Susan Thomas

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a cracked yellow magna tile in the basement. Observed a cracked bin containing pretend food on the main floor.

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)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #1 did not include the work telephone number of the enrolling parent. Emergency contact information for Child #4 did not include the complete work address of the enrolling parent.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present in the outdoor play space when children were receiving care in that space.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not present in the outdoor play space when children were receiving care in that space.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file of Child #3 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #3 contained a health report dated 11/3/25 with a previous one dated 10/31/24.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact and agreement were reviewed on 3/1/25 and 9/1/25.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff #3 lacked 4.5 hours of annual child care training required between January 2025 and January 2026. Staff #3 had 3 hours of child care training completed on 2/22/26 used towards correction.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files of Staff #1, #2, and #3 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #1 contained documentation of fire safety training conducted on 1/20/26 with a previous training conducted on 9/26/24. The file of Staff #2 contained documentation of fire safety training conducted on 4/15/25. The file of Staff #3 contained documentation of fire safety training conducted on 5/11/26 with a previous training conducted on 2/11/25.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #1 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. The file of Staff #1 contained a State Police Clearance dated 12/11/25 with a previous one dated 11/30/20. The file of Staff #1 contained a Child Abuse Clearance dated 3/23/26 with a previous one dated 3/18/21. The file of Staff #1 contained a DHS FBI Clearance dated 12/16/25 with a previous one dated 11/17/20. The file of Staff #4 lacked proof of application for the DHS FBI Clearance prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #4 had documentation of application for a Department of Education FBI Clearance dated 9/13/24.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file of Staff #2 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #2 contained a written evaluation dated 4/20/25.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Observed a first-aid kit on top of the rest equipment at the bottom of the stairs in the basement which was accessible to children.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Observed highchairs obstructing the exit in the kitchen leading to the outside. Observed a dehumidifier obstructing the exit in the basement leading to the outside.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: 2nd citation. Previously cited on 5/20/25. The letter provided to the parent explaining emergency procedures did not address accommodations for infants and toddlers.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a cracked green bin containing extra clothes on the Main Floor. Observed 2 cracked pink bins containing extra papers and calendars in the Basement.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed foam shapes with bite marks in the Basement.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the Basement lacked an operating thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement for Child #4 did not specify the date on which the fee is to be paid.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files of Children #3 and #4 lacked child service reports completed at least every 6 months. Child #3 had a child service report dated 3/1/24. Child #4 had child service reports dated 3/1/24 and 9/1/24.

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)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency contact information for Child #1 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The files of Children #1 and #3 lacked updated health reports at least every 12 months for an older toddler or preschool child. The file of Child #1 contained a health report dated 1/4/24 with a previous one dated 3/8/23. The file of Child #3 contained a health report dated 3/11/25 with a previous one dated 7/20/23.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report for Child #3 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The Main Floor lacked a plastic-lined, hands-free covered can in which to discard a soiled disposable diaper immediately. Certification Staff observed child care staff discard a soiled diaper into a trash can attached to the wall with the lid raised, but the lid did not close afterwards.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, or distraught child, but the policy did not address the prevention and identification of child maltreatment.

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: 3270.165

Description: Menus

Noncompliance Area: The operator did not conspicuously post the menu at least 1 week in advance.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact form and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact and agreement were reviewed on 3/1/24, 9/1/24, and 10/14/24.

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(a)(1)

Description: Emergency plan

Noncompliance Area: The facility did not have an emergency plan that provides for accommodations for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility did not have documentation of conducting emergency drills annually. The facility had documentation of an emergency drill being conducted on 3/10/25 with a previous one conducted on 2/9/24.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file of Staff #1 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #1 contained documentation of fire safety training conducted on 4/14/25 with a previous one conducted on 3/19/24.

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

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

Noncompliance Area: The file of Staff #4 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training. The file of Staff #4 contained documentation of 9 hours of training completed on 2/19/25 and 1.5 hours of training completed on 2/28/25.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file of Staff #2 lacked documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #2 contained documentation of completing pediatric first aid and CPR on 8/7/23.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 has not completed the following required pre- service training within 90 days of their date of hire (SEE LIS Code Sheet): Pediatric First Aid and CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #1 lacked documentation of completing mandated reporter training every 60 months. Staff #1 had documentation of mandated reporter training completed on 12/1/24 with previous training completed on 9/15/19.

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 of Staff #1 lacked documentation of the National Sex Offender Registry Verification Certificate by July 1, 2020 (SEE LIS Code Sheet). Staff #1 had a NSOR dated 3/22/21. The file of Staff #3 lacked a complete State Police Clearance because it did not have a rapt sheet attached. The file of Staff #5 lacked a copy of a signed disclosure statement at initial service in a child care setting (SEE LIS Code Sheet). Staff #5 had a disclosure statement dated 4/22/24.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.36(b)(1)

Description: HS/GED + 30 credits

Noncompliance Area: The file of Staff #5, who was designated as an assistant group supervisor, lacked documentation of 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: Observed Xtreme Kleen Moisturizing Advanced Gel beside food items on a shelf in the Basement.

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

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: The sink by the changing table on the Main Floor lacked platforms or steps to be easily approached by children using it.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed on the playground, 1 exposed bolt on the fence in the back corner under the pergola.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The file of child #2 lacked an agreement with the date on which the fee is to be paid.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The file of child #1 lacked an agreement with the child's arrival and departure times.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of reviewing the file, the file for staff #1 had a Child Abuse clearance for the purpose of volunteer rather than employment.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: Observed at the bottom of the steps in the preschool space downstairs, rubber trim not attached to the wall and holes in the wall on the left and right side of the bottom step. Observed on the wall across from the bottom of the steps behind the diaper changing station, significant damage to the wall with missing plaster and exposed interior structure to the wall. Observed on the right side of the deck to enter the facility from the steps, a raised board causing a tripping hazard.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed the following in the playground: splintering wood on the 3 round, wooden tables; Little Tikes brand log cabin with a hole at the doorway; and Step 2 brand brown and tan house with a red roof with a hole at the doorway;

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed on the playground, rocks less than 1 inch in diameter between the 2 playhouses in the corner adjacent to the shed and in areas throughout where grass is not growing.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file of child #1 lacked a current health assessment.

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

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of the inspection, there was not documentation of a traffic letter sent to local traffic safety authorities.

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 child care facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: At the time of the inspections, there was no documentation the Emergency Plan was sent to the local municipality.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

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

Noncompliance Area: The file of staff #1 had late Mandated Reporter training due to the fact the documents on file were dated 3-11-22 and 3-6-17. Therefore, they were more than 60 months apart.

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: 3270.35(b)(4)/3270.192(2)(iii)

Description: Associate's, 30 + 3 yrs/Exp, educ., training at facility

Noncompliance Area: The file of staff #2, a Group Supervisor lacked documentation to support the position.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a hornet's nest in the Little Tikes brand playhouse that was grey with a blue roof.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The sink located in the toddler space lacked a handwashing sign.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The sink located in the toddler space lacked a lidded waste receptacle.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Observed in the kitchen, the exit was blocked due to the fact a vacuum cleaner and folded up Pack and Play were stored in front of it.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the inspection, there was no documentation of testing the smoke detector every 30 days.

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: 3270.105

Description: High Chairs

Noncompliance Area: Observed 1 space saver high chair missing its T-shaped strap.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file of child #1 lacked an emergency contact form with the address of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #1 lacked an emergency contact form with the work address and phone number of the enrolling parent.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on documentation, the smoke detection system was not tested every 30 days due to the fact the dates documented were 12-2-21 to 1-3-22 which is 32 days; 1-3-22 to 2-4-22 which is 32 days; 3-4-22 to 4-4-22 which is 31 days.

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 of child #1 lacked a health assessment with an immunization record.

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

Noncompliance Area: Observed child #1, an infant napping in a pack and play with a Tagies brand teething blanket. The Tagies brand item measured 12 inches by 12 inches. Observed child #2, an infant napping in a pack and play with 3 teething toys and a pacifier attached to a string of small teething objects.

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

Noncompliance Area: Observed Neutrogena Pure and Free baby sunscreen labeled for child #1 with an expiration date of 7/2017. Observed Infants' Tylenol labeled for child #2 with an expiration date of 12/2017.

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

Noncompliance Area: The file for staff #1 lacked proof of child care experience.

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

Noncompliance Area: The file of staff #2, with a provisional hire start date in care with children of 5-1-18, lacked a Child Abuse clearance generated for the purpose of employment. The one on file was as a volunteer. All other appropriate clearance documents were on file .

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: At the time of the inspection, observed in the child care space downstairs a pack 'n play used as rest equipment 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.

Noncompliance Area: The files of children #1, #3, and #5 contained agreements that were not signed by the operator.

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

Noncompliance Area: The files of children #1 and #5 lacked agreements with the date on which the fee is to be paid.

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

Noncompliance Area: The files of children #1 and #5 lacked agreements with 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.

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 of children #1 and #5 lacked agreements with the child's arrival and departure times.

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

Noncompliance Area: The files of children #1 and #5 lacked agreements with the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: The files of children #1, #3, and #5 lacked agreements with the date of the child's admission.

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

Noncompliance Area: The files of children #1, #3, and #5 lacked agreements with the services which are to be considered as extra or N/A if it is not applicable.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: The files of children #1, #2, #4, and #5 had the original agreements on file rather than copies and the original given to the parents.

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

Noncompliance Area: The file of child #3 lacked an emergency contact form with the work address and telephone number of the enrolling parent. The file of child #5 lacked an emergency contact form with the full physical work address of the enrolling parent.

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

Noncompliance Area: The files of children #1 and #5 lacked emergency contact forms with written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: The files of children #1, #2, #4, and #5 lacked emergency contact forms with the policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: The file of child #1 lacked an emergency contact form with the full physical address and telephone number of the individual designated by the parent to whom the child may be released. The file of child #3 lacked and emergency contact form with the address of the individual designated by the parent to whom the child may be released. The file of child #4 lacked an emergency contact form with the full physical address of the individual designated by the parent to whom the child may be released.

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

Noncompliance Area: The child care space downstairs did not have emergency contact information for the children whom receive care in the space.

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

Noncompliance Area: The child care space downstairs did not have the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in every child care space and to accompany a staff person who leaves on an excursion with children.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: The file of child #1 lacked an initial health report no later than 60 days following the first day of attendance at the facility; no health assessments were on file. The files of children #3, #4, and #5 lacked initial health reports no later than 60 days following the first day of attendance at the facility.

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

Noncompliance Area: The files of children #2, #3, and #4 lacked updated health reports at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerThe operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: Observed in the upstairs child care space Banana Boat Kids sunscreen 50 SPF 10 fl oz, Equate Broad Spectrum SPF 50 aerosol spray 10 fl oz, Coppertone Water Babies 8 fl oz, Equate Broad Spectrum Sport aerosol spray 6 fl oz, and Johnson and Johnson baby lotion 15 fl oz not labeled with 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.

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.

Noncompliance Area: At the cubbies to the left of the entrance, observed a book bag hanging low enough for children in care to access containing Children's Motrin, Cottontails healing ointment, Neutrogena Pure and Free baby SPF sunscreen, and Butt Paste; and a black bag with Desitin diaper cream.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: The file of child #1 lacked an emergency contact form with signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

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

Noncompliance Area: The facility did not have the current certificate of compliance and a copy of the applicable regulations under which the facility is certified posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The file of staff #4 lacked a signed disclosure statement and a PA Child Abuse clearance. The file of staff #5 lacked a dated disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #4 and #5 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #4 and #5 may not work in a child care position at the facility.

Noncompliance Area: Observed at the front door, the screen was torn from midpoint to the bottom within the wooden frame.

Correction Required: Screens shall be in good repair.

Noncompliance Area: Observed in the child care space downstairs there was not a first-aid kit.

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

Noncompliance Area: Observed in the child care space downstairs on the wall with the alphabet, 2 holes in the drywall. The holes were located under the letters B and C.

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

Noncompliance Area: Observed in the playground space a metal plate approximately 12X12 inches leaning against the porch accessible to children and damaged lattice with sharp corners.

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

Noncompliance Area: Observed cleaning products in the kitchen that were accessible to children.

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