The Early Learning Center At Yeshiva

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 1:05 p.m., 36 children and 8 staff persons were observed in the swimming pool area. When Staff Person #1 was asked to identify the children assigned to their supervision group, Staff Person #1 identified three young school-age children but stated they were unable to identify the remaining three children assigned to their supervision. At approximately 1:20 p.m., after a supervision and ratio check was conducted, 35 of the 36 children were identified as being assigned to the supervision of a staff person, leaving one school-age child unaccounted for. At approximately 1:30 p.m., it was determined that no staff person had been assigned responsibility for supervising Child #1.

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: 3270.124(d)

Description: Excursions

Noncompliance Area: Emergency contact forms were not present in the swimming pool area where 36 school-age children were observed receiving care. Staff Person #2 stated that the emergency contact forms were kept in the facility's first aid bags, which were located in the locker room.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: A first aid kit was not present in the swimming pool area where 36 school-age children were observed receiving care during an excursion. Staff Person #2 stated that the first aid bags were in the women's locker room.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Addition 1: Infant/Toddler room, a pack and play for a child observed to be receiving care was had a hole in the mesh on the side and was not in good repair.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in Room 110 did not contain an operable thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The financial agreement forms in the files for children #1, 2, #3, and #4 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 financial agreement forms in the files for children #1, #2, #3, and #4, did not specify the date on which the fee is to be paid.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The financial agreement forms in the files for children #1, #2, #3, and #4, did not include the persons designated by the parent to whom the child may be released to.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The financial agreement forms in the files for children #1, #2, #3, and #4, did not specify the date of the child's admission.

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

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 form in the file for child #2 did not include signed parental consent for 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The health assessments on file for Staff Persons #2, #10, #12, #13, and #24 were completed after their first day of working in a child care setting (See LIS Code Sheet). The files for Staff Persons #3, #17, #25, and #28 lacked a health assessment at initial service in a child care setting (See LIS Code Sheet). The file for Staff Person #26 contained health assessments that exceeded 24 months between assessments (2/10/23 and 9/26/25).

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The TB screenings on file for Staff Persons #2, #10, and #12 were completed after their first day of working in a child care setting (See LIS Code Sheet). The files for Staff Persons #3 and #23 lacked a TB screening at initial service in a child care setting (See LIS Code Sheet),

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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessments on file for Staff Persons #4 and #31 indicated "yes" for a communicable disease; however, the examination results were not included.

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

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: In the Addition 1: Infant/Toddler room, written statements giving the formula and feeding schedules for infants receiving care were not obtained from the parents.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #3 contained one written, non-family reference. The file for Staff Persons #12 lacked two non-family references.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Facility files contained documentation of conducting emergency drills on 4/12/24 and 1/21/26 and were more than 12 months apart.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #1 contained emergency plan training on 5/22/23 and 2/13/25, which exceeded 12 months between trainings. The files for Staff Persons #23, #24, and #25 contained emergency plan training but was not at initial employment (See LIS Code Sheet).

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)(4)(i)

Description: Age and Training

Noncompliance Area: The files for Staff Persons #1, #4, #7, #11, #14, #26, #27, #32, #33, #34, and #35 contained pediatric first aid/CPR training was not renewed prior to the expiration date of the most current certification. The files are now current.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff Person #1 contained fire safety training on 3/5/23 and 3/25/25, which exceeded 12 months between trainings.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files for Staff Persons #2, #6, and #12 contained documentation of completing PA Required Health and Safety for Centers-Group Child Care Part 2 training but was not completed within 90 days of their date of hire (See LIS Code Sheet). The file for Staff Person #19 contained pediatric first aid/CPR training dated 1/15/26 but was not completed within 90 days of their date of hire (See LIS Code Sheet).

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

Regulation: 3270.31(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): PA Required Health and Safety for Centers-Group Child Care Part 1. Staff person #17 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.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, Staff Persons #6 and #17 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 Persons #6 and #17, Staff Persons #6 and #17 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #1 contained State Police clearance results and Mandated Reporter training that were not renewed prior to the expiration date of the most current certification. The file for Staff Person #2 contained Mandated Reporter training on 2/11/26 but was not completed within 90 days of their date of hire (See LIS Code Sheet). The file for Staff Person #4 contained Mandated Reporter training that was not renewed prior to the expiration date of the most current certification (5/11/20 and 5/19/25). The file for Staff Person #5 contained NSOR clearance results dated 2/26/26 but was after the staff person's first day working in a child care setting (SEE LIS Code Sheet). The file for Staff Person #7 contained Mandated Reporter training that was not renewed prior to the expiration date of the most current certification (5/22/20 and 9/8/25). The file for Staff Person #8 contained FBI clearance results dated 9/2/25 but was after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #8 contained out-of-state clearance results for the state of New York, where the staff person resided within five years prior to employment, but were dated after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #9 contained FBI clearance results but were dated after the staff person's first day working in a child care setting (SEE LIS Code Sheet). The file for Staff Person #9 contained out-of-state clearance results for the state of New York, where the staff person resided within five years prior to employment, but were dated after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #10 contained State Police, PA Child Abuse, FBI, and NSOR clearance results that were dated after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #10 contained out-of-state clearance results for New York, Texas, and Oklahoma, where the staff person resided within the five years prior to employment, but were dated after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #11 contained State Police and NSOR clearance results but were dated after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #12 contained State Police, PA Child Abuse, FBI, and NSOR clearance results and a signed Disclosure Statement that were dated after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #12 contained out-of-state clearance results for New York and Florida, where the staff person resided within the five years prior to employment, but were dated after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #12 contained Mandated Reporter training dated 2/23/26 but was not completed within 90 days of their date of hire. The file for Staff Person #15 contained a Disclosure Statement dated 2/16/26 but was dated after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #16 contained a Disclosure Statement that did not include a witness signature at the time of inspection. The Disclosure Statement is now current. The file for Staff Person #17 contained a Disclosure Statement dated 1/2/26 but was dated after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #18 contained Mandated Reporter training that was not renewed prior to the expiration date of the most current certification (9/22/20 and 12/23/25). The file for Staff Person #19 contained FBI clearance results dated 3/2/26, NSOR clearance results dated 1/21/26, and a Disclosure Statement dated 1/6/26 but were after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #20 contained State Police clearance results that were not renewed prior to the expiration date of the most current certification (8/3/20 and 11/25/25). The file for Staff Person #21 contained Mandated Reporter training that was not renewed prior to the expiration date of the most current certification (6/24/20 and 7/22/25). The file for Staff Person #22 contained a Disclosure Statement dated 11/5/25 but was dated after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #23 contained FBI clearance results and out-of-state clearances from the state of Texas, where the staff person resided within the 5 years of employment, but were completed after the staff person's first day working in a child care setting (See LlS Code Sheet). The file for Staff Person #24 contained a Disclosure Statement dated 11/21/25 but was dated after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #26 contained Mandated Reporter training that was not renewed prior to the expiration date of the most current certification (6/23/20 and 8/19/25). The file for Staff Person #27 contained PA Child Abuse and NSOR clearance results that were not renewed prior to the expiration date of the most current certificate on file. The file for Staff Person #29 contained out-of-state clearances for the state of Massachusetts, where the staff person resided within 5 years prior to employment, but were dated after the staff person's first day working in a child care setting (See LIS Code Sheet). All files are now current.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The State Police and PA Child Abuse clearance results in the file for Staff Person #5 were for volunteer purposes. The State Police clearance results in the file for Staff Person #8 were for volunteer purposes. The file for Staff Person #13 lacked NSOR clearance results prior to the staff person's first day working in a child care setting (See LIS Code Sheet). Staff Person #18 does not have current PA Child Abuse clearance results. This is evident as the most recent PA Child Abuse clearance results on file are dated 6/18/20, which have expired. The file for Staff Person #30 lacked valid PA Child Abuse clearance results. The PA Child Abuse clearance results on file were for Volunteer purposes. The file for Staff Person #36 lacked out of state clearance results for the state of New York, where the staff person resided within five years prior to employment, prior to the staff person's first day working in a child care setting (See LIS Code Sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #5, #8, #13, #18, #30 and #36 may not work in a child care position at the facility.

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

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

Noncompliance Area: The file for Staff Person #30, identified as an Aide, lacked qualification documents for the position in which the staff person is 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations on file for Staff Persons #1, #11, #18, and #20 were dated more than 12 months apart.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: In Room 109, a trash receptacle near the entrance of the room that contained trash contaminated by human secretions (used tissues) was in a plastic-line receptacle but did not have a closed lid.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In Room 105, handwashing signs were not posted near the toilets in stall #1 and #2. In the children's restroom between Room 109 and Room 110, a handwashing sign was not posted near the toilet in stall #2.

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: Facility files contained documentation of conducting fire drills that exceeded 60 days apart from 6/19//25 to 9/19/25 and 9/19/25 to 11/27/25.

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: Facility files contained documentation of testing the fire detection system that exceed 30 days between testing from 6/19/25 to 7/24/25, 10/17/25 to 11/27/25, and 12/22/25 to 1/22/26.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: According to staff statements, in December 2025, Staff person #1 was alone with 7 infants and no other staff person for 1-5 minutes until a 2nd staff person came into the room.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: *SECOND CITATION Facility person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 12/31/24. Previously cited on SIN-00260683 on 3/12/25. The file for facility person #11 was implemented on 5/12/25.

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

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

Noncompliance Area: *SECOND CITATION The file for facility person #6 (identified as an aide) lacked qualification documents for the position in which they are performing. Previously cited on SIN-00260683 on 3/12/25. The files for facility persons #14 and #20 were implemented on 5/12/25

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: *SECOND CITATION In the Lower Playground, a large tree root that had rough edges was observed causing a tripping hazard to children in care. Two folding tables were observed propped up in the Gym causing a toppling hazard. Previously cited on SIN-00260683 on 3/12/25. The outlet cover plate in Room 104 was implemented on 5/12/25.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Room 102, a children's sofa was observed to be ripping on the cushion seat and arm rests exposing the interior and was not in good repair. In Room 104, a clear bin containing children's toys was observed to be cracked with sharp edges and was not in good repair. The diapering pad in the restroom next to Room 105 was observed to be ripping exposing the interior in several different spots and was not in good repair. In Room 108, the lid to the trash receptacle was observed to be cracked with rough edges and was not in good repair. In Room 110, the countertop to a children's play kitchen was not secure causing a pinch point and was not in good repair. A children's toy fire truck in the Infant Playground was observed to be cracked and was not in good repair. In the Lower Playground, children's bikes were observed to be broken and not in good repair.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the Infant Room, a child was observed sleeping in a crib that lacked at least 2 feet of space on two sides of the crib.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerators in Room 104 and Room 105 were observed not to have an operable thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 10:35am in Room 106, facility person #5 was observed at the diapering table changing a child's diaper. Then, facility person #5 walked away from the diapering table and walked towards the exit doors in the back of the room to attend to a child in care leaving the child on the diapering table unattended and unsupervised. At approximately 10:40am in Room 106, facility person #5 was observed at the diapering table changing another child's diaper. Facility person #5 again walked away from the diapering table and walked towards the exit doors in the back of the room leaving the child unattended and unsupervised on the diapering table.

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: 3270.123(a)

Description: Signed

Noncompliance Area: The financial agreement form in the file for child #2 was not signed by the parent.

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 financial agreement forms in the files for children #2, #3, #4, and #5 did not contain the date on which the fee is to be paid.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The financial agreement forms in the files for children #2, #3, #4, #5, #7, #8, #9, and #10 did not contain information on the services to be provided to the family.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The financial agreement forms in the files for children #3, #4, #5, #7, #8, and #9 did not contain the child's admission date.

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: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: The financial agreement forms in the files for children #2, #3, #7, #8, #9, and #10 did not contain information on the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact forms in the files for children #3, #4, #5, #7, and #8 did not contain information on the child's special needs, which is needed in an emergency situation.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form in the file for child #1 did not contain the policy number for the child's health insurance.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form in the file for child #8 did not contain the telephone number of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The emergency contact forms in the files for children #1, #4, #6, and #8 have not been reviewed and updated by the parent within the last 6 months. The financial agreement form in the file for child #7 has not been reviewed and updated by the parent within the last 6 months. The emergency contact forms and financial agreement forms in the files for children #2 and #10 have not been reviewed and updated by the parent within the last 6 months.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two most recent health assessments in the files for facility persons #1, #9, #16, #18, #25, #27, #28, and #29 are dated more than 24 months apart. Facility person #1: 5/12/22 and 2/18/25. Facility person #9: 8/18/22 and 11/21/24. Facility person #16: 3/2/22 and 6/28/24. Facility person #18: 8/8/22 and 9/27/24. Facility person #25: 12/12/22 and 2/4/25. Facility person #27: 4/7/22 and 8/11/24. Facility person #28: 3/9/22 and 5/20/24. Facility person #29: 8/21/22 and 1/2/25. The file for facility persons #5, #7, #10, #12, #13, and #15 contained documentation of a health assessment but was after the facility persons date of hire. Facility person #5: 9/4/24. Facility person #7: 3/13/24 Facility person #10: 6/18/24 Facility person #12: 9/15/24 Facility person #13: 9/4/24 Facility person #15: 2/17/15 The file for facility person #14 did not contain documentation of a health assessment prior to date of hire.

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The files for facility persons #5, #7, #10, #12, #13, and #15 contained documentation of a TB screening but was dated after the facility persons date of hire. Facility person #5: 9/4/24. Facility person #7: 3/15/24. Facility person #10: 6/7/24. Facility person #12: 9/15/24. Facility person #13: 9/4/24. Facility person #15: 2/27/25.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for facility persons #4 and #26 contained documentation of two written, nonfamily references but were completed and dated after the facility persons date of hire. One of two written, nonfamily references in the files for facility persons #5, #7, and #20 were completed and dated after the facility persons date of hire.

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 current certificate of compliance was not posted in a conspicuous location used by parents. The certificate that was observed to be posted was dated 6/3/23 to 6/3/24.

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 emergency plan trainings in the files for facility persons #1, #3, #11, #16, and #18 are dated more than 12 months apart. The files for facility persons #30 and #31 contained documentation of emergency plan training on 8/21/24 but was not at the time of initial employment.

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 facility persons #1, #2, #9, and #16 lacked the following number of clock hours of child care training in their respective training year. Facility person #1: 12 hours. Facility person #2: 1 hour. Facility person #9: 4 hours. Facility person #16: 11 hours.

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 files for facility persons #1, #3, and #17 did not contain documentation of fire safety training within the last 12 months. The two most recent fire safety trainings in the files for facility persons #11, #16, and #19 are dated more than 12 months apart. The file for facility persons #14 and #31 contained documentation of fire safety training but was not completed within 12 months of hire.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files for facility persons #6, #7 and #10 completed the following required pre-service training but were not completed within 90 days of their date of hire (see LIS code sheet): Health and Safety. The file for facility person #6, #10, #12, and #21 completed the following required pre-service training but was not completed within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR.

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 disclosure statement in the file for facility person #1 is dated 4/17/23, which is after the facility person's date of hire (See IS Code Sheet). The file for facility person #2 contained documentation of NSOR clearance results that was not renewed before the expiration date of the most current certification: 2/7/20 and 2/11/25. The file for facility person #3 contained documentation of PA Child Abuse and FBI clearance results that were not renewed before the expiration date of the most current certification. Child abuse: 7/31/18 and 1/3/25. FBI: 8/23/18 and 5/15/24. The file for facility person #7 did not contain documentation of application of an FBI clearance prior to date of hire (See IS CODE SHEET) as required for provisional hiring under the CPSL. The file for facility person #7 now contains FBI clearance results. The file for facility person #7 contains documentation of child abuse and neglect clearance results and the sex offender clearance results for the state of New York where the facility person resided in five years prior to employment but were dated after the facility persons date of hire (See IS Code Sheet). The file for facility person #10 did not contain documentation of application of a NSOR clearance prior to date of hire (See IS CODE SHEET) as required for provisional hiring under the CPSL. The file for facility person #10 contains NSOR clearance results. The file for facility person #13 contained documentation of child abuse and neglect clearance results for New York where the facility person resided in five years prior to date of hire dated 12/12/24 but was after the facility persons date of hire. (See IS CODE SHEET). The file for facility person #15 contained application of NSOR clearance dated 12/6/24 but was after the facility persons date of hire (See IS CODE SHEET). Facility person #15 has current NSOR clearance results dated 2/21/25. The file for facility person #23 did not contain documentation of application of an FBI clearance prior to date of hire (See IS CODE SHEET) as required for provisional hiring under the CPSL. The file for facility person #23 did not contain documentation of NSOR clearance results prior to date of hire (SEE IS Code Sheet). The file for facility person #23 did not contain application of child abuse and neglect clearance for the state of Florida where the facility person resided in five years prior to employment prior to date of hire (See IS CODE SHEET) as required for provisional hiring under the CPSL. Facility person #23 now has current NSOR and FBI clearance results and also has current child abuse and neglect clearance results for the state of Florida. The file for facility person #24 did not contain documentation of application of a NSOR clearance prior to date of hire (See IS CODE SHEET) as required for provisional hiring under the CPSL and did not contain documentation of application of child abuse and neglect clearance for the state of New York where the facility person resided five years prior to employment. The file for facility person #24 now has documentation of current NSOR clearance results and child abuse and neglect clearance results for New York in the file. The file for facility person #28 contained documentation of PA Child Abuse clearance results that was not renewed before the expiration date of the most current certification: 1/22/20 and 2/23/25. The file for facility person #30 contained documentation of State Sex Offender Registry clearance results for the state of Florida where the facility person resided in the five years prior to employment on 2/24/25 but was after the facility person's date of hire (See IS Code Sheet).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for facility person #8 contained documentation of Mandated Reporter training that was not renewed before the expiration date of the most current certification: 7/27/19 and 8/28/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #15 did not contain documentation of application or clearance results for the criminal history and the child abuse and neglect clearance for the state of West Virginia where the facility person resided in the five years prior to date of hire (SEE IS Code Sheet). The file for facility person #21 did not contain documentation of application or clearance results for child abuse and neglect clearance for the state of New Jersey where the facility person resided in five years prior to employment prior to date of hire (SEE IS Code Sheet). The file for facility person #26 did not contain documentation of FBI clearance results prior to date of hire (See IS CODE SHEET) as required for provisional hiring under the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #15, #21, and #26 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for facility persons #1, #17, #19, and #31 contained documentation of a written evaluation but was not within 12 months of hire. The file for facility person #11 did not contain a written evaluation within the last 12 months. The two most recent written evaluations in the files for facility persons #16 and #22 were dated more than 12 months apart.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: One protective receptacle cover was missing on the back wall in Room 104, and two protective receptacle covers were missing on an extension cord by the diaper changing table in Room 107 which were accessible to children 5 years of age and younger.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: In Room 203, trash that was observed to be contaminated by human secretions was in a plastic-lined receptacle but did not have a closed lid.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: A first aid kit was not present in the gym where children from Room 105 were observed to be receiving care.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: In Room 106 and Room 107, the first aid kits did not contain soap.

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: Handwashing signs were not posted near all toilets in the facility.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: A bookshelf and children's toys were observed obstructing the exit door #103 in Room 104.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The facility had documentation of conducting fire drills on 9/13/24 and 11/18/24 but exceeded 60 days between drills.

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 facility's documentation of testing the fire detection system exceeded 30 days between testing from 5/2/24 to 7/5/24, 7/5/24 to 8/26/24, 8/26/24 to 10/11/24, 10/11/24 to 12/18/24, and 12/18/24 to 2/14/25.

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: Observed dirt/debris under the mats of the diaper changing tables in Room #107 and the Infant Room. Observed a protruding screw on the wooden kitchen playset in the outdoor play space.

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 teeth marks in the foam letters in Room #102. Observed broken foam mat pieces less than one inch in diameter in the Infant/Toddler Outdoor Play Space. This creates a potential choking hazard for children who may still be placing objects in their mouths.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed less than two feet of space on three sides of two pack-n-plays in the Wobblers Room and three pack-n-plays in the Infant Room where children were sleeping.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms in the files for Child #3 and 6 did not include the addresses of the release persons.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The emergency transportation plan was not posted in Room #102.

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

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

Noncompliance Area: The most recent updated health reports in the files for Child #6, 7 and 8 (Preschool Children) exceeded 12 months between reports.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent immunization record in the file for Child #1 lacked documentation of the following immunizations recommended by the CDC for the child's age (22 months). 4th DTAP and 1st Hep A.

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). Child( #1 must be dismissed from care by close of business 3/19/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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 TB screening in the file for Staff Person #4 was conducted after the staff person's first day working with children. The initial health assessments in the files for Staff Person #6, #7, #10, #11, #12 and #16 were conducted after the staff persons' first day working with children. The file for Staff Person #16 lacked an initial TB Screening.

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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Pick-up/Drop-off Procedures were not posted at the facility.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The Emergency Contact Forms in the files for Child #1 through Child #10 have not been updated by parents during the past six months. The Fee Agreements in the files for Child #1, 2, 3, 4, 5, 8, 9 and 10 have not been updated by parents during the past six months.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #8 lacked two letters of reference.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed loose fitting sheets in two of the cribs in the Infant Room and one pack-n-play in the Wobblers Room.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not include accommodations for infants and toddlers.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff Person #5, who has been working at the facility for more than 90 days, has not completed initial training in the facility's emergency plan. (See LIS Code Sheet). The most recent emergency plan trainings in the files for Staff Person #17, #18 and #24 exceeded 12 months between trainings.

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 parent's letter regarding the emergency plan did not include lockdown procedures or accommodations for infants and toddlers.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The most recent fire safety trainings in the files for Staff Person #15, #18, #26 and #30 exceeded 12 months between trainings.

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 Health and Safety Training in the file for Staff Person #11 was conducted more than 90 days after the staff person's first day working in child care at the facility (See LIS Code Sheet).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 and #8 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #5 and #8 will have until 4/25/24 to complete the required training. Until such time as the required training has been completed, staff person #5 and #8 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #5 and #8, staff person#5 and #8 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The Mandated Reporter Training in the file for Staff Person #33 was conducted more than 90 days after the staff person's first day working in child care at the facility (See LIS Code Sheet).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #5 and #8 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #5 and #8 will have until 4/25/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #5 and #8 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #5 and #8, staff person#5 and #8 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 NSOR applications and certificates in the file for Staff Person #5 and #7 were dated after the staff persons' first day working in child care at the facility. The FBI clearance in the file for Staff Person #5 was dated more than 45 days after the staff person's first day working in child care at the facility. The NSOR Certificate in the file for Staff Person #6 was dated more than 45 days after the staff person's first day working in child care at the facility. The disclosure statements in the files for Staff Person #7, #9 and #27 were signed/dated after the staff persons' first day working in child care at the facility. The most recent State Police and Child Abuse clearances in the file for Staff Person #28 exceeded 60 months between clearances.

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

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

Noncompliance Area: The High School Diploma in the file for Staff Person #2 and the College Degree in the file for Staff Person #3 were from foreign institutions and the diploma and degree have not been translated/evaluated. The file for Staff Person #6 lacked documentation of education. The file for Staff Person #8 lacked documentation of education and experience.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent written evaluations in the files for Staff Person #13, #14, #19, #20, #22, #23, #25, #26, #28, #29, #30, #31, #32 and #34 exceeded 12 months between evaluations. The first written evaluations in the files for Staff Person #18, #21 and #27 were conducted more than 12 months after the staff persons' first day working in child care at the facility (See LIS Code Sheet).

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed Clorox disinfecting wipes in an unlocked cabinet under the sink in Room #102.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: Observed two unlabeled bottles of all-purpose cleaner in Room #110 and an unlabeled bottle of bleach in Room #105.

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

Regulation: 3270.72(c)

Description: Good repair

Noncompliance Area: Observed large holes in one window screen in Room #102 and one window screen in Room #108.

Correction Required: Screens shall be in good repair.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed in Room #102: a crack in the wall in the corner by the blocks. Observed in Room #107: white substance on the side of the refrigerator and wall by the fish tank, holes in the wall by the fish tank, strip on the cabinet under sink door was flaking. Observed in Room #108: Hole in the wall by the sink. Observed in Room #109: Exposed wire in the kitchen by the computer. Observed in Room #110: Holes in the wall by the sink. Cracked piece of baseboard in the back corner by the climber. Observed in the Infant Room: Holes in the wall above the diaper cream cabinet. Observed flaking rust on the partitions between the toilet stalls in the bathrooms for Room #105 and #110. Observed in the Infant/Toddler Outdoor Play Space: Trash, debris and leaves along the sides of the fence. Foam noodles were falling apart under the fence. Three spots where boards were loose in the wooden fence. Observed in the PS/SA Outdoor Play Space: Foam mats in the slippery from the mud underneath, which creates a potential slipping/falling hazard. A loose rock in the retaining wall, which creates a toppling hazard, and one cinder block on the ground.

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: Observed peeling paint in the following areas: Corner by the blocks in Room #102. By the train in Room #104. By the outside door and diaper area caused by a missing baseboard in Room #107. Between sink and refrigerator in Room #109.

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

Regulation: 3270.81

Description: Glass

Noncompliance Area: A visual strip or other visual identification was not placed on the glass doors in Room #107 and the Infant Room.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: One of the exits from the Infant Room was blocked with two high chairs. One of the exits of the Wobblers Room was blocked by a half-moon table.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log documents three times when fire drills exceeded 60 days between drills 3/16/23-7/3/23, 7/3/23-9/5/23 and 10/23/23-2/7/24.

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.