Treasure Island Academy

Regulation: 3270.26

Description: Compliance/Nondiscrimination

Noncompliance Area: The facility has not complied with the DHS Civil Rights Bureau of Equal Opportunity renewal inspection requirements, per the DHS Civil Rights denial email on April 28, 2026.

Correction Required: A legal entity must comply with The Pennsylvania Human Relations Act (43 P. S. §§951-962.2), the Age Discrimination Act of 1975 (42 U.S.C.A. §§6101-6107), Title VI of the Civil Rights Act of 1964 (42 U.S.C.A. §§2000d-2000d-4a). Title VII of the Civil Rights Act of 1964 (42 U.S.C.A. §§2000e-2000e-5), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C.A. §794), the Americans with Disabilities Act of 1990 (42 U.S.C.A. §§12101-12514).

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection on 02/17/26 there was no thermometer observed in the young toddler room refrigerator.

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)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 02/17/26 the file reviewed for child #3, child #5, child #6, and child #7 did not include child service report providing family information about child's growth and development.

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(f)/3270.181(c)

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

Noncompliance Area: During the renewal inspection on 02/17/26 the file reviewed for child #1, child #2, child #3, child #4, child #5, child #6 and child #7 did not contain an updated financial agreement.

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: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: During the renewal inspection on 02/17/26 staff person #1 did not clean diaper changing surface after diapering a child.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.151(a)

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

Noncompliance Area: During the renewal inspection on 02/17/26 the file reviewed for staff person #2 and staff person #3 contained a health assessment more than 24 months old.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 02/17/26 provider was unable to produce documentation confirming that annual emergency drill was conducted.

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: During the renewal inspection on 02/17/26 the file reviewed for staff person #4 and staff person #5 did not contain emergency plan training at 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: During the renewal inspection on 02/17/26 the file reviewed for staff person #1, staff person #2, and staff person #3 did not contain 12 hours of annual childcare training.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 02/17/26 there were missing protective receptable covers throughout the facility.

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: During the renewal inspection on 02/17/26 cleaning supplies were observed in the older toddler room accessible to children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 02/17/26 there was a hole observed in the wall of the older toddler room.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the renewal inspection on 02/17/26 provide was unable to produce documentation confirming that fire drills were conducted every 60 days.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the complaint investigation on 02/04/26 it was confirmed that on 01/29/26 staff person #2 left (5) children unsupervised in the classroom.

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. Children must be supervised at all times.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the complaint investigation on 02/04/26 it was confirmed that on 01/29/26 the infant classroom was out of ratio with (5) children and (1) staff person. During the investigation on 02/04/26 several classrooms were observed out of ratio. Staff person #1 was observed alone with (6) infants. Staff person #2 was observed alone with (5) infants. Staff person #3 was observed alone with (17) older toddlers. Staff person #4 and staff person #5 were observed with (14) young toddlers. Continued noncompliance from the complaint investigation on 11/25/25 and 12/11/25.

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: 3270.17(a)

Description: Accommodate a child with special needs

Noncompliance Area: During the complaint investigation on 12/23/25 it was determined that staff person #1 sent out a memo on 12/10/25 to all outside therapists denying services to children in the facility during program hours.

Correction Required: The operator shall make reasonable accommodation to include a child with special needs in accordance with applicable Federal and State laws.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the complaint investigation on 11/25/25 it was found that on 11/14/25 child #1 was not supervised by a staff person at all times when child # 1 walked out of the front door of the facility. Staff person # 1 was assigned the responsibility of child # 1 during the incident.

Correction Required: 1) Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. 2) Legal entity must ensure that all staff members receive training regarding supervision. Certification representative will submit training referral. 3) The Legal entity will utilize a checklist within each classroom at the facility to monitor supervision/and ratio at the facility for a minimum of three months from the date in which the checklist is approved. The supervision/ratio checklist will be reviewed onsite during facility visits by Regional Office staff over a three-month period.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: During the complaint investigation on 11/25/25, (2) children were observed being confined to highchairs outside of feeding time.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the unannounced monitoring on 11/25/25 staff person #2 was observed working unsupervised with children without having completed preservice training and mandated reporter 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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the unannounced monitoring visit on 11/25/25 the file reviewed for staff person #1 did not contain an initial health assessment prior to working with children.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the unannounced monitoring visit on 11/25/25 the file reviewed for staff person #2 did not include required Health & Safety training within 90 days of hire.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the unannounced monitoring visit on 11/25/25 the file reviewed for staff person #3 (see code sheet) did not contain required NSOR certificate. The file reviewed for staff person #2 (see code sheet) did not contain mandated reporter training and was observed working unsupervised with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #1 and staff person #2 may not work in a childcare position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the complaint investigation on 11/25/25 two classrooms were observed out of ratio. Staff person #1 was observed alone in the infant room with (5) infants. Staff person #2 was observed alone in the toddler classroom with (7) toddlers. During the complaint investigation on 12/11/25, facility was observed out of ratio. Staff person #2 and staff person #4 were observed in toddler classroom with (13) toddlers.

Correction Required: 1) The required staff: child ratios must be maintained at all times. 2) Legal entity must ensure that all staff members receive training regarding ratio. Certification representative will submit training referral. 3) Legal entity will utilize a checklist within each classroom at the facility to monitor supervision/and ratio at the facility for a minimum of three months from the date in which the checklist is approved. The supervision/ratio checklist will be reviewed onsite during facility visits by Regional Office staff over a three-month period.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 02/26/25 the file reviewed for child #1, child #2, child #3 and child #4 did not include a child service report.

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: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During the renewal inspection on 02/26/25 the health assessment reviewed for staff person #1 was expired, dated 02/09/23. The file reviewed for staff person #2 did not include an initial health assessment.

Correction Required: An adult health assessment must include a physical examination. 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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection on 02/26/25 the fire safety training reviewed for staff person #1 was not completed annually.

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: 3270.37(b)(1)

Description: HS/GED

Noncompliance Area: During the renewal inspection on 02/26/05 the file reviewed for staff person #2 did not contain verification of education.

Correction Required: An aide shall have a high school diploma or a general educational development certificate.

Regulation: 3270.61(f)

Description: No business simultaneous use

Noncompliance Area: During the renewal inspection on 02/26/25 room #3, identified as childcare space, was being used as storage.

Correction Required: Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection on 02/26/25 there was chipping paint observed in the indoor play area.

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

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During the unannounced monitoring inspection on 01/07/25 the file reviewed for staff person #2 did not include a health assessment.

Correction Required: An adult health assessment must include a physical examination. 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: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: During the unannounced monitoring visit on 01/07/25 a copy of the most current inspection summary and letter was not posted.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the unannounced monitoring inspection on 01/07/25 the file reviewed for staff person #2 did not include 10hr health and safety preservice training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the unannounced monitoring inspection on 01/07/25 the file reviewed for staff person #1 hired on (see code sheet) did not contain PA criminal clearance, NSOR certificate, PA child abuse clearance, FBI clearance, or disclosure statement. Staff person #2 hired on (see code sheet) did not contain disclosure statement.

Correction Required: 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 may not work in a childcare position at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the complaint investigation on 9/3/24 it was determined that child #1 sustained an injury. Staff was unaware that this injury occurred due to lack of supervision.

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)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 9/3/24 the file reviewed for child #3 and child #4 did not contain a child service report.

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: During the renewal inspection on 9/3/24 the fee agreement reviewed for child #2, child #5 and child #6 did not include 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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection on 9/3/24 the file reviewed for child #5 did not include telephone number for child"s physician.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection on 9/3/24 the emergency contact form reviewed for child #4 and child #5 did not include release person's address.

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

Description: Initial health report for young toddler no more than 6 months/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection on 9/3/24 the file reviewed for child #1 and child #2 did not contain a health report within 60 days of child's admission.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

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

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

Noncompliance Area: During the renewal inspection on 9/3/24 the file reviewed for child #4 did not include an updated health report within 12 months. Health assessment dated 9/1/23.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 9/3/24 the file reviewed for child #2 and child #5 did not include a fee agreement. The file reviewed for child #6 included a fee agreement that was not reviewed/updated within 6-month time period.

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

Regulation: 3270.182(7)

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

Noncompliance Area: During the complaint investigation on 9/3/24 it was determined that the facility failed to complete and provide parent with an incident report for child #1 upon sustaining an injury.

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

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

Description: Age and Training

Noncompliance Area: During the renewal inspection on 9/3/24 the file reviewed for staff person #2 did not contain a current pediatric first aid/cpr certification from a PQAS approved instructor.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 9/3/24 staff person #1 hired (see code sheet) did not have a completed child abuse, DHS FBI clearance, or NSOR certificate on file. Receipt for NSOR dated 8/21/24. Receipt for child abuse dated 8/26/24. CONTINUED NON-COMPLIANCE from complaint investigation on 08/21/24.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a childcare position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Certification representative has confirmed that facility has been operating out of ratio. During visit (4) classrooms were observed being out of ratio. In classroom #1 there were (6) infants present with staff member #2. In classroom #5 there were (12) older toddlers present with staff member #3. The youngest child present was 2yo. In classroom #4 there were (16) preschool children present with staff member #4. The youngest child present was 3yo. In classroom #7 there were (9) young toddlers present with staff member #5. The youngest child present was 1yo.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: During the renewal inspection on 9/3/24 certification representative observed (4) classrooms out of ratio. In classroom #1 there were (6) infants present with staff member #2. In classroom #5 there were (12) older toddlers present with staff member #3. The youngest child present was 2yo. In classroom #4 there were (16) preschool children present with staff member #4. The youngest child present was 3yo. In classroom #7 there were (9) young toddlers present with staff member #5. The youngest child present was 1yo. CONTINUED NON-COMPLIANCE from complaint investigation on 08/21/24.

Correction Required: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding ratio and supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the renewal inspection on 9/3/24 certification representative observed (4) classrooms out of ratio. In classroom #1 there were (6) infants present with staff member #2. In classroom #5 there were (12) older toddlers present with staff member #3. The youngest child present was 2yo. In classroom #4 there were (16) preschool children present with staff member #4. The youngest child present was 3yo. In classroom #7 there were (9) young toddlers present with staff member #5. The youngest child present was 1yo. CONTINUED NON-COMPLIANCE from complaint investigation on 08/21/24.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: During the renewal inspection on 9/3/24 certification representative observed (4) classrooms out of ratio. In classroom #1 there were (6) infants present with staff member #2. In classroom #5 there were (12) older toddlers present with staff member #3. The youngest child present was 2yo. In classroom #4 there were (16) preschool children present with staff member #4. The youngest child present was 3yo. In classroom #7 there were (9) young toddlers present with staff member #5. The youngest child present was 1yo. CONTINUED NON-COMPLIANCE from complaint investigation on 08/21/24.

Correction Required: 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 Southeast Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.61(f)

Description: No business simultaneous use

Noncompliance Area: During the renewal inspection on 9/3/24 (2) childcare classrooms #2 and #3 were observed being used for storage.

Correction Required: Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 9/3/24 there was a missing receptacle cover observed in the infant classroom.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the renewal inspection on 9/3/24 handwashing signs were missing from sink in the infant classroom and young toddler classroom.

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: 3270.151(a)

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

Noncompliance Area: During the unannounced monitoring on 08/21/24 the file reviewed for staff person #1 did not contain an initial health assessment prior to working in a childcare setting.

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 childcare setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the unannounced monitoring on 08/21/24 the file reviewed for staff person #1 and staff person #2 did not contain emergency plan training at time of initial hire.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the complaint investigation on 8/21/24 staff person #1 hired (see code sheet) does not have a completed child abuse, PSP criminal history clearance, or NSOR certificate on file. Staff person #2 hired (see code sheet) does not have a completed PSP criminal clearance or child abuse on file. Furthermore, on 8/21/24 staff person #1 and staff person #2 were observed in a young toddler room working alone with children and was not in the vicinity of a permanent employee.

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. Staff person #1 and staff person #2 may not work in a childcare position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the complaint investigation on 08/21/24 CR observed (2) classrooms out of ratio. Classroom #1 contained (27) young toddlers, youngest child 2yo, with (2) staff members. Classroom #2 contained (10) young toddlers, youngest child 2yo, with (1) staff member. Staff: child ratio for young toddlers is 1:6.

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: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection on 09/19/23 the main refrigerator was missing 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: 3270.131(b)(2)/3270.182(1)

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

Noncompliance Area: During the renewal inspection on 09/19/23 the file reviewed for child #1, child #2 and child #3 and child #4 did not contain updated health assessment.

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: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During the renewal inspection on 09/19/23 the health assessment reviewed for staff person #1 and staff person #2 were expired. Staff person #1 health assessment dated 02/03/21. Staff person #2 health assessment dated 02/25/19.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During the renewal inspection on 09/19/23 there were bottles of milk sitting out unrefrigerated observed in the nursery #1 classroom and nursery #2 classroom. Children's lunch boxes were observed sitting out unrefrigerated in the toddler #2 classroom.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 09/19/23 the emergency contact form for child #1 and the fee agreement for child #2, child #3 and child #4 were expired and not updated within 6-month time period.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection on 09/19/23 the training record reviewed for staff person #3 hired (see code) did not include 10 hr PA Health & Safety training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 09/19/23 the file reviewed for staff person #3 hired (see code sheet) did not include child abuse clearance or NSOR certificate. Staff person #4 hired (see code sheet) did not include NSOR certificate.

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. Staff person #3 and staff person #4 may not work in a childcare position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 09/19/23 there were missing outlet covers observed in pretoddler classroom, classroom hallway, bathroom #1, bathroom #2 and by changing table.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During the renewal inspection on 09/19/23 there was no first aid kit located in the indoor play space.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 09/19/23 the first aid kit located in the nursery #2 classroom was missing scissors. The first aid kit located in the toddler 2 classroom was missing 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: During the renewal inspection on 09/19/23 there were no handwashing signs located by the sink in the nursery #2 classroom.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: During the renewal inspection on 09/19/23 the bathroom used by children was missing lidded waste receptacle.

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

Noncompliance Area: The operator lacked verification of the annual written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility. Provide and submit verification of written notification of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility to the local safety authorities as specified. Ensure that this notification is sent annually.

Noncompliance Area: One staff person's record did not contain written verification of initial emergency plan training at the time of initial employment.(#1)

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. Submit written verification of the completed training. Revise and submit written policies and procedures regarding emergency planning training to ensure that it is completed as specified in this regulation and retained in the staff person's file.

Noncompliance Area: Two staff person's records did not contain written verification of experience for their aide positions. (#2 and #3)

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

Noncompliance Area: Several electrical outlets in the girls and boys bathrooms lacked protective covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Obtain and place protective covers in the electrical outlets. Ensure that all electrical outlets are equipped with protective covers when not in use. Notify staff persons of this requirement and submit written documentation of staff notification that includes each staff persons signature.

Noncompliance Area: One staff person's record did not contain a health assessment completed within the past 24 months. (#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. Obtain and submit a current up-to-date health assessment for the identified staff person. Ensure that health assessments are completed within the required timeframes.

Noncompliance Area: Infant bottles observed in the infant room were not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name. Label the bottle with the child's name and ensure that all children's bottles are properly labeled.

Noncompliance Area: There was no written documentation verifying that the director had completed written evaluations of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Submit copies of the completed written staff evaluations for the indicated staff person. Ensure that written staff evaluations are completed in accordance with this regulation.

Noncompliance Area: One child's emergency contact information did not include the name, address and telephone number of the child`s physician or source of medical care. (#1)

Correction Required: Emergency contact information must include the name, address and telephone number of the child`s physician or source of medical care. Obtain and submit a written copy of the missing physician or source of medical information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Noncompliance Area: One child's emergency contact information did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released. (#1)

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. Obtain and submit a written copy of this missing information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Noncompliance Area: An infant bottle observed in the infant room was not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child`s name. Label the bottle with the child's name. Develop and submit a written protocol for proper labeling of bottles. Notify all facility staff of this protocol. Submit written verification of this notification that includes each staff person's signature.

Noncompliance Area: On 3/2/17, a child became ill while in care and subsequently received emergency room treatment. The facility failed to provide a parent the original report of the child's illness on the day of the incident.

Correction Required: A child`s record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child`s file. Ensure that parents are provided the original report on the day of the incident involving an injury, accident or illness. Revise and submit written policies and procedures to ensure that parents are provided the original incident report on the date of the incident.

Noncompliance Area: On 3/27/17, a child received emergency room treatment subsequent to becoming ill at the facility and the operator failed to notify the regional office within 24 hours of the emergency room treatment.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. Revise and submit written policies and procedures regarding incident reporting and notification in relation to emergency room treatment for children in care.

Noncompliance Area: One facility person's record did not contain written verification of annual emergency plan training. (#1)

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. Obtain and submit written verification of annual emergency plan training for the identified staff person. Ensure that all facility staff receive emergency plan training at the time of initial employment and annually.

Noncompliance Area: A staff person gave a child food that had not been provided by parent as per parent and operator agreement. (child#1)

Correction Required: Meals and snacks may be provided by the parent, upon agreement between the parent and the operator. Revise and submit written policies regarding meals to ensure that children are only fed food provided by the parent as per the parent and operator agreement.