Tender Care Learning Center/robinson Twp

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The Agreement, in the file for Child #1, did not specify the persons designated by a parent to whom the child may be released.

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

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 file for Staff #1 did not contain documentation of a Health Assessment within 24 months of the previous one. The two (2) most recent Health Assessments in the files for Staff #3 and Staff #7 exceeded the 24-month renewal requirement.

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

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

Noncompliance Area: The file for Staff #2 contained documentation of Pediatric First-Aid/CPR training which expired on 9.27.25, and it was not renewed until 10.23.25.

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)/3270.192(2)(iii)

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

Noncompliance Area: The file for Staff #3 did not contain 12 hours of child care training between 9.7.24 and 9.6.25, as only three (3) hours were documented.

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)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #8 contained documentation of Mandated Reporter training which expired on 10.16.25, and it was not renewed until 1.9.26.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #4 contained Child Abuse Clearances dated 6.27.20 and 7.10.25, which exceeded the 60-month renewal requirement. The file for Staff #5 contained State Police Clearances dated 8.12.20 and 9.11.25, Child Abuse Clearances dated 8.17.20 and 9.19.25, and FBI Clearances dated 8.22.20 and 9.11.25, which exceeded the 60-month renewal requirement. The file for Staff #7 contained FBI Clearances dated 9.4.20 and 9.11.25, which exceeded the 60-month renewal requirement. The file for Staff #9 contained Child Abuse Clearances date 12.7.20 and 2.12.26, which exceeded the 60-month renewal requirement.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #6 (see IS Code Sheet) contained documentation of a written evaluation in 12/2025, which exceeded the 12-month requirement.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: According to staff statements, on 3-11-26, child #1, a preschooler, was left alone in the pre-k room for approximately 10 minutes without a staff person present in the room. During naptime, there was a tornado drill and staff person #2 took 10 preschoolers to the front hallway. Staff person #1 was waking up 3 preschoolers to take them to the front hallway. It was during the transition of staff person #1 taking the 3 preschoolers to the front hallway that child #1 was left alone in the room sleeping until the staff person returned to the room.

Correction Required: TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2. The facility will update their emergency plan to include specific steps for ensuring that all children and staff have been evacuated during both shelter-in-place and evacuation, subsequently ensuring that all requirements for 3270.27 are met. The operator shall provide a date for when this update will be completed. 3. The facility will conduct a training on the updated Emergency Plan, focusing on the evacuation for shelter-in-place and evacuations. The operator shall provide a date for when this training will be completed. 4. Subsequent to this training, the facility shall conduct an emergency drill requiring shelter-in-place, with the director and Manager observing. The Emergency drill shall be documented on the department-provided form and submitted to the regional office, with a written review of the drill by the Director and the Regional Manager. The correction date for this portion of the plan is to be within two weeks of when the emergency plan training was conducted.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: According to staff statements, on 3-11-26, child #1, a preschooler, was left alone in the pre-k room for approximately 10 minutes without a staff person present in the room. During naptime, there was a tornado drill and staff person #2 took 10 preschoolers to the front hallway. Staff person #1 was waking up 3 preschoolers to take them to the front hallway. It was during the transition of staff person #1 taking the 3 preschoolers to the front hallway that child #1 was left alone in the room sleeping until the staff person returned to the room.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: According to the fire drill log, a fire drill was not conducted at least once every 60 days between 5-28-25 to 3-2-26.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Based on staff statements, Child #1, a toddler, was not provided with individual rest equipment and instead slept in a chair while in care at the facility. Staff indicated that a cot was never assigned because the child's parent did not provide a sheet, as required by the facility.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on video recording, on 6/17/25 at approximately 12:13pm in the Young Toddler Room, Staff Person #2 was occupied with a diaper change in the restroom and out of view of the children. During this time, Staff Person #1 was observed with their back turned to the children and their head facing downward while placing a sheet on rest equipment. As a result, 9 children in the room were momentarily not under active supervision.

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(b)

Description: No physical punishment

Noncompliance Area: Based on video recording, Staff Person #1 was observed in the Young Toddler Room grasping a child by the wrist and pulling the child across the room toward their cot. As the child was being pulled, the child's legs lost balance, and the child landed on their hands and knees. Then, Staff Person #1 pushed the child onto their back causing the child's head to make contact with the back of the cot.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Based on staff statements, multiple staff persons were reported to interact with children using an aggressive and harsh tone of voice. It was determined multiple staff persons screamed in children's faces and made statements such as, "You're a bad kid! Go sit down! Go lay down! Stop crying! Enough."

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Based on video recording, on 6/17/25 in the Young Toddler Room, Staff Person #2 was observed discarding a soiled diaper without using a hands-free covered trash can at approximately 12:22pm and then again at 12:35pm.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: Based on video recording, on 6/17/25 in the Young Toddler Room, Staff Persons #1 and #2 were observed sweeping the floor with a broom and then used the broom that had been visibly soiled to sweep food off tables where children were seated and eating.

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: Based on video recording , on 6/17/25 in the Young Toddler Room, a container of Swiffer wet pads that are labeled Keep Out of Reach of Children was accessible to children in care. Multiple children were also observed playing with a mop that had a Swiffer wet pad attached and were observed pushing the mop around the 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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Based on video recording, on 6/17/25 in the Young Toddler Room, Staff Persons #1 and #2 were observed changing diapers without washing their hands or assisting the children with handwashing. Handwashing also did not occur between diaper changes.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed wobbly kitchen playsets in the climber and turf playgrounds and a wobbly toy shelf in the middle playground, which presents potential toppling hazards for children in care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form in the file for Child #2 did not include the work address and phone number of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form in the file for Child #5 did not include 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health reports in the files for Child #4 and 5 were conducted more than 60 days after the child's first day of attendance at the facility. The file for Child #3, who has been enrolled for more than 60 days, lacks an 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. A child's record shall contain initial and subsequent health reports.

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

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

Noncompliance Area: The file for Child #1, a young toddler, does not contain an updated health report conducted within the past six months.

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 updated health reports in the file for Child #2, a preschool child, exceeded one year between reports.

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)

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: The most recent immunization record in the file for Child #1 (Young Toddler, 15 months) did not include documentation of the following immunizations recommended by the ACIP or a letter of exemption from the parent or physician: HepB: 2nd and 3rd doses, DTAP: 2nd, 3rd and 4th doses. HIB: 1st, 2nd and 3rd doses. Pneumococcal: 2nd, 3rd and 4th doses. Polio (IPV): 1st, 2nd and 3rd doses.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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. Child #1 must be dismissed from care by close of business 5/21/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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 file for Staff Person #8 did not include an initial health assessment and TB screening. The files for Staff Person #18, 19 and 21 do not include an updated health assessment conducted within the past 24 months. The initial health assessment and TB screening in the file for Staff Person #12, 14, 17 were conducted after the staff persons' first day working in child care. The initial health assessment in the file for Staff Person #15 was conducted after the staff person's first day working in child care. The most recent health assessments in the files for Staff Person #6, 13 and 22 exceeded 24 months between assessments. (See LIS Code Sheet).

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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The most recent health assessment in the file for Staff Person #20 does not include an examination for communicable diseases and the results of that examination.

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 most recent parent update for the emergency contact form in the file for Child #6 exceeded 6 months between updates. The most recent parent update for the fee agreement in the file for Child #3 exceeded 6 months between updates. The emergency contact forms in the files for Child #3, 5 and 7 have not been updated by the parents in the past six months.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #14 included only one letter of 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for Staff Person #6 and #13 did not include documentation of 12 annual hours of child care training for the most recent full years of service. Each file contained 9 annual hours of training.

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

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

Description: Age and Training

Noncompliance Area: The most recent Pediatric First Aid/CPR Certifications in the files for Staff Person #19 and 20 were acquired after the previous certifications had expired.

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 most recent Fire Safety Trainings in the files for Staff Person #1, 2, 3, 4, 5, 6, 7, 10, 16, 18 and 22 exceeded 12 months between trainings.

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: The Health and Safety Training in the files for Staff Person #14, 17 and 18 were conducted more than 90 days after the staff persons' first day working in child care. (See LIS Code Sheet).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #8, 14 and 15 have not completed the following required pre- service training within 90 days of their date of hire Staff Person #8 and 15: Health and Safety Training. Staff Person #14: Pediatric First Aid/CPR (see LIS code sheet):

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #8, 14 and 15 must be supervised, when interacting with children at a minimum by an AGS or higher 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 #8, 14 and 15, staff person #8, 14 and 15 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent Mandated Reporter Trainings in the files for Staff Person #1, 2, 6 and 10 exceeded 60 months between trainings. The Mandated Reporter Training in the file for Staff Person #14 was conducted more than 90 days after the staff person's first day working in child care. (See LIS Code Sheet).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The disclosure statement in the file for Staff Person #9 was not witnessed. The disclosure statement in the file for Staff Person #11 was dated after the staff person's first day working in child care. The NSOR Certificate in the file for Staff Person #15 was dated more than 45 days after the staff person's first day working in child care. The most recent State Police, Child Abuse, FBI Clearances and NSOR Certificate in the file for Staff Person #6 exceeded 60 months between clearances/certificate. The most recent NSOR Certificates in the files for Staff Person #1, 5, 13 and 21 exceeded 60 months between certificates. (See LIS Code Sheet).

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

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

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

Noncompliance Area: The file for Staff Person #8 did not include documentation of education and experience.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent written evaluations in the file for Staff Person #10 exceeded one year between evaluations.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: The door to the staff lounge, which is connected to Room #8, was opened and does not lock. This made uncovered outlets on the surge strip located in this room accessible to children.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The door to the staff lounge, which is connected to Room #8, was opened and does not lock. This made disinfectant wipes, which were located on a table in the 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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a nail protruding from the window frame in the turf playground.

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: Observed flaking green paint near the classroom entrances in the turf and climber playgrounds.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The poured-in-place surface on Playground A and the PS Playground was observed to have multiple areas with holes and tears in the surface causing potential tripping hazards and was not in good repair.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The resting mats in the PreK, PS 2, and PreK Readiness rooms were observed to be ripping 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: The diaper changing pad in the Newborn Room was observed to be torn exposing the children to foam interior, which poses a choking hazard to the children in the room 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for child #2 lacked the health insurance coverage and policy number for the child. The emergency contact form on file for child #3 lacked the health policy number for the child.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The files for children #1 and #3, who have been enrolled at the facility for more than 60 days, lack an 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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for staff person #17 was observed to lack completion of the following pre-service training by December 30, 2022: Pennsylvania Health and Safety Update 2022. The file for staff person #18 had documentation of completion of the pre-service training, Pennsylvania Health and Safety Update 2022, on 7/24/23, but was not completed on the required date of December 30, 2022.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff person #3 has not had a health assessment conducted within the last 24 months: 4/12/21. The two most recent health assessments on file for staff person #4 are dated more than 24-months apart: 3/5/21 and 11/17/23. Staff person #5 has not had a health assessment conducted within the last 24 months: 4/14/22. The file for staff person #6 lacked documentation of a health assessment conducted within 12 months prior to providing initial service in a child care setting. The health assessment on file is dated 4/25/24. Staff person #11 has not had a health assessment conducted within the last 24 months: 6/22/21. Staff person #18 has not had a health assessment conducted within the last 24 months: 10/1/21.

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for staff person #6 has a TB screening dated 4/25/24, but was not at initial employment.

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: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment on file for staff person #2 lacked the physician's assessment of the staff person's suitability to provide child care.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #6 lacked one of two written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person. The file for staff person #10 lacked two written, nonfamily reference from an individual 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 two recent emergency plan trainings in the files for staff persons #15 and #16 were observed to be more than 12 months apart.

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

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

Description: Age and Training

Noncompliance Area: The file for staff person #8 had documentation of pediatric first aid/CPR training that was not renewed before the expiration date of the most current certification: 3/2/20 and 3/8/23.

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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The two most recent fire safety trainings in the files for staff persons #7, #8, #9 and #17 exceeded 12 months between trainings. The file for staff person #18 has not completed fire safety training within the last 12 months. The most recent fire safety on file was dated 1/16/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #6 lacked FBI clearance results. The file for staff person #6 contained documentation of NSOR application dated 4/22/24, which was after the staff person's date of hire (See LIS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #6 lacked out of state clearances for the state of West Virginia where the staff person resided in the 5 years prior to employment. The file for staff person #12 was observed not to contain documentation of application of the PA State Police clearance prior to date of hire (See LIS CODE SHEET) required for provisional hiring under the CPSL. The PA State Police clearance results in the file are dated 5/2/24. The file for staff person #12 lacked NSOR clearance results. The file was observed to contain an application for the NSOR clearance that was dated 4/22/24, which was after the staff person's date of hire. The file for staff person #17 was observed not to contain valid NSOR clearance results.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #6, #12, and #17 may not work in a child care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 was observed to have documentation of PA State Police Clearance results that were not renewed before the expiration date of the most current certification: 12/13/18 and 1/18/24. The files for staff persons #2 and #3 were observed to have documentation of PA Child Abuse Clearance results that were not renewed before the expiration date of the most current certification: 12/19/18 and 1/16/24. The file for staff person #9 was observed to have documentation of PA State Police and PA Child Abuse Clearance results that were not renewed before the expiration date of the most current certification. PA State Police: 12/24/18 and 1/16/24. PA Child Abuse: 12/26/18 and 1/17/24. The file for staff person #13 was observed to have documentation of PA Child Abuse clearance results that were not renewed before the expiration date of the most current certification: 12/11/18 and 1/18/24. The file for facility person #14 completed the following required pre-service training on 4/25/24 but was not completed within 90 days of their date of hire (See LIS CODE SHEET): Mandated Reporter training. The file for staff person #18 was observed to have documentation of PA State Police clearance results that were not renewed before the expiration date of the most current certification: 8/9/17 and 6/13/23.

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

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

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

Noncompliance Area: The file for staff person #6 lacked documentation of education to qualify in a position in the facility.

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: 3270.35(b)(3)/3270.192(2)(ii)

Description: Associate's + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #8 included an associate's degree from an accredited university in early childhood but lacked 2 years' experience with children to qualify for the position.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The poured-in-place surface on Playground A and the PS Playground was observed to have multiple areas with holes and tears in the surface causing potential tripping hazards and was not in good repair.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facilities documentation of annual testing of the fire detection system from a fire safety professional exceeded 12 months between testing: 3/7/23 and 5/1/24.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms on files for children #2 and #3 lacked the enrolling parent's work address and telephone number.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #1 lacked an initial health report within 60 days following the first day of attendance at the facility. The file for child #4 had an initial health assessment that was dated over 60 days after the child's start date.

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)(2)

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

Noncompliance Area: The files for children #2, #3, and #5 lacked an updated health report conducted within 12 months of previous health report. The most recent health report on file for child #2 is dated 10//6/20, child #3 is dated 3/22/22 and child #5 is dated 1/13/21.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for facility persons #3 and #4 did not complete the required pre-service training by 12/30/22: Pennsylvania Health and Safety Update 2022. Facility person #3 completed the training on 4/21/23 and facility person #4 completed the training on 12/31/22. The file for facility person #10 did not complete the following required pre-service training by 12/30.22: Pennsylvania Health and Safety Update 2022.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for facility person #2 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification: 12/17/19 and 10/18/22. Facility persons #3 and #4 have not had a health assessment completed within the last 24 months. This is evidenced by the previously documented health assessment on file being dated 9/1/20 for facility person #3 and 3/5/21 for facility person #4. The files for facility persons #6 and #7 do not have documentation of a health assessment being conducted within 12 months prior to providing initial service in a child care setting (See LIS code sheet). The file for facility person #8 has documentation of a health assessment being completed on 4/24/23, which was not conducted within 12 months prior to providing initial service in a child care setting (See LIS code sheet). The file for facility person #9 has documentation of a health assessment being completed on 10/20/22, which was not conducted within 12 months prior to providing initial service in a child care setting (See LIS code sheet).

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The files for facility persons #6 and #7 were observed not to have documentation of a tuberculosis screening at initial employment (See LIS code sheet). The file for facility person #8 has documentation of a tuberculosis screening being completed on 4/24/23 but was not at initial employment (See LIS code sheet). The file for facility person #9 has documentation of a tuberculosis screening being completed on 10/20/22 but was not at 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for facility person #6 lacked two 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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The files for facility persons #1, #2, #3, and #4 had fire safety training that exceeded a year between trainings.

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: Facility persons #5 and #7 did not complete the following required pre-service training within 90 days of their date of hire (See LIS code sheet): Health and Safety training. Facility person #5 completed the training on 12/7/22. Facility person #7 completed the training on 3/17/23.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Facility persons #5, #7, and #9 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Facility person #5, #7, and #9 completed the training on 3/8/23.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Facility person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 12/19/17. The file for facility person #7 was observed not to contain documentation of completion of Mandated Reporter training within the first 90 days of hire (See LIS CODE SHEET). The training on file for facility person #7 was dated 5/16/23.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Facility person #2 will have until 6/13/23 to complete the mandated reporter training. Until such time as the required training has been completed, facility person #2 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 persons available to supervise facility person #2, facility person #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #7 was observed not to contain a valid FBI and NSOR clearance within 45 days of hire (See IS CODE SHEET). The file for facility person #9 lacked documentation of FBI clearance results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The FBI clearance on file was observed to be through the PDE. The file for facility person #9 was observed not to contain criminal history clearance results from the state of South Carolina where the facility person resided in the 5 years prior to employment (See IS CODE SHEET).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility persons #7 and #9 shall be removed from care effective 5/18/23.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The poured-in-place surface on the PS playground and Playground A was observed to have multiple areas with holes and tears in the surface causing potential tripping hazards and was not in good repair.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted at the toilet in restroom one and restroom two in Room 6.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the PS 1/PS Readiness room, it was observed a clear plastic bin was cracked and not in good repair. In the Pre-K/PS 2 room, observed a floor carpet edge was fraying causing a tripping hazard and was 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: 3270.107

Description: Refrigerator

Noncompliance Area: In the School Age room, the refrigerator lacked an operating thermometer.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The file for child #3, #5, and #8 contained an agreement which lacked the release persons for the child.

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: In the file for child #6, the agreement form lacked the date of the child's 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 file for child #2 lacked the address and telephone number of the child's physician.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #1 and #9 lacked information on 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)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #1 lacked the address of in the individuals designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present for 7 preschool children in the PS 1/PS Readiness room and 8 preschool children in the PS Playground where children were receiving care.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child #9 lacked an updated health report conducted within 12 months of previous health report.

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

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

Description: Exemption documentation from parent/guardian/Initial and subsequent health reports

Noncompliance Area: The file for child #4, #7, and #9 lacked documentation of the yearly Influenza shot with no letter of exemption in 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.A child's record shall contain initial and subsequent health reports.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: In the Infant room, it was observed a child's hands were not washed 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: In the Infant room, observed a staff diapering a child then used their hands to open a hands-free can to dispose of the diaper. The PS 1/PS Readiness room lacked an operable plastic-lined, hands-free covered can for soiled diapers.

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: 3270.151(a)

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

Noncompliance Area: The file for staff #1 was observed to have documentation of a health assessment dated more than 24 months apart. The two most recent health forms are dated 3/11/20 and 4/14/22.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the Pre-K/PS 2 room, four pairs of adult scissors were observed on desks which were accessible to children under the age of 5.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: A copy of how to access the DHS regulations electronically was observed not to be posted in a conspicuous place.

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 #2 and #4 has not completed the following required pre-service training within 90 days of their date of hire (See LIS CODE SHEET): Pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #2 and #4 will have until 7/16/22 to complete the required training. Until such time as the required training has been completed, staff person #2 and #4 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 #2 and #4, staff person #2 and #4 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff #2 and #3 was observed to lack documentation of NSOR results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. Staff person #3 did not completed the mandated reporter training within 90 days of their date of hire (See IS CODE SHEET). Staff person #3 has documentation of mandated reporter training dated 4/25/22.

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

Regulation: 3270.61(g)

Description: Preschool - no napping/play are

Noncompliance Area: In the PS 1/PS Readiness room, it was observed a preschool child was laying down, resting on a mat in the same group space as preschool children participating in small muscle activity.

Correction Required: Preschool and school-age children may not be involved in small or large muscle activity in the same group space in which children are sleeping or resting.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Toddler 3 room, according to staff statement the Isopropyl Alcohol is used for crafts where staff mix it with paint and have the children use Q-tips to dip it in and paint with.

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: 3270.72(c)

Description: Good repair

Noncompliance Area: In the PS 1/PS Readiness room, a window was observed to be ripped and not in good repair.

Correction Required: Screens shall be in good repair.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: In the Toddler 2 room, the first-aid kit was observed to lack tape.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the outdoor PS Playground, observed a large cracked cemented wall that was not in good repair.

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: In the Pre-K/PS 2 room, the toilet paper holder was broken and not connected to the wall and was not in good repair.

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