The Neighborhood Nest Llc

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: SECOND CITATION, PREVIOUSLY CITED ON 1/21/2026: The Emergency Contact Form for Child #5 did not include information about the child's special needs; specifically, that portion of the form was left blank. (SEE LIS CODE SHEET)

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: SECOND CITATION, PREVIOUSLY CITED ON 1/21/2026: The Emergency Contact Form for Child #5 lacked the "Health Insurance/MA Coverage" and "Health Insurance/MA Policy Number." (SEE LIS CODE SHEET)

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: 3280.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: SECOND CITATION, PREVIOUSLY CITED ON 1/21/2026: The Child Health Report for Child #5 lacked a statement of whether the child is able to participate in childcare and is free from contagious/communicable disease. (SEE LIS CODE SHEET)

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: 3280.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: SECOND CITATION, PREVIOUSLY CITED ON 1/21/2026: The file for Child #4 lacked updated written verification of ongoing administered vaccines: 3 doses of Pneumococcal, with no Letter of Exemption in the file. (SEE LIS CODE SHEET) The file for Child #5 lacked updated written verification of ongoing administered vaccines: 2 doses of Hepatitis A, with no Letter of Exemption in the file. (SEE LIS CODE SHEET) On 1/21/2026, provider was notified that Child #4 and Child #5 could not return to care until either written verification of administered vaccines or letters of exemption were received. On 3/25/2026 at 1:30pm, both children were observed to present in care at the facility with neither written verification of administered vaccines nor letters of exemption on file.

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

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: SECOND CITATION, PREVIOUSLY CITED ON 1/21/2026: The files for Children #2, 4 and 5 contained Emergency Contact forms and Financial Agreements that had not been updated within 6 months of the previous update. The file for Child #1 contained a Financial Agreement that had not been updated within 6 months of the previous update. (SEE LIS CODE SHEET)

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

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: SECOND CITATION, PREVIOUSLY CITED ON 1/21/2026: The file for Staff Person #1 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (SEE LIS CODE SHEET)

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: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: In the Main Childcare space, the following toys and play equipment were observed to be in poor repair: - on the shelf to the right of the polka-dotted section of wall, a gold Super Mario toy was observed to be chewed - on the shelf to the right of the polka-dotted section of wall, a broken pair of sunglasses was observed in a bin of dress-up supplies - the Barbie Playhouse, which is set up along the wall near the door to the Gross Motor space, was observed to have cardboard/pressed wood peeling in sections, and a screw protruding from the floor of the playhouse. The exposed screw had rough edges, creating a hazard to children. - stored near the Barbie Playhouse, two dolls were observed to be broken; specifically, one was missing a head, and one was missing a leg

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: 3280.108(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the Main Childcare space, the white cube shelf under the television was observed to be unstable and wobbly when touched.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The Child Service Reports for Children #1-5 did not include six-month updates from the prior reports. (SEE LIS CODE SHEET)

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(a)(6)

Description: Admission date

Noncompliance Area: The agreement for Child #5 did not specify a date of admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The Emergency Contact Form for Child #5 did not include information about the child's special needs; specifically, that portion of the form was left blank. (SEE LIS CODE SHEET)

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 Emergency Contact Form for Child #5 lacked the "Health Insurance/MA Coverage" and "Health Insurance/MA Policy Number." (SEE LIS CODE SHEET)

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: 3280.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The Child Health Report for Child #5 lacked a statement of whether the child is able to participate in childcare and is free from contagious/communicable disease. (SEE LIS CODE SHEET)

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: 3280.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #3 lacked updated written verification of ongoing administered vaccines: 1 dose of Hepatitis A, with no Letter of Exemption in the file. (SEE LIS CODE SHEET) The file for Child #4 lacked updated written verification of ongoing administered vaccines: 3 doses of Pneumococcal, with no Letter of Exemption in the file. (SEE LIS CODE SHEET) The file for Child #5 lacked updated written verification of ongoing administered vaccines: 2 doses of Hepatitis A, with no Letter of Exemption in the file. (SEE LIS CODE SHEET)

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: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The files for Children #2, 4 and 5 contained Emergency Contact forms and Financial Agreements that had not been updated within 6 months of the previous update. The file for Child #1 contained a Financial Agreement that had not been updated within 6 months of the previous update. (SEE LIS CODE SHEET)

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

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #1 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (SEE LIS CODE SHEET)

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: 3280.76

Description: Building Surfaces

Noncompliance Area: In the Main Childcare space, two stained ceiling tiles were observed above the table area in the back right section of the room. In the Main Childcare space, near the polka-dotted section of the wall, several broken pushpins were observed to be stuck in the wall. The broken pinheads were protruding from the wall and had sharp edges, creating a hazard to children. In the Gross Motor space, several broken pushpins were observed to be stuck in the wall to the left of the door. The broken pinheads were protruding from the wall and had sharp edges, creating a hazard to children.

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

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the Main Childcare space, several areas of damaged and/or flaking plaster were observed: -in the rear right section of the room near the table - on the wall behind the polka-dotted area - to the right of the mirrors

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

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The last documented fire drill in the facility's fire drill log was conducted on 2/5/2025.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: At the time of inspection, the last documented test of the facility's fire detection system was on 2/5/2025.

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: SECOND CITATION PREVIOUSLY CITED ON 1/22/25: The file for Child #1 and Child #3 did not contain a child service report.

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: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: SECOND CITATION PREVIOUSLY CITED ON 1/22/25: The files for Child #1 and Child #2, enrolled 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. A child's record must contain initial and subsequent health reports.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: SECOND CITATION PREVIOUSLY CITED ON 1/22/25: The file for Staff Person #1 contained a health assessment dated 7/28/22, more than 24 months prior.

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: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: SECOND CITATION PREVIOUSLY CITED ON 1/22/25: The facility lacked documentation of completing an emergency drill.

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

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: SECOND CITATION PREVIOUSLY CITED ON 1/22/25: The facility did not send the emergency plan to a county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: SECOND CITATION PREVIOUSLY CITED ON 1/22/25: The child abuse clearance on file for Staff Person #2 is classified for a volunteer. The file for Staff Person #2 did not contain the FBI fingerprint clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #2-- may not work in a childcare 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. Staff Person #2--- may not work in a childcare position at the facility.

Regulation: 3280.35(3)

Description: 8th grade + 2 yrs

Noncompliance Area: SECOND CITATION PREVIOUSLY CITED ON 1/22/25: The file for Staff Person #2, a secondary staff person, lacked documentation of an 8th grade education.

Correction Required: A secondary staff person shall have a minimum of an 8th grade education and 2 years of experience with children.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #2 and Child #5 did not contain a child service report.

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(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement form for Child #5 lacked arrival and departure times.

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

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #4 lacked the name of the child's physician. The emergency contact form for Child #3 lacked the 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: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #1 lacked a complete address for the listed release persons. The emergency contact form for Child #2, Child #3, and Child #4 lacked the addresses for the listed release persons.

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

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The files for Child #2 and Child #4, enrolled 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. A child's record must contain initial and subsequent health reports.

Regulation: 3280.131(b)(2)/3280.182(1)

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

Noncompliance Area: The health report form on file for Child #1 is dated 12/15/23, more than 12 months prior.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility did not contain a policy addressing signs/symptoms of shaken baby syndrome, strategies for coping with a crying or distraught child, and the prevention and identification of child maltreatment. The file for Staff Person #3 did not contain emergency plan 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.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The file for Staff Person #1 contained a health assessment dated 7/28/22, more than 24 months prior. The file for Staff Person #2 did not contain an initial health assessment or the tuberculin skin test. The file for Staff Person #4 did not contain an initial health assessment.

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: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: The facility did not have documentation that the operator notified local traffic safety authorities in writing of the location of the facility, and about the program's use of pedestrian and vehicular routes around the childcare facility.

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

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #2 and Child #5 contained an emergency contact form that was not updated within 6 months of the previous date.

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

Regulation: 3280.26(a)(2)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not contain information regarding evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by § 3280.94 (relating to fire drills).

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of completing an emergency drill.

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

Regulation: 3280.26(b)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan dated 11/17/22 lacked documentation that it had been reviewed/updated within the past 12 months.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #4 did not contain emergency plan training regarding the facility's emergency plan.

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(f)

Description: Emergency plan

Noncompliance Area: The facility did not send the emergency plan to a county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

Description: Age and training

Noncompliance Area: The most recent Pediatric First Aid/CPR trainings on file for Staff Person #1 is dated 7/28/22, exceeding the expiration date of the 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: 3280.31(f)

Description: Age and training

Noncompliance Area: The file for Staff Person #4 contained a Pediatric First Aid/CPR training that was not taught by a PQAS approved instructor.

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

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: The file for Staff Person #4 did not contain the following pre-service training within 90 days of their date of hire: Get Started with Center-Based Care-Revised 2022.

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

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #3 lacked a Mandated Reporter training.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The PA State Police clearance on file for Staff Person #2 dated 3/19/24 is classified for a volunteer. The child abuse clearance on file for Staff Person #2 is classified for a volunteer. The file for Staff Person #2 did not contain the FBI fingerprint clearance. The file for Staff Person #4 did not contain the NSOR clearance more than 45 days after hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2 and Staff Person #4--- may not work in a childcare position at the facility.

Regulation: 3280.35(3)

Description: 8th grade + 2 yrs

Noncompliance Area: The file for Staff Person #2, a secondary staff person, lacked documentation of an 8th grade education and 2 years of experience with children.

Correction Required: A secondary staff person shall have a minimum of an 8th grade education and 2 years of experience with children.

Regulation: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: On 1/22/25 at approximately 10:01am Staff Person #1 was observed caring for 1 older toddler, 4 preschoolers, and two school-aged children. The ratio is 1 staff to 6 older toddlers.

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 at §3280.52(b).

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Main Room, the outlet next to the color chart and the outlet behind the book area lacked an outlet cover.

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

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Main Room lacked tweezers.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility's fire detection log includes dates 8/1/24-9/3/24, 11/1/24-12/2/24, and 12/2/24-1/6/25, more than 30 days apart.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The 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: 3280.14/3280.20

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: health and safety basics, pediatric first aid and cpr, 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 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The file for volunteer #2 lacks a health assessment conducted within 12 months prior to providing initial service in a child care setting.

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: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contains an application for an NSOR clearance that was made timely, however, she is on a provisional hire and was supervising children alone in the lunchroom.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #1 may not work in a child care position at the facility until a valid NSOR clearance is on file.

Regulation: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: 2ND CITATION: Observed 2 YTs, 3 OTs, and 2 PSs in the care of one staff member at 10:00am on 2/28/24. The ratio is 1 caregiver to 5 children when YTs are in care. Previously cited on 1/18/24.

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 at §3280.52(b).

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The files for child #1 - #5 lack an update in writing of the emergency contact information and agreement once in a 6-month period or as soon as there is a change in the information. The files were last updated in 2/2023 and were due to be updated in 8/2023.

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: 3280.17

Description: Liability Insurance

Noncompliance Area: The legal entity doesn't currently have comprehensive general liability insurance to cover all persons who are on the premises.

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: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: Observed 2 YTs, 4 OTs, and 2 PSs in the care of one staff member at 10:30am on 1/18/24. The ratio is 1 caregiver to 5 children when YTs are in care.

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 at §3280.52(b). The required staff:child ratios must be maintained at all times.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: A fire drill has not been conducted since April 2023.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The fire detection system has not been tested since April 2023. The system was tested today (1/18/24).

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The 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)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for child #1 and #2 lacked the release persons to whom the child may be released.

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

Regulation: 3280.124(a)

Description: Each child emergency contact person

Noncompliance Area: The emergency form on file for child #1 and #2 lacked emergency contact information on who shall be contacted in an emergency.

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

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: in the Main room, Craft room, Gross Motor room, and the dining room, emergency contact information for children #1 and #2 were not present in the child care space where children were receiving care.

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

Regulation: 3280.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency were not posted in the Main room, Infant Room, Craft Room, Gross Motor room, and the dining 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: 3280.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The diapering area in the main bathroom had a plastic-line, covered trash can but was not a hands-free trash can. The diapering area in the infant room did not have a plastic-lined, hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3280.14/3280.21

Description: Pertinent Laws & Regulations/Communication with Parents

Noncompliance Area: The facility lacked policies regarding recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with crying, fussing, or distraught children, and prevention and identification of child maltreatment. The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster).

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. The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent.

Regulation: 3280.171(c)

Description: Safe routes posted

Noncompliance Area: Written notifications of safe routes were not posted in 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: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: A copy of how to access the DHS regulations electronically and instructions for contacting the appropriate regional child care office were not posted in a conspicuous location used by parents.

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(e)

Description: Letter to parents

Noncompliance Area: The operator lacked providing the parent of each child enrolled a letter explaining the emergency procedures.

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: 3280.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: In the Main room, five windows that were above the ground floor and open directly to the outdoors were not constructed, modified or adapted to limit the opening to 6 or fewer inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: In the coat room off of the Main room, a plastic outlet wall plate was observed to be detached from the wall ad was not in good repair. A piece of the wall base board in the Craft Room was cracked with sharp edges and was not in good repair.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility files lacked proof of purchase for the interconnected smoke detection 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.

Regulation: 3280.17

Description: Liability Insurance

Noncompliance Area: At the time of the inspection, the provider did not have liability insurance.

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: 3280.192(5)

Description: Two written references

Noncompliance Area: The file of staff #1 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3280.26(a)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, there was not an Emergency Plan.

Correction Required: The facility shall have an emergency plan.

Regulation: 3280.34(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The file of staff #1 lacked proof of education and 2 years' experience.

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed in the infant room 7 electrical outlet plates on the walls and outlet in the dining room lacking protective receptacle covers.

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

Regulation: 3280.75(a)

Description: In facility

Noncompliance Area: At the time of the inspection, there was not a first-aid kit at the facility.

Correction Required: A first-aid kit shall be in the facility.