Union Christian Academy

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the school-age room on the left side of the room, there was a drawer that lacked a handle and had a screw that was protruding out and had sharp edges.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In the 3 year old room, there were multiple cots that were not labeled with the child's name that uses the equipment.

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: In the 2 year old room during naptime, there was one child on a cot that lacked 2 feet of space on three sides.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #1 had an emergency contact form that lacked the work telephone number of the enrolling parent.

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

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

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The file for child #5, a young toddler, lacked a current health assessment updated within the last 6 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The file for child #5, a 15 month old enrolled more than 60 days at the facility, lacked documentation of the 3rd DTAP and Pneumococcal vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. 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 #5 must be dismissed from care by close of business on 11-18-25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: In the pre-k room, there was Epinephrine medication for child #6 that was expired.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: In the 1 year old room after changing a child's diaper, staff person #5 was observed placing the diaper in a plastic bag first and then discarding in the plastic-lined hands-free covered can. The diaper was not immediately thrown away in the hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #5 must be supervised when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

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

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

Noncompliance Area: The file for staff person #3 had health assessments that exceeded 24 months between assessments. The file for staff person #5 had a health assessment and tuberculosis screening by the Mantoux method that were dated after providing initial service in a child care setting at the facility. The file for staff person #6 had a health assessment that was dated after the staff person provided initial service in a child care setting at the facility.

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: The file for child #5 had an emergency contact form and agreement that exceeded 6 months between updates by the parent.

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: The files for child #1, #3, and #4 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff. The file for child #2 had an emergency contact form that lacked 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 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for staff person #5 and #6 had emergency plan training that was dated after initial employment at the facility.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff person #3 lacked 12 hours of annual child care training.

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

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

Description: Age and Training

Noncompliance Area: The file for staff person #1 had current pediatric first-aid/CPR training with a completion date of 10-13-25 that was after the February 2025 expiration of the prior training.

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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff person #4 had fire safety trainings that exceeded a year between trainings.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 has completed Pediatric first aid and CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #5 must be supervised when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 had mandated reporter trainings dated 1-21-20 and 7-15-25 that were over 60 months between trainings.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2 had an NSOR verification certificate dated 2-25-20 and lacked a current NSOR verification certificate updated within the last 60 months. The file for staff person #3 had an NSOR verification certificate dated 4-21-20 and lacked a current NSOR verification certificate updated within the last 60 months. The file for staff person #4 had an NSOR verification certificate dated 3-5-20 and lacked a current NSOR verification certificate updated within the last 60 months. The file for staff person #6 lacked an NSOR verification certificate at their start date and requires a current certificate. The files for staff person #5 and #6 had disclosure statements that were dated after their start date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2, Staff Person #3, Staff Person #4, and Staff Person #6 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #5, functioning as an assistant group supervisor, lacked verification of child care experience to qualify as an assistant group supervisor.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On the outdoor toddler play space, there was a large crack in the poured-in-place surface that was raised and was 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: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: In the 1 year old room after changing a young toddler's diaper, staff person #3 washed the child's hands by holding the child to reach the sink and did not use a platform or steps for the child to reach the sink to wash their hands.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.

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: 3270.107

Description: Refrigerator

Noncompliance Area: In the school-age room, the refrigerator that has been used to store food for children had standing water and multiple stains/visible dirt on the inside bottom surface of the refrigerator.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The daily activity schedule was not posted in the 3 year old room.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #1, #3, #5, and #6 had child service reports that exceeded 6 months between reports.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The files for child #1, #2, #3, #4, and #5 had an agreement that lacked the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #5 had an emergency contact form that lacked 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(c)

Description: Each child care space

Noncompliance Area: In the infant room, an emergency contact form was not present in the room for child #7, who was receiving care in the room.

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

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

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

Noncompliance Area: The files for child #1, #3, and #5, preschoolers, had a health assessment that exceeded 12 months between assessments.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR training. Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR training. Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR training from a PQAS approved trainer.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1, #4, and #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, #4, and #5, staff person #1, #4, and #5 may not work in a child-care position 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: The file for facility person #6, who regularly interacts with enrolled children at the facility, lacked a health assessment and tuberculosis screening by the Mantoux method prior to providing initial service in a child care setting at the facility and requires a current health assessment and tuberculosis screening by the Mantoux method. The files for staff person #3 and #4 had a health assessment that exceeded 24 months between assessments.

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: The file for child #3 lacked a current emergency contact form updated by the parent within the last 6 months. The file for child #6 lacked a current agreement updated by the parent within the last 6 months. The files for child #1 and #6 had an emergency contact form that exceeded 6 months between parent updates. The files for child #1, #3, and #5 had an agreement that exceeded 6 months between parent updates.

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: The files for child #2 and #5 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and 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 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(5)

Description: Two written references

Noncompliance Area: The file for facility person #6 lacked two written, nonfamily references.

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(c)

Description: Training regarding plan

Noncompliance Area: The file for facility person #6 lacked emergency plan training at the time of initial employment and requires current 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.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants and toddlers.

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

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

Description: Age and Training

Noncompliance Area: The file for staff person #1 had pediatric first-aid/CPR training with an expiration date of September 2024 and lacked current training. The files for staff person #2, #3, and #4 had pediatric first-aid/CPR training with an expiration date of October 2024 and lacked current training.

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 #1, #2, #3, and #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #2, #3, and #4, staff person #1, #2, #3, and #4 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training from a PQAS approved trainer.

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 #5 will have until 11-28-24 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #5 had an invalid state police clearance and requires a current state police clearance. The file for facility person #6 lacked an NSOR verification certificate at their start date and requires a current NSOR verification certificate. The file for facility person #6 had a disclosure statement that was dated after their start date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #5 and Facility Person #6 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #7, functioning as an assistant group supervisor, lacked verification of experience to qualify as an assistant group supervisor.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for staff person #2, #3, and #4 had staff evaluations that exceeded 12 months between evaluations.

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

Regulation: 3270.35(e)

Description: 46 or more children- additional group sups

Noncompliance Area: The facility has had up to 55 children attend the facility daily and does not have 2 group supervisors employed at the facility as required.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the school-age room lacked soap and tape.

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: In the 3 year old room, the middle window ledge had a piece of the ledge that was broken and had rough edges that were accessible to children.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: In the upstairs school-age room, the exit door to the porch outside was blocked by equipment, including rest equipment.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The couch in the Older Toddler room had several tears in the vinyl upholstery.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the refrigerator in the 4-year-old classroom measured over 45 degrees Fahrenheit at the time of the 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: The file for Child #3 does not include a signed agreement.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent Child Service report on file for Child #5 is dated 10/5/22, more than 6 months ago.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement on file for Child #6 does not include the child's date of admission.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #1, #2, and #5 does not include the telephone number for the child's pediatrician 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #3 does not include the child's health insurance coverage and policy number for the child's health care 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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #3, #4, and #5 does not include a complete address for all listed release persons.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of inspection there was a child receiving care in the Transition/Young Preschool room without their emergency contact information being in the room where 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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent 6-month review signature for the emergency contact form and agreement on file for Child #4 is dated 1/23/23, more than 6 months ago.

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

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

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The two most recent health assessments on file for Child #5, who was a young toddler, are dated 11/28/22 and 10/20/23, more than 6 months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

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

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

Noncompliance Area: The most recent health assessments on file for Child #6, who is a preschool child, is dated 9/20/22, more than 12 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: There were 2 cribs in the infant room that had crib sheets that were too big for the mattress and were loose on the mattress, causing a potential suffocation hazard.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff person #1 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment is not dated, making it invalid. The 2 most recent health assessments on file for Staff person #3 were dated 2/25/20 and 3/17/22, more than 24 months apart.

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff person #4 was observed not to contain documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET). The Tuberculosis test result on file for staff person #4 was dated 11/1/23.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: There was an infant feeding bottle in the infant room refrigerator that was not labeled for use by a specific child.

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: There was not a safe drop-off and pick-up procedures posting in the facility in a conspicuous location for the parents to view.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The Certificate of Compliance posted at the facility expired on 4/25/23; the current COC was not posted.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The 2 most recent emergency drills on file are documented to have taken place on 9/5/22 and 10/3/23, more than 12 months apart.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.31(e)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #2, did not include verification of 12 hours of annual training between 12/19/21-12/19/22, as per Announcement C-21-09; an additional 2 hours of training from 2/6/23 is used to meet the annual training requirement.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #1 did not include a criminal history clearance, child abuse clearance, or sex offender clearance from Delaware, where the staff person resided in the 5 years prior to hire (See IS CODE SHEET) required for CPSL compliance. The file for Staff person #2 includes FBI clearances dated 7/24/18 and 8/3/23, more than 60 months apart. The file for Staff person #5 included a Criminal history clearance dated 10/9/23; a Child abuse clearance dated 10/11/13, both dated after the first day working with children (See LIS Code Sheet); and did not include an NSOR certificate, and the signed Disclosure statement was not dated, making it invalid. The file for Staff person #6 did not include a child abuse clearance, or sex offender clearance from West Virginia, where the staff person resided in the 5 years prior to hire (See IS CODE SHEET) required for CPSL compliance.

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 #1, #5, #6 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #5, #6, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or a high school diploma or a general educational development certificate, 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was cleaning solution labeled "Keep out of reach of children" sitting on the counter in the 4-year old classroom that was accessible to children.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was no lidded trash can in the Transition/Young Preschool room for the children to dispose of plates, utensils, and uneaten lunches or used facial tissues.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Transition/Young Preschool room did not include soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling paint in the Young Toddler room by the table in the left corner of the room.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates4/8/23-4/18/23; 8/7/23-9/11/23, more than 60 days apart. The most recent documented 30-day fire alarm test was documented to have occurred on 10/8/23, more than 30 days ago.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #4, #5, and #7 does not include the telephone number for the child's pediatrician 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: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The file for Child #6 does not include written parental permission for the facility to obtain emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for Child #6 and #7 does not indicate if the child has 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #1 and #6 does not include a complete address for all listed release persons.

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)/3270.181(c)

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

Noncompliance Area: The two most recent 6 month review signatures for the emergency contact form and agreement on file for Child #2, are dated 12/28/21 and 7/25/22, more than 6 months apart. The two most recent 6 month review signatures for the emergency contact form and agreement on file for Child #3 are dated 12/29/21 and 7/25/22, more than 6 months apart. The two most recent 6 month review signatures for the emergency contact form and agreement on file for Child #5 are dated 1/10/22 and 8/4/22, more than 6 months apart.

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

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for Child #1, who is 15 months old, does not include an influenza vaccination, which is recommended annually by the ACIP for a child this age. The most recent influenza vaccination on file for Child #2, who is 2 years old, is dated 11/2/21, more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #7, who is 3 years old, is dated 12/2/21, more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #6, who is 6 months old, includes 1 of 2 Hepatitis B immunizations; 1 of 2 Rotavirus immunizations; 1 of 2 DTAP immunizations; 1 of 2 HIB immunizations; 1 of 2 Pneumococcal immunizations; and 1 of 2 Polio immunizations, recommended for a child this age by the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: There was a bottle of Motrin in the 3-year-old room with the names of 2 children (siblings) on the bottle.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was a bottle of Tylenol in the 1-year-old room labeled for use by a child without written parental consent to administer.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The cans for soiled diapers in the 1-year-old room and the 2-year-old room are not hands-free cans. During a diaper change in the Infant room, a staff person was observed opening the hands-free can with their hand.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan on site does not include provisions regarding volunteer emergency preparedness training required as of 7/1/22, as per Announcement C-22-04.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #1 were dated 1/12/21 and 1/16/23, more than 24 months apart. The initial health assessment on file for Staff person #2 is dated more than 1 year prior to hire (See LIS Code Sheet). The 2 most recent health assessments on file for Staff person #3 were dated 3/5/19 and 4/15/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #5 were dated 10/22/18 and 2/25/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #7 were dated 2/25/20 and 3/17/22, more than 24 months apart. The initial health assessment and Tuberculosis test on file for Staff person #10 are dated more than 1 year prior to the staff person's re- hire date. (See LIS 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. 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(a)/3270.192(3)

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

Noncompliance Area: The initial health assessment on file for Staff person #8 does not indicate that a physical examination was conducted by the health care provider (See LIS 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. 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)(5)/3270.192(3)

Description: Physician/CRNP assessment/Health assessment, TB test

Noncompliance Area: The health assessment on file for Staff person #6 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. 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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: There was not a safe drop-off and pick-up procedures posting in the facility in a conspicuous location for the parents to view.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The file for Child #6 does not include written parental permission for the facility to administer minor first aid procedures.

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: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The 2 most recent emergency plan trainings on file for Staff person #5 are dated 1/8/21 and 10/25/22, more than a year apart. The 2 most recent emergency plan trainings on file for Staff person #7 are dated 1/6/21 and 10/24/22, more than a year apart. The 2 most recent emergency plan trainings on file for Staff person #9 are dated 12/10/20 and 10/10/22, more than a year apart.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

Description: Age and Training

Noncompliance Area: The files for Staff #5, an existing staff member, included certification in pediatric first-aid and CPR dated 2/25/22;. Certification was due 6/17/21, 180 days following the implementation of the current regulations.

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 #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality; the training was completed 12/6/22. Staff person #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & Pediatric CPR; the training was completed 7/26/22. Staff person #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & Pediatric CPR; the training was completed 1/20/23.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The 2 most recent Mandated Reporter training certificates on file for Staff person #1 were dated 5/10/16 and 12/30/21, more than 60 months apart.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The Disclosure Statement on file for Staff person #2 is not dated, making it invalid. The file for Staff person #4 includes a criminal history clearance dated 7/11/22, a child abuse clearance dated 7/13/22, and an NSOR certificate dated 4/13/22, all dated after the first date working with children (See LIS Code Sheet). The file for Staff person #10, who was a re-hire, does not include a new signed Disclosure Statement signed upon the re-hire date.

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: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #11, classified as an Assistant Group Supervisor, does not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or a high school diploma or a general educational development certificate and 15 credits in education or a related human services field and 1 year of verified child care experience; or a high school diploma or a general educational development certificate with 2 years of verified child care experience. The file for Staff person #7, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the School Age room did not include soap or scissors.

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: There were sharp corners on the air conditioning window units in the outdoor playspace which could cause injury to a child if the bumped into them.

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: According to the fire drill log on file, fire drills were held on 6/9/22-8/11/22, more than 60 days apart.

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(a)/3270.95(b)

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

Noncompliance Area: According to the 30-day test log on file, the fire alarm was tested on 7/1/22-8/1/22; 8/1/22-9/1/22; 9/1/22-10/3/22; and 11/2/22-12/7/22, all more than 30 days apart.

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: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Child #1 was placed in a closet when logging into his Zoom classes during virtual schooling during the COVID pandemic.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.