Totally For Kids Academy Inc

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: An unannounced inspection occurred at the facility to conduct a complaint inspection. Staff #1 admitted to slapping Child #1 in the face in response to Child #1 intentionally coughing in the face of Staff #1 on 3/10/26.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. (THIS PORTION OF THE PLAN SHALL HAVE AN IMMEIDATE CORRECTION DATE.) 2. The legal entity will arrange for Staff #1 to schedule and participate in the training 'Big Emotions and Self-Regulation for Adults and Children.' The Legal Entity will send a copy of this completed training to the Regional Office and will keep a copy in the file of Staff #1. (THE LEGAL ENTITY SHALL PROVIDE A DATE FOR WHEN THIS TRAINING WILL BE COMPLETED.) 3. The Legal Entity will develop a policy that includes that the facility will not use physical discipline, the use of appropriate discipline and ways staff can work together to support one another during stressful situations. The policy will be submitted to the Regional Office for review and approval. Once the policy is approved, the Legal Entity will review the policy with all and any new staff in the future. Staff will sign indicating their understanding of the policy and these signatures will remain on file at the facility. (THE LEGAL ENTITY SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED.)

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection occurred at the facility on 10/23/25. A review of children's files was conducted. Regulation requires children's emergency contact and agreement forms to be update at least every 6-month period. The following children's forms were not updated at least every 6-month period: Child #2 (agreement and emergency contact previous 9/25/24, current 9/22/25), Child #3 (agreement and emergency contact previous 11/10/24, current 9/17/25) and Child #4 (agreement and emergency contact previous 9/5/24, current 9/16/25).

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)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: A renewal inspection occurred at the facility on 10/23/25. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to have a health assessment and tuberculosis screening prior to working in a child care position at the facility. The following staff did not obtain a health assessment or tuberculosis screening prior to working in a child care role at the facility: Staff #5. Staff #5 received a health assessment and tuberculosis screening on 12/11/24.

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. 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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: A renewal inspection occurred at the facility on 10/23/25. A review of staff files was conducted. Regulation requires staff to participate in pediatric first aid/CPR training prior to the current certification expiring. The following staff did not participate in pediatric first aid/CPR training prior to their current certification expiring: Staff #2, #3 and #4 (previous 4/21/23, current 5/5/25).

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. Until such time as the required pre- service trainings are completed, staff persons #2, #3 and #4 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #2, #3 and #4, staff persons #2, #3 and #4 may not work in a child-care position at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not patriciate in annual fire safety training: Staff #1, #2, #3 and #4 (previous 3/26/24, current 4/24/25).

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: A renewal inspection occurred at the facility on 10/23/25. A review of staff files was conducted. See the code sheet for the date of hire. Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire: pediatric first aid/CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)10. Until such time as the required pre- service trainings are completed, staff person #5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #6 was not hired correctly per the CPSL. Staff #6 did not have on file prior to working in child care a completed NSOR clearance. Staff #6 was observed working in child care at the time of this inspection. The CPSL requires staff to update their clearances at least every 60 months. The following staff did not update their clearances at least every 60 months: Staff #1 (previous state police 11/5/19, current 2/21/25) and Staff #5 (previous state police 8/29/20, current 10/23/25; previous child abuse 9/10/20, current 10/23/25; and previous FBI 9/14/20, no current). Staff #5 was working in child care at the time of this inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. TIERED LIS: 1) The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1, #5 and #6 must be removed from a child care position with direct contact and routine interaction with children until all missing clearances are completed and on file at the facility. ((This portion of the plan requires an immediate date of correction.)) 2) The director will create a checklist/form to track clearances per the CPSL regarding hire and updates to ensure clearances are obtained and updated as appropriate. This checklist/form will be submitted to the Regional Office for review and, upon approval, will be immediately implemented and placed in each staff's file to track clearances. ((The operator shall provide a date for when this checklist/form will be completed and implemented.))

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Regulation requires the facility's emergency transportation plan to be posted conspicuously in every child care space. This plan was not posted in any classroom during this inspection.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's emergency plan procedures was conducted. At the time of the inspection, staff were unable to provide for review a copy of the facility's continuity of operations plan.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. 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: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics. Staff #3 was observed working unsupervised during this inspection.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 9) within 90 days of hire. Staff person #3 will have until 11/21/24 to complete the required training. Until such time as the required training has been completed, staff person #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 available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in a health assessment at least every 24 months. The following staff did not participate in a health assessment every 24 months: Staff #1 (previous 11/18/20, no current) and Staff #2 (previous 7/19/2, current 1/23/24). Regulation requires staff to participate in a health assessment prior to providing child care. See the code sheet for the staff's date of hire. Staff #3 worked in a child care role at the facility and did not receive a health assessment until 10/1/24.

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: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in a tuberculosis screening prior to providing child care. See the code sheet for the staff's date of hire. Staff #3 worked in a child care role at the facility and did not receive tuberculosis screening results until 10/4/24.

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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's emergency plan was conducted. At the time of the inspection, staff were unable to provide documentation that the facility had participated in an annual emergency drill.

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: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to review the facility's emergency plan with in 90 days of their hire date. Staff #3 did not review the emergency plan within 90 days of their hire date. Staff # 3 reviewed the emergency plan on 9/16/24.

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(f)

Description: Emergency plan

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's emergency plan was conducted. At the time of the inspection, staff were unable to provide documentation that the emergency plan was sent to the local municipality.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics. Staff #3 was observed working unsupervised during this inspection.

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 #3 will have until 11/21/24 to complete the required training. Until such time as the required training has been completed, staff person #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 available to supervise staff person #3, staff person #3 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: A renewal inspection occurred at the facility. A review of staff files was conducted. The CPSL requires clearances to be updated every 60 months. Staff #1 did not update their child abuse clearance every 60 months. (previous 8/11/15, update 3/17/21). The file of Staff #1 contained a volunteer child abuse clearance dated 7/1/19 that is not valid to work in child care according to the CPSL. Staff #3 was not hired correctly as a provisional hire per the CPSL. See the code sheet for the staff's date of hire. Staff #3 did not receive a child abuse clearance until 7/31/24, which was after the staff's date of which they began working in child care. Staff #3 also lived out of state within the last 5 years. Staff #3 did not have the documentation that the out of state clearances had been applied for prior to working in child care. Staff #3 was working unsupervised at the time of this inspection.

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. Facility Person #3 may not work in a child care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire system testing log was conducted. Regulation requires the fire safety system to be tested at least every 30 days. The following tests did not occur at least every 30 days: 3/28/24-4/30/24, 6/26/24-7/31/24 and the last documented test occurred on 8/26/24.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, exposed bolts were observed along the playground fencing. A cracked picnic table was observed on the playground presenting a pinch point. A slide was observed tipped on its side in the toddler room presenting a crushing hazard.

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: A renewal inspection was conducted on 10/27/23. At that time, plastic bags were observed in an unlocked, floor level, drawer in the infant room where infants and young toddlers were receiving care. Plastic bags were observed on the floor and hanging from cubbies in the older toddler room and were accessible to the older toddlers who were receiving care in the room. Plastic bags were observed in unlocked, floor level cabinets in the main room where toddlers were receiving care. Plastic bags were observed on the floor level shelves of the cubbies in the main room where the toddlers were receiving care.

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(e)

Description: Restraints prohibited

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, Staff Person #1 stated that Child #2 was restrained in the high chair for spitting on another child.

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

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, Child #6, an infant, was observed sleeping in a pack-n-play with a pacifier with a strap attached to it. A blanket was propped under the child's back while they were sleeping.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, the child files were reviewed. The following child files did not include child service reports: Child #2, Child #3, Child #4, and Child #5.

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

Regulation: 3270.124(b)(2)/3270.124(b)(3)

Description: Physician name, address, phone/Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, the emergency contact information for Child #1 did not include the parents' work address and work phone number or the address of the child's physician.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, the emergency contact forms were not in the classrooms where the children receive care.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, the emergency contact form and financial agreement for Child #2 had not been updated since 2/24/23.

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

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, the child immunization records were reviewed. The immunization record for Child #3 included a flu vaccine last administered on 10/5/21. The immunization records for Child #4 and Child #5 did not include administration of the flu vaccine. None of the files include a letter of exemption.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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. Child #3, Child #4, and Child #5 must be dismissed from care by close of business 10/27/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, then staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, the facility did not have a policy to identify the prevention of 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. Beginning April 29, 2022, all child care facilities must have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, the file for Staff Person #1 was reviewed. The health report and TB test was dated 9/27/23 and 9/30/23 respectively, which is after the date of hire for Staff Person #1.

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. 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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, the owner stated that parents had not been provided with an electronic way of accessing the regulations.

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(a)(5)

Description: Emergency plan

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions was not included in the emergency plan.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, Staff person #2, Staff Person #3, Staff Person #4, and Staff Person #5 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #2, Staff Person #3, Staff Person #4, and Staff Person #5 shall complete the required one-hour 2022 update to the health and safety training by 11/11/23.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, the staff the files were reviewed. The file for Staff Person #1 included a PA State Police clearance that was requested 10/20/23, which was after their date of hire.

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

Regulation: 3270.36(b)(3)/3270.192(2)(ii)

Description: HS/GED, 15 credits + 1 yr/Exp, educ., training prior to facility

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, the staff files were reviewed. The file for Staff Person #1, an assistant group supervisor, contained a bachelor's degree in fashion, but did not include transcripts or verification of experience prior to working at the facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, Staff Person #3 stated that they had 16 preschool children in their group.

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, a surge protector located on the kitchen counter in the lunch room approximately 2'6" high was observed with four outlets that were not equipped with protective covers. The surge protector was plugged into an electrical outlet in the wall. The outlets were accessible to the preschool children in the lunch room.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, miracle gro and Clorox bleach were observed on the floor of the unlocked kitchen closet and were accessible to the preschool children in the lunch room. A swiffer wet jet was observed on the floor next to the table where the preschool children were eating lunch in the lunch room. All items were labeled "keep out of reach of children."

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

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, the hot water in the boys bathroom sink reached a temperature of 116° F.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, neither bathroom was equipped with a lidded trash can.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection was conducted on 10/27/23. At that time, the thirty day testing log was reviewed. The dates the fire detection system was tested were: 1/25/23, 2/23/23, 3/21/23, 4/3/23, 5/29/23, 6/30/23, 7/27/23, 8/20/23, 9/29/23, and 10/20/23. There were three occasions where the system was not tested every 30 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: 3270.31(f)(10)

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

Noncompliance Area: Staff persons #-1-2- have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(10), within 90 days of hire. Staff persons #-1-2- must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: Per inspection on 10/14/21 it was revealed that Staff # 1, # 2, & # 3 have not completed mandated reporter training within the required five year renewal requirement per the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The emergency contact information on file for child # 1 does not include the physician's address or the health insurance name and policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: The health assessment on file for staff person # 2 is older than 24 months; it dated 6/16/17, therefore no longer valid.

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.

Noncompliance Area: The emergency contact form and financial agreement on file for child # 2 was not updated at least once in a six month period. The emergency contact forms are dated 1/28/19 and 10/10/19 and the financial agreement form is dated 1/28/19.

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.

Noncompliance Area: There is no written consent for the administration of emergency medical care or minor first aid on file for Child # 3.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

Noncompliance Area: There is no proof of education and/or experience on file for Staff person # 1.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: There are television cords hanging from a mounted television in the toddler room that are accessible to the children.

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

Noncompliance Area: There is no source of running water for handwashing in the infant and toddler diapering areas.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Noncompliance Area: Staff person# 1 was hired on 5/20/2019 and there is no initial health assessment on file.

Correction Required: 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.

Noncompliance Area: Staff person # 1 started on 5/20/2019. There is no state police clearance on file or proof that a state police clearances was requested.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person # 1 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.

Noncompliance Area: The fence on the outdoor play space and the metal swing set has exposed bolts. There is a sharp edge on the metal swing set under the seesaw.

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.

Noncompliance Area: The emergency contact form on file for Child # 4 does not have the Health Insurance policy number.

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

Noncompliance Area: There is no address provided for the release persons listed on the emergency contact forms for Children # 1, 2, and 3.

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.

Noncompliance Area: There is no hands free lidded trash can at the diapering station in the infant room. There was a plastic bag with soiled diapers hanging from a door knob.

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.

Noncompliance Area: The emergency contact form on file for Child # 2 was reviewed by the parent on 1/23/18 and then again on 9/4/18. The emergency contact from on file for Child # 5 was reviewed by the parent on 10/6/17 and then again on 9/3/18. The financial agreement on file for Child # 2 was last reviewed by the parent on 1/25/18. The financial agreement on file for Child # 5 was last reviewed by the parent on 10/6/17.

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.

Noncompliance Area: THERE IS NO DAILY ACTIVITIES SCHEDULE IN THE INFANT OR TODDLER ROOMS.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: THE AGREEMENT ON FILE FOR CHILD # 1 DID NOT HAVE THE FEE AMOUNT OR DATE IN WHICH THE FEE IS TO BE PAID.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: THE EMERGENCY CONTACT FORM AND FINANCIAL AGREEMENT ON FILE FOR CHILD # 1 WAS LAST REVIEWED AND UPDATED BY THE PARENT ON 1/8/2017.

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.

Noncompliance Area: THERE IS NO WRITTEN CONSENT FOR EMERGENCY MEDICAL CARE OR THE ADMINISTRATION OF MINOR FIRST AID PROCEDURES ON FILE FOR CHILD # 2.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

Noncompliance Area: THE CHILD ABUSE AND FBI CLEARANCES FOR STAFF PERSON # 2 ARE OLDER THAN 5 YEARS. THE CHILD ABUSE CLEARANCE IS DATED 12/12/2011 AND THE FBI CLEARANCE IS DATED 12/7/2011. STAFF PERSON # 1 WAS HIRED ON 9/26/2017; THERE IS NO FBI CLEARANCE ON FILE OR PROOF OF FINGERPRINTING.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 AND # 2 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 # 1 and # 2 may not work in a child care position at the facility.

Noncompliance Area: THERE WAS A TOXIC AIR FRESHENER PLUGGED INTO AN OUTLET ACCESSIBLE TO THE CHILDREN IN THE TODDLER AND PRESCHOOL CLASSROOMS.

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

Noncompliance Area: FACILITY DOES NOT HAVE AN EMERGENCY PLAN

Correction Required: The facility shall have an emergency plan