U-gro Learning Centres

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The material covering the rocking chair cushion in the Toddler A classroom was observed to be torn, making the padding inside the cushion accessible to children.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Documentation of current written consent for medication was not available for child #1 and child #2.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff #1 did not include washing children's hands when reporting the steps followed during diapering. When asked whether child hand washing was part of the routine, the teacher stated that she would start washing children's hands after diapering.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Documentation showed that staff #1 had a current health assessment dated 4/25/26 and a previous health assessment dated 1/26/24, exceeding the requirement that health assessments be updated every 24 months.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(3)/3270.151(c)(4)

Description: Exam communicable disease/Information re: medical problems

Noncompliance Area: Staff #2 had a health assessment on file that did not include documentation of an examination for communicable disease or other medical conditions that could prohibit a person from providing adequate care to children. Staff #3 had a health assessment on file that did not include documentation of an examination for communicable disease or other medical conditions that could prohibit a person from providing adequate care to children. Staff #4 had a health assessment on file that did not include documentation of an examination for communicable disease or other medical conditions that could prohibit a person from providing adequate care to children. Staff #5 had a health assessment on file that stated the employee had a communicable disease, but no other information was available.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Documentation showed that staff #2 had received emergency plan training at the time of hire, but not since then. (See LIS for date of hire.)

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Documentation showed that Staff #2 had a Disclosure statement dated 2/17/25 and a start date of 8/19/24. An out-of-state child abuse clearance for staff #3 was not available.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A bottle of disinfectant was observed to be accessible to children on a cart on the toddler playground. Corrected on site by removing the bottle.

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

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: A plant identified as a Ficus plant, which is described as toxic, was observed in the Preschool 1 classroom. Corrected on site by removing the plant from the child care space.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.67(a)

Description: Trash removed once a day

Noncompliance Area: The trash can on the toddler playground was observed to be full of trash, reportedly from the previous day. Corrected on site by taking the trash to the dumpster.

Correction Required: Trash shall be removed from the facility at least once per day.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The emergency phone numbers list was not available by the phone in the infant room. Corrected on site by posting the emergency phone numbers list by the telephone.

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: 3270.75(b)/3270.75(c)

Description: Inaccessible to children/Has all items

Noncompliance Area: Tweezers were missing from the first aid kit in the twos classroom and in the school age classroom. Corrected on site by adding tweezers to both first aid kits. A first aid kit was observed to be accessible to children - stored on the bottom shelf of a cart on the toddler playground. Corrected on site by hanging the bag on a hook out of reach of children.

Correction Required: A first-aid kit must be inaccessible to children. 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation showed that fire system tests were conducted on 12/26/25 and 1/27/26 - 32 days Documentation showed that fire system tests were conducted on 1/27/26 and 2/27/26 - 31 days Documentation showed that fire system tests were conducted on 5/22/26 and 6/23/26 - 32 days

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In the Toddler 2 classroom, the rest equipment shall be labeled for the use of a specific child and used only by the 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: It was observed that daily activities were not posted in the Jaguars classroom space (corrected during inspection).

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff persons #1 and #2 did not have the ability to see child #1 (2 yrs) during outside water play. The teachers and class were on one end of the play area, while child #1 was on the other end of the playground, behind a shelf. (corrected during inspection). It was observed in the PS1, PK1, Toddler 1, Turtles, and Ladybug classrooms that there were obstructions blocking the view of some children during naptime (all 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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #4 and #5 did not have a child service report completed within the last 6 months (most recent dated 11/8/24).

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

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

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

Noncompliance Area: Child #3's emergency contact information did not include the child's physician and the enrolling parent's work telephone number (both corrected during inspection).

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

Regulation: 3270.131(a)/3270.131(b)(1)

Description: Health information/Infant: updated health report every 6 months

Noncompliance Area: Child #6 has been in attendance at the facility for more than 60 days, and there was no initial health assessment on file. (See Code Sheet). Child #6's was corrected during the inspection.

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. The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: Staff persons #1 and #2 did not wash their own hands or the child's hands after diapering a child (corrected during inspection).

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #3 and #4's time between emergency plan trainings exceeded the permitted annual timeframe (last emergency plan training dated 3/2024). Staff person #5's emergency plan training exceeded the annual timeframe (most recent dated 3/2024. Staff person #6 has completed the Get Started with Center Based Car: Building Blocks for Quality (10 hour) dated 12/7/18, but had not completed the required health and safety update course titled PA Health and Safety Update 2022 (1 Hour) 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. Staff person #6 must complete (PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2/ PA Required Health and Safety for Family Child Care Parts 1 and 2)

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: There was no written statement giving the formula and feeding schedule for child #2.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed that toxins were accessible to children, in the Jaguars classroom space, in the storage area behind the classroom; bottle of Isopropyl alcohol. A storage closet (last room on right) was accessible to children and contained several toxins: 5 cans of paint, 5 Rustoleum cans (all 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: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed on the outdoor playground, that two areas of the rubber framing which surround the poured playground surface, have sunk down below the surface. This has created a tripping hazard.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: It was observed that there were two areas of peeling paint (approximately 3" diameters) on the right classroom wall, to the left of the mounted television. (corrected during inspection).

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff persons #1, #2, and #3 did not know the names of all of the children in their assigned groups. .

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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Staff person #1 left child #1 unsupervised/unattended on the playground when this staff person and remainder of class returned to the classroom (5-7 minutes).

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

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

Noncompliance Area: Staff person #4's initial health assessment (and TB results) have no date on them, so it is unknown if it was conducted within 12 months prior to providing initial service in the 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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff person #1 does not properly position herself so that she is able to supervise the children in the classroom and outside on the playground.

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(b)

Description: No physical punishment

Noncompliance Area: Staff person #1 pats children on the back hard during nap time. Staff person #1 holds children's arms roughly and sits them down hard onto chairs or the floor.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed in the Infant (Bunnies) room that the refrigerator temperature was greater than 45 degrees F (48 degrees). It was observed in the Ladybug classroom that the refrigerator did not contain an operating thermometer. (both corrected during inspection).

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: Child #13's agreement was not signed by the operator.

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

Regulation: 3270.123(a)(4)/3270.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: The agreements of child #1, #2, #3, #4, #8, and #12 do not include the child's arrival and departure times. The agreement of child #9 does not include the child's departure time. The agreements of child #'s 1,2,3,4,5,6,8,9,11, and 12 do not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: Child #6'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(b)

Description: Parent receives original

Noncompliance Area: The parents of child #1 through #13 did not receive the original agreement. The originals were in the 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: Emergency contact information of child #4, #7, and #12 did not include the work telephone number of the enrolling parent (child #12's was corrected during inspection).

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 #12's emergency contact information did not include the child's health insurance coverage and 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(f)

Description: Updated every 6 months

Noncompliance Area: The parents of children #1, #3, #9, #10, and #13 did not update in writing emergency contact information 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)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: Child#11 and #12's initial health assessments and written verification of immunizations were not on record no later than 60 days following their first day of attendance at the facility. (2/1/24 and 4/15/22 respectively) 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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.134(b)

Description: Towels labeled and laundered

Noncompliance Area: It was observed in the Butterflies classroom that all of the children were using one cloth towel to dry hands, after washing them, in the bathroom (corrected during inspection).

Correction Required: Cloth towels and washcloths shall be labeled with the child's name, used by only the named child and laundered weekly. The director shall arrange a laundry schedule with the parent.

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: Staff person #6 and #7 do not have a record of completing the required one-hour Health and Safety Training Update.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff person #4 and #5's timeframe between health assessments exceeded the permitted 24 months (4/30/20, 6/30/22 and 9/29/21, 11/2023 respectively).

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)(3)/3270.151(c)(4)

Description: Exam communicable disease/Information re: medical problems

Noncompliance Area: Staff person #1's health assessment did not include an examination for communicable diseases and the results of that examination. It also did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff persons #2 and #4 had been utilized as an Assistant Group Supervisor (unsupervised) without proof of the required experience working with children on file. (#4's was corrected during inspection). Staff person #8's file contained education documents from another country without the required US equivalency and translation on record.

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 #7's file does 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 #3's file did not contain a completed Disclosure Statement (corrected during inspection). Staff person #4's file contained two clearances which exceeded the permitted 60 months' timeframe between clearances (Child Abuse 10/2017, 2/14/23) (FBI 10/2017, 2/14/23). Staff person #5 , #6, and #9's time between Mandated Reporter trainings exceeded the permitted 60 month's timeframe (10/2017, 5/30/23) and (5/13/15, 7/2/20) , (2/5/17, 7/14/22) respectively. Staff person #6 had a rap sheet on file, yet the clearances were not sent to DHS for a criminal background check.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed, on the outdoor Toddler playground, that there is a tripping hazard caused by the black rubber tile (leading to the red tunnel) being too high off of the ground.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: It was observed that the bathroom shared between the Turtles and Ladybug classrooms was not equipped with a 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: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: It was observed that the depth of the mulch used as the playground's protective surface covering for embedded equipment on the playground for 3 yrs and older did not measure at least 9 inches, therefore, it did not meet the recommendations of the USCPSC.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: It was observed, in the Caterpillar classroom, that rest equipment was not labeled for the use of specified children.

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: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: At the time of enrollment, 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)

Description: Signed

Noncompliance Area: Child #5's agreement was not signed by the operator.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The parents of child #1 through #10 did not receive the original agreement. The original agreements were in the 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)(2)

Description: Physician name, address, phone

Noncompliance Area: Child #1's emergency contact information does not include the address and telephone number of the child's physician.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #1, #4, and #9's emergency contact information does not include the enrolling parent's work telephone number. Child #9's emergency contact information does not include the enrolling parent's home telephone number and work address.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Child #9 and #10's emergency contact information does not include information on the child's special needs (section left blank).

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #5's emergency contact information did not include health insurance coverage and policy number for a child.

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(e)

Description: Written emergency plan posted

Noncompliance Area: It was observed in the Caterpillar room that there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency (corrected during inspection).

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

Regulation: 3270.131(e)(4)

Description: Annual immunization reporting to DOH

Noncompliance Area: Child #2's most recent Influenza immunization is dated 1/24/22. Child #7's most recent Influenza immunization is dated 9/7/19. Child #10's most recent Influenza immunization is dated 9/29/21. Child #9 has no record of having received the Hepatitis A 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 #2's file has no record of completing the required one-hour Health and Safety training update. Staff person #2's file has no record of completing Emergency Plan training in 2022. SEE CODE SHEET

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

Regulation: 3270.151(a)

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

Noncompliance Area: Staff person #3's time between health assessments on record exceeded the permitted every 24 months' timeframe (2/20/20, 7/7/22).

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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility (corrected during inspection).

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #2, #3, #5, #6, #7, #8, and #10's financial agreements were not reviewed and updated at least once in a 6-month period. Child #5 and #8's emergency contact information were not reviewed and updated at least once in a 6-month period.

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

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: Child #9's record did not contain signed parental consent for emergency medical care 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.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Child #2 and #9's records did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: 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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically (corrected during inspection).

Correction Required: The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan does not include lock-down emergency procedures.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: It was observed that the emergency plan was not posted in the facility at a conspicuous location (corrected during inspection).

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The parent letter explaining the emergency procedures does not include lock-down emergency procedures and accommodations for infants, toddlers, and children with special needs.

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 updated emergency plan to the local municipality in 2022.

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: Staff person #1 did not obtain an annual minimum of 12 clock hours of child care training in 2022. SEE CODE SHEET

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: Staff person #2 has no record of completing Fire Safety training in 2022. SEE CODE SHEET

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 #3 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic. Staff personS #4 and #5 have not completed the following required pre-service training within 90 days of their date of hire: Health and Safety training: Building Blocks for Quality . SEE CODE SHEET

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(10), 3280.31(f) (10), or 3290.31(g)(10) within 90 days of hire. Staff person #3 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff persons #-4 & #5 will have until 7/18/23 to complete the required training. Until such time as the required training has been completed, staff persons #4 & #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 available to supervise staff persons #4 & #5, staff persons #-4 & #5 may not work in a child-care position at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #5 did not complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Completed on 10/4/22. SEE CODE SHEET

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff persons #2 and #5 have been working at the facility for more than 12 months and the staff record does not contain a staff evaluation. 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed in the Butterfiles room, that toxins were accessible to children to the right of the sink on the counter: 2 bottles of sanitizer spray (keep out of reach of children). Antimicrobial foaming hand soap bottle (keep out of reach of children) was accessible to children in the Men's bathroom (end of hall on right). (All 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: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed that the storage closet at the end of the hall was accessible to children and contained a large number of batteries in an open container and fluorescent bulbs in an open box.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were not conducted at least once every 60 days (7/20/22, 10/19/22).

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: The testing of the fire detection devices exceeded the at least every 30 days' timeframe (7/22/22, 10/19/22), (11/29/22,1/20/23), (3/16/23, 5/3/23). There was no proof of purchase of the fire detection system on record (corrected during inspection with attestation form).

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 at the time of inspection the drop ceiling light in the Jack and Jill bathroom between the Ladybug and Turtle's classrooms had dead bugs.

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: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: It was observed at the time of inspection the embedded equipment in the outdoor play area did not have the required loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed at the time of inspection the refrigerator in the Butterfly's classroom did not have a 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: 3270.111(a)

Description: Written plan

Noncompliance Area: It was observed at the time of inspection the Jaguar classroom and the Caterpillar classroom did not have A written plan of daily activities and routines, including a time for free play shall be established for each group. Corrected on site.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: It was observed at the time of the inspection that child #1 and #2's financial agreement did not include the date of admission.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: It was observed at the time of inspection that child #3's emergency contact information did not contain information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: It was observed at the time of inspection staff #1 and staff #4 did not have documented training regarding the emergency plan at the time of initial employment.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: It was observed at the time of inspection staff#2 had not completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

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: It was observed at the time of inspection that staff #3's mandated reporter training was completed on 2-5-17 and then again on 7-14-22, more than 60months as required by the CPSL.

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

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: It was observed at the time of inspection the railroad ties that outline the todddler swing set are split, there is a one inch between the pour and play and are a trip hazard.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: It was observed at the time of inspection that the facility did not test the fire detection system every 30 days as required by t standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Upon full investigation of a complaint that facility person #7 cut the hair of child #1, it was found that this did in fact occur without specific agreement from the parent of the child under the services that would be provided by the facility.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Upon inspection of facility person files during a complaint investigation, it was found that Facility person #1 and #5 had completed the Health & Safety Basics course prior to 9.30.16. Further, it was found that Facility persons #2, #3 and #4 did not have current "Pediatric First Aid/CPR' training document on file.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #4, who is currently providing care to children, does not contain a current child abuse [expired 2.15.22], a current DHS required FBI clearance [expired 2.10.22], or a current PA criminal clearance [expired 2.6.22].

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility person #4 must be removed from a child care position by the close of business on 5.10.22.

Noncompliance Area: It was observed in the toddler room, aka Duck room, that a roll of plastic bags was being stored in a drawer under the changing table accessible to mouthing children in that room.

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.

Noncompliance Area: It was observed in the infant room that multiple children were sleeping in cribs that did not contain 2 feet of space on at least three sides of those cribs 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.

Noncompliance Area: File for child #1 did not contain the health insurance policy number on their emergency contact form, and file for child #1, who is of school age, did not contain a physical dated in accordance with the requirements for school attendance.

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. The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).

Noncompliance Area: It was observed that emergency contact forms were missing from multiple rooms where children 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.

Noncompliance Area: It was observed that a staff person in the toddler room changed a child's diaper and did not have the child wash their hands after diapering and they did not wash their own hands in between diaper changes.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: File for staff person #6 did not contain verification of child care experience, education or training.

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

Noncompliance Area: File for staff person #3, hired 6/2019, did not contain written documentation verifying that they completed the annual training update required for their emergency plan training.

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.