Tender Care Learning Ctr/lower Burrell

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health assessment for child #1 is dated 1/25/24, which is more than 60 days after the child's date of enrollment (see LIS code sheet). The initial health assessment for child #2 is dated 1/24/24, which is more than 60 days after the child's date of enrollment (see LIS code sheet).

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The initial health assessment for child #1 is dated 1/25/24, which is more than 60 days after the child's date of enrollment (see LIS code sheet). The initial health assessment for child #2 is dated 1/24/24, which is more than 60 days after the child's date of enrollment (see LIS code sheet). The immunization documentation for child #1, attached to the child's initial health assessment, is dated 1/25/24 which is more than 60 days after the child's date of enrollment (see LIS code sheet). The immunization documentation for child #2, attached to the child's initial health assessment, is dated 1/24/24 which is more than 60 days after the child's date of enrollment.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessment for staff #1 is dated 1/31/25, which is after the date on which they began working with children (see LIS code sheet). The health assessment for staff #2 is dated 4/29/25, which is after the date on which they began working with children (see LIS code sheet). The current health assessment for staff #3 is dated 9/5/25, which is more than 24 months after the previous health assessment that is dated 8/17/23. The current health assessment for staff #4 is dated 5/11/26, which is more than 24 months after the previous health assessment that is dated 1/10/24.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The tuberculosis test for staff #1 is dated 1/31/25, which is after the date of initial employment (see LIS code sheet). The tuberculosis test for staff #2 is dated 4/29/25, which is after the date of initial employment (see LIS code sheet).

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

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

Description: Age and Training

Noncompliance Area: The current pediatric first aid and CPR training for staff #4 is dated 4/28/26, which is more than 24 months after the previous training that is dated 2/3/24.

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 current fire safety training for staff #4 is dated 3/4/26, which is more than 12 months after the previous training that is dated 2/27/25.

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)

Description: Comply with CPSL

Noncompliance Area: The current Child Abuse clearance for staff #3 is dated 1/2/24, which is more than 60 months after the previous clearance that is dated 12/5/18. The current PA State Police clearance for staff #5 is dated 3/31/26, which is more than 60 months after the previous clearance that is dated 12/7/20.

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

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for Staff #5 lacked TB screening test results.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #3 lacked one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #2 lacked documentation of Emergency Plan training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 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 #2 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 #2, staff person #2 may not work in a child-care position at the facility.

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

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

Noncompliance Area: Staff #2 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, staff #2 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 #2, staff #2 may not work in a child- care position at the facility A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #2 (See LIS Code Sheet) lacked an FBI clearance. The file for Staff #2 (See LIS Code Sheet) contained an NSOR certificate dated 6/20/25 which was obtained after starting to work in a child care position. The file for Staff #4 (See LIS Code Sheet) contained a PA State Police clearance dated 1/6/26 which was obtained after starting to work in a child care position. The file for Staff #5 (See LIS Code Sheet) contained a PA State Police clearance dated 1/14/26, a PA Child Abuse clearance dated 11/6/25, an FBI clearance dated 11/6/25, and an NSOR certificate dated 11/6/25 which were obtained after starting to work in a child care position.

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

Regulation: 3270.36(b)/3270.192(2)(ii)

Description: Assistant Group Supervisor qualifications/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff #1, identified as an Assistant Group Supervisor, lacked documentation of qualifications for the position they are performing.

Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a can of Febreeze Air mist on a low shelf in an unlocked restroom 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There were more than 30 days between fire alarm testing dates (11/20/25 and 12/29/25). The most recent fire alarm test dated 1/23/26 was more than 30 days ago.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During naptime in the PreK, 3 children were sleeping on mats that had less than 2 feet of space on three sides; and in the Preschool 1 room, 2 children were observed sleeping on mats that had less than 2 feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for Child #1 lacked 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(e)

Description: Written emergency plan posted

Noncompliance Area: The Emergency Transportation Plan was not posted in the Preschool 1 classroom.

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)(1)/3270.182(1)

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

Noncompliance Area: The health report on file for Child #2, a toddler at the time (See LIS Code Sheet), was dated 7/24/24 more than 6 months after the previous health report dated 6/9/23. The health report for Child #3, a toddler at the time (See LIS Code Sheet) was dated 2/28/25 more than 6 months after the previous health report dated 5/4/23.

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: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The most recent health assessment on file for Staff Person #1 was dated 5/7/25 more than 24 months from the previous health assessment dated 7/31/19. The most recent health assessment on file for Staff Person #7 was dated 6/13/24 more than 24 months from the previous health assessment dated 2/1/22.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: The facility's emergency plan lacked a method to contact parents when an emergency situation arises and a method to contact parents with information on how to safely reunite with their child(ren)

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff Person #6 (See LIS Code Sheet) contained fire safety training dated April 2025, more than 12 months from the previous fire safety training dated February 2024. The file for Staff Person #7 (See LIS Code Sheet) contained fire safety training dated 4/23/25, more than 12 months from the previous fire safety training dated 2/29/24.

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(f)(10)

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

Noncompliance Area: The file for Staff Person #5 (See LIS Code Sheet) lacked pediatric first aid and CPR training within 90 days of hire date.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff Person #8 must be supervised by a staff person competent in pediatric first aid and CPR when working in a child care position until she has completed pediatric FA and CPR training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #2 (See LIS Code Sheet) contained an NSOR Certificate dated 5/16/23 which was more than 90 days from date of hire. The file for Staff Person #3 (See LIS Code Sheet) contained and NSOR Certificate dated 4/17/25 which was obtained more than 60 months from the previous certificate dated 4/16/20. The file for Staff Person #7 (See LIS Code Sheet) contained a PA Child Abuse clearance dated 10/23/24 which was obtained more than 60 months from the previous clearance dated 9/25/19. The file for Staff Person #8 (See LIS Code Sheet) contained and NSOR certificated dated 7/10/24 which was obtained after the staff person started working in a child care position; the file for Staff Person #8 did not contain the application for the NSOR clearance. The file for Staff Person #9 (See LIS Code Sheet) contained a volunteer PA State Police clearance dated 2/27/25 and a volunteer PA Child Abuse clearance dated 4/4/25. The file for Staff Person #10 contained an NSOR certificate dated 4/29/25 which was obtained more than 60 months form the previous certificate dated 4/13/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #9 may not work in a child care position at the facility until proper clearances are obtained.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the PreK classroom, there was a power strip with 2 open outlets; in the older toddler room there was a multiplug with an open outlet next to the fish aquarium; in the infant room there was an open outlet on the wall next to the door from the preschool area. The open outlets were accessible to children 5 years of age or younger.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the infant room lacked tweezers. The first aid kit in the preschool readiness room lacked gauze. The first aid kit in the outdoor play area on the left lacked 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: 3270.101(a)

Description: Age appropriate

Noncompliance Area: Two pairs of Colorations brand blue, blunt tip, scissors were observed in the Pre-K room. According to the manufacturer's website, the scissors are intended for ages 5+ and grades K+.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Cracked Magna Blocks were observed in the preschool room. A loose handle creating a pinch point was observed on a storage cabinet near the door to the outdoor play space. Loose legs, creating pinch points, were observed on a wooden table on the playground.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A bin of plastic connecting cubes, with a diameter of less than 1 inch, were accessible to toddlers near the door used by children to access the outdoor play space.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: A crib in use in the infant room lacked 2 feet of space on 3 sides. One side was obstructed by an empty crib.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #6 contained a child service report which was signed but not dated by the parent, therefore compliance could not be determined. The file for child #8 contained a child service report dated more than 6 months after their first day of attendance, but is now current.

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: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The files for children #1, and #3-8 contained the original agreements.

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)(1)

Description: Child's name, birth date

Noncompliance Area: The emergency contact form for child #4 did not include the child's birth date.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms for child #5 and child #8 did not include the enrolling parent's work phone number.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files for children #2, #3, #4, #5, and #7 contained emergency contact information and agreements which were not reviewed and signed by the parent at least once in a 6-month period. All files cited now contain current emergency contact information and agreements.

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: 3270.133(4)

Description: Locked

Noncompliance Area: An accessible metal storage box, containing medication, was observed mounted on the wall behind the sink in the school age area. The lock on the box was no longer functional due to a key broken off in the lock. A child proof plastic strap type appliance lock was in place during the inspection, however, this lock was not sufficient for the school age children observed in the space. The box is mounted directly behind the sink faucet and knobs.

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.

Regulation: 3270.151(c)(1)

Description: Physical examination

Noncompliance Area: The file for staff #6 contained a health assessment that lacked confirmation that a physical examination was done. The related question on the form was marked NO by the individual who completed the form.

Correction Required: An adult health assessment must include a physical examination.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff #6 contained only 1 written reference.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to parents explaining the facility's emergency procedures did not include details regarding accommodations for infants, toddlers, and children with disabilities or 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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of submitting the emergency plan to the county emergency management agency. Changes were made to the plan in 2023.

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

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

Noncompliance Area: The file for staff #1 contained documentation of 5.5 hours of training completed on time between 12/2022 and 12/2023 and contained 6.5 hours of training completed late, The file is now current.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #2 contained an expired state police clearance dated 1/16/19. The file for staff #3 contained applications for the FBI and NSOR clearances dated 12/29/23, however the file did not contain the completed results. The file for staff #4 contained an NSOR application dated 9/18/23 and results dated 1/31/24. The file did not contain documentation of suspension at the end of the 45-day provisional hire period. The file for staff #5 contained a disclosure statement which was not dated or signed by a witness.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #2 and #3 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The files for staff #3 and #5, designated on the staff data sheet as group supervisors, did not contain documentation of the qualifications required for the position.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: Two pothos plants were observed in child care space; in Pre-K and PS 1. Pothos is designated as a poisonous plant by Caring for Our Children: National Health and Safety Performance Standards.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: A first aid kit on the playground was accessible to children. The bag was observed hanging on the fence behind the chalkboard.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The school age first aid kit did not include gloves.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Two areas of broken window trim, with splintering wood, were observed in the PSR room. A protruding nail was observed in the wall trim of the OT room under the numbered balloons. Metal anchors, intended to hold down a small shade tent, were not secured in place causing the ends to protrude upward creating a risk for tripping or injury.

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(g)

Description: Clean and good repair

Noncompliance Area: A loose toilet seat was observed in the restroom adjacent to Preschool 1.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The waste receptacle near the sink in the school age area was not lidded.

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: One of two exits from the PSR room was observed to be blocked with a food service cart at approximately 9:35 AM.

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(b)

Description: No physical punishment

Noncompliance Area: Based on staff statements and video observation, on 9/26/23 child # 1 and #2 arrived late. The children were taken out to the play space to join their class. When staff # 1 saw the children, she pushed them by the arm into a line by the play space fence and loudly stated that the children should just get in line because they already missed half the day, and they were headed inside for lunch. There were no other children in line at the time.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Based on staff statements and video observation, on 9/26/23 child # 1 and #2 arrived late. The children were taken out to the play space to join their class. When staff # 1 saw the children, she pushed them by the arm into a line by the play space fence and loudly stated that the children should just get in line because they already missed half the day, and they were headed inside for lunch. There were no other children in line at the time.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The shed in the playground has a wall panel pulling off. There was a highchair with missing straps in the YT room.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the refrigerator in the PSR room was 47 degrees.

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: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child # 2 contained a current health report that was provided after 60. The child was in care longer that 60 days without initial health report. The file for child # 3 contained a current health report that was provided after 60. The child was in care longer that 60 days without initial health report. The file for child # 4 contained a current health report that was provided after 60. The child was in care longer that 60 days without initial health report.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child # 1 is missing a dose of the DTAP, HIB, HB, Pneumococcal and Polio vaccines. The files for child # 3 and 5 lacked influenza vaccine.

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). Child #1,3 and 5 must be dismissed from care by close of business 6/6/23 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: The operator was not maintaining a medication log for a prescription medication, Albuterol Sulfate Inhalation Aerosol for child #6.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: There was chicken nuggets, cheese and lunch meat in three different lunch boxes in the pre k room.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.193(a)

Description: Confidential; stored in locked cabinet

Noncompliance Area: The staff files were stored in the office in an unlocked cabinet.

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

Regulation: 3270.27(a)(3)

Description: Contact when arises

Noncompliance Area: The Facility's emergency plan lacked a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: The facility lacked a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was hand sanitizer label "Keep out of reach of children " on top of the school age room counter accessible to children. There was healing ointment skin protector label " keep out of reach of children " in a child's backpack in the preschool 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was chipped plaster on the wall by the window in the school age room.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 3 plastics bins cracked in the preschool room. There was a cracked plastic bin. There was a white board with exposed sharp edges in the pre-k room.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: There was a blue chair with a missing screw creating a pinching hazard in the PSR room.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: There were 5 rest mats that had less than 2 feet of space on three sides, in the preschool room. There were 4 cribs that had less than 2 feet of space between them, in the infant room.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for child # 1 lacked the information on the child's special needs, on the emergency contact form.

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

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

Description: Initial health report for young toddler no more than 6 months/Initial and subsequent health reports

Noncompliance Area: The file for child # 4 lacked an initial health report, the child start date was 11/8/21.The current health report is dated 4/4/22.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to 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 file for child #5, a young toddler, lacked a health report within 6 months of the previous report.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff # 4 didn't wash the child's hands after being diapered.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: staff # 4 was observed placing a soiled diaper on the changing table during a diaper change, rather than immediately discarding it into a plastic-lined, hands-free covered can.

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: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: Staff # 4 did not disinfecting the changing table surfaces after diapering .

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: Observed staff # 4 diaper a child. The staff did not wash their hands after diapering the child.

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

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: There was a gallon of 1% milk not refrigerated left on the counter top in the kitchen.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.161(e)

Description: Fresh fruit/vegetables refrigerated

Noncompliance Area: There was a bowl with oranges on top of the counter top. There was a bag of oranges not refrigerated, they were on the counter top in the kitchen.

Correction Required: Fresh fruits and vegetables that are not used on the day of purchase shall be refrigerated.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: The file for staff #1 lacked the date on the disclosure statement.

Correction Required: 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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The information on how to access the regulations electronically was not provided to the parents of each enrolled child.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f)(1-10), or 3290.31(g)(1-10) within 90 days of hire. Staff person #3 will have until 8/23/22 to complete the required training with a PQAS approved trainer. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a sanitizer bottle on top of a shelf in the preschool room 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: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: There was a glass multi surface cleaner on top of the white refrigerator by 2 boxes of Kool-Aid freeze pops. There was a Hospital Disinfectant can in the PSR room cabinet by a cereal box and crackers on the bottom shelf.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.72(c)

Description: Good repair

Noncompliance Area: There was 3 holes on the screens on the left side of the window on the back of the preschool room.

Correction Required: Screens shall be in good repair.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was 2 holes with rough edges on the beige wall under the toothbrushes bulletin board. The counter top of the sink in the preschool bathroom is pulling off the wall.

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(g)

Description: Clean and good repair

Noncompliance Area: The first toilet stall on the right in the preschool room was soiled with urine and toilet paper. In the Pre-k room bathroom both toilet stalls were soiled with urine.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On October 1, 2021 staff #1 was alone in the Older Toddler Room with a group of 6 older toddler and preschool aged children, the youngest being 2 years old. While caring for 6 children, staff #1 took one child into a separate room (restroom) to perform a diaper change. During the diaper change, the remaining 5 children were left alone (no staff person was physically present to maintain ratio) and unsupervised in the classroom. During this time, child #1 received an injury when his fingers were closed in the bathroom door by another child in the unsupervised classroom.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: On October 1, 2021 staff #1 was alone in the Older Toddler Room with a group of 6 older toddler and preschool aged children, the youngest being 2 years old. While caring for 6 children, staff #1 took one child into a separate room (restroom) to perform a diaper change. During the diaper change, the remaining 5 children were left alone (no staff person was physically present to maintain ratio) and unsupervised in the classroom. During this time, child #1 received an injury when his fingers were closed in the bathroom door by another child in the unsupervised classroom.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On October 1, 2021 staff #1 was alone in the Older Toddler Room with a group of 6 older toddler and preschool aged children, the youngest being 2 years old. While caring for 6 children, staff #1 took one child into a separate room (restroom) to perform a diaper change. During the diaper change, the remaining 5 children were left alone (no staff person to maintain ratio) and unsupervised in the classroom. During this time, child #1 received an injury when his fingers were closed in the bathroom door by another child in the unsupervised classroom.

Correction Required: The legal entity will develop a form to document supervision checks throughout the facility. The form will be submitted to the regional office for approval prior to implementation. The legal entity will ensure that supervision checks are done minimally three times a week for three months using the approved form. Documentation of the supervision checks will be maintained at the facility. This information will be made available to the Regional Office of Child Development upon request.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On October 1, 2021 staff #1 was alone in the Older Toddler Room with a group of 6 older toddler and preschool aged children, the youngest being 2 years old. While caring for 6 children, staff #1 took one child into a separate room (restroom) to perform a diaper change. During the diaper change, the remaining 5 children were left alone (no staff person to maintain ratio) and unsupervised in the classroom. During this time, child #1 received an injury when his fingers were closed in the bathroom door by another child in the unsupervised classroom.

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)

Description: Supervised at all times

Noncompliance Area: On October 1, 2021 staff #1 was alone in the Older Toddler Room with a group of 6 older toddler and preschool aged children, the youngest being 2 years old. While caring for 6 children, staff #1 took one child into a separate room (restroom) to perform a diaper change. During the diaper change, the remaining 5 children were left alone (no staff person to maintain ratio) and unsupervised in the classroom. During this time, child #1 received an injury when his fingers were closed in the bathroom door by another child in the unsupervised classroom.

Correction Required: The legal entity must arrange for all facility staff to receive training regarding supervision of children thru a referral made by the regional office to the ELRC. The training will be submitted for approval prior to initiating the training. The legal entity will confirm completion of the training by sending a staff roster and proof of the completed training to the Regional Office of Child Development and Early Learning.