U-gro Learning Centres

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 did not have the PA State Police clearance results on file and no proof of requesting this clearance on record, during the provisional hiring period (corrected during inspection). Staff person #2 was observed to be shadowing in a classroom during this visit without NSOR results on record (corrected during inspection) See Code Sheet

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Continued Non-Compliance: On 8/18/25 a renewal inspection was conducted at the facility. Staff person #2 had not completed the following required pre- service training within 90 days of their date of hire (see code sheet): Pediatric First-Aid and CPR. The facility's acceptable plan of correction indicated the correction would be implemented by 9/5/25. On 10/8/25 an unannounced inspection was conducted. Staff person #2 still has not completed the following required pre- service training: Pediatric first-aid and CPR

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed, in the 2's classroom, that a bin of pom-poms (less than 1 inch diameter) were accessible to children who are still placing objects in their mouths. (corrected during inspection)

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: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed that the refrigerator (used to store children's food items) in room 101E did not contain an operating thermometer.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: It was observed, in Rooms 101H and 103C, that furniture/shelving was obstructing the view of a few children and proper supervision. (corrected during inspection).

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: It was observed that a staff person from the Butterflies classroom (103C) allowed a child to go into the adjoining classroom 101(H) during naptime to use the bathroom unsupervised. The staff person in Room 101H was supervising his/her own napping children. Staff stated that this has been the procedure because Room 103C does not have a bathroom of its own. During naptime, there is one staff person in each room, so the staff person in Room 103C cannot leave the classroom to supervise a child who needs the bathroom in the adjoining classroom, creating a supervision issue.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #1's most current child service report was dated 10/29/24, which exceeds the permitted every 6 months' timeframe. The time between child service reports for child #4 exceeded the permitted every 6 months' timeframe (9/6/24, 5/30/25). the time between child service reports for child #7 exceeded the permitted every 6 months' timeframe (12/6/23, 4/15/25).

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: Child #1's agreement did not specify the date of the child's admission.

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

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: The agreements of children #1, #2 #3, and #5 did not specify the services which are to be considered as extra.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The parents of children #4, #7, and #8 did not receive the original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #3's emergency contact information did not include the parent's work address and home telephone number. Child #5's emergency contact information did not include the parent's work address and work telephone number.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #1 and #2's emergency contact information did not include the health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: child #2 and #3's emergency contact information did not include the 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)

Description: Health information

Noncompliance Area: Child #7's initial health report was dated 8/7/24, which was greater than 60 days following the first day of attendance at the facility. See Code Sheet

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

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

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

Noncompliance Area: Staff person #1 does not have an initial health assessment on file at the facility. Staff person #1's TB screening/results are dated 2/16/23, which is beyond the permitted within 12 months prior to providing initial service in a child care setting. Staff person #4's TB screening/results are dated 1/19/23, which is beyond the permitted within 12 months prior to providing initial service in a child care setting. (See Code Sheet). Staff person #7's initial health assessment and TB results are dated 4/1/24, which is beyond the permitted within 12 months prior to providing initial service in a child care setting. (See Code Sheet).

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #1, #2, #3, and #7's emergency contact information and financial agreements were not updated at least once in a 6-month period (7/14/25 only date for child #1), (7/21/24 only date for child #2); (6/10/24, 7/24/25 for child #3). (9/13/24, 7/21/25 for child #7) See Code Sheet Child #8's financial agreement was not updated at least once in a 6-month period (9/10/24, 7/16/25).

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(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Child #2's record did not contain signed parental consent for emergency medical care and administration of minor first aid by the staff, for the child

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff persons #1, #5, #6, and #8 did not have the required verification of child care experience on record to be an AGS, however, have been functioning as an AGS.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person #1's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: There was no documentation of conducted annual emergency drills at the facility.

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: Staff person #5's file did not contain documentation of emergency plan training in 2024 (see Code Sheet).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 completed part 2 of the Health and Safety training on 8/4/25, which was greater than within 90 days of hire. See Code Sheet. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric First-Aid and CPR, Mandated Reporter training, and Health and Safety training. (see code sheet). Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see code sheet): Mandated Reporter training and Health and Safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10..Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), ( within 90 days of hire. Until such time as the required training has been completed, staff persons #2 and #3 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff persons #2 and #3-, staff persons #2 and #3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1's file did not contain the NSOR certificate (corrected same date of this visit, after Cert Rep had left facility).

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff person #5's file does not contain any written evaluations of staff persons on a regular basis, a minimum of one evaluation every 12 months.(see Code Sheet)

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

Regulation: 3270.55(a)

Description: Toddler and preschool children

Noncompliance Area: It was observed, during naptime in the Preschool (Butterflies) classroom, that one child was off of his mat and walking around. This caused this classroom to not have the proper staff to child ratio during naptime. (corrected during inspection).

Correction Required: The staff to child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed that the staff restroom (close to Director's office) contained toxins that were accessible to children: toilet bowl cleaner, perfume, Ibuprofen, Febreze spray (corrected during inspection).

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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: It was observed, in the 2's classroom, that trash contaminated by human secretions was not contained in a closed, plastic-lined receptacle.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: It was observed, in the 2's classroom bathroom, that there was no 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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were not conducted at least once every 60 days (4/11/25, 6/30/25).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: There was no documentation of the annual testing, from a fire safety professional, of the fire detection system (most current on record dated 6/24/24).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: On 5/22/25, Staff person #1, #2, and #3's records did not contain the verification of child care experience required to be functioning as an AGS. Staff person #4's education is from another country, and the required US equivalency and translation (from an approved agency) is not on record. Staff person #2's proof of HS graduation has a different last name listed than the last name on all other documents, and there is no proof on record that staff person #2 had this last name. Staff person #3's record does not contain verification of HS graduation. CONTINUED DEFICIENCY: As of 8/18/25, staff person #3 does not have proof of child care experience required to be an Assistant Group Supervisor and verification of education on file. Staff person #4 does not have verification of education (US equivalency and translation) on file. Staff person #2 does not have proof of child care experience required to be an Assistant Group Supervisor on file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person #1, #2, and #3's records did not contain the verification of child care experience required to be functioning as an AGS. Staff person #4's education is from another country, and the required US equivalency and translation (from an approved agency) is not on record. Staff person #2's proof of HS graduation has a different last name listed than the last name on all other documents, and there is no proof on record that staff person #2 had this last name. Staff person #3's record does not contain verification of HS graduation.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Staff person #2's record does not include an initial health assessment including the results of an initial tuberculin skin test. Staff person #3's file did not include TB results.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person #1 and #4's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2's file did not contain the Child Abuse clearance. Staff person #4's file did not contain the Child Abuse clearance and the NSOR certificate. Staff persons #1 and #3's files did not contain a Disclosure Statement. Staff person #4's Disclosure Statement was not witnessed.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 and #4 may not work in a child care position at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person #1's file did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

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

Description: Age and Training

Noncompliance Area: Staff person #3 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 1/4/25. Documentation of updated Pediatric first aid and CPR training is not on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children at a minimum by, an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 and #2's Disclosure Statements are not dated. Staff person #2's Child Abuse clearance is dated 12/6/24, which is after starting to work with children at the facility (See Code Sheet).

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: It was observed that the rest equipment in the Butterflies and Bear classrooms were not labeled for the use of specified children. (corrected during inspection).

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: 3270.113(a)(2)

Description: Supervision on and facility premises

Noncompliance Area: It was observed in the Butterflies classroom (4 yrs old) that they were not in compliance with the staff/child ratio regulations. There was one teacher for 12 children. (corrected during inspection).

Correction Required: The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff person #3's time between health assessments exceeded the permitted 24 months between assessments (11/15/21, 2/23/24). Staff person #4's initial health assessment is dated 3/7/24, which is after the first day of working with children at the facility. See Code Sheet for Staff #4.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Staff person #6's record does not contain tuberculosis screening by the Mantoux method results. Staff person #7's record has tuberculosis screening results dated after the first day caring for children at the facility (dated 4/4/24) See Code Sheet.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person #2's record did not contain verification of child care experience. Staff person #4's record did not contain verification of education.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

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

Description: Age and Training

Noncompliance Area: Staff person #3 did not renew Pediatric first-aid and CPR training before the expiration of the most current certification. (9/22/21, 10/23/23).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see code sheet): Pediatric First Aid and CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. : Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #1 will have until 10/2/24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 had lived in a state other than PA within the last 5 years, however, that state's NSOR clearance results were not on record (corrected during inspection). Staff person #4's NSOR clearance was submitted on 2/8/24, which was after the date of hire. Staff person #4's Disclosure Statement was completed after working at the facility (dated 4/24/24). See Code Sheet for Staff person #4.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The time between staff evaluations on record for staff person #5 exceeded the permitted timeframe of one evaluation every 12 months (7/20/23, 8/5/24).

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed in the Butterflies classroom (4 yrs old) that one protective outlet cover was missing (corrected during inspection).

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: It was observed that the sanitizing solution in the Ducks classroom was not in a container which specified the content.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed that the first-aid kit in the Caterpillar classroom did not contain gauze (corrected during inspection).

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: It was observed, in the Butterflies classroom, that on the counter accessible to children were scissors, a stapler, and a staple remover (corrected during inspection).

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: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: Child #1's record does not contain the required immunizations for this child's age, 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. Child #1 must be dismissed from care by close of business, 10/27/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(e)(3)

Description: Dismissal policy

Noncompliance Area: Child #1 has been attending the child care facility without having the required immunizations, for the child's age, on record.

Correction Required: The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business, 10/27/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed in the Turtle Classroom (2 yr old) that there were objects with a diameter of less than 1 inch accessible to children: kinetic modeling sand, small beans, and small plastic insects in bins and containers (corrected during inspection).

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: It was observed in the Turtle Room (101D) and Older Toddler Room (101E) that the rest equipment was not labeled for the use of a specified child (corrected during inspection).

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: It was observed, in the Infant classroom, that there was not 2 feet of space on three sides of the cribs while they were in use.

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

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: At the time of enrollment, the parents did not receive, in writing, the facility's supervision policy.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #3's record does not contain information to the family about the child's growth and development in the context of the services being provided. SEE CODE SHEET

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(b)

Description: Parent receives original

Noncompliance Area: The parents of the enrolled children did not receive the original agreements. Originals were in children's files.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #2's emergency contact information does not include the enrolling parent's work address and work telephone numbers.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #4's emergency contact information does not include the release person's address and telephone number.

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

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: Child #3 and #5's emergency contact information was not updated in writing (by the parent) once in a 6-month period.

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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: Child #6 has no initial health assessment on record and has been in attendance at the facility for more than 60 days. SEE CODE SHEET

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: Child #6's most current health assessment (initial health assessment) is not signed by a medical professional and is not dated. SEE CODE SHEET

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

Regulation: 3270.131(e)(4)

Description: Annual immunization reporting to DOH

Noncompliance Area: Child #3's most recent Influenza immunization on record is dated 1/23/20. Child #6's record contains no record of having received the Influenza immunization. SEE CODE SHEET

Correction Required: The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #9's file has no record of having completed the required one-hour Health And Safety Update 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: 3270.15(b)

Description: Building Codes

Noncompliance Area: The facility does not have the Certificate of Occupancy on record.

Correction Required: The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance issued by the Department under this chapter.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The facility's liability insurance policy was not on file at the facility.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Staff persons #1, #2, #3, and #9's records do not contain verification of the experience required to be an AGS (which are their positions at the facility).

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff persons #4 and #5's most recent emergency plan trainings on record are dated 7/20/22 and 2/17/22 (respectively), which exceeds the permitted timeframe of training on an annual basis.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #8's time between fire safety trainings exceeded the permitted at least annually timeframe (3/1/22, 7/27/23).

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: Staff person #11 has not completed the following required pre-service training within 90 days of their date of hire : Pediatric First-Aid and CPR (see LIS code sheet)/

Correction Required: : Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #11 will have until 9/14/23 to complete the required training. Until such time as the required training has been completed, staff person #11 must be supervised, when interacting with children, by an AGS or higher positioned staff who has completed the required training related to this citation. If there are no staff available to supervise staff person #11, staff person #11may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #4's time between Child Abuse clearances and Mandated Reporter trainings on record exceeded the permitted 60 months' timeframe. (11/27/17, 1/28/23) and (12/19/17, 3/20/23) respectively. Staff person #6 was working at the facility for greater than 45 days (provisionally) without an FBI clearance. FBI clearance for staff person #6 is dated 5/1/23. SEE CODE SHEET. Staff person #7's NSOR certificate is dated 3/28/23 (after first day at facility) and there is no documentation on record of applying for this clearance upon hire. SEE CODE SHEET Staff person #8's NSOR application on record is dated 2/27/23, which is after the first day of working with children (NSOR clearance results 3/6/23). SEE CODE SHEET Staff person #9 has no NSOR clearance on record. Staff person #10's State Police clearance indicates that this individual has a record, but no Rap sheet was attached.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 9may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed that, in the staff bathroom in hall, there were toxins accessible to children: Lysol Spray and plug in air freshener. It was observed in the Preschool Room (101H) that 2 bottles of Disinfectant spray were accessible to children next to the sink in the classroom (corrected during inspection).

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: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The facility does not have on record the most current documentation of annual testing of the first detection system.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed on 9/1/2022 two plastic stepping stone pieces used by children were cracked and not in good repair. (CORRECTED ON SITE)

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: It was observed on 9/1/2022 in the Turtles (older toddler) classroom toys dinosaurs with a diameter of less than 1 inch were accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE) It was observed on 9/1/2022 in the Ducks (young toddler) classroom numerous pieces of mulch were on the carpeted area and small pieces of crayons with a diameter of less than 1 inch were accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE)

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: 3270.108(c)

Description: No styrofoam

Noncompliance Area: It was observed on 9/1/2022 Styrofoam bowls were being stored in numerous classroom cabinets.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #2 does not include the work address and telephone number of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency contact information for Child #1 does not include the policy number for a child under a family policy or Medical Assistance benefits.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: It was observed on 9/1/2022 in the Ducks classroom emergency contact information for Child #3, 4, 5, and 6 was not present in the child care space they were receiving care.

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

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: It was observed on 9/1/2022 in the Caterpillar classroom an Epi-Pen for Child #7 was not in the 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(2)

Description: Written instructions

Noncompliance Area: It was observed on 9/1/2022 an Epi-Pen was present in the Caterpillar classroom for Child #7; however, the prescription medication did not contain a prescription label, nor were there written instructions provided from the individual who prescribed the medicine.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: It was observed on 9/1/2022 in the Caterpillar classroom an Epi-Pen was present for Child #7, however the parent has not provided written consent for administration of the medication.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator has not notified 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 child 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 child care facility.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The current copy of the liability insurance policy presented at time of inspection does not specify the location of the facility as being covered. At the bottom of the document under the section "locations" are to be specified, it stated "see attached" and no other documents were included.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter the operator provides to the parent of each enrolled child does not explain that lockdown procedures and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions are included in the facility's emergency plan.

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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The operator did not send a copy of the emergency plan 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed on 9/1/2022 in the Infant Room diaper ointments were being stored in a cabinet under the changing table that was accessible to children. (CORRECTED ON SITE)

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: It was observed on 9/1/2022 in the Turtles classroom the lid was not on the waste receptacle that was being used to dispose of soiled diapers. (CORRECTED ON SITE)

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Upon review of the facility's fire drill log it was documented that fie drills were held on 1/13/2022 and not again until 4/20/2022, which is more than 60 days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact info for child #1 did not include the name, address and telephone number of the child's physician or source of medical care.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A can of shaving cream was accessible to children in an unlocked bottom cabinet. This was corrected on site.

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