The Growing Garden Child Care Center Llc

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: At the time of inspection, the facility lacked a policy regarding the transfer of care between the child care facility and the child's school. The policy shall be a written agreement which includes the parent's signature providing consent and placed in the child's file.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #2 lacked a child service report and is beyond 6 months from date of enrollment (SEE IS CODE SHEET).

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)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #1 lacked the address of the child's physician or source of medical care. The emergency contact form for Child #3 lacked the name, address, and phone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(4)/3270.182(3)

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

Noncompliance Area: The emergency contact forms on file for Child #2 and Child #3 lacked the parent's signature giving the facility written consent to obtain emergency medical care.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of inspection, Child #4 was observed in Room 1 and Child #5 was observed in Room 2 without their emergency contact information being in the space where they were receiving care.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent parent review and signature for the emergency contact form on file for Child #2 is dated 12/17/25, more than 6 months prior.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #1, enrolled more than 60 days, lacked an initial health report. (See LIS Code Sheet). The file for Child #2 (7/8/26) and Child #3 (7/9/26) contained an initial health assessment dated more than 60 days beyond the child's date of enrollment (SEE IS CODE SHEET).

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(e)

Description: ACIP recommended immunization record

Noncompliance Area: The immunization record on file for Child #2 (7/8/26) and Child #3 (7/9/26) is dated more than 60 days after the child's date of enrollment (SEE IS CODE SHEET).

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

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

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: The file for Child #1, enrolled more than 60 days, lacked an immunization record.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. 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). Child #1 must be dismissed from care by close of business on 7/21/26 and may only return to care when the immunization record is provided or when a parent provides a written, signed exemption letter.

Regulation: 3270.151(a)

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

Noncompliance Area: The two most recent health assessments on file for Staff #3 are dated 4/12/24 and 7/1/26, more than 24 months apart.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent parent review and signature for the financial agreement form on file for Child #2 is dated 12/17/25, more than 6 months prior.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The emergency contact form on file for Child #2 and Child #3 lacked the parent's signature giving the facility written consent to administer minor first aid.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility's most recent annual emergency drill is dated 8/5/24, more than 12 months prior.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The facility's most recent annual review of the emergency plan is dated 5/4/25, more than 12 months prior.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The two most recent emergency plan trainings on file for Staff #1 are dated 10/30/24 and 12/17/25, more than 12 months apart.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility's emergency plan lacked a letter to parents explaining the emergency procedures for the following topics: method to inform parents the emergency has ended and instructions on how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities and chronic medical conditions.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #2 contained 8 of 12 annual childcare training hours within the training timeframe of 1/2025-1/2026. The file for Staff Person #3 contained 4.5 of 12 annual childcare training hours within the training timeframe of 4/2025-4/2026.

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

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

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

Noncompliance Area: The two most recent Pediatric First Aid/CPR trainings on file for Staff #3 are dated 3/15/24 and 5/12/26, more than 24 months apart.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The two most recent fire safety trainings on file for Staff Person #2 are dated 1/8/25 and 2/2/26, which are more than 12 months apart.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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: 3270.76

Description: Building Surfaces

Noncompliance Area: In Room 3, vinyl flooring was observed to be torn and not in good repair.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Upon the Certification Representative's arrival at approximately 11:25 am, Staff #1 exited the classroom #1 to admit the Certification Representative into the facility. This left a group of 5 younger and older toddlers unsupervised in the classroom during this time.

Correction Required: TIERED LIS: 1. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. (THIS WILL HAVE AN IMMEDIATE CORRECTION DATE). 2. The Legal Entity will develop a written child supervision policy regarding door answering procedures. This policy will be reviewed with all staff during a staff meeting and posted at the doorway of every classroom. To confirm completion, the policy, attendance and sign-in sheets will be submitted to the regional office within 5 business days of the meeting. (THIS PORTION OF THE PLAN SHALL HAVE A DATE WITHIN 5 BUSINESS DAYS OF SUBMISSION OF THE PLAN OF CORRECTION).

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

Description: Age and Training

Noncompliance Area: Staff person #2 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring (3/2026). Documentation of updated Pediatric first aid and CPR training is not on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on a review of the fire drill logs, fire drills conducted on 9/29/2025 and 12/8/2025 exceeded the 60-day limit. The most recent documented fire drill was conducted on 2/12/2026, again surpassing 60 days without a recorded fire drill.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on a review of the fire drill logs, manual testing of the fire detection system on 7/22/2025 to 9/29/2025 to 12/8/2025 to 1/9/2026 to 2/12/2026 exceeded the 30-day limit. The most recent documented test of the fire detection system was conducted on 2/12/2026, again surpassing 30 days without a recorded activation of the 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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: SEONCD VIOLATION A fire drill has not been conducted within the last 60 days. The most recent documented fire drill on file at the facility at the time of inspection was observed to be on 9/29/25. Previously cited on SIN-00274570.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: SEONCD VIOLATION The fire detection system has not been tested within the last 30 days. The most recent documented testing on file at the facility at the time of inspection was observed to be on 9/29/25. Previously cited on SIN-00274570.

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(b)

Description: No physical punishment

Noncompliance Area: Based on staff statements, it was reported that Staff Person #1 roughly yanked and swung Child #1 by their arm, resulting in Child #1 hitting the side of their head on a desk in the Preschool room. In addition, Staff Person #1 was reported to aggressively yank and pull Child #1 by the arm to remove the child from playing with other children. Based on staff statements, it was reported that Staff Person #2 struck the back of Child #1's hands several times and aggressively pushed the child while saying, "Get away from me!" Staff Person #2 was also reported to have used their hand to roughly squeeze Child #1's cheeks together while screaming in the child's face, "We don't talk like that!"

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Based on staff statements, Staff Person #1 and Staff Person #2 were reported to have used an aggressive tone of voice and harsh language in the presence of children. Staff Person #1 was reported to scream in children's faces, making statements such as, "I don't care what you want! I want you to do this! You're not allowed to play with the girls because you are a flirt and think you're a stud. If these were my kids, I would beat them. Get away from me! I don't want to be around you! When you guys come to my wedding, I am going to kill you all. The children will come back to stalk us." Staff Person #2 was reported to use an aggressive tone of voice in the presence of children, making statements such as, "Grow up! This is not how you're supposed to act! Get away from me! You're dirty and smell! We do not talk like that!"

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Based on staff statements, it was verified that Child #1 was lying on the floor on their back, crying and having a tantrum. Staff Person #1 was seated next to the child and placed their leg across the child's stomach, preventing the child from moving or getting up until the child stopped crying.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.23

Description: Parent Access & Participation

Noncompliance Area: Based on staff statements, parents of children receiving care are not permitted to enter the facility during operating hours and are only permitted to enter the facility when receiving a tour at enrollment or if there is a medical emergency.

Correction Required: A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: A fire drill has not been conducted within the last 60 days. The most recent documented fire drill on file at the facility at the time of inspection was observed to be on 6/10/25.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system has not been tested within the last 30 days. The most recent documented testing on file at the facility at the time of inspection was observed to be on 6/10/25.

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: Two cracked lids, with potential pinch points, were observed on bins in Classroom #2.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #3 lacked the address and telephone number for the child's physician.

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

Regulation: 3270.131(a)/3270.131(d)(5)

Description: Health information/Immunization record

Noncompliance Area: The files for Children #2 and #3 lacked an initial health assessment and immunization record within 60 days of starting at the facility (refer to LIS Code Sheet).

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

Regulation: 3270.131(e)(3)

Description: Dismissal policy

Noncompliance Area: The file for Child #3, a preschool age child, lacked an immunization record within 60 days of starting at the facility (refer to LIS Code Sheet).

Correction Required: 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). Child #3 will be dismissed from care at the close of business on 7.22.25.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: An expired Albuterol Inhaler was observed in the locked medication cabinet in Classroom #3.

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

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: A copy of the current insurance policy was not on file at the time of the inspection.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The updates to the emergency contact/financial agreement form on file for Child #1 exceeded 6 months between updates on 7.25.24 and 2.25.25. The most recent update to the emergency contact/financial agreement form on file for Child #2 occurred on 9.26.24.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In Classroom #4, 1 pair of adult scissors was observed in a cup on a table. In Classroom #5, 2 pairs of adult scissors were observed in an unlocked desk drawer. Classrooms #4 and #5 are intended for school age children, which made the adult scissors accessible to children who could receive care in the space.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The updates to the Fire Safety Trainings on file for Staff Person #1 exceeded 12 months between trainings on 5.14.24 and 6.30.25.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff Person #3 lacked completion of Part 2 of the required Health and Safety Training within 90 days of their Date of Hire at the facility. Part 2 of the required Health and Safety Training was completed 152 days after the Date of Hire for Staff Person #3.

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: The PA Child Abuse Clearances on file for Staff Person #2 exceeded 60 months between updates. This is evidenced by PA Child Abuse Clearances dated 6.4.20 and 7.1.25.

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

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

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: The file for Staff Person #4, who had a foreign diploma, lacked verification that their education had been evaluated by a NACES or AICE certified evaluator.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility exceeded 30 days between smoke/fire alarm testing on 8.22.24 and 9.26.24, and then between 5.9.25 and 6.10.25. Verification of testing within the last 30 days was not on file at the time of the inspection. The most recent smoke/fire alarm testing occurred on 6.10.25.

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(a)

Description: Supervised at all times

Noncompliance Area: Upon Certifications Reps arrival to the facility at approximately 10:15am, Staff Person #1 had left Classroom #2 to answer the front door. Staff Person #1 left the classroom of 10 preschool age children unsupervised. Upon entrance to the second floor, Staff Person #2 was observed to be performing first aid with a child in the restroom. Staff Person #2 has left 7 school age children unsupervised in the indoor gross motor room.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Upon Certifications Reps arrival to the facility at approximately 10:15am, Staff Person #1 had left Classroom #2 to answer the front door. Staff Person #1 left the classroom of 10 preschool age children unsupervised. Upon entrance to the second floor, Staff Person #2 was observed to be performing first aid with a child in the restroom. Staff Person #2 has left 7 school age children unsupervised in the indoor gross motor room. Staff Person #1 and #2 leaving the children unsupervised did not allow for a Staff Person to be physically present with the children in their groups.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Upon Certifications Reps arrival to the facility at approximately 10:15am, Staff Person #1 had left Classroom #2 to answer the front door. Staff Person #1 left the classroom of 10 preschool age children unsupervised. Upon entrance to the second floor, Staff Person #2 was observed to be performing first aid with a child in the restroom. Staff Person #2 has left 7 school age children unsupervised in the indoor gross motor room. Staff Person #1 and #2 leaving the children unsupervised did not allow for a Staff Person to be present to meet the required Staff:Child Ratio requirements.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: One cracked bin, causing a sharp edge, was observed in Classroom #3.

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: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement forms for Children #1 and #3 lacked a parent signature.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement forms for Children #1, #2, #3, #4 and #5 lacked information to 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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The updates to the emergency contact form and financial agreements for Children #1, #2, #3, #4 and #5 have exceeded 6 months since their last review and update. The most recent reviews were completed on 9.5.2023 for Children #1, #3 and #5, on 10.25.23 for Child #2, and on 1.31.22 for Child #4.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The files for Children #2, #3 and #4 lacked initial health reports within 60 days of starting. The initial health report on file for Child #2 was completed 241 days after starting at the facility. The initial health report on file for Child #3 was completed 321 days after starting at the facility. The initial health report on file for Child #4 was completed 563 after starting at the facility.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for Children #2 and #3 lacked an immunization record within 60 days of starting at the facility. A completed immunization record was not on file for Child #2 until 241 days after starting and 321 days after starting for Child #3.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.134(b)

Description: Towels labeled and laundered

Noncompliance Area: At approximately 9:30am, one hand towel was observed to be hanging from a clip on the wall and another hand towel was observed on the floor outside the restroom in Classroom #2. At the time 5 preschool age children were receiving care in the space. This did not allow for each child to have their own hand towel available for drying their hands after hand washing. It was reported that the hand towels were in the dryer.

Correction Required: Cloth towels and washcloths shall be labeled with the child's name, used by only the named child and laundered weekly. The director shall arrange a laundry schedule with the parent.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan lacked information related to the facility's plan for Continuity of Operations.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff Person #3 lacked a current health assessment. The most recent health report on file was dated 6.28.22.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan lacked information related to accommodations for children with disabilities and chronic medical conditions. An EpiPen was observed for a child in care indicating this information is applicable at this time.

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(a)(6)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation that an annual emergency drill had been completed prior to 6.13.24.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #3 lacked 5 of their 12 hours of annual child care training in their respective training year.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The annual fire safety trainings on file for Staff Person's #1, #2 and #3 exceeded 12 months between trainings completed in April 2023 and on May 14, 2024.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water at the sink in the back restroom through the Kitchen area was measured at 131.8° F.

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

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: A window in Classroom #4 was observed to be missing the restriction allowing the window to open more than 6 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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 11:02am, staff person #1 and staff person #2 were observed sitting on a picnic table about 15 feet away from where the children were playing on the playground at Tarentum Park. Staff person #1 and staff person #2 were not supervising the children for approximately 9 minutes while they were talking and on their phones. Staff person #2 walked away from the park with her phone at 11:23am. The children were left alone with staff person #1 for approximately 6 minutes. The 6 young school-age children were assigned to staff person #1 and the two preschool children were assigned to staff person #2.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 11:02am, staff person #1 and staff person #2 were observed sitting on a picnic table about 15 feet away from where the children were playing on the playground at Tarentum Park. Staff person #1 and staff person #2 were not supervising the children for approximately 9 minutes while they were talking and on their phones. Staff person #2 walked away from the park with her phone at 11:23am. The children were left alone with staff person #1 for approximately 6 minutes. The 6 young school-age children were assigned to staff person #1 and the two preschool children were assigned to staff person #2.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: At approximately 11:02am when they arrived at Tarentum Park staff person #1 was vaping for about 5 minutes. At approximately 11:23am staff person #2 was vaping and then walked away from the group.

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

Regulation: 3270.54(b)

Description: Two facility persons on excursions

Noncompliance Area: At 11:23am staff person #2 picked up her phone and walked away from the park leaving staff person #1 alone with the children on an excursion away from the facility for approximately 6 minutes.

Correction Required: At least two facility persons shall be present when children are on an excursion away from the facility. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the science classroom a table was observed to be broken causing rough edges, sharp corners, and pinch and crush points.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The file for child #1 lacked an agreement that specified the child's arrival and departure times.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file for child #1 lacked an agreement that specified the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #1 lacked emergency contact information that included the health insurance policy number.

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

Regulation: 3270.131(a)(3)

Description: Initial health report for older toddler/preschool no more than 1 year

Noncompliance Area: The file for child #2 who was a preschool child lacked a child health report that was dated no more than 1 year prior to the first day of attendance at the facility. The first day of attendance at the facility was (see LIS code sheet) and the child health report was dated 3/31/21.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

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 file for child #2 lacked a child health report that was completed within the past 12 months. The child health report in the file is dated 3/31/21.

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

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

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

Noncompliance Area: The file for staff person #1 lacked 12 clock hours of child care training between 12/19/21 and 12/19/22. Staff person #1 had 10 clock hours of child care training. The file for staff person #2 lacked 12 clock hours of child care training between 12/19/21 and 12/19/22. Staff person #2 had 9 clock hours of child care training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #3, whom was hired as an assistant group supervisor on (See LIS Code Sheet), lacked a dated disclosure statement.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The Fire Drill and Fire Detection Log was observed the last documented fire drill was held on 7/13/22.

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 at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The Fire Drill and Fire Detection Log was observed the last documented 30 day smoke detector check was completed on 7/13/22.

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: In the Art Room the right side of the piano was observed to have splintering wood. In the Indoor Play Area a purple foam toy die was observed to be torn and missing pieces of the die.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child #3 lacked emergency contact information that included the name, address, and telephone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for child #2 lacked emergency contact information that included information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The files for children #1, #2, and #3 lacked emergency contact information that included a policy number for a child under a family policy or Medical Assistance benefits, if applicable. The file for child #3 lacked emergency contact information that included health insurance coverage.

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 file for child #2 lacked an initial health report.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff person #3 lacked a health assessment that was conducted 24 months from the previous health assessment. The health assessments in the file are dated 4/2/20 and 6/28/22.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: It was observed that the operator did not notify local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility within the past year.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #2 lacked emergency plan training that was completed one year from the previous emergency plan training. The emergency plan trainings in the file are dated 6/22/21 and 6/24/22. The file for staff person #3 lacked emergency plan training that was completed within the last year. The emergency plan training in the file is dated 7/12/21.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for staff persons #1, #2, and #3 lacked 12 clock hours of child care training for 2021.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff person #1 lacked health and safety training that was completed by 6/17/21. The health and safety training in the file is dated 6/19/22. The file for staff person #3 lacked health and safety training that was completed by 6/17/21. The health and safety training in the file is dated 8/23/21.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed in the Preschool Room that the blue outlet by the teacher's desk was missing a protective receptacle cover in an outlet accessible to children 5 years of age or younger.

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: In the Science Classroom Valspar Interior Paint & General Use Multi-Floor Adhesive were observed to be accessible to the children. Both containers were labeled "Keep Out of Reach of Children".

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

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: In the Art Room the 2nd window on the right above the ground floor that opened directly to the outdoors and was accessible to children was observed to not be 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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Welcome Center on the back wall the baseboard was observed to have rough edges causing a visible hazard.

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: In the Welcome Center on the back wall the baseboard was observed to have peeling paint on it.

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(h)

Description: Handwashing signs

Noncompliance Area: The restroom in the preschool room was observed to be missing a handwashing sign being posted above the toilet.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log was observed. There were 61 days between 10/15/21 and 12/15/21; 62 days between 12/15/21 and 2/15/22; and 90 days between 4/14/22 and 7/13/22.

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 at least once every 60 days.