University Early Care And Education Ctr

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: The most recent parent review and signatures for the emergency contact forms on file for Child #1 (6/10/25), Child #2 (10/29/25 & 4/30/26), Child #4 (10/30/25 & 4/30/26) and Child #5 9/5/25 & 4/30/26) are dated 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.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #3 contained a health assessment dated 5/19/25, which is more than 60 days after date of enrollment (see LIS 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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The two most recent parent review and signatures for the financial agreement forms on file for Child #1 (3/24/25 & 4/11/26), and Child #5 (9/5/25 & 5/6/26) are dated more than 6 months apart.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to the parents explaining the emergency procedures was lacking accommodations for infant, toddlers, children with disabilities and children with chronic medical conditions.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The two most recent fire safety trainings on file for Staff Person #1 are dated 9/8/24 and 2/5/26, which are more than 12 months apart.

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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on a self report made by the facility and staff statements, on 2/5/26, child #1, a preschool aged child, was kicking staff and knocking over chairs because the child was upset. Staff #1 picked the child up by the arm and carried the child out of the classroom.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Based on staff statements, on 2/5/26 at approximately 11:30 am, Staff #1 yelled, "you're not going to get lunch today" to a child.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff Person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Center-Group Child Care Parts 1 and 2.

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

Regulation: 3270.64

Description: Outside Walkways

Noncompliance Area: An incident was reported that on 1/6/26 at approximately 8:27AM that a parent who was carrying their child, fell on the icy sidewalk/steps outside of the Guppies Infant/Toddler classroom.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed that there were cleaning solutions and disinfectant wipes in an unlocked cabinet underneath the sink in the Guppies/Room 124.

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

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

Noncompliance Area: The two most recent health assessment on file for Child #1 are dated 9/29/20 and 4/22/24 which are more than 12 months apart.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The emergency plan training on file for Staff Person #2 is dated 2/29/24 and 5/8/25, for Staff Person #6 is dated 2/19/24 and 5/8/25, which are both more than 12 months 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff Person #1 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 10 hrs. Revised certificate is dated 8/29/24

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 file for Staff Person #3 contained mandated reporter training certificates dated 7/7/19 and 7/29/24 which are 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 file for Staff Person #3 contained State Police Clearances dated 7/8/19 and 7/12/24, Child Abuse Clearances dated 7/15/19 and 7/19/24, which are more than 60 months apart, and a NSOR certificate dated 11/6/19, which is older than 60 months. The file for Staff Person #2 contained a NSOR certificate dated 9/10/24 which is more than 45 days from date of hire (see LIS code sheet). The files for Staff Person #4 and Staff Person #5 contained NSOR certificates dated 2/26/20 and 2/28/25, which are more than 60 months apart. The file for Staff Person #7 contained NSOR certificates dated 2/27/20 and 2/28/25, which are more than 60 months apart. The file for Staff Person #8 contained a NSOR certificate dated 3/11/20, which is older than 60 months.

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 and #8-- may not work in a child care position at the facility.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: It was observed that there was a portable air conditioner unit that was in front of the outside exit door in the dew drop classroom.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Pre-K Room #23 it was observed that there were rips on the vinyl covers of the rest mats causing the foam to be exposed, cracked magnetic tiles, and foam building blocks with teeth marks and missing pieces.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff Person #1 did not contain the one-hour Health and Safety Training update that was due by 12/30/22.

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 two most current health assessment on file for Staff Person #2 are dated 8/18/21 and 10/2/23 which are 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The two most recent Child Abuse Clearances on file for Staff Person #3 are dated 6/11/18 and 6/15/23 which are more than 60 months apart.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the bathroom in the toddler G-4 room, there was not a handwashing sign above the toilet.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The large playhouse on the preschool side of the playground had splintered wood on the flat table surface, which could cause splinters.

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: The wood mulch underneath of the outdoor embedded play equipment on the preschool playground measures between 5"-7" in different areas around the embedded equipment. The United States Consumer Product Safety Commission recommendations call for 9" of wood mulch.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Little pieces of mulch measuring less than an inch in diameter were observed on the ground in the infant/toddler playground area, which caused a choking hazard to be accessible to the toddlers receiving care there.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Child #4's emergency contact information lacked the address 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 #2's emergency contact information lacked the enrolling parent's work address and work phone numbers. Child #3's emergency contact information lacked telephone numbers for the enrolling parents.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Child #4's file contained a health assessment dated 3/15/22 and a subsequent health assessment dated 10/21/22 which were 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.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: Child's #5's file contained a most recent health assessment dated 1/19/22 .

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Child #4's most recent immunization record dated 10/21/22 lacked the required number of MMR, Varicella, and influenza vaccines according to the child's age.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: It was observed in the bathroom of G-23 (Comets) and G7/9 (Caring and Sharing), that the garbage can that is used for disposal of diapers or pull-ups was not hand-free.

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 #1, #3, and #6 obtained the updated health and safety training after the required date of 12/30/2022.

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(c)(1)

Description: Physical examination

Noncompliance Area: Staff #4's current health assessment stated a physical examination was not conducted.

Correction Required: An adult health assessment must include a physical examination.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #1, #4 and #5 had previous and subsequent financial agreements that were reviewed and updated with more than 6 months in between. Child #4 had a previous and subsequent emergency contact form that was reviewed and updated with more than 6 months in between.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #1 had a previous fire safety training dated 9/30/21 and a current fire safety training dated 1/6/23. Staff person #2's most recent fire safety training is dated 1/25/22.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #5's disclosure statement was for volunteer purposes and not for employment.

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: 3270.66(b)

Description: Original container

Noncompliance Area: There were toxic cleaning materials on top of the refrigerator in room G-15 (Dew Drops), that could have contaminated the food in the refrigerator if they were knocked over or leaking causing a hazard to the children.

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The emergency numbers list that was located in each of the child care spaces and also by the main telephone lacked the telephone number for the nearest hospital.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: One of the exit doors in the gross motor room (room #G-16) was observed to be obstructed by two arm chairs that were in the hallway in front of the double doors of the gross motor room.

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: Review of the current fire detection system report on file indicated areas of failure of the fire detection system in the building. There was no additional documentation that the areas of failure had been corrected. Each of the child care rooms contained additional interconnected fire detection units that were separate from the buildings fire detection system. Those units were tested during the inspection and were audible in each of the child care rooms.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed an exposed bolt on the back of the "No mutts, no butts" sign in the outdoor gross motor space.

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

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The outdoor gross motor space lacked the required nine inches of mulch under the embedded equipment.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The emergency transportation plan was not posted in the Comets room.

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)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1 lacks verification of a current Rotavirus, DTAP, HIB, Pneumococcal, and Polio vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #2 lacks verification of a current Hepatitis A vaccine administered in accordance with the schedule recommended by the ACIP.

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.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The agreement and emergency contact information on file for child #2 were updated in an interval greater than 6 months.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff person #2 contains verification of 9 hours of child care training completed in the most recent year of service. The file for staff person #5 contains verification of 5 hours of child care training completed in the most recent year of service.

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: A review of staff files determined that the FA/CPSR training present in the file for staff persons #1 and #2, #5, #6, and #8 which was previously acceptable was not an approved training as of 4/29/22.

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: The Health and Safety training on file for staff person #1 and staff person #2 is dated prior to 09/20/16, making it invalid. The file for staff person #3 contains verification of Health and Safety training completed more than 90 days after staff person #3 began in a child care taking position. A review of staff files determined that the FA/CPSR training present in the file for staff persons #1, #2, #3, #4, #5, #6, #7, #8, and #9 which was previously acceptable was not an approved training as of 4/29/22. Staff person #1 and staff person #2 will have until 8/04/22) to complete the required Health and Safety training. Until such time as the required training has been completed, staff persons #1 and #2 must be supervised, when interacting with children, by an assistant group supervisor who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The two most recent mandated reporter trainings on file for staff person #5 are dated more than 5 years or 6 months apart.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 NSOR on file for staff person #4 is dated more than 45 days after staff person #4 began in a child care taking position. The two most recent updates to the FBI clearance on file for staff person #5 are dated more than 5 years or 60 months apart.

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.

Noncompliance Area: In the Guppies (Infant/ YT) room, the seat of an exersaucer was observed to be torn on the seat part, exposing the inner webbing.

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. 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: The form that the facility uses to collect Emergency contact information for Child #1 lacks Emergency contact person/ info.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: Previous reviews/ updates on Agreement and Emergency contact forms that were due prior to the COVID suspended regulations for Child #2 & 4 were dated more than six months between them

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.

Noncompliance Area: The last two child health reports for Child #4, a young toddler, were dated more than six months apart, with the most recent due prior to the COVID statewide emergency declaration.

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

Noncompliance Area: The last two child health reports for Child #1, an older toddler, were dated more than one year apart, with the most recent due prior to the COVID statewide emergency declaration.

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.

Noncompliance Area: A health report generated by the medical provider's office and not the DHS-provided child health report for Child #3 lacks information regarding the child's health history.

Correction Required: A health report shall include a review of the child's health history.

Noncompliance Area: Child health reports generated by their respective medical providers, which were not the DHS- provided child health report, for both Child #1 & 3 lack a statement that the children are able to participate in child care and appears to be free from contagious or communicable disease.

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

Noncompliance Area: The immunization verification in the file for Child #1 lacks indication that the child has received the second recommended dose of Hep A six months after the first. The immunization verification in the file for Child #3 lacks indication that the child has received any influenza vaccines since 2017.

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.

Noncompliance Area: A bottle of unlabeled, expired children's aspirin was observed in a first-aid kit under the left-hand sink in the Zephyr room.

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

Noncompliance Area: In the Zephyrs room, an electric toothbrush was observed to be laying on its side on the rack shelf.

Correction Required: Toothbrushes shall be stored with the bristles up and exposed to circulating air.

Noncompliance Area: The file for Staff #1, designated as a Group Supervisor, lacks verification of the minimum educational requirements to qualify for the classification. The file for Staff #2 contained a postsecondary diploma that lacked indication of the academic major needed for the classification of GS as well as verification of two year's of child care experience.

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: The facility postings lacked contact information for Western Regional child care office.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The two most current Mandated Reporter trainings for Staff #1 are more than 60 months apart. The NSOR certification for Staff #4, hired on 10/28/19 & after NSOR implementation, is dated for 3/16/20, more than 90 days after hire date and prior to the facility receiving a Provisional Hire waiver. The last two PSP clearances for Staff #5 were obtained more than 60 months apart. The NSOR certification for Staff #7, a veteran staff, was obtained 7/23/20, after the 7/1/20 deadline for veteran staff.

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

Noncompliance Area: The file for Staff #2 lacks a recent staff evaluation. Staff evaluations for Staff #6 were completed by an individual who is not employed by the facililty.

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

Noncompliance Area: Staff #1, designated as a Group Supervisor, lacks the minimum educational requirements to qualify for the classification, as her highest level of education is a CDA.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

Noncompliance Area: The hot water in the Guppies (infant/ young toddlers) room sink measured 111 degrees prior to 20 seconds. Signs in the room state that hands should be washed for 20 seconds. It was stated that children who are able to do so use the sink for handwashing.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: In the Zephrys (PREK) room, a piece of rubber was observed to be detaching from a rubber floor mat. In the PREK Wraparound room, around the bottom of the sink, the laminate from the fiberboard is detaching and fiberboard shavings were observed on the floor.

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.

Noncompliance Area: In the Zephyrs (PREK) room, near the bottom baseboards of the exit door, crumbs of unpainted plaster was observed on the floor and to be flaking off.

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

Noncompliance Area: In Room 125, two bottles of cleaning products labeled "Keep Out of Reach of Children" were observed in an unlocked, undersink cabinet.

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

Noncompliance Area: In Room 125, near the exit door, damaged plaster and paint were observed on the wall near the baseboards.

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

Noncompliance Area: 2nd CITATION: Five staff and fourteen children were present in the Caring & Sharing room upon arrival. Cert. Rep. asked which staff were supervising children and four indicated they had groups. Those four staff were asked to name and to point to the children they claimed responsibility for supervising. The four staff named a total of 13 children. The Cert. Rep stated that 14 children were present and that 13 names had been stated. Staff stated that one child was in another room on a visit. The Cert. Rep. again stated that 14 children were present in the room but that 13 were named. Staff attempted to count their supervision tags and appeared to be trying to figure out the omission. Staff could not determine which child had not been named. The Cert. Rep. then pointed to and counted each child, totaling 14. The Cert. Rep. read off the names of the children in each group that had been named. It was only at that point that it was determined that one male child had been omitted. Staff then discovered that the child's tag had not been given to a staff and that the child had not been assigned to a group. PREVIOUSLY CITED on 5/14/19.

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.

Noncompliance Area: 2nd CITATION: In the Caring & Sharing room, on the wall on the bottom of the left rear exit door, the plaster patch used to repair the previous damage is cracked and flaking. Additionally, flaking plaster is now evident on the left-side of the doorway of the rear right exit door. (These are the doors that open to the outside.) PREVIOUSLY CITED on 5/14/19.

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

Noncompliance Area: Cracked hard-plastic bins were observed in rooms G4 (Comets) and G5 (Zephyrs). A cracked, hard plastic screwdriver toy was also observed in G5. All items posed scratching/ cutting hazards.

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.

Noncompliance Area: In room G7/9 (Caring & Sharing), two staff were asked to identify the members of their supervision groups. Seventeen children were present, and all except for one were seated at tables directly in front of staff. Only sixteen children were named (one child was omitted). One of the other children determined which child (who was also sitting at the tables) had been omitted. It was ultimately determined that the child's tag had not been obtained when the child arrived.

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.

Noncompliance Area: In the Infant (Guppies) room, a staff member sitting in a rocking chair was observed to be holding an infant that had his eyes closed with a pacifier in mouth. During inspection of the room, staff continued to hold the child. Finally, the Cert. Rep. approached and observed the infant with eyes closed and observed infant was not sucking the pacifier. Staff was asked how she determined when an infant falls asleep. It was determined the infant was, in fact, asleep.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: Emergency contact information for Child #5 lacks complete addresses for individuals designated by the parent to whom the child may be released.

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

Noncompliance Area: In Room G4 (Comets), the bag stated to be taken on excursions off the premises lacked a copy of the facility's Emergency Transportation plan.

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.

Noncompliance Area: The last two parental updates in writing for the Emergency Contact information for Child #3 are dated more than six months apart. The most current parental update in writing to the Emergency Contact information for Child #5 is dated more than six 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: The initial health assessment for Child #1 is dated more than 60 days after the child's enrollment date.

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.

Noncompliance Area: The initial and only health assessment in the file for Child #6, an infant enrolled on 3/4/19, is dated for 11/16/18, more than 3 months prior to enrollment.

Correction Required: The initial health report for an infant must be dated no more than 3 months prior to the first day of attendance at the facility.

Noncompliance Area: The last two health assessments for Child #4, a young toddler, are dated more than six 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

Noncompliance Area: The health report for Child #3 lacks indication that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Noncompliance Area: The following children's health reports show missing immunizations from the schedule recommended by the ACIP: Child #1, 2, 3, 4 & 6 are missing current influenza; Child #6, an infant, shows that the child is lacking doses of Rotavirus, DTAP, HIB, and Pneumococcal. None of the files contain an exemption letter.

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.

Noncompliance Area: Children #1, 2, 3, 4 & 6 lack one or more current vaccines as well as lack letters of exemption on file. All continue to attend programming.

Correction Required: The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code 27.77 (relating to immunization requirements for children in child care group settings).

Noncompliance Area: Documentation observed in files for Staff #1, 2, & 7, show that Emergency Plan training for each staff member (in the anniversary year reviewed) occurred more than one year apart. Staff #2 lacks documentation that Emergency Plan training has occurred in the past year.

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.

Noncompliance Area: The file for Staff #4 lacks documentation that Fire Safety training had been obtained within the first year of employment.

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.

Noncompliance Area: The file for Staff #2, hired on 9/5/17, lacks proof of request for the PA State Police clearance, not obtained until 1/23/18 and lacks proof of request for the PA Child Abuse clearance, not obtained until 1/24/18. Mandated reporter training for Staff #5, first hired at the facility in 10/6/15, as indicated by numerous documents located in the file, was not obtained until 4/28/16. The file for Staff #8, hired on 8/27/18, contains a PA State Police Clearance request dated 9/24/18, after hire date. Also, Mandated Reporter training for Staff #8 was completed more than 90 days after hire. The last two PA State Police clearances for Staff #9, listed as co-director, are dated for 1994 and renewed in 2018 when the due date for renewal was 12/31/15.

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.

Noncompliance Area: The first staff evaluation for Staff #2 was completed more than one year after initial employment.

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

Noncompliance Area: A listing of Emergency Telephone numbers was not posted in G5 (Comets) room.

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.

Noncompliance Area: In G15 (Dew Drops), the bottom right corner of the diapering sink is observed to be flaking and producing debris from the exposed particle board.

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.

Noncompliance Area: Damaged, flaking plaster was observed in the following spots on the wall and the corresponding floors beneath: In the corner near & behind the heater in G23 (Guppies); near the left-hand exit door in Caring & Sharing.

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

Noncompliance Area: The toilet in the restroom located inside of the G4 (Comets) room lacked a handwashing sign.

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

Noncompliance Area: In the Zephyr's (OT) room, one clear storage tote labeled 'Book Hospital' was observed to have several large cracks, creating pinch points. In the Guppies (IN) room, a large wooden structure labeled 'quiet area' was observed to have one large, sharp piece of wood protruding towards the bottom surrounded by wood with rough edges.

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.

Noncompliance Area: Several spots of the loose mulch under a large embedded play structure measured an inch or less under 9 inches, the recommended USCPSC measurement for loose fill.

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.

Noncompliance Area: In the Zephyrs (OT) room, several foam squares were observed to have pieces missing and large bite marks. In the Dew Drops (YT) room, one large pillowcase on a pink pillow was observed to be tearing, with threads hanging. One frayed piece smaller than one inch was observed to be hanging from the case.

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: One wooden chair in the Caring & Sharing (PREK) room was missing a leg cap, causing the chair to wobble.

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

Noncompliance Area: The Agreement for Child #2 lacks the names of release people.

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

Noncompliance Area: The Emergency Contact cards in the excursion bags lacked the names of release people. The Emergency Contact information in the files for Child #1 & 2 lacked complete addresses for the individuals designated to whom the children can be released.

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

Noncompliance Area: The excursion bag in the Zephyr's (OT) room lacked a copy of the Emergency Transportation Plan.

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.

Noncompliance Area: The health assessment for Staff #1 indicates confirmation of a communicable disease; however, no further explanation is given.

Correction Required: 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.

Noncompliance Area: The previous and current parental reviews of the Agreements and Emergency Contact Forms for Child #1 & 2 were dated more than six months apart.

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.