The Growing Tree

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed shelves containing rest equipment in the Preschool Room which were not anchored creating a potential tipping hazard.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #1 lacked child service reports completed at least every 6 months. Child #1 had child service reports completed on 9/25/24 and 3/14/25.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Child #2, a preschooler, lacked Hepatitis A immunizations according to the recommendations of the ACIP. Child #2 had documentation of one Hepatitis A immunization.

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

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The health report for Child #2 did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Observed a soiled diaper being placed in a plastic bag instead of being discarded immediately by placing it into a plastic-lined, hands-free covered can in the Infant Room.

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: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The health assessment for Staff #2 lacked documentation that it was conducted and signed by a physician, physician's assistant or CRNP including the individual's professional title.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The adult health assessment for Staff #2 did not include an examination for communicable diseases and the results of that examination. The health assessment for Staff #3 did not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The adult health assessment for Staff #2 did not include the physician's or CRNP's assessment of the person's suitability to provide child care. The adult health assessment for Staff #3 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

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

Description: Age and Training

Noncompliance Area: Staff #1 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The file of Staff #1 contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 1/15/25 with a previous one completed on 12/27/22.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #1 lacked a National Sex Offender Registry Certificate (NSOR) updated every 60 months. The file of Staff #1 contained a NSOR dated 9/15/25 with a previous one dated 9/9/20. The file of Staff #2 lacked a DHS FBI Clearance dated prior to or on the date of initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a DHS FBI Clearance dated 11/17/25.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the Preschool Room did not contain scissors.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The sink in the Infant Room lacked a handwashing sign.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a cracked Magna Tile in the Preschool Room.

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: Observed foam letters with bite marks in the Toddler Room. Observed small foam cubes with bite marks in the Preschool Room. Observed foam bases and foam pieces with numbers with bite marks in the Outdoor Play Space.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 12:32 PM observed Staff #5 send a preschool child to the Toddler Room to use the bathroom and observed Staff #5 stand in the threshold of the door between the Preschool and Toddler Rooms to supervise the child in the bathroom and to supervise 9 preschool age children in the Preschool Room.

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: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for Child #5 did not specify the amount of the fee to be charged per day or per week.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement for Children #1, #2, #4, and #5 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(b)/3270.182(8)

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

Noncompliance Area: The files of Children #1, #2, #3, #4, and #5 contained the original agreement. The facility did not make a copy for the file and give the original to the parent.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency contact information for Child #5 did not include the telephone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #4 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)(4)/3270.182(3)

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

Noncompliance Area: The files of Children #1 and #3 lacked written consent signed by a parent for emergency medical care prior to admission.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Emergency contact information for Child #1 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file of Child #2 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained health reports dated 8/11/23, 3/7/24, and 8/26/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.131(d)(3)/3270.133(8)

Description: Current medication and reason/Special diet - parent's instructions

Noncompliance Area: The file of Child #3 contained a health report which did not include a list of the child's current medication and the reason for the medication and if a special diet is prescribed for a child.

Correction Required: A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Observed staff placing soiled diapers in a lidded waste receptacle instead of a plastic-lined, hands-free covered can in the Toddler Room.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file of Staff #7 lacked documentation of completing the Pennsylvania Health and Safety Update within 90 days of hire (See LIS Code Sheet).

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 persons #2 and #3 were observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training, pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum, and health and safety training. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum and health and safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons #2 and #3 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 staff persons #2 and #3, staff persons #2 and #3 may not work in a child-care position at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: The files of Staff #3, #6, #7, and #9 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (See LIS Code Sheet). The file of Staff #3 contained a health assessment dated 10/25/24. The file of Staff #6 contained a health assessment dated 8/10/23. The file of Staff #7 contained a health assessment dated 11/19/24. The file of Staff #9 did not contain a health assessment.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The files of Staff #3, #6, #7, and #8 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (See LIS Code Sheet). The file of Staff #3 had a Mantoux test read date of 10/25/24. The file of Staff #6 had a Mantoux test read date of 8/23/21. The file of Staff #7 had a Mantoux test read date of 11/21/24. The file of Staff #8 had a Mantoux test read date of 11/4/24.

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.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact for Child #4 was not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was signed on 8/22/23 and reviewed on 2/22/24.

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: 3270.182(5)

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

Noncompliance Area: The files of Children #1 and #3 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of Staff #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file of Staff #6 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

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

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

Description: Age and Training

Noncompliance Area: Staff #1 and #4 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The file of Staff #1 contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 10/4/24 with a previous one completed on 8/6/22. The file of Staff #4 contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 10/3/24 with a previous one completed on 7/16/22.

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(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (See LIS Code Sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #6 will have until January 7, 2025, to complete the required training. Until such time as the required training has been completed, staff person #6 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 available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file of Staff #5 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (See LIS Code Sheet). The file of Staff #5 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 10/3/24.

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: Staff person #6 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #6 has documentation of completing mandated reporter training on 8/17/21, but it is not an approved course.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #6 will have until January 7, 2025, to complete the mandated reporter training. Until such time as the required training has been completed, staff person #6 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 staff person #6, staff person #6 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 files of Staff #2, #3, #7, and #8 lacked a valid disclosure statement (See LIS Code Sheet). The disclosure statement on file for Staff #2, #3, #7, and #8 was not the one updated in 2020. The file of Staff #2 lacked a valid FBI Clearance. The file of Staff #2 contained an FBI Clearance dated 5/14/24 from the Department of Education. The file of Staff #3 lacked a valid Child Abuse Clearance prior to providing initial service in a child care setting (See LIS Code Sheet). The file of Staff #3 contained a Child Abuse Clearance for employment dated 11/4/24 and a Child Abuse Clearance for a volunteer dated 7/14/23. The files of Staff #6, #7, and #8 lacked a disclosure statement signed at the time of initial service in a child care setting (See LIS Code Sheet). The file of Staff #6 contained a disclosure statement dated 10/25/19. The file of Staff #7 contained a disclosure statement dated 9/24/24. The file of Staff #8 contained a disclosure statement dated 9/24/24. The file of Staff #6 lacked a Child Abuse Clearance and FBI Clearance updated every 60 months. The file of Staff #6 contained a Child Abuse Clearance dated 11/5/24 with a previous one dated 10/10/19. The file of Staff #6 contained an FBI Clearance dated 10/29/24 with a previous one dated 10/25/19. The file of Staff #8 did not contain a Child Abuse and Registry Check from the State(s) in which Staff #8 resided. The file of Staff #9 lacked a valid FBI Clearance. The file of Staff #9 contained an FBI Clearance dated 9/6/24 from the Department of Education.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2, #8, and #9 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2, #8, and #9 may not work in a child care position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: The file of Staff #3 lacked documentation of meeting one of the applicable staff qualifications for the position in which the person was performing.

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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file of Staff #6 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (See LIS Code Sheet). The file of Staff #6 contained a written evaluation dated 12/23/22 but did not contain one for 2023 or 2024.

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: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The files of Staff #2, #5 and #7, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children. The file of Staff #8, who was designated as an assistant group supervisor, lacked documentation of a high school diploma or a general educational development certificate.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years 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: Observed Bic Wite-Out which indicated "keep out of the reach of children" in the bin labeled "fine tip sharpies" by the refrigerator in the Preschool Room which was accessible to 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: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: The sinks in the Toddler Room and Infant Room lacked platforms or steps to be easily approached by children using them.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 12/1/23, 1/3/24, 2/2/24, 2/7/24, 3/7/24, 4/5/24, 5/3/24, 6/3/24, 7/3/24, 8/5/24, 9/4/24, 10/4/24, 11/1/24, and 11/29/24.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #1 lacked an emergency contact form with the work address and telephone number 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)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of child #1 lacked an emergency contact form with the full 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of reviewing documentation, the emergency plan lacked a continuity of operations.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files of staff #1 and #2 lacked health assessments. The file of staff #4 had a late health assessment due to the fact the ones on file were dated 1-15-20 an 10-11-22.

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. 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: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: At the time of reviewing documentation, the emergency plan lacked addressing accommodations to 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(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of reviewing documentation, the emergency plan lacked documentation of conducting a drill.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #3 had documentation of receipt and the complete clearance for PA State Police after 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). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of reviewing documentation of fire drills, they were not conducted every 60 days on the following dates: 1-4-23 to 3-22-23 = 77 days, 3-22-23 to 6-7-23 = 77 days, and 6-7-23 to 9-1-23 = 86 days.

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: At the time of reviewing documentation of testing the smoke detection system, the system was not tested every 30 days due to the fact the dates listed were 5-1-23 to 6-5-23 = 35 days and 7-5-23 to 8-7-23 = 33 days.

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: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The files of children #1 and #2 lacked the flu immunization.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #14 have not completed the following required pre-service training within 90 days of their start dates (see LIS code sheet): Pennsylvania Health and Safety Update 2022.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of staff #14, a facility person lacked two written, nonfamily references.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The certificate of compliance and information on how to access the regulations in this chapter electronically, with instructions for contacting the appropriate regional child care office were not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file of staff #14, a facility person lacked documentation of completing emergency plan training at the time of hire.

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 emergency plan was not posted in the facility at a conspicuous location.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files of staff #10 and #12 lacked documentation of completing an annual minimum of 12 clock hours of child care training.

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: Staff person #3 has not completed the following required pre-service training within 90 days of their start date (see LIS code sheet): Pediatric First Aid and CPR.

Correction Required: Staff person #3 shall complete professional development in the topics of 3270,31(f)(10) within 90 days of hire (see LIS code sheet): Pediatric First Aid and CPR. Staff person #3 has until 2-11-23 to complete the required training. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)(10).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #13 lacked documentation of a valid PA State Police clearance due to the fact the document on file was for a volunteer.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #14 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #14 may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(iii)

Description: HS/GED + 2 yrs/Exp, educ., training at facility

Noncompliance Area: The files of staff #9 and #11, both an AGS lacked documentation to support the positions due to the fact there was not proof of education.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on documentation on the fire drill log, fire drills were not conducted every 60 days due to the fact 9-1-22 to 11-1-22 is 61 days and 11-1-22 to 1-4-23 is 64 days.

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: 3270.105

Description: High Chairs

Noncompliance Area: Observed in the infant room a Graco brand and Fisher Price brand high chair lacking shoulder straps in the plastic mold cutouts. Therefore, the chairs were not used according to the manufacturer's guidelines.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The file for child #1 lacked an agreement with an enrollment date.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, emergency transportation plans were not posted in each child care space.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.133(7)(i)

Description: Name of medication

Noncompliance Area: Observed an Epi Pen not labeled for the use of a specific child in the first aid kit in the preschool room.

Correction Required: A medication log shall include the name of the medication.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the inspection, there was not a policy for shaken baby syndrome, abusive head trauma, and child maltreatment.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file of staff #1 lacked documentation of completing the annual requirement for 12 clock hours of child care training in 2021.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Observed a trash can in the preschool room with dirty tissues. The trash can lacked a lid.

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