Tyrone Area Elementary School

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: It was observed that the facility was out of ratio for 22 minutes on the day of inspection.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The facility was observed to have a wooden table in the older toddler room and one in the young toddler room and both tables had loose legs making the tables unsteady.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The facility was observed to lack a written plan of daily activities posted the Small Gym or in a binder/go bag.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The facility was observed to lack a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in any of their child care spaces or in binders/go bags.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for child #1 was observed to contain a health report that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The facility was observed to lack a posting of the emergency plan at a conspicuous location.

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The facility was observed to lack a posting of the telephone numbers to the nearest hospital, police department, fire department, ambulance and poison control center in the small gym or in a binder/go bag.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The facility was observed to lack hand washing signs at the sinks and toilets of the boy's restroom.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed 2 protruding bolts on the bottom step of the two-tunnel climber in the outdoor play space. Observed rust on the swing of the two-tunnel climber in the outdoor play space.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: 2nd citation. Previously cited on 4/10/24. The emergency contact for Child #1 was not reviewed and updated at least once in a 6-month period. Child #1's emergency contact was signed on 7/15/23.

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: 3270.34(b)(1)/3270.192(2)(ii)

Description: Bachelor's + 1 yr/Exp, educ., training prior to facility

Noncompliance Area: 2nd citation. Previously cited on 4/10/24. The file of Staff #1, who was designated as the director, lacked documentation of 1 year of experience with children.

Correction Required: A director shall have attained a bachelor's degree 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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: 2nd citation. Previously cited on 4/9/24. Observed an electrical outlet which lacked a protective receptacle cover under the white board in the LGI Room.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: 2nd citation. Previously cited on 4/9/24. The hot water temperature at the sink in Room B106 was 115.7 degrees. The hot water temperature at the sink in Room B107 was 118 degrees.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 4/9/24 observed a waste receptacle with a broken lid in Room B107. On 4/9/24 observed a cracked Little Tykes label on a child's wheelbarrow creating rough edges in the Toddler Outdoor Play Space. On 4/9/24 observed waste receptacles with broken lids at the bathrooms located in the hall. On 4/9/24 observed a torn mat with exposed foam in Room B106. On 4/9/24 observed cracked blue triangle Magna Tile in Room B108. On 4/9/24 observed a cracked corner on a green LEGO base creating rough edges in the LGI Room.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: On 4/9/24 observed a white shelf by the teacher's desk in Room B106 which moved from side to side.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 4/9/24 observed rest equipment not labeled for the use of a specific child in Room B106.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement for Child #3 was not signed by the operator.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The agreement for Child #3 did not include the services to be provided to the family and the child.

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)(5)

Description: Designated release persons

Noncompliance Area: The agreement for Child #3 did not specify the persons designated by a parent to whom the child may be released.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement for Child #3 did not specify the date of the child's admission.

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

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: The agreement for Child #3 did not specify services which are to be considered as extra.

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

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The file of Child #1 contained the original agreement. The facility did not make a copy for the file and give the original to the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information for Child #2 did not include the complete address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 4/9/24 when Child #5 was receiving care in Room B107, emergency contact information for Child #5 was not present in the child care space. On 4/9/24 when Child #6 was receiving care in Room B108, emergency contact information for Child #6 was not present in the child care space.

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: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The file of Child #4 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #4 contained a health report dated 9/1/22.

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.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: On 4/9/24 observed the parent did not provide written consent for administration of medication for Child #1.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: On 4/9/24 the operator did not establish and maintain a medication log for nonprescription medication for Child #7.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact for Child #2 was not reviewed and updated at least once in a 6-month period. Child #2's emergency contact was signed on 7/28/23 and reviewed on 2/7/24. The emergency contact for Child #4 was not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was signed on 7/15/23.

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(8)

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

Noncompliance Area: It was observed that an agreement was not on file at the date of enrollment for Children #2 and #4. Child #2 who had an admission date of 8/24/23 had an agreement dated 9/19/23. Child #4 who had an admission date of 8/24/23 had an agreement dated 9/6/23.

Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.27(a)(3)

Description: Contact when arises

Noncompliance Area: The facility did not have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: The facility did not have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safety be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files of Staff #2, #3, and #8 lacked documentation of training regarding the emergency plan on an annual basis. The files of Staff #2, #3, and #8 contained documentation of emergency plan training completed on 10/10/23 with a previous one completed on 9/13/22. The file of Staff #4 lacked documentation of training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The file of Staff #4 contained documentation of emergency plan training completed on 10/10/23.

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

Regulation: 3270.27(e)

Description: Letter to parents

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

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files of Staff #2 and #3 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files of Staff #2, #3, and #8 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The files of Staff #2, #3, and #8 contained documentation of fire safety training completed on 10/10/23 with a previous one completed on 9/13/22.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files of Staff #6 and #7 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #6 contained documentation of completing health and safety training on 3/15/24. The file of Staff #7 contained documentation of completing health and safety training on 11/27/23.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The files of Staff #1 and #6 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 3/18/24. The file of Staff #6 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 4/4/24.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

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

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #5 will have until May 11, 2024, to complete the mandated reporter training. Until such time as the required training has been completed, staff person #5 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 #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: The file of Staff #1, a provisional hire, lacked a National Sex Offender Registry Certificate within 45 days of start (SEE LIS Code Sheet). The file of Staff #1 contained a NSOR dated 3/13/24, and no documentation indicated Staff #1 was suspended after 45 days.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file of Staff #3 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #3 contained a written evaluation dated for January 2023 to January 2024 with a previous one dated 1/25/22.

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

Regulation: 3270.34(b)(1)/3270.192(2)(ii)

Description: Bachelor's + 1 yr/Exp, educ., training prior to facility

Noncompliance Area: The file of Staff #5, who was designated as the director, lacked documentation of 1 year of experience with children.

Correction Required: A director shall have attained a bachelor's degree 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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 4/9/24 observed an electrical outlet which lacked a protective receptacle cover behind the 2nd level of an open shelf by the teacher's desk in Room B106. On 4/9/24 observed an electrical outlet which lacked a protective receptacle cover on the right wall to the left of the bump out in the LGI Room. On 4/9/24 observed an electrical outlet which lacked a protective receptacle cover under the white board in the LGI 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: On 4/9/24 observed Clorox Disinfecting Wipes and Fantastik Multi-surface Disinfectant Greaser which indicated "keep out of the reach of children" on the 2nd shelf from the bottom of the metal cabinet which were accessible to children in the LGI Room.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: On 4/9/24 the hot water temperature at the sink in Room B106 was 117.5 degrees F. On 4/9/24 the hot water temperature at the sink in Room B107 was 117.1 degrees F.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: On 4/9/24 observed two first aid kits on the 2nd shelf from the bottom of the metal cabinet which were accessible to children in the LGI Room.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On 4/9/24 observed peeling paint in the right corner by the white board in the Indoor Play Space.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: On 4/9/24 observed the sink in Room B106 lacked a clean, lidded waste receptacle. On 4/9/24 observed the sink in Room B107 lacked a clean, lidded receptacle.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: 2nd citation. Previously cited on 10/19/23. Observed cracked Magna Tiles in the LGI Room.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: 2nd citation. Previously cited on 10/23/23. The file of Child #1, a 2-year-old, lacked an influenza immunization according to the recommendations of the ACIP.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: 2nd citation. Previously cited on 10/23/23. The file of Staff #1 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training,

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: 2nd citation. Previously cited on 10/23/23. The file of Staff #1 lacked a signed disclosure statement.

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

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: 2nd citation. Previously cited on 10/23/23. The file of Staff #1, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: 2nd citation. Previously cited on 10/19/23. The hot water temperature at the handwashing sink in Room 104 was 117 degrees.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: 2nd citation. Previously cited on 10/19/23. Observed exposed nails and rotting wood on the bottom of the maroon shed in the Outdoor Play Space.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: 2nd citation. Previously cited on 10/19/23. The sink in the last stall in the girl's bathroom lacked a handwashing sign.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 10/19/23 observed torn rest equipment with exposed foam in Room 108. On 10/19/23 observed cracked Magna Tiles in Room 108. On 10/19/23 observed cracked Magna Tiles in the LGI Room. On 10/19/23 observed a chipped corner on a LEGO platform creating rough edges in the LGI Room. On 10/19/23 observed torn rest equipment with exposed foam in the LGI Room.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On 10/19/23 observed foam blocks with bite marks in the Indoor Play Space.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: On 10/19/23 observed a microwave on top of a mini fridge in Room 107 which was not anchored creating a potential tipping hazard. On 10/19/23 observed a microwave on top of a min fridge in Room 106 which was not anchored creating a potential tipping hazard.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 10/19/23 observed rest equipment which was not labeled for the use of a specific child in Room 108.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The written plan of daily activities was not posted in Room B115.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement for Children #1 and #3 were not signed by the operator.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files of Children #1 and #3 lacked the services provided on the agreement.

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)(5)

Description: Designated release persons

Noncompliance Area: The agreement for Children #1 and #3 did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.123(b)/3270.182(8)

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

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

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(b)(1)

Description: Child's name, birth date

Noncompliance Area: Emergency contact information for Child #5 did not include the birth date of the child.

Correction Required: Emergency contact information must include the name and birth date of the child.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact for Children #4 and #5 did not include the work address and work telephone number of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present for Child #6 when receiving care in Room 104. Emergency contact information was not present for Child #7 when receiving care in Room 108.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file of Child #1, a 2-year-old, lacked an influenza immunization according to the recommendations of the ACIP.

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

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: On 10/19/23 observed prescription medication for Child #8 which was not in an original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: The operator did not establish and maintain a medication log for Children #3 and #8.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file of Staff #2 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The file of Staff #2 contained no documentation of completing the health and safety update. The emergency plan did not address continuity of operations.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 10/19/23 observed bottles which were not labeled with the child's name in Room 104.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On 10/19/23 observed 3 pair of adult scissors in a plastic bin on the 2nd shelf from the bottom in the metal cabinet in the LGI Room which were accessible to children.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files of Staff #1 and #2 lacked documentation of training regarding the emergency plan on an annual basis. The files of Staff #1 and #2 contained documentation of emergency plan training completed on 10/10/23 with a previous one completed on 9/13/22.

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: The operator lacked documentation of sending a copy of the emergency plan updates 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(e)

Description: Age and Training

Noncompliance Area: The files of Staff #1 and #2 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files of Staff #1 and #2 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The files of Staff #1 and #2 contained documentation of fire safety training completed on 10/10/23 with a previous one completed on 9/13/22.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file of Staff #4 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #4 contained documentation of completing health and safety training on 11/17/22.

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: The files of Staff #1 and #2 lacked a signed disclosure statement. The file of Staff #6 lacked a DHS FBI Clearance prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #6 contained a DHS FBI Clearance dated 5/31/23.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files of Staff #3 and #4 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The files of Staff #3 and #4 did not contain written evaluations.

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

Regulation: 3270.34(b)(1)

Description: Bachelor's + 1 yr

Noncompliance Area: The file of Staff #6, who was designated as the director, lacked documentation of 1 year of experience with children.

Correction Required: A director shall have attained a bachelor's degree 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.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The files of Staff #1 and #5, who were designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 10/19/23 observed an electrical outlet which lacked a protective receptacle cover under the Sweet Dreams Bulletin Board in Room 104. On 10/19/23 observed an electrical outlet which lacked a protective receptacle cover by the teacher's desk in Room 106. On 10/19/23 observed electrical outlets which lacked protective receptacle covers by the teacher's desk in Room 108. On 10/19/23 observed electrical outlets by the teacher's desk which lacked protective receptacle covers in Room B115. On 10/19/23 observed an electrical outlet by the sink which lacked a protective receptacle cover in Room B115. On 10/19/23 observed an electrical outlet under the white board which lacked a protective receptacle cover in Room B115. On 10/19/23 observed an electrical outlet which lacked a protective receptacle cover under the Smart TV in Room B115. On 10/19/23 observed an electrical outlet which lacked a protective receptacle cover on the white board in the LGI 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: On 10/19/23 observed Clorox Disinfecting Wipes which indicated "keep out of the reach of children" on the 3rd shelf in the metal cabinet in the LGI Room which were accessible to children. On 10/19/23 observed 6 tubes of Sun Basics Sunscreen Lotion, Sport Sunscreen Lotion, and Buckeye Eco One Step Disinfectant Deodorizer Cleaner which indicated "keep out of the reach of children" on the top shelf at the entrance to the LGI Room which were 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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: On 10/19/23 the hot water temperature at the handwashing sink in Room 104 was 111.5 degrees.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: On 10/19/23 observed a first-aid kit on top of a drying rack in Room 108 which was accessible to children. On 10/19/23 observed a first-aid kit in a wagon in the LGI Room which was accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: On 10/19/23 the first-aid kit in Room 108 lacked 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: 3270.76

Description: Building Surfaces

Noncompliance Area: On 10/19/23 observed exposed nails and rotting wood on the bottom of the maroon shed in the Outdoor Play Space.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: On 10/19/23 the 1st three stalls in the girl's bathroom lacked handwashing signs. On 10/19/23 the 1st stall in the boy's bathroom lacked a handwashing sign.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: On 10/19/23 the sink in Room 108 lacked a clean, 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.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: 2nd citation. Previously cited on 2/28/23 under SIN-00219316. At approximately 8:00 AM on 8/3/23 Staff #1 was observed to be caring for a group of 8 mixed-age children which included 1 older toddler and 7 preschoolers in Room B115.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: The file of Child #1 lacked signed parental consent for swimming on the emergency contact form.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Based on interviews, Staff person #1 has been caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum and health and safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff 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, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: Based on interviews, Staff #1 and Staff #2, who are designated as aides, were caring for children unsupervised.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Based on interviews, staff indicated the facility was out of ratio in a group of children of the same age group. Staff identified being out of ratio with 1 staff and 10 older toddlers once in February.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: ***Based on interviews, staff indicated the facility was out of ratio multiple times in a group with mixed ages of children. Staff identified being of ratio with 1 staff with between 23 to 32 children including preschoolers, young school-age, and older school-age at least twice. Staff identified being out of ratio occasionally with 5 children including infants and young toddlers. Staff identified being out of ratio 4 times in February with 2 staff with between 20 to 30 older toddlers and preschoolers. Staff identified being out of ratio at least once per week with 1 staff with between 7 to 8 children including older toddlers and preschoolers.

Correction Required: The facility will develop and implement a policy stating the child enrollment will coincide with the number of available staff so that staff:child ratio is maintained at all times.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: *Based on interviews, staff indicated the facility was out of ratio multiple times in a group with mixed ages of children. Staff identified being of ratio with 1 staff with between 23 to 32 children including preschoolers, young school-age, and older school-age at least twice. Staff identified being out of ratio occasionally with 5 children including infants and young toddlers. Staff identified being out of ratio 4 times in February with 2 staff with between 20 to 30 older toddlers and preschoolers. Staff identified being out of ratio at least once per week with 1 staff with between 7 to 8 children including older toddlers and preschoolers.

Correction Required: *When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: **Based on interviews, staff indicated the facility was out of ratio multiple times in a group with mixed ages of children. Staff identified being of ratio with 1 staff with between 23 to 32 children including preschoolers, young school-age, and older school-age at least twice. Staff identified being out of ratio occasionally with 5 children including infants and young toddlers. Staff identified being out of ratio 4 times in February with 2 staff with between 20 to 30 older toddlers and preschoolers. Staff identified being out of ratio at least once per week with 1 staff with between 7 to 8 children including older toddlers and preschoolers.

Correction Required: **The legal entity will ensure the director, or a designee will perform ratio checks three times per week in all classrooms during the AM and PM hours of operation, documenting the time, date, classroom, number of children by age group of children present in the classroom and the number of staff present in the classroom as well as their name and position (GS, AGS, Aid etc). Ratio check will be documented for a period of four months from the date this plan of correction is accepted. The completed forms will be made available to the department representative upon request.