The Eduplaytion Station

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On 7-20-26 during the Renewal Inspection; peeling/chipping paint was observed in the Young Toddler area. This was brought to the attention of the classroom staff and director.

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

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: In the toddler room, staff #1 and Staff #2 were asked to identify their assigned group of children. Staff #1 and #2 could not identify a group of children assigned to them and reported that they did not have an assigned group of children they were responsible for.

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. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric CPR/First Aide, Health and safety training, and mandated reporter training. Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric CPR/First Aide, Health and Safety training, and Mandated Reporter training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 and #2 must be supervised, when interacting with children, by an AGS or higher, who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

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 #1 did not have a health assessment on file at the time of inspection. Staff #2 did not have a health assessment on file at the time of inspection.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person #1 did not have verification of experience on file.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person #2 did not have 2 written, nonfamily references on file.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 did not have a completed disclosure statement on file at the time of inspection. Corrected on site. Staff #2 did not have an NSOR clearance on file. Staff #2 may not work in a child care position at the facility.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the young toddler room, a white shelf near the door was observed to be in disrepair with peeling, chipping, exposed fiberboard.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In the older toddler room, nap mats were observed to be unlabeled. In the infant rooms, cribs were observed to be unlabeled.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A written daily schedule was observed to be missing in the Older Toddler, infant, and PreK room.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: Agreement form for child #2, #3, and #5 was not signed by the operator.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: Agreement form for child #3 was missing the fee amount.

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

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: Child #5 did not have an emergency contact form on file at the time of inspection.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency contact form for child #2 was missing the phone number and complete address for 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: Emergency contact form for child #2 was missing the mother's work address. Emergency contact form for child #3 was missing the father's home and work address. Emergency contact form for child #4 was missing the father'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)(4)/3270.182(3)

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

Noncompliance Area: Emergency contact form for child #4 was missing signed consent for first aid and emergency medical care.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Emergency contact form for child #2 was missing information on the child's disability and/or special needs.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency contact form for child #2 did not include a health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contacted form for child #3 was missing the addresses for persons to whom the child can 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(e)

Description: Written emergency plan posted

Noncompliance Area: An emergency transportation plan was observed to be missing in the Older Toddler, infant, Young Toddler, and PreK 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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Emergency contact form and Agreement form for child #1, #2, #3, #4, and #5 were not updated within 6 months.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: Child #2 and #4 did not have a health report on 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.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: In the young toddler room, a staff was observed changing a child's diaper. After completing the diaper change, the staff did not wash the child's hands.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff #2 had a health assessment dated 4/29/22 and no update on file. Staff #4 did not have a health assessment on file. Staff #5 had a health assessment dated 11/8/22 and did not have an updated health assessment on file. Staff #7 had a health assessment dated 5/30/23 and did not have an updated health assessment on file.

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: 3270.152

Description: Adult Hygiene

Noncompliance Area: In the Young Toddler room, a staff was observed to complete a diaper change. After finishing the diaper change, the staff was observed to not wash their own hands.

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

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

Description: Age and Training

Noncompliance Area: Staff #4 and #7 did not have an approved Pediatric CPR/First Aid certification on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff person #4 and #7 will have until 9/11/25 to complete the required training. Until such time as the required training has been completed, staff person #4 and #7 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #4 and #7, staff person #4 and #7 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 did not complete the required health and safety topics within 90 days of hire. Training is now complete and on file.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 had an NSOR dated 7/9/20 and updated on 7/23/25, which is greater than 60 months. Staff person #3 had an FBI clearance dated 6/6/25, which was not completed before employment. Staff #3 did not have the required documents to be considered a provisional hire. Staff person #4 did not have a State Police Clearance on file. Staff #4 may not work in a child care roll until clearance is obtained. Staff person #6 had a state police clearance dated 11/2/24 and an NSOR clearance dated 11/12/24, which were received after employment. Staff #6 did not have the required documents on file to qualify as a provisional hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #4 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4 may not work in a child care position at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: In the Older Toddler room, the first aid kit was observed to be missing scissors, tweezers, and adhesive bandages. In the infant room, a first aid kit was observed to be missing from the space. In the young toddler room, the first aid kit was observed to be missing scissors and tweezers. In the PreK room, a first aid kit was observed to be missing.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the 1's room, a toy bin was observed with foam blocks and white balls used as snowballs. The white balls were observed to be made of cotton and could be pulled apart. The pulled out cotton strands were observed to be a choking hazard for children under the age of 2.

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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: In the 1's room, staff #2 was asked to identify the staff's primary care group. Staff #2 could not identify specific children assigned to the staff's group.

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. 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact form for child #1 was missing parent work information. Emergency contact form for child #2 was missing the father's home address and work information. Information for the father was left blank.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Emergency contact for child #2 was missing information on the child's disability or special needs.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact form for child #1 was missing information on persons to whom the child can be released. Emergency contact form for child #2 was missing complete addresses for persons to whom the child can 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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: A staff was observed to change multiple toddler diapers and did not wash the child's hands after the diaper change.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Emergency plan on file did not address continuity of operations.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff #1 had a health assessment dated 6/28/24, which was obtained after initial employment. Staff #5 had a health assessment dated 3/22/22 and updated on 7/2/24, which is greater than 24 months. Staff #6 had a health assessment completed on 3/26/24, which was obtained after initial employment.

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: 3270.152

Description: Adult Hygiene

Noncompliance Area: A staff was observed to change a child's diaper and then use hand sanitizer after changing the child's diaper. The staff did not wash their hands after the diaper change.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: Facility did not have annual notification to local traffic safety authorities on file outlining the facilities location and use of pedestrian and vehicular routes.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #1 did not have 2 written, nonfamily references on file.

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(a)(5)

Description: Emergency plan

Noncompliance Area: Emergency plan on file did not list accommodations that would be made 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 had a state police clearance dated 7/4/24 and did not have a receipt of application prior to the start date, making staff #1 ineligible to be hired provisionally. NSOR for staff #1 was dated 7/11/24, since staff #1 is not eligible to work provisionally, NSOR clearance for Staff #1 is late. State police clearance for staff #2 was dated 7/12/24 and there was no receipt to show that staff #2 applied for the clearance prior to the start date, making staff #2 ineligible to work as a provisional hire and the state police clearance obtained late. Staff #3 did not have a complete state police clearance. Clearance on file for staff #3 was listed as "pending", but did not list the results of the clearance. Staff #3 may not be on the facility premises until valid state police clearance is obtained and on file. Staff #6 completed Mandated reporter training on 7/1/24, which was greater than 90 days.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). DIRECTED PLAN OF CORRECTION: Legal Entity and Director will register for and attend Existing Provider Orientation. A certificate of completion will be provided to DHS upon completion of the course. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 may not be on the facility premises until all clearances are obtained and on file. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not be on facility premises until all clearances are obtained and on file

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: Records for Children #3 and #5 fee agreements were observed to be not signed by the operator.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Records for Children #1 and #5 did not contain the medical insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Record for Child #1 did not contain the release persons address on the emergency contact form.

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: 3270.131(b)(2)

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

Noncompliance Area: Record for Child #3 was contained most recent physical dated 04/22/2022, over the 12 months interval.

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

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: Records for Children #3 and #4 were observed to be missing documentation of the influenza vaccine last year while enrolled with no parental exemption in the file.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Record for Staff #2 did not contain verification of prior experience at time of hire.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Records for Staff #1 and #5 did not contain the required letters of reference. (#1 did not have any, #5 had one)

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(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire. Record for staff #7 did not contain the one hour update due by December 2022.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Records for the following staff were observed to have absent or delinquent clearances: Staff #1- Child Abuse (no proof of submission), NSOR (proof of submission 05/15/2023), Staff #3 - NSOR (proof of submission 11/10/2022), #4 - FBI (fingerprinted 10/5/2022), #6 - State Police (no proof of submission)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #1, #3, #4 and #6 -- may not work in a child care position at the facility.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: Spray bottle in the PS room was observed to simply say 'POISON' and nothing else.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the toddler classroom was observed to not contain scissors.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Paint on the wall near the outlet in the toddler space was observed to be flaky.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Cribs in the infant area were observed to have no labels to indicate use for a specific child. (Corrected during inspection 11/07/2022.)

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: 3270.107

Description: Refrigerator

Noncompliance Area: Refrigerators in the infant room and kitchen were observed to contain no 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: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: Record for Child #1 was observed to contain no documentation of influenza immunization and contained no parental exemption statement.

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

Regulation: 3270.133

Description: Child Medication and Special Diets

Noncompliance Area: Medication stored in the toddler room was found to be for children not present or enrolled, OTC without proper accompanying documents and not properly labeled for specific children. (Corrected during inspection 11/07/2022.)

Correction Required: The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of medication or a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. Facility persons are not required to administer medication or special diets which are requested or required by a parent, a physician, a physician's assistant or a CRNP but are not treatment related to the child's special needs.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Bottles in the infant area were observed to have no name labels, even though the bottles were visually unique to each child. (Corrected during inspection 11/07/2022.)

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Hand sanitizer was observed to be accessible to children in the PreK room. (Corrected during inspection 11/07/2022)

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the PreK space was observed to contain no first aid tape. (Corrected during inspection11/07/2022.)

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: The changing mat in the infant space was observed to have a tear. (Corrected during inspection 11/07/2022.)

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: 3270.192(5)

Description: Two written references

Noncompliance Area: On 04/08/2022 the following was cited: On 1/27/22, the file of facility person #6 did not contain any written nonfamily references. Continued noncompliance: on 4/8/22, the file contained only one written nonfamily reference. There was and additional reference on file, but it was written by a family member. No plan of correction was submitted. This is being recited to obtain an approved plan of correction and maintenance plan.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 01/27/2022 the following was cited: The file of facility person #2, hired 1/4/22, did not contain a completed NSOR verification certificate or documentation of the request for the NSOR verification certificate. The file also did not contain documentation of a completed FBI clearance. The child abuse clearance was dated 1/18/22, which was after the person's start date. Additionally, the facility person had resided outside of PA within the past 5 years, and the file did not have completed clearances or requests for clearances from the required state. Although the facility had a provisional hire waiver dated 4/30/21, the requirement to have the requests for all clearances on file at the time of hire was not met. This is being recited to obtain an acceptable plan of correction and maintenance plan.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: On 03/17/2022 the following was cited: During the facility's renewal inspection, occurring from 1/27/22 to 2/15/22, the file of facility person #2 did not contain a completed NSOR verification certificate or documentation of the request for the certificate. The file also did not contain a completed FBI clearance or completed clearances from the state in which the staff person had previously resided within the past 5 years. The facility person was required to be removed from a child care position until the completed clearances were received. Continued non-compliance: On 3/17/22, facility person #2 was again observed to be in a child care position and the file still did not contain a completed NSOR certificate, FBI clearance, or out of state clearances. Facility person #2 was also observed to be alone in a classroom when facility person #6, the other staff person supposed to be supervising children in the classroom, left the building during the investigation. No plan of correction was submitted. This is being recited to obtain an acceptable plan of correction and maintenance plan.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 04/08/2022 the following was cited: The file of facility person #6 indicated that the facility person resided in another state until 2020. The facility person's file did not include any clearances from the appropriate state. The child abuse history, criminal history, and sex offender history information from that state is required to be on file, as per the requirements under the CPSL. No plan of correction was submitted. This is being recited to obtain an acceptable plan of correction and maintenance plan.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #6 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #6 may not work in a child care position at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 03/17/2022 the following was cited: On 3/17/22, around 12:35 PM, facility person #2 was observed to be caring for six children, including one infant and five preschool children. A staff: child ratio of 1:4 is required as per 3270.51. Facility person #6 was originally in the room with staff person #2, however facility person #6 walked out of the room and building during the inspection. Ratios were corrected when facility person #7 entered the room upon noticing facility person #6 had left. No plan of correction was submitted. This is being recited to obtain an approved plan of correction and maintenance plan.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. DIRECTED PLAN: Due to the providers failure to provide plans of correction and the Director and Owner will be required to complete Existing Provider Orientation class on October 6, 2022.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 03/17/2022 the following was cited: On 3/17/22, around 12:35 PM, facility person #2 was observed to be caring for six children, including one infant and five preschool children. A staff: child ratio of 1:4 is required as per 3270.51. Facility person #6 was originally in the room with staff person #2, however facility person #6 walked out of the room and building during the inspection. Ratios were corrected when facility person #7 entered the room upon noticing facility person #6 had left. No plan of correction was submitted, nor were count sheets submitted by the provider on a weekly basis. This is being recited to obtain an approved plan of correction and maintenance plan. We will also require the provider to submit approved count sheets.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of two months after DHS approves the documentation format.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: On 04/08/2022 the following was cited: On 1/27/22, the water temperature at the sink in the back room was observed to measure 117 degrees Fahrenheit. Continued noncompliance: on 4/8/22, the water temperature at the sink in the back room was observed to measure 116 degrees Fahrenheit and the water at the bathroom was observed to measure 117 degrees Fahrenheit. No plan of correction was submitted. This is being recited to obtain an approved plan of correction and maintenance plan.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 1/27/22, the file of facility person #1 did not contain any written nonfamily references. Continued noncompliance: on 4/8/22, the file contained only one written nonfamily reference. There was and additional reference on file, but it was written by a family member.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #1 indicated that the facility person resided in another state until 2020. The facility person's file did not include any clearances from the appropriate state. The child abuse history, criminal history, and sex offender history information from that state is required to be on file, as per the requirements under the CPSL.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: On 1/27/22, the water temperature at the sink in the back room was observed to measure 117 degrees Fahrenheit. Continued noncompliance: on 4/8/22, the water temperature at the sink in the back room was observed to measure 116 degrees Fahrenheit and the water at the bathroom was observed to measure 117 degrees Fahrenheit.

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

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: On 3/17/22, child #1, an infant, was observed to be sleeping in a swing, which does not allow for the child to sleep in the position recommended by the American Academy of Pediatrics. Corrected on site.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the facility's renewal inspection, occurring from 1/27/22 to 2/15/22, the file of facility person #1 did not contain a completed NSOR verification certificate or documentation of the request for the certificate. The file also did not contain a completed FBI clearance or completed clearances from the state in which the staff person had previously resided within the past 5 years. The facility person was required to be removed from a child care position until the completed clearances were received. Continued non-compliance: On 3/17/22, facility person #1 was again observed to be in a child care position and the file still did not contain a completed NSOR certificate, FBI clearance, or out of state clearances. Facility person #1 was also observed to be alone in a classroom when facility person #2, the other staff person supposed to be supervising children in the classroom, left the building during the investigation.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 3/17/22, around 12:35 PM, facility person #1 was observed to be caring for six children, including one infant and five preschool children. A staff: child ratio of 1:4 is required as per 3270.51. Facility person #2 was originally in the room with staff person #1, however facility person #2 walked out of the room and building during the inspection. Ratios were corrected when facility person #3 entered the room upon noticing facility person #2 had left.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 3/17/22, around 12:35 PM, facility person #1 was observed to be caring for six children, including one infant and five preschool children. A staff: child ratio of 1:4 is required as per 3270.51. Facility person #2 was originally in the room with staff person #1, however facility person #2 walked out of the room and building during the inspection. Ratios were corrected when facility person #3 entered the room upon noticing facility person #2 had left.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: On 1/27/22, breast milk for the consumption of an infant was observed to be stored in a bag with an ice pack rather than in a refrigerator. Corrected as of 2/15/22.

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: 3270.151(a)

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

Noncompliance Area: On 1/27/22, the file of facility person #4 contained a health assessment dated 8/28/19. An updated health assessment was not on file. Corrected as of 2/15/22.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: The facility did not have written feeding schedules from the parents giving the formula and feeding schedules for infants.

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

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: A copy of the facility's current general liability insurance policy was not on file.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of facility person #2 did not contain any written nonfamily references. The file of facility person #3 contained only one written nonfamily reference. The file of facility person #6 did not contain any written nonfamily references.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility did not have documentation of having completed any emergency drills.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: On 1/27/22, the file of facility person #5, hired 9/27/2020, did not contain documentation of fire safety training within the past year. The last documented fire safety training was dated 12/21/2020. On 1/27/22, the file of facility person #4, hired 11/9/2020, did not contain documentation of fire safety training within the past year. The last documented fire safety training was dated 10/1/2020. Corrected as of 1/28/22.

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 of facility person #2, hired 1/4/22, did not contain a completed NSOR verification certificate or documentation of the request for the NSOR verification certificate. The file also did not contain documentation of a completed FBI clearance. The child abuse clearance was dated 1/18/22, which was after the person's start date. Additionally, the facility person had resided outside of PA within the past 5 years, and the file did not have completed clearances or requests for clearances from the required state. Although the facility had a provisional hire waiver dated 4/30/21, the requirement to have the requests for all clearances on file at the time of hire was not met.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 must be removed from a child care position by the close of business.

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

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

Noncompliance Area: The file of facility person #1, being utilized as an assistant group supervisor, did not contain any documentation of education or experience. The file of facility person #2, being utilized as an assistant group supervisor, did not contain adequate documentation to qualify the staff person as an assistant group supervisor. The file contained documentation of a high school diploma, but not documentation of experience with children. The file of facility person #3, being utilized as an assistant group supervisor, did not contain adequate documentation to qualify the staff person as an assistant group supervisor. The file did not contain documentation of a high school diploma or experience with children. The file of facility person #6, being utilized as an assistant group supervisor, did not contain adequate documentation to qualify the staff person as an assistant group supervisor. The file contained documentation of a high school diploma, but not documentation of experience with children. The above mentioned staff must have an adequate combination of education and experience on file, as per the requirements under 3270.36(b), in order to qualify them as assistant group supervisors.

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: 3270.33(d)

Description: General requirements for facility persons

Noncompliance Area: There are times in which there is not a staff person competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques present. Specifically, as per the facility's completed staff data sheets, on Mondays until 8AM and Monday - Friday between 4PM and closing time there are not any staff persons competent in pediatric first-aid/CPR present.

Correction Required: One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water temperature at the sink in the back room was observed to measure 117 degrees Fahrenheit.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kids in both classrooms were observed not to have gloves or 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: On 1/27/22, the cover of the changing pad in the back room was observed to be torn, exposing the foam inside. Corrected as of 2/15/22.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 9/24/21, around 2:55 PM, facility person #1 and facility person #2 were observed to be the only staff persons present in the building, as facility person #3 left to pick up the school-age children. Facility person #1 was observed to be caring for 4 children ranging in age from infant to young toddler. Facility person #2 was observed to be caring for 7 children ranging in age from older toddler to preschool. A staff:child ratio of 1:6 is required as per the requirements in 3270.51. Facility person #3 returned to the building between 5 - 10 minutes later, correcting the staff:child ratio.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).