Sugar Grove Free Methodist Church

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed the plastic stepstool at the sink in the girl's restroom was cracked and causing a possible pinch point.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff persons #1,2,3 and 4 have not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 4/30/2026. Documentation of updated Pediatric first aid and CPR training is not on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff persons #1,2,3 and 4 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #1,2,3 and 4 staff person #1,2,3 and 4 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff person #4 contains a current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training as evidenced by trainings on file dated 4/10/2021 and 5/6/2026.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 contains a current NSOR verification that was obtained greater than 60 months after the previous NSOR as evidenced by NSOR verifications on file dated 6/18/20 and 10/21/25. The file for staff person #2 contains a current NSOR verification that was obtained greater than 60 months after the previous NSOR as evidenced by NSOR verifications on file dated 6/18/20 and 10/21/25. The file for staff person #3 contains a current NSOR verification that was obtained greater than 60 months after the previous NSOR as evidenced by NSOR verifications on file dated 6/4/20 and 10/2/25. The file for staff person #4 contains a current NSOR verification that was obtained greater than 60 months after the previous NSOR as evidenced by NSOR verifications on file dated 4/7/2021 and 4/29/2026.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed in the gym on the sink in the girl's restroom containers of static remover and dry shampoo labeled Keep Out of Reach of Children.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Observed the first-aid kit in the toddler room is lacking sterile gauze pads.

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: Observed the heat register behind the toilet in the girl's restroom was rusty.

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: 3270.105

Description: High Chairs

Noncompliance Area: Observed 3 toddler aged children in the toddler room sitting in bucket seats without the use of the child safety straps.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Observed in the infant room, panel dividers placed around the cribs where a young toddler and an infant were sleeping. Staff person #1, seated in a chair, identified these children in their supervision group, however was not able to see or assess the children due to the visual barrier.

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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed a tube of Benadryl medicated cream in the medication box at the sign-in desk. The cream was not labeled with the name of the child for whom it was intended.

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: Observed a tube of Benadryl medicated cream in the medication box at the sign-in desk. The cream had an expiration date of 2/2019.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Simplay 3 two-sided Rock & Roll Teeter Totter See Saw and Climbing Bridge was observed that had two corners that were mangled by a weed eater posing a cutting hazard. Four blue and neon green and two pink and purple tricycles were observed that had split, front plastic wheels which pose a cutting hazard or riding injury. The plastic playhouse under the gazebo was observed that had a hole under the blue sink. The blue sink was observed to be pulling from the wall.

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: 3270.131(b)(2)

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

Noncompliance Area: The file for child #1 lacked a health report that was completed 12 months from the previous health report. The health reports in the file were dated 1/2023 and 2/2024.

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: 3270.151(a)

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

Noncompliance Area: The file for staff person #1 lacked a health assessment that was completed in the past 24 months. The health assessment in the file is dated 3/22/22.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the young toddler's room, a clear bin with jumbo bristle blocks had multiple cracks in the bin and lid which posed a cutting hazard.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact Form for Child #2 lacked the Address of the Physician or Medical Care Provider.

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

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

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

Noncompliance Area: The file for Child #3 (OT) had an Updated Health Assessment dated 04/06/2023 which is more than 12 months past the initial health assessment.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for Staff #1, #2, #3, #4 and #5 lacked completion of the UPDATED 1 Hour Health and Safety Training on or before 12/30/2022.

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: 3270.151(a)

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

Noncompliance Area: The two most recent Health Assessments for Staff #3 and #5 were dated more than 24-months apart.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The provider did not have their current certificate of compliance posted in a conspicuous location used by parents.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent Child Abuse clearances for Staff #3 were dated more than 60 months apart.

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

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

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

Noncompliance Area: Mandated Reporter Training for staff #5 was dated more than 60 months ago.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The First Aid Kit in the Pre-School room was accessible to children.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The observed fire drill log contained consecutive drills held more than 60 days apart. (11/04/2022 - 01/09/2023 66 Days)

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility's fire alarm test report documented testing of the fire alarm system between 12/30/2022 and 01/30/2023. The test conducted was more than 30 days apart.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.151(a)

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

Noncompliance Area: The two most recent Health Assessments for Staff #3 and #4 were dated more than 24-months apart.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations for Staff #1, #2, #3, and #4 were completed more than one year apart.

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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A trash receptacle in the hallway, near the side exit, containing human secretions (used juice box with a straw) was not contained in a closed receptacle.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: First aid kit in the Young Toddler's room lacked tweezers, scissors and rubber gloves.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the Toddler Room, peeling paint on the right wall, under the window and right of the room entrance door above the baseboards was observed.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were not conducted every 60 days with the last documented fire drill dated 09/23/2021.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Facility files lacked proof of purchase for the interconnected smoke detection system.

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.

Noncompliance Area: The file for child #3 contains emergency contact information and financial agreement that exceeded 6 months from the previous review. The file is current.

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 informationA 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 files for child #1, an infant, child #2, a young toddler and child #3, a preschooler, all contain immunization reports lacking an influenza vaccine received during the previous 12 month period as required 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 operator did not during the previous 12 month period notify the local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

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

Noncompliance Area: Staff person #1 and staff person #2 did not receive training regarding the facility emergency plan at the time of initial employment. They do have current emergency plan training.

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.

Noncompliance Area: The water at the sinks in the 2 downstairs bathrooms which are used by the children exceeded 110 degrees.

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

Noncompliance Area: The file for staff person #1 does not contain verification of initial training regarding the facility emergency plan.

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.

Noncompliance Area: The file for staff person #1, provisionally hired on 9/25/18, does not contain verification of FBI fingerprinting prior to working in childcare as required for provisional hire under the CPSL and does not contain a completed FBI clearance and has worked for greater than 90 days. Staff person #1 was observed in the toddler room working alone with children and was not in the vicinity of a permanent employee. Staff person #1 may not work in a child care position until a completed FBI clearance is obtained.

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

Noncompliance Area: In the preschool room there was chipping paint on the window frame and window sill.

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

Noncompliance Area: There were exposed bolts at the base of the toilets in the boy's and girl's bathrooms.

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

Noncompliance Area: The files for child #1 and child #2 contained emergency contact information and financial agreements that had not been updated in the previous 6 month period.

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 informationA 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 for child #3, an older toddler, was lacking a health report completed in the previous 12 month period. A current immunization record was in the file.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The file for staff person #1 was lacking a health assessment completed in the previous 24 month period.

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: The file for staff person #2 contained a current health assessment that lacked a statement from the physician regarding an exam for communicable disease.

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

Noncompliance Area: In the infant room refrigerator was a partial bottle of formula that had been previously served to an infant.

Correction Required: Food that has been previously served to a person or returned from a table shall be discarded.

Noncompliance Area: In the girl's bathroom on a low cabinet shelf accessible to children were containers of all purpose cleaner, Febreze and Desitin diaper cream all labeled 'keep out of the reach of children'.

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

Noncompliance Area: On the playground there was a small plastic riding toy with a cracked wheel posing pinch points.

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

Noncompliance Area: The files for child #1 through #4 contained current child service reports that exceeded 6 months since the previous child service report.

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).

Noncompliance Area: The files for child #2, #3 and #4, all preschool age, are lacking health reports conducted in the previous 12 month period.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: In the downstairs girl's bathroom, where a diapering area is located, it was observed that a disposable diaper was disposed of in a covered trash container that was not hands-free.

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

Noncompliance Area: The file for staff person #1 contained a current health assessment that was conducted more than 24 months after the previous health assessment.

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

Noncompliance Area: The file for child #5 contains emergency contact information and financial agreement that have not been reviewed or updated in the previous 6-month period.

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.