Teresas Precious Little Miracles

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #3 was observed to lack the Department's approved form (Child Service Report) to provide information to the family about the child's growth and development in the context of the services being provided.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #1 was observed to contain an emergency contact form that provided the policy number but lacked to include the coverage name or provider.

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: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The files for children #2 and #3 were observed to contain emergency contact forms and financial agreements that lacked documentation of the parent updating the information at least once in a 6-month period. This was evidenced by an emergency contact and agreement forms dated 11/17/25 and 07/09/26 a period of 8 months was present in child #2's file. An emergency contact and agreement form dated 09/02/25 and 07/02/2026 a period of 10 months was present in child #3's file.

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: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The files for children #1 and #2 were observed to lack documentation of an initial health report obtained within 60 days following the first day of attendance at the facility. This was evidenced by a health report present in child #1's file dated 7/8/26 a period of 91 days, and no health report present for child #2.

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 must contain initial and subsequent health reports.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #2 was observed to lack a review of the child's immunized status according to recommendations of the ACIP.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility was observed to lack a written policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

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

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: The file for staff person #2 was observed to lack documentation of having obtained 12 annual clock hours of childcare training.

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

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff person #1 was observed to lack a valid Mandated Reporter training certificate.

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

Regulation: 3280.92(c)

Description: Manufacturer's instructions

Noncompliance Area: The facility was observed to have a portable space heater but lacked having the manufacturer's instructions for use in an accessible area in the facility.

Correction Required: The manufacturer's instructions for use shall be kept in an accessible area in the facility.

Regulation: 3280.104

Description: High Chairs

Noncompliance Area: The facility was observed to have a feeding table in the kitchen area that lacked a T-shaped safety strap in every seat.

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

Regulation: 3280.123(a)

Description: Signed

Noncompliance Area: The file for child #3 was observed to lack an Agreement.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #1, #2 and #3 were observed to lack the Department's approved form (Child Service Report) to provide information to the family about the child's growth and development in the context of the services being provided.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The files for children #2 and #3 were observed to contain emergency contact forms that lacked the telephone number of the child's physician or source of medical care.

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

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for children #2 and #3 were observed to contain emergency contact forms that lacked the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The files for Children #2 and #3 were observed to lack financial agreements and emergency contacts that had been updated in writing by a parent once in a 6-month period. Child #2 was observed to lack an updated emergency contact form, and an agreement form. The file for child #3 was observed to lack an updated financial agreement.

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: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #3 was observed to lack documentation of an immunization status in accordance with the recommendations of the ACIP.

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

Regulation: 3280.166(1)

Description: Written statement

Noncompliance Area: The facility was observed to lack a written statement from the parents giving the formula and feeding schedule for any of the infants.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3280.171(c)

Description: Safe routes posted

Noncompliance Area: The facility was observed to lack written notification of safe routes posted at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3280.182(5)

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

Noncompliance Area: The file for Child #3 was observed to contain an emergency contact form that lacked signed parental consent for administration of minor first-aid procedures.

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

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: The facility was observed to have an emergency plan that does not specify the accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Regulation: 3280.26(e)

Description: Letter to parents

Noncompliance Area: The facility was observed providing a letter explaining the emergency procedures to the parent of each enrolled child. However, this letter was observed to lack: the method to inform parents that an emergency is underway and a method to inform the parents the emergency has ended and provide instructions to safely be reunited with their children, and the accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

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

Regulation: 3280.31(e)(4)(i)/3280.31(f)(10)

Description: Age and training/Age and training

Noncompliance Area: The file for staff person #3 was observed to lack a renewal of their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This was evidenced by a certificate dated 06/07/2023 present in the file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff persons #1 and #2 were observed to lack a NSOR Certificate that was obtained within the past 60 months. This was evidenced by the most recent NSOR certificate present in the files were dated 02/14/2020 a period of 65 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 and #2 -- may not work in a child care position at the facility.

Regulation: 3280.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: The facility was observed to have a trashcan in the kitchen area that lacked a lid.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility was observed to lack documentation of testing the smoke detection system once in every 30-day period.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #2 and #3 were observed to lack the Department's approved form (Child Service Report) to provide information to the family about the child's growth and development in the context of the services being provided.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child #4 was observed to contain emergency contact forms that failed to include the name and telephone number of the child's physician or source of medical care.

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

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The files for children #1 and #4 were observed to contain emergency contact forms that failed to 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.

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: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file of child #4 was observed to lack documentation of the health insurance policy number for the child under a family policy or Medical Assistance benefits, if applicable.

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

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #4 was observed to contain an emergency contact form that failed to include the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The file for child #3 was observed to lack documentation an initial health report was obtained no later than 60 days following the first day of attendance at the facility. As evidenced by the absence of any health report in the file.

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 must contain initial and subsequent health reports.

Regulation: 3280.131(b)(2)

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

Noncompliance Area: The file for Child #2 was observed to lack documentation that an updated health report was obtained at least every 12 months for an older toddler or preschool child. This is evidenced by the absence of any health report in the file.

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

Regulation: 3280.131(d)(1)/3280.131(d)(5)

Description: Child's health history/Immunization record

Noncompliance Area: The file for child #2 was observed to lack an initial or updated health report.

Correction Required: A health report shall include a review of the child's health history. A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3280.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for child #2 was observed to lack 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.

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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility was observed to lack a written policy addressing shaken baby syndrome, abusive head trauma, and child maltreatment. Additionally, the facility's emergency plan lacked a statement on the continuity of operations and failed to define the role of volunteers, where relevant.

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: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: The facility was observed to have an emergency plan that failed to provide for the accommodations of infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Regulation: 3280.26(d)

Description: Plan posted

Noncompliance Area: The facility was observed to lack a posting of the emergency plan in a conspicuous location in the facility.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3280.26(e)

Description: Letter to parents

Noncompliance Area: The facility was observed to have documentation of providing a letter to the parent of each enrolled child that outlined the emergency procedures. However, the letter did not include specific details regarding the accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3280.95(a)

Description: FIRE DETECTION

Noncompliance Area: The facility was observed to lack documentation of fire detection testing that occurred at least once every 30 days. This was evidenced by testing that occurred on 8/14/23 and again on 9/14/23 a period of 31 days, a test on 9/14/23 and again on 10/16/23 a period of 32 days, a test on 12/14/23 and again on 1/17/24 a period of 34 days, a test on 3/14/24 and again on 4/15/24 a period of 32 days, and a test on 6/15/24 and as of 7/23/24 another test had not yet been conducted.

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)).

Regulation: 3280.103

Description: Small Toys and Objects

Noncompliance Area: Observed a plastic bag accessible to toddlers in an unlocked drawer of the changing table in the middle room. Observed a small piece of plastic, with a diameter less than one inch, accessible to toddlers on the floor in the gross motor room.

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: 3280.104

Description: High Chairs

Noncompliance Area: Observed a high chair which did not have a T-shaped safety strap. Observed a table chair which did not have the safety straps installed by the manufacturer.

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

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: Observed the cots used as rest equipment were not labeled for the use of a specific child.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: Observed child file #1 contained a most recent child service report which was dated more than 12 months ago.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.123(b)

Description: Parent receives original

Noncompliance Area: Observed child file #4 and 5 contained incomplete original agreements.

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

Regulation: 3280.124(e)

Description: Written emergency plan posted

Noncompliance Area: Observed the emergency transportation plan was not posted in the middle room or in the gross motor room.

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: 3280.131(b)(2)

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

Noncompliance Area: Observed child file #1 contained a most recent health assessment which was dated more than 16 months ago (2/23/22).

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: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: Observed child file #1, 2, and 3 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

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). The child must be dismissed by close of business until either the immunization record is updated in accordance with the ACIP schedule or a parent provides a written, signed exemption letter.

Regulation: 3280.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Observed the health report for child file #2 and 3 did not contain a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Observed staff file #1 and #2 contained documentation of the required health and safety training update which was completed after 12/30/22. Observed staff file #3 who was not working on the inspection day, did not contain documentation of completion of the required health and safety training update.

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: 3280.181(c)/3280.181(d)

Description: Emergency info/agreement updated 6 mos/Dated signature affixed

Noncompliance Area: Observed child file #1, contained documentation of parental review of the emergency contact information and the financial agreement was completed more than 6 months after the previous parental review.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: Observed staff file #1, 2, and 3 contained documentation of training in the emergency plan which was dated more than 12 months ago.

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.

Regulation: 3280.26(e)

Description: Letter to parents

Noncompliance Area: Observed the operator did not have a completed letter explaining the emergency procedure which could be provided to the parent of each enrolled child.

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: 3280.31(e)

Description: Age and training

Noncompliance Area: Observed staff file #1, 2, and 3 did not contain documentation of 12 clock hours of childcare training completed within the training year of 12/19/21-12/19/22.

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

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: Observed staff file #2 and #3 contained documentation of completion of training in the field of pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) which was completed after the expiration of the most current certification.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Observed staff file #3, contained an expired criminal background clearance (6/26/18), and expired child abuse clearance (6/26/18), and an expired FBI fingerprint clearance (7/5/18).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -3- may not work in a childcare position at the facility until all required clearances are obtained.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed diaper cream and vaseline, labeled keep out of the reach of children, in an unlocked drawer of the diaper changing table in the middle room.

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

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: Observed a light in the gross motor room which was missing a light bulb and the light bulb cover.

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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: Observed the fire alarm testing documentation revealed that 4 times in the previous 12 months the fire alarm testing was completed more than 30 days apart. Observed that one of the operable fire alarms was making a chirping noise.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: On 7/7/22 observed a train table with a broken support piece in the play room. Observed in the middle room, a white shelf which was not steady and was not securely anchored to the wall.

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

Regulation: 3280.123(b)

Description: Parent receives original

Noncompliance Area: On 7/7/22, observed child file #1, 2, 3, 4, and 5 contained original agreements.

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

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: On 7/7/22, observed the emergency contact information for child file #1, did not contain the work address and work telephone number.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 7/7/22, observed the emergency contact information for child file #1 and #5 did not contain the health insurance policy number. Observed the emergency contact information for child file #4 did not contain the health insurance coverage and 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: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 7/7/22, observed the emergency contact information for child file #1 and #5 did not contain the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3280.131(a)

Description: Health Information

Noncompliance Area: On 7/7/22, observed child file #3, who has been in attendance for more than 60 days, did not contain an initial health assessment.

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

Regulation: 3280.131(b)(2)

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

Noncompliance Area: On 7/7/22 observed child file #2 and #5 contained most recent health assessments which were dated more than 20 months ago.

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: 3280.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Observed child file #2 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3280.133(3)

Description: Name on bottle

Noncompliance Area: On 7/7/22 observed aspirin, non aspirin, and burn cream, which was not labeled with the name for whom it was intended, in the first aid kit in the facility entrance room.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3280.17

Description: Liability Insurance

Noncompliance Area: On 7/7/22 observed the documentation of comprehensive general liability insurance was expired.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover all persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3280.171(c)

Description: Safe routes posted

Noncompliance Area: On 7/13/22 observed the facility did not have written notification of the safe routes posted in a conspicuous location used by parents.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3280.181(c)/3280.181(d)

Description: Emergency info/agreement updated 6 mos/Dated signature affixed

Noncompliance Area: On 7/7/22, observed child file #3, 4, and 5 contained documentation of the parental review of the emergency contact information and the financial agreement which was conducted more than 6 months after the previous valid parental review. Observed child file #2 did not contain documentation of parental review of the emergency contact form within the previous 6 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: On 7/7/22 observed the operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

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: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: On 7/7/22, observed the facility lacked documentation of the completion of an annual emergency drill between 12/19/20 and the date of the inspection.

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

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: Observed on 7/7/22, staff file #1 and #2 did not contain documentation of training in the emergency plan within the previous 12 months.

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.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: On 7/13/22, observed staff file #1, 2, and 3 did not contain 12 clock hours of child care training for the period of 12/19/20 to 12/19/21.

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

Regulation: 3280.31(f)(10)

Description: Age and training

Noncompliance Area: On 7/13/22, observed staff file #1 had documentation of completion of the correct pediatric first aid and cardiopulmonary resuscitation which was completed after the deadline date of 4/29/22.

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

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: On 7/13/22, observed staff file #2 and #3 contained the CPSL required mandated reporter training which were conducted more than 60 months after the previous valid mandated reporter training. Observed staff file #2 contained updated state police and child abuse clearances which were dated more than 60 months after the previous valid clearances. Observed staff file #2 contained an FBI fingerprint clearance which was more than 60 months old. Observed staff file #1 contained a child abuse clearance which was dated more than 60 months after the previous valid child abuse clearance. Observed staff file #1 contained a state police clearance which was dated more than 60 months ago which makes it not valid.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -2 and 3- may not work in a child care position at the facility until the required clearances are obtained.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: On 7/7/22 observed paint and disinfectant accessible to children in an unlocked cabinet in the bathroom used by children.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: On 7/7/22 observed the facility did not have documentation of fire alarm testing being conducted at least every 30 days. Observed the facility did not have documentation of installation/proof of purchase of the interconnected fire alarm system.

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