Steps to Success Inc

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 7/30/26, child 1 was left sleeping in their crib during a fire drill for approximately 2.5 minutes. Staff noticed the child was missing when they reached the meeting point and returned to the classroom for the child.

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. TIERED LIS: Tier 1: Children must be supervised at all times. 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. Tier 2: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding emergency procedures and supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. Tier 3: The legal entity must submit documentation in a format approved by DHS showing daily primary care group checks in each classroom by a member of management staff. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. Tier 4: The facility will conduct bi-weekly fire drills for a period of 3 months. Facility will confirm compliance by submitting a log of the fire drill upon each drill's completion.

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: On 7/15/26, it was observed that the emergency contact information for child 1 did not include signed parent consent for emergency medical care or minor first aid.

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

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: On 3/2/26, it was confirmed through staff interviews that staff person 1 put their hand over a child's mouth while they were screaming during naptime, to remind them to be quiet.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Koalas and Wallabys - Children were observed sleeping/resting on equipment that had less than 2 feet of space on three sides. (CORRECTED ON SITE)

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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Staff persons #1 and #2 were present with a group of 8 infants. Staff person #1 identified 3 children as being in her primary care group, and staff person #2 identified 4 of the children as being in her primary care group. 1 child was unaccounted for in the care groups.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement on file for child #3 did not specify the amount of the fee to be charged per day or per week.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The health reports on file for child #1 (young toddler) were dated in August of 2024 and subsequently more than 6 months later in August of 2025.

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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: A container of Tylenol located in the Owls room was not labeled with the name of the child.(CORRECTED ON SITE)

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: 3270.151(a)

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

Noncompliance Area: Staff persons #1's updated health assessment was not obtained timely during the past year. The health assessments on file were dated in March of 2023 and subsequently more than 24 months later in April of 2025. Staff persons #5's updated health assessment was not obtained timely during the past year. The health assessments on file were dated in November of 2022 and subsequently more than 24 months later in July of 2025. The staff person transferred to this location in June of 2025.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact forms and agreements on file for children #2 and #3 were not updated timely during the previous year. The forms were signed/dated in September of 2024 and then updated more than 6 months later in April/May of 2025.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff persons #1, #2, #4, #6, #7, #9, #10, #11. #12, and #13 were trained on the emergency plan in February of 2024, and subsequently more than 12 months later in August of 2025.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #9 completed fire safety training in February of 2024 and subsequently more than 12 months later in March of 2025. Staff person #11 completed fire safety training in March of 2024 and subsequently more than 12 months later in September of 2025. Staff person #12 completed fire safety training in July of 2024 and subsequently more than 12 months later in September of 2025.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 completed the health and safety training (part 2) 107 days after the date of hire. Staff person #7 completed the health and safety training (part 2) 97 days after the date of hire.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The DHS FBI clearance on file for staff person #12 expired on 10/5/25 (dated 10/5/2020). The staff person worked in a child care position with an expired clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #12 may not work in a child care position at the facility until completed clearances are on file.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An outlet in the girl's bathroom was uncovered. (CORRECTED ON SITE) An outlet in the wallaby room was uncovered. (CORRECTED ON SITE)

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the koalas room did not contain scissors. (CORRECTED ON SITE) The first aid kit in the bunnies room did not contain gloves. (CORRECTED ON SITE)

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: The ceiling vents were dusty in the pandas, bunnies, and jungle friends rooms.

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(e)/3270.103

Description: Infant/toddler - no material less than 1 inch/Small Toys and Objects

Noncompliance Area: Mulch was observed in an area accessible to the toddlers that were doing water 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. 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: 3270.133(7)

Description: Medication log

Noncompliance Area: Pandas - A medication (albuterol via nebulizer) was on site for child #1. Staff reported administering the medication, but did not record the administration of the medication on the medication log which was in the child's file in the office.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. A log must include the following information: (iv) The amount of medication administered. (v) The date of administration. (vi) The time of administration. (vii) The initials of the staff person who administered the medication.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessments on file for staff persons #2 and #3 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The records for staff persons #5 and #6 each included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The NSOR on file for staff person #1 expired on 4/8/2025 (dated 4/8/2020) and an updated clearance was not obtained until 6/3/2025. The staff person worked with an expired clearance on file. Staff person #4 had an incomplete state police clearance on file. The form did not include the dissemination date. (CORRECTED ON SITE)

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

Regulation: 3270.183(a)/3270.193(a)

Description: Locked cabinet/Confidential; stored in locked cabinet

Noncompliance Area: The filing cabinet containing child and staff files were unlocked at the time of inspection.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.32(a) on SIN-00255953 had not been fully implemented. On 12/20/24, facility person 2 has been employed for more than 45 days. The record still did not include a completed NSOR.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Koalas- The first aid kit was in an unlocked backpack that was hanging on a low hook within reach of the children. (CORRECTED ON SITE)

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.76 on SIN-00255953 had not been fully implemented. On 12/20/24, the fan was again observed in an area accessible to the children in the Koala room. The barrier of the fan was wide enough for children to put their fingers through to where the blades spin. (CORRECTED ON SITE)

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: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.77a on SIN-00255953 had not been fully implemented. On 12/20/24, areas of peeling paint were again observed on the walls in the Panda room and in the Ocean Friends room.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Straw (hay) was observed in the sensory table in a toddler room. Pieces were less than an inch in diameter.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreements on file for children 6 and 7 did not shall specify the child's arrival and departure times.

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

Regulation: 3270.124(c)/3270.181(e)

Description: Each child care space/Emergency master file updated

Noncompliance Area: Koalas - The emergency contact forms located in the go-bag did not include forms for 4 of the children present with the group (children 1-4)

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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health report on file for child 5 was dated 72 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: 3270.131(b)(2)

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

Noncompliance Area: The updated health report was not obtained timely for child 8 (preschooler). The health reports were dated May of 2023 and more than 12 months later in July of 2024.

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(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The immunization records on file for children 5, 6, and 8 were not in accordance with the schedule recommended by the ACIP. Child 5 - Documentation of 6 month immunizations past due Child 6 - Documentation of 2nd dose of Hepatitis A past due Child 8 - Documentation of 4th dose of DTAP past due

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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The disclosure statement on file for staff person 1 was undated. (CORRECTED ON SITE) Facility person 2 has been employed for more than 45 days. The record did not include a completed NSOR.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An uncovered outlet was observed in the Ocean Friends room. The outlet was within reach of the toddlers that use the space. (CORRECTED ON SITE)

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A magic eraser was observed on the counter in the Ocean Friends room during two separate visits to the room. (CORRECTED ON SITE)

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Pandas - The first aid kit was in an unlocked backpack that was sitting on the floor within reach of the children. (CORRECTED ON SITE)

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A fan was observed in an area accessible to the children in the Koala room. The barrier of the fan was wide enough for children to put their fingers through to where the blades spin.

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: Areas of peeling paint were observed on the walls in the Panda room and in the Ocean Friends room.

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The fire detection system was manually tested on 9/27/24, and subsequently more than 30 days later on 10/31/24.

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)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At least two torn nap mats with foam exposed were observed in the Ocean Friends 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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.106(a) on SIN-00243527 had not been fully implemented. On 7/25/24, the rest equipment located in the Ocean Friends room was not labeled for the use of a specific child.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.123(a)(3) on SIN-00243527 had not been fully implemented. On 7/25/24, the facility did not have documentation that they were providing the families of children 1,5, 6, 8 information about the child's growth and development in the context of the services being provided (via Child Service Reports or any other approved form) at least once every six months.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.124(b)(7) on SIN-00243527 had not been fully implemented. On 7/25/24, the emergency contact information on file for child 5 did not include an address for a listed release person.

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: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.124(c) on SIN-00243527 had not been fully implemented. On 7/25/24, the emergency contact binder did not include all of the emergency contact forms for the children that were present with the group.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.166(4) on SIN-00243527 had not been fully implemented. On 7/25/24, at least 3 bottles in the infant room were not labeled with the child's name.

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

Regulation: 3270.181(c)/3270.181(e)

Description: Emergency info/agreement updated 6 mos/Emergency master file updated

Noncompliance Area: The emergency contact forms present in the infant room (Owls) for children 9-12 were past due to be updated. The most recent parent signatures were more than 6 months old.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: At the time of inspection, the facility did not have individual records for staff persons 25 and 26. The individuals were serving as staff substitutes from another company. (CORRECTED ON SITE)

Correction Required: An individual record is required for each facility person.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person 26 is serving as an AGS at the facility. The staff record did not include documentation of education (HS diploma). At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.192(2)(ii) on SIN-00243527 had not been fully implemented. On 7/25/24, the following staff records did not include the required documentation of experience: The record for staff person 1 did not include sufficient documentation to justify the role she is serving in (AGS). The record included documentation of education, but did not include documentation of 2,500 hours of child care experience. Staff persons 3 and 7 were previously aides at the facility. During the previous year, they were moved to assistant group supervisor positions. Their records did not include documentation of child care experience needed to justify the role they are serving in. The record for staff person 9 did not include sufficient documentation to justify the role she is serving in (AGS). The record included documentation of education (15 college credits in listed fields), but did not include documentation of 1,250 hours of childcare experience. 654 hours of child care experience were documented. The record for staff person 11 did not include sufficient documentation to justify the role she is serving in (AGS). The record included documentation of education, but did not include documentation of 2,500 hours of childcare experience. The record for staff person 12 did not include sufficient documentation to justify the role she is serving in (GS). The record included documentation of education (Associate's Degree in Human Services), but did not include documentation of 2,500 hours of child care experience. The record for staff person 16 did not include sufficient documentation to justify the role she is serving in (AGS). The record did not include documentation of education or of child care experience.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.192(5) on SIN-00243527 had not been fully implemented. On 7/25/24, the record for staff person 13 included only 1 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for staff person 16 did not include 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.27(c) on SIN-00243527 had not been fully implemented. On 7/25/24, the facility was unable to provide documentation that staff person 10 had been trained on the emergency plan. The staff person has been employed for more than 90 days.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.31(e)(4)(ii) on SIN-00243527 had not been fully implemented. On 7/25/24, the record for staff person 4 did not include documentation of fire safety training during the previous year.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The facility did not have files for staff persons 25 and 26 that contained completed child abuse, criminal history, DHS FBI clearance, and NSOR certificate information required under the CPSL and did not contain a copy of a request for the NSOR certificate, the criminal history clearance, nor documentation the facility person had been fingerprinted for the FBI clearance required for provisional hiring under the CPSL. (CORRECTED ON SITE) Records for staff persons 25 and 26 did not include a signed disclosure that was completed with facility staff prior to working at the facility. (CORRECTED) At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.32(a) on SIN-00243527 was not being implemented. The director had not submitted all new staff members files to certification for approval prior to the staff caring for children as specified in the directed plan of correction. Staff #25, 26, and 27 had cared for children at the facility without the files being reviewed and approved.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Director will submit all new staff members' files to certification representative for approval before the staff member is able to start caring for children for a period of 3 months.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Toy bins in the Bunnies room were dirty. The stuffed animal toy bins in the Owl room were dirty Standing water was observed on the cover of the sand pit on the preschool playground.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The rest equipment located in the Ocean Friends room was not labeled for the use of a specific child .

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A written plan of daily activities was not posted in the Ocean Friends room.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff person throughout the facility were observed repeatedly checking and paying attention to their mobile devices (watches and cell phones) while they were supposed to be watching the children.

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: 3270.119

Description: Infant sleep position

Noncompliance Area: An infant was observed sleeping in a swing from 10:06am until 10:15am when the staff person picked the child up to change their diaper.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The facility did not have documentation that they were providing the families of children 1, 3-8 information about the child's growth and development in the context of the services being provided (via Child Service Reports or any other approved form) at least once every six months.

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)(1)

Description: Child's name, birth date

Noncompliance Area: The emergency contact information on file for child 2 did not include the birth date of the child. (CORRECTED ON SITE)

Correction Required: Emergency contact information must include the name and birth date of the child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information on file for child 6 did not include the address for the child's physician or source of medical care. (CORRECTED ON SITE)

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information on file for child 2 did not include the work telephone number of the enrolling parent. (CORRECTED ON SITE)

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information on file for children 2 and 5 did not include addresses for listed release persons.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact forms located in the Owls room were missing forms for 5 of the children that receive care in the space. Ocean Friends - The emergency contact binder taken to the playground did not include all of the emergency contact forms for the children that were present with the group.

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

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The immunizations records on file for child 8 were not in accordance with the schedule recommended by the ACIP. The child has been enrolled for over a year, and the record did not include documentation of the child receiving the Hepatitis A vaccine, nor an appropriate exemption note. The information from the doctor's office stated that the parent refused the vaccine for the child. The child was still enrolled/attending the program at the time of inspection.

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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: The initial health assessment on file for staff person 5 was not dated within the 12 months prior to initial service in the child care setting. The health assessment was dated 3 days after start date. The initial health assessment on file for staff person 11 was not dated within the 12 months prior to initial service in the child care setting. The health assessment was dated 131 days after start date. The initial health assessment on file for staff person 15 was not dated within the 12 months prior to initial service in the child care setting. The health assessment (with TB test results) was dated 14 months prior to initial service and was no longer valid at start date. Staff person 23's health assessment is past due to be updated. The previous health assessment was dated in 4/22 and is no longer valid.

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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The adult health assessment on file for staff person 9 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

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

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: A staff person in the infant room did not wash her hands before making a bottle, and then used her finger on top of the nipple to block the milk when shaking the bottle. A staff person in the infant room did not wash her hands after the conclusion of a diaper change. The staff person washed her hands in the middle of the diaper changing process, and then proceeded to touch items used during the diaper change (soiled/leaky diaper and paper barrier used during the change) to discard them. Hands were not washed after touching the soiled items.

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

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: On 5/17/24, milk labeled "sell by 4/27" was observed in a refrigerator in the Ocean Friends room.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Multiple bottles were not labeled in the infant room.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Updates of emergency contact information and financial agreements were not completed timely during the previous year. Child 1 - Emergency contact information updated 4/2023 and subsequently more than 6 months later in 1/2024. Child 3 - Financial agreement completed in November of 2022 and subsequently more than 6 months later in 10/23. Child 4 - Emergency contact information updated 8/2023 and subsequently more than 6 months later in 4/2024. The financial agreement was last signed more than 6 months ago in October of 2023. Child 8 - The emergency contact information was updated in April of 2023, and then more than 6 months later in April of 2024. The financial agreement was last signed more than 6 months ago in October of 2023.

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

Regulation: 3270.182(7)

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

Noncompliance Area: Originals of incident reports were on file at the facility.

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

Regulation: 3270.192(2)(ii)/3270.192(2)(iii)

Description: Exp, educ., training prior to facility/Exp, educ., training at facility

Noncompliance Area: The record for staff person 1 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of child care experience. Staff persons 3 and 7 were previously aides at the facility. During the previous year, they were moved to assistant group supervisor positions. Their records did not include documentation of child care experience needed to justify the role they are serving in. The record for staff person 9 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education (15 college credits in listed fields), but does not include documentation of 1,250 hours of childcare experience. (Includes 654 hours of child care experience) The record for staff person 10 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of childcare experience (2,197 hours on file). The record for staff person 11 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of childcare experience. The record for staff person 12 does not include sufficient documentation to justify the role she is serving in (GS). The record includes documentation of education (AS in Human Services), but does not include documentation of 2,500 hours of child care experience. The record for staff person 15 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of child care experience (1,905 hours on file). The record for staff person 16 does not include sufficient documentation to justify the role she is serving in (AGS). The record did not include documentation of education or of child care experience. The record for staff person 19 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of child care experience (1,948 hours on file).

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for staff person 13 included just 1 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The records for staff persons 15 and 16 did not include 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: According to documentation on file at the time of inspection, staff person 7 was trained on the emergency plan in September of 2022, and then more than 12 months later in February of 2024. The facility was unable to provide documentation that staff persons 9 and 13 had been trained on the emergency plan at initial employment (within 90 days). The facility was unable to provide documentation that staff person 10 and 24 have been trained on the emergency plan. The staff persons have been employed for more than 90 days. According to documentation on file at the time of inspection, staff person 22 was last trained on the emergency plan in April of 2023.

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

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

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

Noncompliance Area: The records for staff person 4, and 20 did not include documentation of fire safety training during the previous year. Staff person 7 completed fire safety trainings in March of 2023, and then more than 12 months later in April of 2024. Staff person 22 completed fire safety trainings in September of 2022, and then more than 12 months later in March of 2024. Staff person 24 completed fire safety trainings in December of 2022, and then more than 12 months later in February of 2024.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #13 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)). (8) Handling and storage of hazardous materials and appropriate disposal of biocontaminants. (9) Precautions when transporting children.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-9) within 90 days of hire. Staff person #13 will have until June 14, 2024 to complete the required training. Until such time as the required training has been completed, staff person #13 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff person #13, staff person #13 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: According to documentation on file at the time of inspection, when staff person #5 began work in the facility, the staff record did not contain a completed DHS FBI Clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance the day after she started working with children. The clearance is now on file. According to documentation on file at the time of inspection, when staff person #8 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The child abuse clearance was dated 10 days after start date, and the staff person was fingerprinted for the DHS FBI clearance 6 days after start date. Staff person 9 worked beyond a 45 day provisional hire period with incomplete clearances on file. The NSOR was dated 148 days after start date. According to documentation on file at the time of inspection, when staff person #11 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The staff person worked for a period of 4 months with no clearances on file. The staff person left employment at the facility, and was rehired approximately 5 months later with complete clearances on file. According to documentation on file at the time of inspection, when staff person #12 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL. The clearance was dated 7 days after start date. According to documentation on file at the time of inspection, when staff person #13 began work in the facility, the staff record did not contain the applicable out of state clearances as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The clearances are still not on file. Staff person 14 serves in a position that is not eligible for provisional hiring under the CPSL. According to documentation on file at the time of inspection, when staff person #14 began work in the facility, the staff record did not contain a completed NSOR and completed out of state clearances as required under the CPSL. The NSOR was dated 154 days after start date, and the last of the out of state clearances were dated 15 days after start date. The facility failed to send in a rap sheet to the regional office for review. According to documentation on file at the time of inspection, when staff person #15 began work in the facility, the staff record did not contain a completed DHS FBI clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance 227 days after start date and the clearance has since been obtained. According to documentation on file at the time of inspection, when staff person #16 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The state police clearance was dated 5 days after start date, the child abuse clearance was dated 49 days after start date, the DHS FBI clearance was dated 7 days after start date. An NSOR is still not on file. According to documentation on file at the time of inspection, when staff person #19 began work in the facility, the staff record did not contain a completed NSOR as required under the CPSL , nor did it contain a copy of the request for the NSOR as required for provisional hiring under the CPSL. The request was sent a day late, and the clearance has since been obtained.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons # 13 and #16 may not work in a child care position at the facility until complete clearances are on file.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: According to documentation on file at the time of inspection, when staff person #5 began work in the facility, the staff record did not contain a completed DHS FBI Clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance the day after she started working with children. The clearance is now on file. According to documentation on file at the time of inspection, when staff person #8 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The child abuse clearance was dated 10 days after start date, and the staff person was fingerprinted for the DHS FBI clearance 6 days after start date. Staff person 9 worked beyond a 45 day provisional hire period with incomplete clearances on file. The NSOR was dated 148 days after start date. According to documentation on file at the time of inspection, when staff person #11 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The staff person worked for a period of 4 months with no clearances on file. The staff person left employment at the facility, and was rehired approximately 5 months later with complete clearances on file. According to documentation on file at the time of inspection, when staff person #12 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL. The clearance was dated 7 days after start date. According to documentation on file at the time of inspection, when staff person #13 began work in the facility, the staff record did not contain the applicable out of state clearances as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The clearances are still not on file. Staff person 14 serves in a position that is not eligible for provisional hiring under the CPSL. According to documentation on file at the time of inspection, when staff person #14 began work in the facility, the staff record did not contain a completed NSOR and completed out of state clearance requests as required under the CPSL. The NSOR was dated 154 days after start date, and the last of the out of state clearances were dated 15 days after start date. The facility failed to send in a rap sheet to the regional office for review. According to documentation on file at the time of inspection, when staff person #15 began work in the facility, the staff record did not contain a completed DHS FBI clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance 227 days after start date and the clearance has since been obtained. According to documentation on file at the time of inspection, when staff person #16 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The state police clearance was dated 5 days after start date, the child abuse clearance was dated 49 days after start date, the DHS FBI clearance was dated 7 days after start date. An NSOR is still not on file. According to documentation on file at the time of inspection, when staff person #19 began work in the facility, the staff record did not contain a completed NSOR as required under the CPSL , nor did it contain a copy of the request for the NSOR as required for provisional hiring under the CPSL. The request was sent a day late, and the clearance has since been obtained.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons # 13 and #16 may not work in a child care position at the facility until complete clearances are on file. Director will submit all new staff members' files to certification representative for approval before the staff member is able to start caring for children for a period of 3 months.

Regulation: 3270.34(a)(1)

Description: Finances, meals, personnel

Noncompliance Area: The regulatory non-compliance cited on this inspection summary, on the renewal inspection from 4/17/24 (SIN-00243527), the complaint inspection summary from 4/18/24 (SIN-00242870), the incident investigation from 4/12/24 (SIN-00242443), unannounced monitoring from 4/12/24 (SIN-00242797), the unannounced monitoring from 4/5/24 (SIN-00242522), and the incident investigation from 4/5/24 (SIN-00242260) demonstrate that the facility director is not fulfilling responsibilities and minimum duties (re: personnel) as required per regulation.

Correction Required: A director is responsible for administering finances, personnel, maintenance, meal planning and preparation and transportation.

Regulation: 3270.34(a)(1)

Description: Finances, meals, personnel

Noncompliance Area: The regulatory non-compliance cited on this inspection summary, on the renewal inspection from 4/17/24 (SIN-00243527), the complaint inspection summary from 4/18/24 (SIN-00242870), the incident investigation from 4/12/24 (SIN-00242443), unannounced monitoring from 4/12/24 (SIN-00242797), the unannounced monitoring from 4/5/24 (SIN-00242522), and the incident investigation from 4/5/24 (SIN-00242260) demonstrate that the facility director is not fulfilling responsibilities and minimum duties (re: personnel) as required per regulation.

Correction Required: A director is responsible for administering finances, personnel, maintenance, meal planning and preparation and transportation. The legal entity must develop and implement a training, support, and monitoring program that will be completed in-person with the director for a period of 5 months. At minimum, the plan must include training and provide accountability on maintaining staff files, supporting, training and managing personnel in the early childhood setting, understanding and compliance with DHS regulation, and time management. The legal entity must receive DHS approval of the training and monitoring plan prior to start of the training period. The legal entity must submit tracking documentation in a format approved by DHS showing that the director training, support, and monitoring program is being completed. The legal entity will confirm continued compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a bi-weekly basis for a period of five months after DHS approves the documentation format.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The records for staff persons 2, 4, 6, 17, 18 20, 21, and 22 did not include a staff evaluation from the previous 12 months.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: A child was dropped off into the Foxes room (young toddlers), putting them out of ratio for approximately 1 minute. A single staff person was present with 6 children.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Penguin room - Sanitizer and disinfectant were observed on the counter in an area accessible to the children in care.

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

Regulation: 3270.66(a)/3270.103

Description: Locked or inaccessible/Small Toys and Objects

Noncompliance Area: An accessible / unlocked drawer in the Penguin room (young toddlers) contained sunscreen, plastic gloves, plastic bags, mini hair ties, and batteries.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit located in the Koalas room was missing tape.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Infant room - Sharp adult scissors were left out on a high chair tray in an area accessible to mobile infants. (CORRECTED ON SITE)

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: 3270.78

Description: Lighting

Noncompliance Area: The Bunnies room was not lit by artificial or natural light at naptime. (CORRECTED ON SITE)

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility's proof and date of purchase of the interconnected fire detection device or system was not located with the facility's fire drill logs.

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. A child care center shall keep the proof and date of purchase of an interconnected fire detection device or system with the facility's fire drill logs.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Staff person 1 used her foot to push child 1 across the floor (approximately 2 feet).

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff present with the toddlers in the gym were unable to identify which staff person was responsible for which specific children.

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: 3270.132(a)

Description: Contact parent/keep record

Noncompliance Area: On 4/8/24, staff person 1 dropped child 1 (an older toddler) from a standing position and the child hit their face/head off the table. The facility staff messaged the parent in their parent communication app, but failed to make contact with the parent. The facility staff did not make any other efforts to reach the parent (ex. via a phone call) to explain what had happened, nor to express that the child may need emergency medical care.

Correction Required: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent.

Regulation: 3270.132(a)

Description: Contact parent/keep record

Noncompliance Area: On 4/8/24, staff person 1 dropped child 1 (an older toddler) from a standing position and the child hit their face/head off the table. The facility staff messaged the parent in their parent communication app, but failed to make contact with the parent. The facility staff did not make any other efforts to reach the parent (ex. via a phone call) to explain what had happened, nor to express that the child may need emergency medical care.

Correction Required: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent. Facility leadership must complete TA (with an approved Health and Safety Consultant) to revise and implement a policy regarding staff response to head injuries and other medical emergencies, including actions taken when facility staff do not adhere to the policy. Facility leadership will submit the policy to DHS for approval. After the policy is approved by DHS, all staff will be trained on the center policy. All staff must sign and agree to adhere to the center policy. Documentation that all staff were trained and signed the policy must be kept on file at the facility.

Regulation: 3270.132(a)

Description: Contact parent/keep record

Noncompliance Area: On 4/8/24, staff person 1 dropped child 1 (an older toddler) from a standing position and the child hit their face/head off the table. The facility staff messaged the parent in their parent communication app, but failed to make contact with the parent. The facility staff did not make any other efforts to reach the parent (ex. via a phone call) to explain what had happened, nor to express that the child may need emergency medical care.

Correction Required: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent. The legal entity must arrange for all facility staff to receive a DHS approved training on responding to head injuries and other medical emergencies (with corresponding TA). The legal entity must receive DHS approval of the training content prior to scheduling the training. Training may not be conducted while children are in care. Documentation of completed training must be submitted to DHS and be kept on file at the facility.

Regulation: 3270.182(7)

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

Noncompliance Area: An original incident report was on file for child 1.

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

Regulation: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: Child records were observed to be stored on the director's desk. (CORRECTED ON SITE)

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On the morning of 4/12/24, 2 staff persons were responsible for caring for 13 mixed aged toddlers.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Young toddlers 1:5; Older toddlers 1:6

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: A PVC pipe toy storage shelf fell over onto child 1 and child 2 when the toddlers climbed onto the shelf, injuring child 1.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #1 and #2 were caring for children unsupervised. Staff persons #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)). (8) Handling and storage of hazardous materials and appropriate disposal of biocontaminants. (9) Precautions when transporting children.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons #1 and #2 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.