department prior to staff attending.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: ***At approximately 10:15, on 10-20-23 cert rep had staff #1, #2, and #3 identify the children for whom they were responsible. Staff #1 who was present in the toddler room, named 3 toddlers. Staff #2 who was sitting in a chair at the threshold of the toddler and infant room named 2 infants and 1 toddler. However, one of the infants, child #1 was sleeping in a bouncer located on the other side of a half wall that runs halfway up from the floor located across the room from where staff #2 was sitting and child #5, the other infant, was sleeping in a pack and play on the far side of the other half wall that runs from ceiling to floor and covers approximately half the width of the infant room. Therefore, staff #2 could not properly supervise child #1 or child #5. Staff #3 named 2 toddlers. However, staff #3 was present in the infant room and 1 toddler was present in the toddler room; and the other toddler they named was also named by staff #1. No staff named child #3 and child #4 who were present in the infant room.

Correction Required: The legal entity will contact ELRC 6 to arrange for Start-up TA to conduct a minimum of 1 classroom observation per month in the Infant and toddler rooms over a period of 4 months. The legal entity will work with ELRC staff to implement any recommendations made from classroom observations.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 10:15, on 10-20-23 cert rep had staff #1, #2, and #3 identify the children for whom they were responsible. Staff #1 who was present in the toddler room, named 3 toddlers. Staff #2 who was sitting in a chair at the threshold of the toddler and infant room named 2 infants and 1 toddler. However, one of the infants, child #1 was sleeping in a bouncer located on the other side of a half wall that runs halfway up from the floor located across the room from where staff #2 was sitting and child #5, the other infant, was sleeping in a pack and play on the far side of the other half wall that runs from ceiling to floor and covers approximately half the width of the infant room. Therefore, staff #2 could not properly supervise child #1 or child #5. Staff #3 named 2 toddlers. However, staff #3 was present in the infant room and 1 toddler was present in the toddler room; and the other toddler they named was also named by staff #1. No staff named child #3 and child #4 who were present in the infant room.

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. Children must be supervised at all times.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: **At approximately 10:15, on 10-20-23 cert rep had staff #1, #2, and #3 identify the children for whom they were responsible. Staff #1 who was present in the toddler room, named 3 toddlers. Staff #2 who was sitting in a chair at the threshold of the toddler and infant room named 2 infants and 1 toddler. However, one of the infants, child #1 was sleeping in a bouncer located on the other side of a half wall located across the room from where staff #2 was sitting. Therefore, staff #2 could not properly supervise child #1. Staff #3 named 2 toddlers. However, staff #3 was present in the infant room and 1 toddler was present in the toddler room; and the other toddler they named was also named by staff #1. No staff named child #3 and child #4 who were present in the infant room.

Correction Required: The operator will develop and ensure all staff actively use a hands-free method to identify the children's names and ages assigned in their supervisory group.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: ***At approximately 10:15, on 10-20-23 cert rep had staff #1, #2, and #3 identify the children for whom they were responsible. Staff #1 who was present in the toddler room, named 3 toddlers. Staff #2 who was sitting in a chair at the threshold of the toddler and infant room named 2 infants and 1 toddler. However, one of the infants, child #1 was sleeping in a bouncer located on the other side of a half wall located across the room from where staff #2 was sitting. Therefore, staff #2 could not properly supervise child #1. Staff #3 named 2 toddlers. However, staff #3 was present in the infant room and 1 toddler was present in the toddler room; and the other toddler they named was also named by staff #1. No staff named child #3 and child #4 who were present in the infant room.

Correction Required: The legal entity will contact ELRC 6 to arrange for Start-up TA to conduct a minimum of 1 classroom observation per month in the Infant and toddler rooms over a period of 4 months. The legal entity will work with ELRC staff to implement any recommendations made from classroom observations.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 10:15, on 10-20-23 cert rep had staff #1, #2, and #3 identify the children for whom they were responsible. Staff #1 who was present in the toddler room, named 3 toddlers. Staff #2 who was sitting in a chair at the threshold of the toddler and infant room named 2 infants and 1 toddler. However, one of the infants, child #1 was sleeping in a bouncer located on the other side of a half wall located across the room from where staff #2 was sitting. Therefore, staff #2 could not properly supervise child #1. Staff #3 named 2 toddlers. However, staff #3 was present in the infant room and 1 toddler was present in the toddler room; and the other toddler they named was also named by staff #1. No staff named child #3 and child #4 who were present in the infant room.

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: During an unannounced visit, cert rep observed child #1, an infant sleeping in a bouncer; and child #2 sleeping in a pack and play with the base attached approximately halfway up from the bottom frame and hooked along the perimeter of the equipment causing a lack in support and therefore, not a flat, firm, surface as per the recommendation by the American Academy of Pediatrics.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the unannounced visit, cert rep observed child #1 present in the infant room. However, there was not an emergency contact form present in the child care space.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised due to the fact she was the only staff present in the toddler room while staff #2 and staff #3 were present in the adjacent infant room with the adjoining door opened. Staff person #1 had not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter training, 10-hour health and safety training, and Pediatric First Aid and CPR.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: During an unannounced visit, observed rest equipment labeled for child #1, an infant. The rest equipment had loose fitted sheets causing a suffocation hazard.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on conversations with staff, child #1 was in possession of a utility knife with the blade opened. Furthermore, no staff had knowledge of how child #1 obtained said knife.

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. Children must be supervised at all times.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Based on conversations with staff, child #1 was in possession of a utility knife with the blade opened. Furthermore, no staff had knowledge of how child #1 obtained said knife.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: Based on conversations with staff, child #1 was in possession of a utility knife with the blade opened.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed in the preschool outdoor play space, on the right-hand side of a Little Tikes slide a crack with sharp plastic sticking out causing scraping. It was also observed that stagnant water and dirty wet leaves where in the large blue boat sandbox. It was observed in the indoor large playroom a lid to a big blue tote was cracked.

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: 3270.119

Description: Infant sleep position

Noncompliance Area: It was observed in the infant room an infant sleeping in a bouncy chair and an infant sleeping in a swing. There was no documentation of a medical reason for the infants to sleep in this position on file.

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: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The health report on file for child #1 did not contain documentation of an influenza immunization being administered within the last year in accordance with the recommendations of 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 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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: It was observed on the day of inspection a Tylenol bottle in the locked medication box not labeled to identify the name of the child for whom the medication was intended for.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: It was observed on the day of inspection a bottle of Tylenol was expired.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff Person #1, #2, #3, #4, and staff person #5 was observed not to have completed Pennsylvania Health and Safety Update 2022 by December 30, 2022.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A red play stove was observed to be cracked in the preschool area. A cracked push lawnmower and cracked tiles on top floor of red/tan/blue rock climb slide and torn netting on Little Tikes playhouse were observed in the outdoor preschool play area. It was also observed that a cracked pink/purple push toy and exposed bolts in the Little Tikes Red/Yellow and Purple/Pink Riding cars in the outdoor play space.

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

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: It was observed that the loose fill surface under the embedded large green play structure did not meet the recommendations of the United States Consumer Product Safety Commission due to there only being approximately 5 inches of loose fill in place.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: Shale measuring less than 1 inch in diameter was observed in the outdoor play space were toddlers play. Mulch measuring less than 1 inch in diameter was observed in the outdoor play space were toddlers play

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A plastic bag was observed in the toddler play space.

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: It was observed that there was not at least 2 feet of space on three sides of cribs while infants were sleeping.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for Child#2 was observed not to contain the child's arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for child #2 was observed not to contain documentation of persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The Emergency contact form on file for Child #1 was observed not to include information if the child has special disabilities, allergies, medical or dietary information necessary in an emergency situation, medications or special conditions of 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(a)

Description: Health information

Noncompliance Area: The file for child #2 was observed not to have documentation of an initial health report no later than 60 days following the first day of attendance at the facility.

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

Regulation: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: It was observed that an infant 6 months of age or younger was not being held while being bottle fed.

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: It was observed that the facility did not provide the parent of each child in the facility with information on how 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: 3270.75(c)

Description: Has all items

Noncompliance Area: Scissors, water, tape and tweezers were observed to be missing from the facility's Outdoors First Aid Kit.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed in the toddler outdoor play area exposed splintering boards and exposed bolts from boards on the ground of the play space potentially causing scraping and cutting. It was observed that 4 inches of stagnant and dirty water was in the blue Step 2 Boat causing unsanitary conditions.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: It was observed that the large green and wooden embedded play structure had peeling paint on the bottom poles.

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

Noncompliance Area: On 7/21/20 observed rust on the handle bar of the pink big wheel in the Preschool/School-Age Outdoor Play Space. On 7/21/20 observed rust on the handle bar and pedals of the blue riding toy in the Preschool/School-Age Outdoor Play Space. On 7/21/20 observed rust on the handle bar and rear axle of the silver tricycle with red wheels in the Preschool/School-Age Outdoor Play Space.

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

Noncompliance Area: Emergency contact information for Child #6 was not present when Child #6 was in the Preschool/School-Age Classroom on 7/21/20.

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.

Noncompliance Area: The files of Children #4 and #5 lacked a reviewed and updated emergency contact form and financial agreement which should have been reviewed at least once in a 6-month period. Child #4 had an emergency contact form and financial agreement reviewed on 5/26/20 with a previous review on 1/7/19. Child #5 had an emergency contact form and financial agreement reviewed on 5/26/20 with a previous review on 4/26/19.

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.

Noncompliance Area: The file of Child #2 lacked an initial health report no later than 60 days following the first day of attendance at the facility. The file of Child #2 contained a health report dated 6/11/20 which indicated a well examination conducted on 12/2/19. Child #2 had a start date of 9/3/19.

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 files of Children #1, #2, #3, and #4 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #2, a 2 year old, lacked Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #2 contained documentation of one Hepatitis A immunization. The file of Child #3, a 4 year old, lacked Pneumococcal immunizations in accordance with the schedule recommended by the ACIP. The file of Child #3 contained documentation of 3 Pneumococcal immunizations.

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.

Noncompliance Area: The file of Staff #2 lacked a health assessment conducted every 24 months. The file of Staff #2 contained a current health assessment dated 5/11/20 with a previous one dated 6/29/16.

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.

Noncompliance Area: On 7/21/20 observed an electrical cord to a baby swing which was not secured creating a potential strangulation hazard in the Infant Room.

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

Noncompliance Area: The files of Staff #1 and #3 lacked the National Sex Offender Registry Certificate prior to or on the first day of caring for children. Staff #1 had a start date of of 12/9/19 with a NSOR dated 12/10/19. Staff #3 had a start date of 1/6/20 with a NSOR dated 5/29/20. The file of Staff #2 lacked a State Police Clearance, Child Abuse Clearance, and FBI Clearance updated every 60 months. The file of Staff #2 contained a State Police Clearance dated 5/9/20 with a previous one dated 5/1/14, a Child Abuse Clearance dated 5/9/20 with a previous one dated 5/6/14, and a FBI Clearance dated 5/27/20 with a previous one dated 4/25/14. The file of Staff #6 lacked a signed disclosure statement at initial employment. Staff #6 had a start date of 6/5/20 with a disclosure statement dated 4/28/17.

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.

Noncompliance Area: The files of Staff #2, #3, and #4 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months completed by the director.

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

Noncompliance Area: The file of Staff #1, who was designated as the Director, lacked documentation of 1 year of experience with children.

Correction Required: A director shall have attained 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 and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The files of Staff #3, #5, and #7 who were designated as assistant group supervisors, lacked documentation of 2 years experience with children.

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

Noncompliance Area: On 7/21/20 observed an electrical power strip which lacked protective receptacle covers behind the changing table in the Infant Room.

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

Noncompliance Area: On 7/21/20 observed Dawn Dish Detergent and Gorilla Glue which indicated "keep out of the reach of children" on the the counter top which were accessible to children in the Preschool/School-Age Classroom. On 7/21/20 observed a Febreeze Plug-In which indicated "keep out of the reach of children" on the book case outside of the Preschool/School-Age Classroom which was accessible to children.

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

Noncompliance Area: On 7/21/20 observed two bottles of Scrubbing Bubbles and Lysol Power Foam Bathroom Cleaner beside cheese balls on the shelf in the closet connected to the bathroom.

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: Observed rest equipment not labeled for the use of a specific child in the Preschool Room.

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

Noncompliance Area: The file of Child #4 lacked the date on which the fee is to be paid on the agreement.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The files of Children #2, #3, #4, and #5 contain the original agreement. The facility did not make a copy for the file and give the original to the parent.

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

Noncompliance Area: The file of Child #1 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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 file of Child #4 lacked an initial health report no later than 60 days following the first day of attendance at the facility. The file of Child #4 had a start date of 12/3/18 with a health report signed and dated on 4/12/19.

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 file of Child #5 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #5 contained a health report dated 8/20/18.

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

Noncompliance Area: The file of Child #3, an 8 month old, lacked documentation of Pneumococcal Immunizations in accordance with the schedule recommended by the ACIP. Child #3 only had 2 Pneumococcal Immunizations. The files of Children #1, #2, and #5 lacked documentation of a current influenza immunization in accordance with the schedule recommended by 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.

Noncompliance Area: The file of Staff #1 lacked a health assessment conducted every 24 months. The file of Staff #1 contained a health assessment dated 6/1/16. The files of Staff #2 and #3 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting. Staff #2 had a start date of 3/11/19 with a health assessment dated 4/26/19. Staff #3 had a start date of 4/1/19 with a health assessment dated 4/25/19.

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: Child records are not stored in a locked cabinet.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Noncompliance Area: Facility persons' records are not stored in a locked cabinet.

Correction Required: Facility persons' records are confidential and shall be stored in a locked cabinet.

Noncompliance Area: Observed rust on the fence in both the Infant/Toddler and Preschool/School-Age Outdoor Play Spaces.

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.

Noncompliance Area: Observed peeling paint on the left bottom side of the cement blocks in the Preschool/School-Age Outdoor Play Space.

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

Noncompliance Area: The Toddler Room lacked a posted evacuation route.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: The file of Staff #1 contained a State Police Clearance which indicated for volunteer and not for employment. The file of Staff #1 lacked documentation of FBI fingerprint submitted receipt dated prior to or on the date of initial hire and did not contain a FBI clearance. Staff #1 had a start date of 4/1/19. The file of Staff #2 lacked documentation of application for the child abuse clearance, the State Police clearance, and the FBI fingerprint submitted receipt dated prior to or on the date of initial hire. The file of Staff #2, with a start date of 3/11/19, contained a child abuse clearance dated 4/11/19 and a State Police clearance dated 4/2/19. The file of Staff #2 did not contain a FBI clearance. Staff #1 and #2 were removed from care.

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

Noncompliance Area: Observed a torn green and purple tent and a torn purple and yellow tent in the Toddler Room. Observed a cracked bin labeled ''Fisher Price Dollhouse'' in the hallway. Observed a green Little Tykes car with a broken piece on the back creating rough edges in the outdoor play space. Observed a Radio Flyer tricycle with rust on the handle bars. Observed two Little Tykes green and white houses with doors missing creating pinch points in the outdoor space. Observed one of the Little Tykes green and white houses with cracks at the window creating rough edges and pinch points in the outdoor play space. Observed a Little Tykes purple and pink Cozy Coupe with a cracked gas cap creating rough edges in the outdoor play space. Observed a Little Tykes green and yellow Cozy Coupe with a broken axle and cracked gas cap creating rough edges in the outdoor play space. Observed a Little Tykes yellow and orange picnic table with cracks at the corner creating pinch points and rough edges in the outdoor play space. Observed an embedded climber with splintering wood between the slide and rock wall as well as on the rock wall in the outdoor play space. Observed a green merry go round with a missing handle in the outdoor play space. Observed a Little Tykes slide with a green roof with an exposed bolt to the right of the slide in the outdoor play space.

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

Noncompliance Area: Observed embedded equipment in the outdoor play space with approximately 6 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: The file of Child #1 lacked emergency contact information at the time of enrollment. Child #1 had an admission date of 10/23/17 with an emergency contact form dated 4/2/18 and 4/23/18.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: The file of Child #2 lacked the home telephone number of the enrolling parent on the emergency contact form. The file of Child #3 lacked the complete work address and work telephone number of the enrolling parent on the emergency contact form. The file of Child #5 lacked the home address of the enrolling parent on the emergency contact form.

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

Noncompliance Area: The files of Children #1, #2, #3, #4, and #5 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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 Toddler Room lacked emergency contact information for children receiving care in the space.

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