Tender Care Learning Center/clairton

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Cracked magnet tiles were observed in the School Age room, which could cause injury.

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(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The file for Child #1 - #7 contained the original agreement form, not a copy.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #3 lacked the work address and work phone number for 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: At the time of inspection, the Infant 2 classroom lacked the emergency contact information for Child #7, who was receiving care in that space. At the time of inspection, the Preschool 4 classroom lacked the emergency contact information for Child #5 and Child #8, who were receiving care in that space. At the time of inspection, the Toddler 1 classroom lacked the emergency contact information for Child #9, who was receiving care in that space.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for Child #1, Child #3, Child #4, Child #5, and Child #7 contained an emergency contact form that was not updated within 6 months of the previous update.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #4, enrolled more than 60 days, lacked an initial health report form.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The most recent health report form on file for Child #3 (YT) is dated 6/27/25, more than 6 months prior to the date of inspection.

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

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

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

Noncompliance Area: The most recent health report form on file for Child #1 (OT) is dated 8/26/25, more than 12 months prior to the date of inspection.

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: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The health report form on file for Child #5 contained a date 0/18/25, making it invalid.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for Child #3 (YT) lacked the following immunizations: 1 dose of DTAP, 2 doses of Pneumococcal, 1 does of MMR, and 1 dose of Varicella without an exemption letter in the file.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessment on file for Staff #2 is dated 3/10/25, more than 12 months prior to the date of hire in childcare.

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 file for Child #1, Child #3, Child #4, Child #5, and Child #7 contained an agreement form that was not updated within 6 months of the previous update.

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)(4)(i)

Description: Age and Training

Noncompliance Area: The two most recent Pediatric First Aid/CPR trainings on file for Staff #1 are dated 1/4/24 and 2/19/26, exceeding the expiration of the previous certificate. The two most recent Pediatric First Aid/CPR trainings on file for Staff #5 are dated 12/11/23 and 1/15/26, exceeding the expiration of the previous certificate. The most recent Pediatric First Aid/CPR on file for Staff #3 is dated 9/27/23, exceeding its expiration date.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The two most recent fire safety trainings on file for Staff #4 are dated 6/27/25 and 7/6/26, more than 12 months apart. The two most recent fire safety trainings on file for Staff #5 are dated 1/13/25 and 7/6/26, more than 12 months apart.

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)(10)

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

Noncompliance Area: The file for Staff #6 contained an initial Pediatric First Aid/CPR certificate dated 1/15/26, more than 90 days after the date of hire.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #6 contained an FBI fingerprint clearance, dated 8/30/24, issued by the PA Department of Education, making it invalid.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff #6 -- may not work in a childcare position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Hand cream, labeled keep out of the reach of children, was observed on the teacher's desk in the school age classroom and accessible to children. A container of Vaseline, labeled keep out of the reach of children, was observed in a low cubby in the bathroom of the Toddler 3 room and 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.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit in the School Age room was observed on the bottom shelf of the cubbies, making it accessible to children. The first aid kit in the Toddler 3 room was observed hanging on a low shelf at the entrance of the classroom, making it accessible to children.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Preschool 1, Preschool 4, and Preschool 5, rest mats were observed to be ripped in various spots, and not in good repair.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In Preschool 5, A&D Ointment, labeled keep out of the reach of children, was observed on top of a cabinet and 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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In Toddler 3, peeling paint was observed to the right of the inside window. In Toddler 4, peeling paint was observed below the window.

Correction Required: 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: Ripped vinyl on rest equipment was observed in the Preschool 1 and Preschool 3 classrooms and not in good repair. Cracked magnet tiles were observed to have sharp corners in the Preschool 4 and Preschool 5 classrooms.

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

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: In the Toddler 1 classroom (a room designated for children who are still placing objects in their mouths), the green couch and the soft blocks toybox were observed to contain ripped and peeling vinyl. In the Toddler 2 classroom (a room designated for children who are still placing objects in their mouths), floor mats were observed to contain peeling vinyl and peeling tape. In the Toddler 4 classroom (a room designated for children who are still placing objects in their mouths), a wooden platform at the sink was observed to contain peeling carpet and tape.

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. 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)(3)

Description: Services proceeded

Noncompliance Area: The two most recent assessments for growth and development on file for Child #7 are dated 10/17/24 and 5/9/25, more than 6 months apart.

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)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency contact form for Child #1, Child #4, Child #6, and Child #7 lacked a signature for parental consent for emergency medical care.

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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for Child #1, Child #3, Child #4, Child #5, Child #6, and Child #7 contained an emergency contact form that was not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The most recent health report form on file for Child #1 is dated 7/26/24 (a young toddler at that time), more than 6 months prior. The most recent health report on file for Child #5 (a young toddler) is dated 10/30/24, more than 6 months prior.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The two most recent health report forms on file for Child #3 are dated 8/22/23 and 4/21/25, more than 12 months apart.

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 form on file for Child #4 lacked a statement that the child is able to participate in childcare and is free from 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: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for Child #5 (18 months) contained 3 out of 4 DTAP vaccines recommended by the ACIP for a child this age; 3 out of 4 pneumococcal vaccines recommended by the ACIP for a child this age; 0 out of 1 MMR vaccines recommended by the ACIP for a child this age; and 0 out of 1 Varicella vaccines recommended by the ACIP for a child this age, without a letter of exemption on file.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: The two most recent health assessments on file for Staff #4 are dated 8/4/21 and 7/8/24, 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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment on file for Staff #3 does not include the physician's assessment and results for communicable diseases.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #1, Child #3, Child #4, Child #5, Child #6, and Child #7 contained a financial agreement form that was not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

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(5)

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

Noncompliance Area: The emergency contact form for Child #1, Child #2, Child #4, Child #6, and Child #7 lacked a signature for written parental consent for administration of minor first aid.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #2 lacked two written non-family references.

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

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

Description: Age and Training

Noncompliance Area: The most recent Pediatric First Aid/CPR certificate on file for Staff #6 is dated 5/9/23, exceeding its expiration date.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The two most recent fire safety trainings on file for Staff #1 are dated 7/13/23 and 1/3/25, more than 12 months apart. The two most recent fire safety trainings on file for Staff #5 are dated 7/21/23 and 1/8/25, more than 12 months apart.

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(f)

Description: Health and Safety Training

Noncompliance Area: Staff #3 had completed a Pediatric first aid and CPR training on 8/20/24, however the trainer had not provided documentation that they are PQAS-certified in that training curriculum.

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 two most recent Mandated Reporter trainings on file for Staff #4 are dated 1/9/20 and 1/14/25, more than 60 months apart.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Desitin cream and A&D ointment, labeled "keep out of the reach of children," were observed in the bathroom in the Toddler 4 room and 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.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: An unlidded trash can, containing a used cup, was observed of the Toddler 4 room.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kits located in Preschool 2, Toddler 2, and Toddler 3 classrooms were observed hanging from a cubby hook and accessible to children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A cabinet door was observed to be broken and not in good repair in the Toddler 1 classroom. Wet, soft, and stained ceiling tiles were observed in the hallway outside the Preschool 4 classroom. Standing water in the sandbox cover, cracked playground surfacing, and a rusty, sharp hole on the gate were observed on the lower outdoor play space. Standing water in the sandbox cover and exposed screws on the gate were observed on the upper outdoor play space.

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: Peeling paint was observed on the wall above the art supplies in the Preschool 3 classroom.

Correction Required: 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: On the lower playground, a wooden kitchen contained a piece of broken/split wood that could cause injury.

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: On the lower playground, a wooden kitchen contained a loose screw less than 1 inch in diameter and accessible to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The fee agreement form for Child #1 and Child #4 lacked the names of the release persons.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The fee agreement form for Child #4 did not contain the date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #4 lacked an address and phone number for the physician/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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #2 and Child #4 lacked the enrolling parent's work address.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form for Child #4 lacked indication if the child has any special medical needs.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for Child #4 lacked the health insurance coverage name and the health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #3 and Child #4 lacked an address for the 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(f)/3270.181(c)

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

Noncompliance Area: The file for Child # 2, Child #4, Child #5, and Child #6 contained an emergency contact form that was not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for Child #4, a preschool aged child, lacked an updated health report within the last 12 months. (SEE LIS CODE SHEET)

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 file for Child # 2, Child #4, Child #5, and Child #6 contained a fee agreement form that was not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

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: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Toddler 2 classroom lacked scissors and soap. The first aid kit in the Preschool 3 classroom lacked 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 9/20/23-10/22/23 and 11/20/23-12/23/23, 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Cracked and broken magnatiles were observed in the Preschool 3 and Preschool 5 rooms. In the Preschool 3 room, a cracked lego toy bin was observed with pinch points that could cause injury. In Preschool 2 room, foam blocks were observed with teeth marks and missing pieces that were not in good repair. In Preschool 4, a cracked waffle toy was observed with pinch points that could cause injury. On the Upper Playground, a large lizard seesaw was observed to have cracks and pinch points around the neck, which could cause injury. On the Lower Playground, exposed bolts were observed on the perimeter of the inside of the gate, which is accessible to children.

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)(1)

Description: Amount of fee

Noncompliance Area: The agreement on file for Child #5 does not include the amount of the fee to be paid by the parent/guardian.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for Child #7 does not include the child's departure time.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #4 & Child #5 does not include the complete address for the child's pediatrician/source for 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 emergency contact form for Child #5 does not include a complete work and home address for the enrolling parent. The emergency contact form for Child #7 does not include a complete work phone number for 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(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for Child #2 does not include the child's health insurance coverage name. The emergency contact for Child #4 does not include the child's health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms for Child #4 and Child #5 do not include a complete address for all release persons. The emergency contact form for Child #7 does not include a complete phone number for all release persons.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent 6 month review signature for the emergency contact form and financial agreement on file for Child #2 is dated more than 6 months after the previous 6 month review signature. The most recent 6 month review signature for the emergency contact form and financial agreement on file for Child #5 is dated 1/28/23 and Child #8 is dated 1/21/23, which is more than 6 months prior. The file for Child #4 and Child #7 does not include a 6 month review signature from the date of enrollment for the emergency contact form and financial agreement. (SEE LIS CODE SHEET)

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

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

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The two most recent health assessments on file for Child #2, who is a Young Toddler, are dated 1/18/22 and 9/11/23, more than 6 months apart. The most recent health assessment on file for Child #8, who is a Young Toddler, is dated 12/6/22, more than 6 months prior.

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. A child's record shall contain initial and subsequent health reports.

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 most recent health assessment on file for Child #7, who is a preschool age child, is dated 10/27/21, more than 1 year prior.

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

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent influenza vaccination on file for Child #4, who is 4 years old, is dated 12/16/21, is dated more than 1 year ago, and is recommended annually by the ACIP. Child #4 must be dismissed from care by close of business on 9/11/2023, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

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

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

Noncompliance Area: The file for Staff #1 includes verification of First Aid/CPR training dated 4/12/22, after the expiration date of 1/11/22.

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. 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(e)(4)(i)/3270.31(f)(10)

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

Noncompliance Area: Staff #4 did not complete the required CPR/First Aid pre-service training within 90 days from their date of hire. (SEE LIS CODE SHEET) The training was completed on 2/26/23.

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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

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

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

Noncompliance Area: The file for Staff #3 lacked documentation of 12 completed hours of annual training between 2/21/22-2/21/23.

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: 3270.36(b)(5)/3270.192(2)(iii)

Description: HS/GED + 2 yrs/Exp, educ., training at facility

Noncompliance Area: Staff #3, who is classified as an Assistant Group Supervisor, has 1700 out of 2500 hours of child care experience documented on file.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: On the lower playground, the first aid kit in the Infant 2 bookbag did not include a pair of tweezers.

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: On the Upper Playground, standing water was observed on the sandbox cover and in a groove of a red climber that a child was drinking. A gap with a lifted surface was observed on the Upper Playground between a concrete sidewalk and playground pad. On the Lower Playground, standing water was observed on the sandbox cover and a deep divot was observed in the grass that could create a tripping hazard for children in care. In the Preschool 4 Room, a broken door stop plate was observed on the bathroom door on the right that was accessible to children. On the Lower Playground, exposed bolts were observed on the perimeter of the inside of the gate, which is accessible to children.

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: Peeling paint and plaster were present in the doorway of the Preschool 4 room, observed to be caused by water damage. Peeling paint and rust was observed on the Upper Playground on a climber's post caps that was in reach of children.

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

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: There were no steps for children who are walking to approach an adult sized sink in the Infant 2 and Toddler 1 rooms.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed teeth marks in the foam pegboards in the Preschool #1 Room. This creates a potential choking hazard for children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed baseboards peeling in various areas of in the Preschool 1 and Preschool 5 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: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed adult scissors, which were accessible to children, on a desk in the Preschool 3 Room.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed two cans of paint in the hallway, which serves as a fire exit from the facility.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the hall that serves as a fire exit from the facility, observed a ladder propped against the wall, which creates a potential toppling 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.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Observed a wheeled trash cart blocking the doorway of the fire exit on the left hallway.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The playhouse in the lower PG was observed to have a shutter broken off, causing a rough edge around the window.

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: Small rubber bands with a diameter of less than 1 inch were observed in the bathroom of the Toddler 4 Room in an unlocked cabinet, accessible to children who may still be placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: SECOND VIOLATION. An electrical outlet was observed to have a broken front cover, causing a sharp edge. Previously cited on SIN-00214332 on 11/2/22.

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: Peeling paint was observed on the wall above the book area in the PS 2 Room and on the wall above the chair rail in the Infant 2 Room.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff Person #1 has been named as a perpetrator in an indicated case of child abuse. Staff Person #1 cannot work at the childcare facility.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Toxic Clorox was observed to be accessible to children in an unlocked cabinet in the Toddler 4 Room.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Two holes large enough for a child's foot were observed around the shed in the lower outdoor play space.

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: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: Open Inspection Summaries, SIN-00211310 and SIN-00211324, were not posted in a conspicuous location used by parents at the facility.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Upon arrival to the facility at 10:15 AM on 10 18.22, Staff # 1 was observed on the lower playground with 7 children - 6 OT and 1 PS.

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).

Regulation: 3270.61(c)

Description: 40 square feet wall-to-wall

Noncompliance Area: Upon assessment of supervision and ratio in the Toddler 3 Room at 10:25 AM on 10/18/22, 11 children were observed in care. The Toddler 3 Room has a measured capacity of 10 children.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water at the sinks used for handwashing, in both the Infant 1 and Toddler 4 Rooms, was measured at 116 degrees F.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The door between the PS 5 and SA Room was observed to be obstructed, with bins in front of the door.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on interviews with Staff Persons #2 and #3, a written statement from Staff Person #3, and a review of documents, on 9/12/22 at approximately 5:00 PM, Staff Person #1 was assigned responsibility for supervising a mixed age group of 5 young toddlers and older toddlers in the Toddler 4 Room. At approximately 5:10 PM, after two of those children had been picked up, Staff Person #1 called the office to inform Staff Person #2 that she did not know the whereabouts of Child #1 and Child #2 who were in her care. It is unknown how long Child #1 and Child #2 were unsupervised. Child #1 was found hiding behind a toy shelf near an open window in the Toddler 4 Room. At approximately 5:15 PM, Child #2 was found outside of the two-story building near the entrance to the first-floor level of the building by an employee of another business located on that level. (The childcare facility is located on the second floor of the building.) As a result of Child #2 not being supervised, he sustained serious bodily injuries.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Based on interviews with Staff Persons #2 and #3, a written statement from Staff Person #3, and a review of documents, on 9/12/22 at approximately 5:00 PM, Staff Person #1 was assigned responsibility for supervising a mixed age group of 5 young toddlers and older toddlers in the Toddler 4 Room. At approximately 5:10 PM, after two of those children had been picked up, Staff Person #1 called the office to inform Staff Person #2 that she did not know the whereabouts of Child #1 and Child #2 who were in her care. It is unknown how long Child #1 and Child #2 were unsupervised. Child #1 was found hiding behind a toy shelf near an open window in the Toddler 4 Room. At approximately 5:15 PM, Child #2 was found outside of the two-story building near the entrance to the first-floor level of the building by an employee of another business located on that level. (The childcare facility is located on the second floor of the building.) As a result of Child #2 not being supervised, he sustained serious bodily injuries.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR in an approved curriculum from a PQAS Instructor, Mandated Reporter Training, and Health and Safety Training.

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. Until such time as the required pre-service trainings are completed, staff person #5 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. 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: 3270.21/3270.132(a)

Description: General Health and Safety/Contact parent/keep record

Noncompliance Area: On 9/12/22, Child #2 received serious bodily injuries due to lack of supervision. Based on an interview with Staff Person #2, she believed Child #2 sustained his injuries by climbing out an open window located in the Toddler 4 Room on the second floor and falling off the second floor roof onto the ground outside. Staff Person #2 did not call 911 for emergency care nor was Child #2's parent notified of the incident until she arrived approximately ten minutes later at the regular pick-up time.

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