Wee Care Preschool And Child Care Llc

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Continued non-compliance: As a result of the renewal inspection on 4/20/26, a citation was issued that read, "The most recent parent review of the emergency contact and fee agreement for child #2 was 8/13/25, a gap of more than 6 months. The most recent parent review of the fee agreement for child #3 was 8/25/25, a gap of more than 6 months. The most recent parent review of the fee agreement for child #5 was 8/11/24, a gap of more than 6 months. The emergency contact and fee agreement for child #4 were reviewed by the parent on 10/22/24 and next on 1/6/26, a period of greater than 6 months. The emergency contact for child #5 was reviewed by the parent on 9/5/24 and next on 2/6/26, a period of greater than 6 months. The emergency contact and fee agreement for child #6 were reviewed by the parent on 5/28/25 and 6/3/25 respectively, and next on 1/22/26, a period of greater than 6 months." An acceptable plan of correction was submitted that stated "Give new agreement to parent to sign and date. Give new paperwork to parent to fill out. Maintain state regulations for paperwork. The emergency contact forms will be reviewed by parents at least every 6 months." The correction date was 5/1/26. During a follow up visit on 7/27/26, the emergency contact information and fee agreement for child #4 were dated 1/6/26. The emergency contact information and fee agreement for child #6 were dated 1/22/26. Both a period of greater than 6 months.

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: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: At the time of enrollment, parents do not receive in writing the facility's general daily schedule or supervision policies.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement for child #6 was not signed by the operator.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #2 did not include the name and address of the child's physician. The emergency contact information for child #3 did not include the name 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: The emergency contact information for child #2 did not include the work addresses and telephone number of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #1 and child #2 did not include health insurance coverage and policy number.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent parent review of the emergency contact and fee agreement for child #2 was 8/13/25, a gap of more than 6 months. The most recent parent review of the fee agreement for child #3 was 8/25/25, a gap of more than 6 months. The most recent parent review of the fee agreement for child #5 was 8/11/24, a gap of more than 6 months. The emergency contact and fee agreement for child #4 were reviewed by the parent on 10/22/24 and next on 1/6/26, a period of greater than 6 months. The emergency contact for child #5 was reviewed by the parent on 9/5/24 and next on 2/6/26, a period of greater than 6 months. The emergency contact and fee agreement for child #6 were reviewed by the parent on 5/28/25 and 6/3/25 respectively, and next on 1/22/26, a period of greater than 6 months.

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(a)

Description: Health information

Noncompliance Area: The health assessment for child #5 was dated 7/29/25, which was more than 60 days after the child's start date (see code sheet for start 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.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The most recent health assessment on file for child #1 is dated 4/16/24, a period of greater than 12 months.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff #1 did not wash children's hands before lunch or after diapering.

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

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: Staff #1 changed several children's diapers and did not sanitize the changing surface.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.135(c)

Description: Diapering area not used for food prep

Noncompliance Area: Children's food was being prepped and served from the wall-mounted changing tables in the infant room.

Correction Required: The diapering area may not be used for food preparation or food service.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's Shaken Baby/Abusive Head Trauma/Child Maltreatment policy did not sufficiently address strategies for coping with a crying, fussing, or distraught child.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessment and TB screening for staff #8 is dated 4/15/26, which is after the first day of caring for children (see code sheet for start date).

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

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: Staff #1 did not wash hands before serving lunch or after diapering children.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: The bottle of child #6 was not labeled.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: There was no documentation that the operator had notified local traffic safety authorities in the past year in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: An emergency drill was conducted on 1/17/25 and next on 2/11/26, a period of greater than 12 months.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: There was no documentation that the emergency plan had been reviewed and updated as needed by the operator in the previous year.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff #1 was trained on the emergency plan on 2/16/26, but not at hire (see code sheet for start date). Staff #6 was trained on the emergency plan on 2/16/26, but not at hire (see code sheet for start date).

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: Staff #6 only had 7 hours of training for the training year 4/16/25 to 4/16/26.

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: Staff person #2 and staff #9 did not complete Pediatric first aid and CPR training on or before expiration of the previous certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 11/11/25 and the next training completed on 3/12/26. Staff person #4 did not complete Pediatric first aid and CPR training on or before expiration of the previous certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 5/1/25 and the next training completed on 3/12/26.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training. Staff person #7 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric 1st Aid and CPR. The health and safety training on file for staff #11 dated 12/1/22 titled "Get Started with Center-Based Care: Building Blocks for Quality" contained fonts not used by Better Kid Care for the name and date. The certificate was confirmed by Better Kid Care as not valid because staff #11 did not complete this course. Staff #11 stated that, at hire, staff #11 handed a pile of papers from the previous childcare employer to the current employer. Staff #11 produced a valid health and safety certificate "Health and Safety Basics: Requirements for Certification" dated 11/25/16 by logging into the Better Kid Care account. Staff #11 was unaware of an invalid certificate in the file and denied knowing anything about it. Staff #12 stated that staff #11 handed in a pile of papers at hire. Staff #12 marked off the papers as completed and did not really look at them. Staff #12 was unaware that the certificate was not valid and denied knowing anything about it.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. TIERED LIS: 1. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. The operator shall provide a date for when this portion of the plan will be corrected. 2. For the next three months, the legal entity will require all new hires to complete, at minimum, PA Required Health and Safety for Centers-Group Child Care Part 1 prior to working with children at the facility. The legal entity will submit the completed training certificates to the Northeast Regional Office for review and approval. Staff may not begin working with children until the certificates have been approved by the Northeast Regional Office. The correction date for this portion of the plan shall be at minimum three months from the date the plan of corrections is approved by the Regional Office.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The Mandated Reporter training for staff #3 is dated 10/13/20, which is greater than 60 months. The state police clearance for staff #5 stated "under review" and therefore is not a complete clearance. The NSOR for staff #8 is dated 3/27/26, which is after the first day of caring for children (see code sheet for start date), and the incorrect disclosure statement was signed and on file. The NSOR for staff #10 is dated 2/27/23, which is after the first day of caring for children (see code sheet for start date), and the disclosure statement was signed on 5/12/22 which is after the first day of caring for children.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: There was a written evaluation for staff #2 and staff #5 on 1/10/25 and next on 2/16/26, a period of greater than 12 months. There was a written evaluation for staff #10 on 10/15/24 and next on 2/16/26, a period of greater than 12 months.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Continued Non-Compliance: During the renewal inspection on 4/23/25 there was no fee agreement on file for child #3. The most recent review of the fee agreement for child #4 was 5/2/24; for child #5 it was 7/3/24; for child #6 it was 9/8/21. The most recent review of the emergency contact information for child #6 was 7/9/21. An acceptable plan of corrections was received with a correction date of 5/26/25. On 6/4/25 there was still no updated fee agreement on file for child #4, #5, and #6.

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)(2)

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

Noncompliance Area: Continued Non-Compliance: As of the renewal inspection on 4/23/25, the most recent health assessment on file for child #3 was dated 10/13/23. The most recent health assessment on file for child #6 was dated 7/21/21. An acceptable plan of corrections was received. The correction date was 5/26/25. On 6/4/25, the updated health assessments were still missing for child #3 and #6.

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)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Continued Non-Compliance: As of the renewal inspection on 4/23/25, the health assessment for child #6 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. An acceptable plan of corrections was received. The correction date was 5/26/25. On 6/4/25, the health assessment for child #6 still did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Continued Non-Compliance: During the renewal inspection on 4/23/25 there was no continuity of operations plan as required by 45 CFR § 98.41(a)(1)(vii). An acceptable plan of corrections was received that stated "Write a continuity of operations plan and include in the emergency plan. Plan will be reviewed annually and updated as needed." The correction date was 5/26/25. On 6/4/25 the continuity of operations plan had not been written.

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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Continued Non-Compliance: During the renewal inspection on 4/23/25, there was no written notification of safe routes posted by the operator at a conspicuous location in the child care facility. An acceptable plan of corrections was received. The correction date was 5/26/25. On 6/4/25, the written notification of safe routes still had not been posted by the operator at a conspicuous location in the child care facility.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: Continued Non-Compliance: During the renewal inspection on 4/23/25, the letter to parents explaining the emergency procedures did not include information about lockdown, or accommodations for infants and toddlers, children with special needs, and children with chronic medical conditions. An acceptable plan of corrections was received that stated "Director will distribute a letter explaining the emergency plan to all enrolled families. Letter will be added to enrollment packet and given to parents at enrollment and posted on parent board." The correction date was 5/26/25. On 6/4/25, the letter had not been updated to include information about lockdown, or accommodations for infants and toddlers, children with special needs, 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Continued Non-Compliance: During the renewal inspection on 4/23/25, there was no child abuse clearance on file for staff #1 or staff #3 who were providing care at the facility. The most recent child abuse clearance for staff #2 was dated 9/14/18 which is greater than 60 months old. An acceptable plan of corrections was received that stated "Director will reapply for clearances. Staff will be removed from care until clearances are on file. Director will inspect staff files on a regular basis and use staff data sheets to ensure all information is current in files." The correction date was 5/26/25. On 6/4/25, staff #1 and #3 did not have child abuse clearance and were on site caring for children.

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 and 3 may not work in a child care position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Continued Non-Compliance: During the renewal inspection on 4/23/25, there were damaged/stained ceiling tiles in room 32. An acceptable plan of corrections was received that stated "Director contacted Landlord on needed repairs to building. Damaged ceiling tiles will be replaced. Director assigned lead teachers to do monthly inspections to their rooms and report back to director on any needed repairs. Director will do inspections on any other part of building and report to the Landlord for repairs." The correction date was 5/26/25. On 6/4/25, there were stained/damaged ceiling tiles in room 32.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: There was no child service report for child #4 (see code sheet for start date).

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: There was no fee agreement on file for child #3. The most recent review of the fee agreement for child #4 was 5/2/24; for child #5 it was 7/3/24; for child #6 it was 9/8/21. The most recent review of the emergency contact information for child #6 was 7/9/21.

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)(2)

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

Noncompliance Area: The most recent health assessment on file for child #3 was dated 10/13/23. The most recent health assessment on file for child #6 was dated 7/21/21.

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)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health assessment for child #6 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 4/23/25 there was no continuity of operations plan as required by 45 CFR § 98.41(a)(1)(vii).

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)/3270.151(c)(2)

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

Noncompliance Area: During the renewal inspection on 4/23/25, staff #3 was providing care in a classroom and did not have a health assessment or TB screening on file.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: There were bottles for child #1 and #2 that were not labeled with their names.

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 no written notification of safe routes posted by the operator at a conspicuous location in the child care facility.

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(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Accident/incident reports are not being retained in an accident file.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #1 did not have 2 written, nonfamily references from individuals attesting to their suitability to serve as a facility person.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator had not provided the parent of each child enrolled with information on how to access the child care regulations electronically.

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(e)

Description: Letter to parents

Noncompliance Area: The letter to parents explaining the emergency procedures did not include information about lockdown, or accommodations for infants and toddlers, children with special needs, 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 4/23/25, there was no child abuse clearance on file for staff #1 or staff #3 who were providing care at the facility. The most recent child abuse clearance for staff #2 was dated 9/14/18 which is greater than 60 months old.

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 and #2 may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: On 4/23/25 during the renewal inspection, staff #3 was providing care in a classroom and did not have documentation of a high school diploma.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: There were 7 children in Room 32 that measures for 6.

Correction Required: The capacity established for an indoor space may not be exceeded.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were damaged/stained ceiling tiles in room 32.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During an unannounced inspection on 10/3/24, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in any child care space.

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: 3270.133(6)

Description: Written consent

Noncompliance Area: During an unannounced inspection on 10/3/24, there was an Epi-Pen and albuterol for child #1 and no written parental consent.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During an unannounced inspection on 10/3/24, the most recent fire drill recorded was 5/10/24.

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: During an unannounced inspection on 10/3/24, the most recent fire alarm inspection report on file was dated 3/2/23.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #1, 2 & 4 are missing child service 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #3 is missing the enrolling parents work addresses and telephone numbers.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Child #1 & 4 do not have updated emergency contact and agreements on file.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Facility person #1 is missing an updated health assessment, date of health assessment on file 4/18/22.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: Facility person #2 does not have an NSOR clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 may not work in a child care position at the facility. 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: 3270.131(b)(2)

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

Noncompliance Area: Child #1 is missing an updated health assessment, date of last health assessment 11/29/21.

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)(4)

Description: Immunization record/Annual immunization reporting to DOH

Noncompliance Area: Child #1 & 2 do not have a current flu vaccine for 2022, or an exemption letter on file

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Facility person #4 does not have an updated health assessment, date of last health assessment 4/14/21.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Facility person #3 is missing proof of education.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Operator has not conducted an annual emergency drill.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: Operator has not updated or reviewed the emergency plan annually.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Facility person #1 only completed 1 hour of annual training during their training year from 2/22 to 2/23. Facility person #2 only completed 2 hours of annual training during their training year from 2/22 to 2/23.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff person #1 has a health assessment dated 2/9/21, which exceeds the requirement of updating every 24 months. Staff person #2 has a health assessment dated 11/20/20, which exceeds the requirement of updating every 24 months.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 has an expired child abuse clearance on file dated 11/28/16. Staff person #2 does not have proof of request and or a child abuse and state police clearance on file. Staff person #2 does not have a signed disclosure.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Legal Entity must attend Northeast Region Existing Provider Training on May 4, 2023.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 has an expired child abuse clearance on file dated 11/28/16. Staff person #2 does not have proof of request and or a child abuse and state police clearance on file. Staff person #2 does not have a signed disclosure.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 & 2 may not work in a child care position at the facility. 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: 3270.51

Description: Similar Age Level

Noncompliance Area: Staff person #3 was responsible for a group of 6 young toddlers, this group requires an additional staff person to meet appropriate staff ratio.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 has an expired Mandated Reporter Training dated 11/28/16. Staff person #2 does not have a child abuse and NSOR clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 2 may not work in a child care position at the facility. 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. Mandated Reporter Training must be completed every 60 months.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #2 is missing services to be provided to the family and the child.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Child #2 is missing 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)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #4 is missing the work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3270.124(b)(4)/3270.182(3)

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

Noncompliance Area: Child #1 is missing signed parental consent for 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)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #3 is missing the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Child #2, 3 & 4 are missing updated emergency contact and agreements.

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 informationA 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)(2)/3270.182(1)

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

Noncompliance Area: Child #3 is missing an updated health assessment, date of last assessment 3/3/21.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff person's #2, 4 & 6 do not have an initial health assessment on file.

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)

Description: Mantoux TB

Noncompliance Area: Staff person's #2, 4 & 7 do not have a tuberculosis screening on file.

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

Regulation: 3270.17(a)

Description: Accommodate a child with special needs

Noncompliance Area: The facility does not have a policy in place to make reasonable accommodations to include a child with special needs.

Correction Required: The operator shall make reasonable accommodation to include a child with special needs in accordance with applicable Federal and State laws.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: Operator has not notified the local safety authorities annually in writing the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.182(5)

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

Noncompliance Area: Child #1 is missing signed parental consent for administration of minor first aid.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person's #3, 4 & 7 do not have proof of child care experience and education on file.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person's #2, 3 & 7 are missing 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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility does not have the contact number for the regional child care office or information on how to access the regulations in a conspicuous location used by the parents.

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: Operator has not conducted annual emergency drills.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The operator has not updated/reviewed the emergency plan annually, date of last review 2/5/21.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff person's #2, 3, 4, 5, 6, 7, 8, 9, 10 & 11 did not receive initial and annual 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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person's #1 & 10 are missing annual fire safety training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #6 did not complete the required health and safety training within 90 days of hire, date of training 2/11/22. Staff person #8 did not complete the required health and safety training within 90 days of hire. Staff person #11 did not complete the required health and safety training within 90 days of hire, date of training 3/12/22.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #2 has a volunteer state police clearance on file. Staff person #3 is missing proof of requests and/or original state police, child abuse and NSOR clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 & 3 may not work in a child care position at the facility. 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: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Operator has not conducted fire system checks every 30 days, date of last system check 3/3/22 and another at the time of inspection 4/12/22 that is a span of 40 days.

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

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: At the time of an unannounced monitoring visit on 11/22/21, Staff person #1 was unable to supply a written record of fire drills that have been conducted.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: At the time of an unannounced monitoring visit, Staff person #1 was unable to supply a written record of monthly fire system checks that have been conducted.

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