Westminster Early Childhood Education Programs

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files for children #1, #2, and #3 contain agreements and emergency contact forms that were late. They were due 12/2025 and completed 1/2026.

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)/3270.182(1)

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

Noncompliance Area: The file for child #2 contains a health report that was updated late. It was due 1/2025 and obtained 8/2025.

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: The files for the following staff #3, #4, #5, #6, #7, #9, and #12 contain health assessments that were updated late. #3 was due 8/3/2025 and obtained 8/18/2025; #4 was due 6/2/2025 and obtained 6/12/2025; #5 was due 9/2025 and obtained 2/2026; #6 was due 2/2025 and obtained 4/2025; #7 was due 2/2025 and obtained 3/2025; #9 was due 10/2025 and obtained 12/2025; #12 was due 6/2025 and obtained 2/2026.

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 files for staff #2, #7, #8, #10 contained NSOR clearances that were renewed late: #2 was due 7/2025 and obtained 9/2025; #7 was due 7/8/2025 and obtained 7/16/2025; #8 was due 7/7/2025 and obtained 7/18/2025; #10 was due 4/2025 and obtained 7/2025. The file for staff #11 lacks an updated NSOR clearance. It was due 7/2025. The file for staff #6 contains 4 clearances that were renewed late. The criminal clearance and child abuse clearances were due 5/2025 and obtained 1/2026. The FBI clearance was due 6/2025 and obtained 1/2026. The NOSR clearance was due 4/2025 and obtained 1/2026.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 11 may not work in a child care position at the facility until a valid NSOR clearance is on file 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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The evaluation for staff #1 was conducted late. It was due 4/2025 and conducted 5/2025.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person/facility person/volunteer #1 will have until 12/11/25 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

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

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

Noncompliance Area: The file for child #1 contains a health assessment that was obtained late. The updated health assessment was due 8/2024 and was obtained 2/2025. The file for child #2 lacks a current health assessment. The health assessment was due 1/2025. Immunizations are on file.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff #5 lacks a current health assessment. The health assessment was due 2/6/25.The file for staff #4 contains a health assessment that was obtained late. The health assessment was due 3/2024 and was obtained 1/2025.

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

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

Noncompliance Area: Staff #3 completed 5 of the annual training hours late (past 3/2024). Staff #3 still lacks 2 hours of annual child care training for the 3/2023-3/2024 period. Staff #6 completed 4 of the annual training hours late (past 3/2024). Staff #6 still lacks 7 hours of annual child care training for the 3/2023-3/2024 period.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety basics.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #1 and #2 will have until 3/22/25 to complete the required 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 AGS 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #4 has completed mandated reporter training late. This is evidenced by the previously documented mandated reporter training on file being dated 8/22/22 and completed 8/27/24.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services).

Regulation: 3270.51/3270.113(a)

Description: Similar Age Level/Supervised at all times

Noncompliance Area: At 10:00am, 5 infants were in care in the infant room #152. One infant was asleep in a crib that was behind a shelf. The infant was unable to be seen be either staff in the room at that time.

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. The required staff:child ratios must be maintained at all times. Children must be able to be seen at all times. Children must be supervised at all times.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Foam blocks with teeth marks were observed in Room 125, Room 152, and Room 156. Broken magnatiles, which could be hazardous to children, were observed in Room 136, and Room 157.

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(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: In Room 137, ripped plastic less than 1 inch on 2 chairs and a couch, books with peeling paper less than one inch in Room 154, and peeling plastic less than one inch on foam balance beams in Room 107 were observed accessible to children who are still placing objects in their mouths.

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.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The facility's outdoor equipment, located in the outdoor play spaces, were observed to be embedded but lacked sufficient documentation from the installer detailing the fall height of the 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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In Room 154, rest equipment lacked labels with the names of the specific children.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #6 did not contain the address and phone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms for Child #1, Child #2, Child #3, Child #5, and Child #7 did not contain the enrolling parent's work address and telephone number.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for Child #7 lacked the Health Insurance/MA Coverage and the Health Insurance/MA Policy Number.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Room 152 lacked the required emergency contact information for Child #8.

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

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

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

Noncompliance Area: The file for Child #7, a young toddler, contains a health assessment dated 6/23/23 and is lacking an updated health assessment within 6 months.

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

Regulation: 3270.131(d)(1)

Description: Child's health history

Noncompliance Area: The most recent health assessment on file for Child #4 did not contain a review of the child's health history.

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

Regulation: 3270.15(a)

Description: Building Codes

Noncompliance Area: The facility was unable to provide a copy of the certificate of occupancy.

Correction Required: A certificate of compliance will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements of the Department of Labor and Industry in 34 Pa. Code § 403.23 (relating to child day care facilities) and under section 1016(c) of the act (62 P.S. § 1016(c)).

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 recent health assessments on file for Staff #1 are dated 3/25/21 and 8/25/23, which is more than 24 months apart. The most recent health assessment on file for Staff #4 is dated 2/8/21, more than 24 month ago. The most recent health assessment on file for Staff #12 is dated 2/18/21, more than 24 months ago. The two most recent health assessments on file for Staff #13 are dated 6/29/20 and 6/30/23, more than 24 months apart.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The Initial Health Assessment for Staff #10 is dated 10/27/23, which is dated after Staff #10's date of hire. (SEE LIS CODE SHEEET)

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(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The health assessment on file for Staff #8 is not an acceptable format.

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for Staff #7 contained a TB test dated 2/7/24, which was beyond date of hire. (SEE LIS CODE SHEET)

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The current health assessment on file for Staff #7 does not indicate that the staff person was examined for communicable diseases.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The current health assessment on file for Staff #7 does not indicate if the staff member is suitable to provide child care.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Adult scissors were observed accessible to children in Room 136, Room 138, and Room 157.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #5 lacked Emergency Plan training within 90 days of hire. The training was dated 8/22/23. (SEE LIS CODE SHEET)

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff #12 did not contain 12 hours of annual childcare training.

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

Regulation: 3270.31(e)(4)(i)/3270.192(2)(ii)

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

Noncompliance Area: The two most recent Pediatric First Aid and CPR trainings on file for Staff #2 are dated 1/19/22 and 2/5/24, more than 24 months apart. The two most recent Pediatric First Aid and CPR trainings on file for Staff #9 are dated 3/2/21 and 2/5/24, more than 24 months apart.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #5 did not complete the following required pre-service training within 90 days of their date of hire: Pediatric First Aid and CPR (8/8/23) and Get Started with Center-Based Care -- Revised 2022 (2/1/24). Staff #9 did not complete the following required pre-service training within 90 days of their date of hire: Get Started with Center Based Care -- Revised 2022 (SEE LIS CODE SHEET)

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

Regulation: 3270.31(g)

Description: Professional development certificate

Noncompliance Area: The file for Staff #12 contained Health and Safety Basic Training (6 Hour Course) dated 8/23/18 and lacked the Get Started With Center-Based Care (10 Hour Course).

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The disclosure statement on file for Staff #3 is dated 9/3/21, which is more than 2 year prior to the date of hire. (SEE LIS CODE SHEET)

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #5 and Staff #6 contained a NSOR certificates dated 2/2/24, which is more than 45 days beyond date of hire. The file for Staff #7 contained a State Police clearance dated 2/12/24 and a Child Abuse clearance dated 2/13/24, which is more than 45 days beyond date of hire. The file for Staff #8 contained a FBI clearance dated 2/2/24, which is more than 45 days beyond date of hire. The file for Staff #11 did not contain documentation of an FBI clearance. (SEE LIS CODE SHEET)

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

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

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

Noncompliance Area: The file for Staff #9, classified as an Assistant Group Supervisor, does not include documentation of a high school diploma.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Protective receptacle covers were missing in Room 133 (1 near the bathroom), Room 153 (1 above the garbage can), and Room 237 (2 in an extension cord by window).

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

Regulation: 3270.67(a)

Description: Trash removed once a day

Noncompliance Area: Two trash cans located in the outside play area were observed with garbage from days prior.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A trash receptacle in Room 125, containing human secretions, was observed without a lid.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Room 135 did not contain a first-aid kit and the first-aid kit in Room 127 lacked scissors.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The facility lacked a handwashing sign at every sink, toilet, and urinal in Room 133, Room 137, Room 237, CDC Girls Bathroom, and DOE Boys Bathroom.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The one-hour Health and Safety update training certificate on file for Staff person #5 is dated 2-2-24 which is after the deadline of 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1, #2, and #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Getting Started with Center-based Care: Building Blocks for Quality Revised 2022. Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. The file for Staff person #2 contains a certificate dated 5/13/23 for a non-approved CPR/1st aid curriculum, making it invalid.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #1, #2 and #4 will have 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person #1, #2 and #4 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #2, and #4, staff person #1, #2 and #4 may not work in a child-care position at the facility

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The 2 most recent mandated report trainings certificates on file for Staff Person #3 are dated 7-24-25 and 2-4-22, 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: 3270.131(b)(2)/3270.182(1)

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

Noncompliance Area: The file for child #1, preschool aged, is lacking a health report completed during the previous 12 month period. The file does contain current immunizations.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The provider is lacking a written policy and procedure on the prevention of Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff person #3 contains a current health assessment that was conducted greater than 24 months after the previous health assessment. The file is now current. The files for staff persons #12 and 13 are lacking health assessments conducted prior to their start date in a child care position. The files are now current.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The file for staff person #2 contains a health assessment that lacks verification of an examination for communicable disease and the results of the examination. The file for staff person #9 contains a health assessment with a physician's affirmation of a communicable disease but lacks a statement regarding how this may affect working in child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The file for staff person #2 contains a health assessment that lacks a physician's statement regarding the individual's suitability to provider child care.

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

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

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

Noncompliance Area: The files for staff persons #3,4,5,6,7,8 and 11 contain current training regarding the facility emergency plan which was received greater than 12 months following the previous training. The files are now current.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The operator has not provided the parents of each enrolled child with a letter explaining the emergency procedures and subsequent updates to the plan.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The operator is lacking documentation regarding submission of the facility's current emergency plan to the local municipality and county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

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

Noncompliance Area: The file for staff person #3 contains only 6 of the required 12 hours of child care training during the previous year. The file for staff person #4 contains 3 of the required 12 hours of child care training during the previous year. The file for staff person #6 contains only 7 of the required 12 hours of child care training during the previous year. The file for staff person #7 contains only 9 of the required 12 hours of child care training during the previous year. The file for staff person #11 contains only 4 of the required 12 hours of child care training during the previous year. The file for staff person #13 contains only 7 of the required 12 hours of child care training during the previous year.

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

Regulation: 3270.31(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): Health and Safety Update 2022. Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training Topics #1-#9.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #1 and #8 will have until 4/12/2023 to complete the required training. Until such time as the required training has been completed, staff person #1 and 8 must be supervised, when interacting with children, by an AGS, GS or director who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and 8, staff person #1 and 8 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files for staff persons #1, #8 and #14 are lacking approved PFA/PCPR training completed within 90 days of hire however do contain current training. The files for staff persons #4, #10and #13 contain Health and Safety Update 2022 completed after the required date of 12/30/2022 however the training is now current.

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 #4 contains a current mandated reporter training that was completed greater than 60 months after the previous training. The file is now current.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2, hire date (see LIS code sheet), is lacking a valid DHS FBI clearance and is lacking an NSOR verification as required under CPSL.

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

Regulation: 3270.62(b)(2)

Description: Toddler - 50 sq ft/child

Noncompliance Area: Observed on 3/9/2023 twenty-nine younger and older toddlers receiving care in the Room 194 play space which has a maximum capacity of 22 young and older toddlers.

Correction Required: The minimum outdoor or indoor play space required per young or older toddler is 50 square feet.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: Room 137, Room 235, and Room 237 all lacked a written daily activity schedule.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: In Room 152 (Infant Room), at approximately 11:15am, an infant was observed to be a sleep in a crib and where staff were positioned in the room, a swing and/or a changing table were obstructing the staffs view of the infant sleeping thus resulting in staff not being able to properly see, direct, and assess the needs of the sleeping infant.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The child file for Child #6, Child #8, Child #9, and Child #10 contained a financial agreement form that lacked the fee amount.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The child file for Child #6, #7 and Child #10 contained a financial agreement form that lacked the child's admission date.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The child file for Child #1, #2, #3, #4, and #5 lacked a financial agreement form.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The child file for Child #1 contained an emergency contact information form that lacked the addresses for 3 of the individuals designated by the parent to whom the child may be released to. The child file for Child #5 contained an emergency contact information form that lacked the addresses for 2 of the individuals designated by the parent to whom the child may be released to.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The child file for Child #6, who has an enrollment date of 7/1/21, lacked an initial health assessment within 90 days; an initial health report dated 3/3/22 is on file. The child file for Child #9, who has an enrollment date of 7/1/21 lacked an initial health assessment.

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(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The child file for Child #6, and Child #8 lacked a flu shot for 2021.

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: 3270.151(a)

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

Noncompliance Area: The staff file for Staff person #5, lacked a health assessment. The staff file for Staff person #8 contained a current health assessment dated 2/12/21 which was updated more than 24 months from the previously dated 5/18/18 health assessment. The staff file for Staff person #11 and Staff person #19 lacked a health assessment. The staff file for Staff person #21, who has a start date working with children of 1/4/22, contained a health assessment dated 2/23/22 which was not obtained prior to providing initial service in a child care setting.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The staff file for Staff person #14, who has a start date working with children of 1/3/22, contained a tuberculosis screening test results dated 5/10/17 which was conducted more than 12 months prior to providing initial service in a child care setting. The staff file for Staff person #15, who has a start date working with children of 1/3/22, contained a tuberculosis screening test results dated 9/4/15 which was conducted more than 12 months prior to providing initial service in a child care setting. The staff file for Staff person #16, who has a start date working with children of 1/3/22, contained a tuberculosis screening test results dated 9/13/13 which was conducted more than 12 months prior to providing initial service in a child care setting. The staff file for Staff person #15, who has a start date working with children of 1/3/22, contained a tuberculosis screening test results dated 9/4/15 which was conducted more than 12 months prior to providing initial service in a child care setting. The staff file for Staff person #21, who has a start date working with children of 1/3/22, contained a tuberculosis screening test results dated 2/23/22 which was not conducted prior to providing initial service in a child care setting.

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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The staff file for Staff person #2, Staff person #3, Staff person #4, Staff person #7, Staff person #12, Staff person #17, and Staff person #20 contained a health assessment that lacked an examination for communicable diseases and the results.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The staff file for Staff person #2, Staff person #3, Staff person #4, Staff person #12, Staff person #17, and Staff person #20 contained a health assessment that lacked an assessment of the person's suitability to provide child care.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #2 contained an emergency contact information form that was not updated at least once in a 6-month period; the dates of the two most recent updates were 7/11/21 and 2/17/22. The child file for Child #6 contained a financial agreement and an emergency contact information form that were not updated at least once in a 6-month period; the dates of the two most recent updates were 7/1/21 and 3/1/22.

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(c)

Description: Training regarding plan

Noncompliance Area: The staff file for Staff person #3, who has a start date of 1/10/22, contained emergency plan training dated 3/2/22 which was not completed at time of initial employment. The staff file for Staff person #5, who has a start date of 1/31/22, contained emergency plan training dated 2/14/22 which was not completed at time of initial employment.

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

Regulation: 3270.31(c)(4)

Description: Institution rep written certification

Noncompliance Area: The staff file for Staff person #10 and Staff person #11 lacked written documentation from the representative of the training institution certifying that the individuals have completed the required classroom training and is currently enrolled in the curriculum.

Correction Required: An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person if a representative of the training institution certifies in writing that the individual has completed the required classroom training and is currently enrolled in the curriculum.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The staff file for Staff person #6 and Staff person #8 contained 8 out of 12 hours of child care training for 12/19/20-12/19/21.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The staff file for Staff person #6 lacked annual fire safety training for 2021; the last two documented trainings on file were dated 1/20/20 and 1/19/22.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The staff file for Staff person #4, who has a hire date of 3/22/21, contained health and safety training dated 2/22/22 which was not obtained within 90 days of hire. The staff file for Staff person #9, who has a hire date of 11/16/21, contained health and safety training dated 2/18/22 which was not obtained within 90 days of hire. The staff file for Staff person #11, who has a hire date of 8/31/21, contained health and safety training dated 2/8/22 which was not obtained within 90 days of hire.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children

Regulation: 3270.31(f)(10)/3270.31(h)

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

Noncompliance Area: The staff file for Staff person #10 and Staff person #11, both with a hire date of 8/23/21, contained pediatric first-aid/CPR dated 1/19/22 which was not obtained within 90 days of hire.

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

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

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

Noncompliance Area: The staff file for Staff person #8 contained current mandated reporter training dated 2/8/22 which was not renewed within 60 months from the previously existing certificate dated 7/26/16. The staff file for Staff person #11 contained mandated reporter training dated 2/8/22 which was not obtained within 90 days of hire.

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 staff file for Staff person #3 lacked a valid FBI clearance; a PDE FBI clearance was on file which is no longer considered an acceptable FBI clearance as of 9/23/18 per the Child Protective Service Law (CPSL). The staff file for Staff person #4 lacked a valid Child Abuse clearance; the Child Abuse clearance on file was a volunteer clearance which is not an acceptable clearance for employment purposes. The staff file for Staff person #11 lacked a National Sex Offender Registry (NSOR) certificate. The staff file for Staff person #16 and Staff person #20, who have a start date working with children of 1/3/22, lacked a NSOR certificate as well the application of having applied for the NSOR certificate prior to working with children; a NSOR certificate dated 2/11/22 and 2/14/22 are on file. The staff file for Staff person #13, lacked documentation of having applied for and received an out of State criminal history check, an out of State sex offender registry check, and an out of State child abuse and neglect registry check from the State in which they have resided outside of PA in within the previous five years as required by the CPSL. Staff person #13, Staff person #18, and Staff person #21 lacked a valid FBI clearance; a PDE FBI clearance was 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 #3, #4, #11, #13, #18, #21 -- may not work 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. Facility Person #3, #4, #11, #13, #18, #21 --- may not work at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff file for Staff person #6 lacked a staff evaluation for 2020; the most recent staff evaluation on file is dated 7/1/21. The staff file for Staff person #8 lacked a staff evaluation for 2020; the two most recent staff evaluation on file are dated 6/6/19 and 7/1/21.

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

Regulation: 3270.35(b)(1)

Description: Bachelor's

Noncompliance Area: The staff file for Staff person #15, who is considered a group supervisor lacked proof of education.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The staff file for Staff person #9 and Staff person #17, both considered an assistant group supervisor, lacked proof of education. The Staff file for Staff person #4 lacked two years experience with children; only 1,913 hours were documented on file.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.61(h)(2)/3270.61(h)(2)(i)

Description: Measurement and use of indoor child care space/No more than two 1/2 hour time periods daily

Noncompliance Area: At approximately 10:20am in Room 233 which has a capacity of 10, 11 children were observed to be utilizing the room for circle time resulting in the capacity being exceeded by 1 child. Upon review of their daily schedule, there was no notation of exceeding capacity for circle time written on the rooms daily schedule.

Correction Required: The capacity established for indoor space may not be exceeded except when older toddler, preschool or school-age children are participating in a program activity. The capacity established for an indoor space may be exceeded for no more than two separate 1/2 hour time periods daily when older toddler, preschool or school-age children are participating in a program activity

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In Room 138 a surge protector with 5 electrical outlets located in the circle time area of the room was observe to have one outlet missing a protective cover. Also another electrical outlet in room 138, located to the left of the white board, was observed to be missing one electrical cover.

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