The Red Balloon Daycare Inc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A cracked flower pot was observed in the school-age play space. Torn rest mats were observed in rooms 201 and 204. Two red cardboard blocks and a white container used to store play food in the All Stars room were ripped. A bin containing Mr. Potato head parts and a mesh ball container were broken in room 106.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: The seam of the changing pad in room 106 was split and the foam filling was exposed.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the lamb room, two cribs were observed to have less than 2 feet of space on three sides of them.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The two most recent child service reports for child #2 were completed more than 6 months apart. The child service report for child #3 was completed more than 6 months following the child's date of admission.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #1 did not include the address of the individuals designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present for children receiving care in room 109.

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

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

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

Noncompliance Area: The two most recent health reports for child #4, a preschool child, were conducted more than 12 months apart.

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

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: An inhaler was accepted for a child in care without the original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: In rooms 100 and 104, staff were observed placing soiled diapers on the changing table before discarding them. The hands-free feature was not functioning on the diaper can in room 106.

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: The drop-off and pick up procedure posted in the facility did not specify the pedestrian and vehicular routes determined to be safe.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Empty plastic shopping bags were observed in an unlocked file cabinet accessible to children in room 205.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #6 completed pediatric first aid and pediatric CPR training on 5/26/2026, which was more than 90 days following their date of hire.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #7 completed mandated reporter training on 2/10/2025, which was more than 60 months following the date of their previous training on 2/8/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff person #1 included a current NSOR verification certificate dated 5/18/2025, which was more than 60 months following the date of their previous NSOR verification certificate on 12/23/2019.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent written evaluations of staff person #2, #3, #4, #5, #7, #8, #9, #10 and #11 were completed more than 12 months apart.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The following cleaning materials and other toxic materials labeled keep out of the reach of children were observed in areas accessible to children in room 204: A bottle of CeraVe, Eczema Honey and Dove for Sensitive Skin lotion was on the chalkboard tray and a mop containing cleaning fluid was leaning against the wall.

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

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: A ZZ plant that was identified as being toxic to humans was observed in room 204.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: There was no first-aid kit in room 109.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were (6) sharp metal bolts protruding from the gates in the outdoor play spaces. There were (7) sharp metal toilet floor bolts that were not covered in the girls bathroom on the 2nd floor. There was a gap between a piece of wood trim and the poured play surface that created a tripping hazard for preschoolers using the outdoor play space.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed on the railing in the school-age play space.

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

Regulation: 3270.81

Description: Glass

Noncompliance Area: A visual strip or other visual identification was not placed on the glass entrance doors to the buildings.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: One of the front doors to the church was unable to be opened without force; a table was positioned directly in front of the double doors to the sanctuary and bouncy toys were stored between a gate and the door in room 107 causing the exits to be obstructed.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.94(a)(2)

Description: Different times of day

Noncompliance Area: Fire drills were conducted at the same time of the day.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at different times of the day or night, or both, if applicable.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system was not tested every 30 days during the time period between 12/30/25 to 2/5/2026; 4/2 to 5/18/2026 and 5/18 to 6/18/2026.

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

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Video from July 30, 2025, showed Staff Person #1 engaged in conversation with other staff while supervising toddlers in the sanctuary. Staff Person #1 then walked over to Child #1, used their foot to position a mat directly in the child's path, and guided the child by the hand toward the mat, causing the child to stumble and fall onto the mat. According to staff statements, Staff Person #1 stated that Child #1 cries every time they fall and then intentionally demonstrated this by causing the child to fall. Based on the video evidence and staff interviews, the investigation concluded that Staff Person #1 intentionally caused the child to fall and singled the child out for ridicule.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A plastic bucket in the storage shed in the preschool outdoor play space was broken with rough edges.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: The lids on (4) sensory bottles that contained objects less than 1 inch in diameter were not secured and they were accessible to children who are still placing objects in their mouths in the panda room.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: There was less than 2 feet of space on three sides of a cot in use by a child in the rising stars room and (3) cribs in use by children in the lambs room.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The written plan of daily activities was not posted in the CB3 school age room.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement for child #1 did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The child service report for child #4 and #6 was completed more than 6 months following the completion of their previous child service report. The child service report for child #9 and #10 was completed more than 6 months following their date of admission.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The record for child #4 contained the original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #2 did not include the work telephone number of the enrolling parent. The emergency contact information for child #5 did not include the work address and telephone number of the enrolling parent. The emergency contact information for child #6 did not include the work address of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #5 and #6 did not include a health insurance policy number under a family policy or Medical Assistance benefits, if applicable.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #1, #3, #5, #6 and #7 did not include the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent review of the emergency contact information and financial agreement for child #6 was more than 6 months following the previous review by a parent.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: A bottle of Tylenol labeled for use by a child in care in the giraffes room had an expiration date of 2/2025.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: A parent did not provide written consent for administration of Motrin labeled for use by a child in care in the giraffes room.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The initial health assessments in the file for Staff Person #1, #10 were conducted after the staff persons' first day working in child care (See LIS Code Sheet). The most recent health assessments in the file for Staff Person #7, #8, #9 exceeded 24 months between assessments.

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(5)

Description: Two written references

Noncompliance Area: Staff Person #11 will have two letters of reference in their 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: 3270.21

Description: General Health and Safety

Noncompliance Area: The following conditions were accessible and posed a threat to the health and safety of children in care: sharp adult scissors in the all stars room; a sharp pizza cutter in an unlocked drawer in the safari room; a long extension cord draped over furniture in the fly guys room; and sharp adult scissors and batteries in an unlocked desk drawer in the entryway of the church building.

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

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff Person #1 does not contain documentation of emergency plan training conducted within the past 12 months.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

Description: Age and Training

Noncompliance Area: The most recent Pediatric First Aid/CPR certification in the file for Staff Person #5 was acquired after the previous certification had expired.

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

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The file for Staff Person #1 does not contain documentation of fire safety training conducted within the past 12 months.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The Pediatric First Aid/CPR training in the file for Staff Person #2 was conducted more than 90 days after the staff person's first day working in child care (See LIS Code Sheet).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The Mandated Reporter Trainings in the files for Staff Person #2, #7, #9, #10 were conducted more than 90 days after the staff persons' first day working in child care (See LIS Code Sheet). The most recent Mandated Reporter Trainings in the file for Staff Person #5 exceeded 60 months between trainings.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The most recent Child Abuse Clearances and NSOR Certificates in the file for Staff Person #3 exceeded 60 months between clearances/certificates. The most recent State Police Clearances in the file for Staff Person #4 exceeded 60 months between clearances. The most recent NSOR Certificates in the files for Staff Person #6, #8 exceeded 60 months between certificates. The State Police, Child Abuse, and FBI Clearances in the file for Staff Person #7 were conducted after the staff person's first day working in child care. The most recent State Police, Child Abuse, and FBI Clearances in the file for Staff Person #9, #10 exceeded 60 months between clearances. The NSOR Certificate in the file for Staff Person #10 was acquired after the staff person's first day working in child care (See LIS Code Sheet).

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Protective covers were not placed in electrical outlets in the following areas, accessible to children 5 years of age or younger: an electrical outlet on an extension cord that was plugged into the wall in the ocean room; (2) electrical outlets by the lizard cage in the all star room; and (2) electrical outlets by the sink in the women's room in the church building.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A bottle of white-out labeled keep out of the reach of children was accessible to children in the all stars room.

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: Emergency telephone numbers were not posted by the telephone in the giraffes room.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: A first-aid kit in an excursion bag was stored in an unlocked cabinet in the fly guys room, accessible to children in care.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the rising stars room lacked disposable gloves.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were sharp corners on a metal chalkboard tray in the garden room; a metal brace used to secure a rain gutter to the outside of the building in the infant/toddler outdoor play space was detached and sharp; and there were sharp corners underneath a metal box mounted on the wall in the rear of the pig pen room.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeled or damaged paint/plaster was observed on the wall and ceiling in a corner of the infant play space.

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

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: Sinks in the panda room and elephants room were not at a proper height for children using them or able to be easily approached by means of platforms or steps.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted at each sink in the men's and women's bathrooms in the church building.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Children's hands were not dried after handwashing in the panda and elephants rooms.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: An exit door in the rising stars room was obstructed by a cot in use by a child.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: A portable space heater was observed in entryway of the church building.

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Bite marks were observed on foam blocks in the Safari room.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The rest equipment in the Ocean room was not labeled for the use of a specific child and used only by the specified child.

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

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: The emergency contact information for child #2 was completed on 9/21/2023, which was following the child's date of admission.

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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #1, #2 and #3 did not include the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: A bottle of Alka Seltzer that belonged to a staff person was observed in an unlocked desk drawer in the Allstars room, accessible to children in care.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not provide for the continuity of operations. The operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the identification and prevention of child maltreatment, as per Announcement C-22-03.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #1 and #8 completed the Pennsylvania Health and Safety Update 2022 required by OCDEL following the prescribed timeframe of 12/30/22, as per Announcement C-22-06.

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(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The record for staff #9 did not the results of TB skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis at initial employment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not notify local traffic authorities annually in writing of the program's use of pedestrian and vehicular routes around the child care facility.

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: 3270.175(c)

Description: Manufacturer's instructions used

Noncompliance Area: Manufacturers' instructions for use of safety restraints were not kept in the Toyota minivan being used to transport children in care.

Correction Required: Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Regulation: 3270.20(e)/3270.182(7)

Description: Copies of reports in file at facility/Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Copies of accident reports involving children in care at the facility have not been retained at the facility in an accident file and in the child's file.

Correction Required: Copies of reports of injury, death or fire shall be kept in a file at the facility. A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Loose sheets were observed in 3 cribs used by infants in the Duckling room and 1 crib used by an infant in the Lamb room, which poses a potential suffocation risk to the children using the equipment. A floor lamp in the Lamb room that was accessible to children in care was not secured from tipping and it was plugged into an extension cord that posed a potential strangulation risk.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Facility person #5 received training regarding the emergency plan on 6/17/2024, which was more than 12 months following their previous training on 5/17/2023.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The operator did not post the emergency plan in the facility.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility's parent letter did not explain the following subsequent updates to their emergency plan: accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions; and accommodations for shelter of children during a lock-down.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #10 and #11 have not participated, at least annually, in fire safety training.

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

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

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

Noncompliance Area: The record for staff #4 included 11 of 12 required annual training hours.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 completed pediatric first aid/CPR on 10/24/2023, which was more than 90 days following their date of hire (see LIS code sheet). Staff person #6 completed pediatric first aid/CPR on 6/18/2024, which was more than 90 days following their date of hire (see LIS code sheet).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Facility person #5 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility person #5 will have until 9/3/2024 to complete the mandated reporter training. Until such time as the required training has been completed, facility person #5 must be supervised, when interacting with children by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise facility person #5, facility person #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff #2 included a current NSOR verification certificate dated 7/21/2023, which was following their first day working in child care. The record for staff #7 and #9, who were hired following 10/28/2020, lacked the current 2020 Disclosure Statement required under 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.

Regulation: 3270.37(b)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The record for staff #6 included verification of education from a foreign country that had not been evaluated by a service that is a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE) and it was unable to be determined whether staff #6 had the equivalent of the minimum of an 8th grade education required to work as an aide.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A bottle of hand sanitizer labeled keep out of the reach of children was observed on a desk in the Allstars room, accessible to children in care. A Swiffer Wet Jet Mop containing cleaning fluid labeled keep out of the reach of children was observed leaning against the wall in the Fly Guys room, accessible to children in care.

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(b)

Description: Inaccessible to children

Noncompliance Area: An excursion bag containing a first aid kit was observed hanging on the inside of the fence surrounding the outdoor play space, accessible to children in care.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the Rock Stars room did not contain tweezers.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed on the foundation of the building outside the basement door that is used by children to access the outdoor play space.

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

Regulation: 3270.94(a)(3)

Description: Various activity times

Noncompliance Area: Fire drills have not been conducted during various program activities.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted during various program activity times.

Regulation: 3270.94(a)(7)

Description: Participation

Noncompliance Area: All facility persons and children in attendance did not participate in the fire drills.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that facility persons and children in attendance participate in the fire drill.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The fire drill log did not specify the names of the facility persons.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system was not tested at least once every 30 days during the time period between 1/4 to 2/8/2024; and 10/6 to 11/6/2024.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cracked toy bin in the Rising Stars classroom; and 2 cracked 2 bins in the Rainbow classroom. There were 2 torn rest mats in the Safari classroom, which had exposed foam padding.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Rest mats were observed during naptime in Room 201 that were not placed so that there were 2 feet of clearance on 3 sides.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During a supervision check in the Panda Room at approximately 2:00 PM, the CR observed that based on the positioning of the cots, and of the staff, the lack of natural or artificial lighting, and the staff being on their cell phones, the children could not be observed and were not adequately supervised. During a supervision check during naptime in Room 201, the CR observed that based on staff and furniture positioning, not all of the children could be observed and properly supervised.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #2 does not include the telephone number for the child's pediatrician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #1 and #2 does not include the work address and/or telephone number for the enrolling parent.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The current emergency contact form on file for Child #5 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #5 does not include the policy number for the medical insurance policy.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment on file for Child #4, with an enrollment date of 9/20/22, is dated 1/5/23, more than 60 days after enrollment.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #3, who is 7 months old, includes 1 of 3 DTAP vaccines recommended by the ACIP for a child this age; 1 of 3 HIB vaccines recommended by the ACIP for a child this age; 1 of 3 Pneumococcal vaccines recommended by the ACIP for a child this age, and 1 of 2 Polio vaccines recommended by the ACIP for a child this age. The 2 most recent influenza vaccines on file for Child #4, who is 2 years old, are dated 10/19/21 and 1/5/23, more than 1 year apart, and are recommended annually by the ACIP for a child this age. The immunization record on file for Child #5, who is 4 years old, does not include a current influenza vaccination, recommended annually by the ACIP for a child this age.

Correction Required: ·Child #3 and #5 must be dismissed from care by close of business on 7/24/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).