Westview Early Learning Academy

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 10/7/25 the file reviewed for child #1, child #2 and child #3 did not include updated child service report. Child service reports reviewed were dated 3/24/25.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection on 10/02/24 the emergency contact form reviewed for child #2 did not include the address and telephone number for 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)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection on 10/02/24 the emergency contact form reviewed for child #2 did not include release person's full name, address and telephone number.

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: During the renewal inspection on 10/02/24 the file reviewed for child #1 included a fee agreement that was not updated within 6-month time period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: During the renewal inspection on 10/02/24 the file reviewed for child #1 did not include updated health assessment. Assessment reviewed was dated 07/13/22

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 10/02/24 the file reviewed for staff person #1 did not contain Health & Safety 1hr update required by OCDEL.

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: During the renewal inspection on 10/02/24 the file reviewed for staff person #2 did not include an initial health assessment prior to providing childcare.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection on 10/02/24 the file reviewed for staff person #1 and staff person #2 did not contain 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 10/02/24 the file reviewed for staff person #1 hired (see code sheet) did not contain PA child abuse clearance or NSOR certificate.

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 may not work in a childcare position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection on 10/02/24 the cabinet in the bathroom was observed unlocked and contained toxins accessible to children.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 10/02/24 the first aid kit observed in the pre-k classroom did not contain tape.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During the renewal inspection on 10/10/23 the file reviewed for child #1, child #2, child #3, child #4 and child #5 contained expired emergency contact form and fee agreement.

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

Noncompliance Area: On 12/20/20 at approximately 11:00am, a group of four young toddlers (age 1 year) children were left alone and unattended when the staff person left the room to attend to other tasks. (staff #1)

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. The legal entity must arrange for all facility staff persons to receive at least 2 hours of DHS approved training regarding supervision of children, including the requirement that staff persons must be physically present and be able to see, hear and assess and direct the activity of the children. Submit written verification of the completed training for all facility staff persons.

Noncompliance Area: One child's record did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#4)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Noncompliance Area: The facility did not obtain from the parent a written formula and feeding schedule for an infant. (#2)

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent. Obtain from the parent a written formula and feeding schedule for the identified child. Ensure that written formula and feeding schedules are obtained from the parent of all enrolled infants.

Noncompliance Area: The operator lacked verification of the annual written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the day 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 day care facility. Provide and submit verification of written notification of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility to the local safety authorities as specified. Ensure that this notification is sent annually.

Noncompliance Area: Emergency contact information in two children's records was not being updated every 6 months. (#1 and #3)

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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Noncompliance Area: One facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1)

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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: A copy of the 55 PA CODE 3270 regulations was not posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location. It was on a desk covered by other documents.

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

Noncompliance Area: One staff person's record did not contain written verification of initial emergency plan training at the time of initial employment. It only contained a record of the 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. Revise and submit written policies and procedures regarding emergency planning training to ensure that it is completed as specified in this regulation.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#1--hired 6/28/19- DISCLOSURE STATEMENT not signed by a witness

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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. Obtain and submit a copy of the properly signed and completed DISCLOSURE STATEMENT form for the identified staff person. Ensure that the DISCLOSURE STATEMENT form is properly signed and completed for all staff persons.

Noncompliance Area: One staff person's record did not contain written verification of education and experience for their aide position. (#1)

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written verification of education and experience for the identified staff person.

Noncompliance Area: An aide was observed in a classroom caring for a group of 4 young toddler age children alone and without being minimally supervised by an assistance group supervisor.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. Aides cannot be left alone with children. Assign a staff person qualified at minimum as an assistant group supervisor to supervise this aide at all times. Develop and submit written policies and procedures to ensure that an aide will never work alone with children and will be supervised at all times.

Noncompliance Area: The tubing in the portable sink was stained and in need of cleaning or replacement.

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. Clean or replace the tubing. Ensure that surfaces in the facility are kept clean.

Noncompliance Area: Handwashing signs posted in the bathrooms did not specify that a facility person and an able child shall wash his hands after toileting and before eating.

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. Revise and post handwashing signs that includes the information as specified in this regulation/Post a handwashing sign in the infant classroom as specified in this regulation.

Noncompliance Area: One staff person's record did not contain a health assessment completed within 12 months prior to the date of hire. (#2)

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. Obtain and submit a current up-to-date health assessment for the identified staff persons. Ensure that staff health assessments are completed within the required timeframes as specified in this regulation

Noncompliance Area: One facility person's health assessment did not include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment in accordance with 3270.151(a). (#1)

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. Obtain and submit written documentation from the staff person's physician verifying negative Manotux TB testing within 12 months prior to date of initial employment. Ensure that facility persons' health assessments include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment.

Noncompliance Area: Two facility person's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1 and #2)

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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff persons record reviewed did not contain the required CPSL hiring documents. (#1-hired 3/11/19 no proof of requests for FBI prior to working with children; no proof DISLOSURE STATEMENT prior to working with children -not dated)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 may not work in a child care position at the facility until the CPSL clearance document (DISCLOSURE STAEMENT) is properly completed. Obtain and submit a copy of the completed, signed and dated DISCLOSURE STATEMENT for the identified staff person. The facility director and administrative staff must receive DHS approved training in the CSPL hiring requirements to ensure compliance with the CPSL. Submit written verification for the completed training.

Noncompliance Area: Two staff person's records did not contain written verification of education and experience for their assistant group supervisor position. (#1 and #2)

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.Obtain and submit written verification of education and experience for the identified staff persons.

Noncompliance Area: The facility lacked a sufficient amount of materials for dramatic role playing in the young/older toddler classroom.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include materials for dramatic role playing. Obtain additional materials for dramatic role playing in a sufficient amount to preclude long waits. Submit written documentation of purchase receipts for verification of compliance.

Noncompliance Area: The seat cover on an infant rocker was soiled and in need of cleaning or replacement.

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. Clean or replace the seat cover. Ensure that all toys, play equipment and other indoor and outdoor equipment used by the children are kept clean.

Noncompliance Area: Children were observed napping on cots in the toddler room that were not labeled for their specific use.

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. Label the rest equipment for use of a specific child and ensure that children only rest on equipment labeled for their specific use.

Noncompliance Area: The written plan of daily activities was not established and posted in each child care space. (infant room)

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. The written plan of daily activities shall be posted in the group space. Establish and post the written plan of daily activities in each child care space.

Noncompliance Area: Several children's records did not contain a signed agreement in accordance with this regulation. (#1, #2 and #3)

Correction Required: An agreement shall be signed by the operator and the parent. Obtain a signed agreement that includes both the operator and parent's signature as specified. Ensure that the parent receives the original and that a copy is retained by the facility. Revise and submit written policies and procedures regarding agreements to ensure that they are completed for all enrolled children.

Noncompliance Area: Several children's emergency contact information did not include health insurance coverage and policy number information. (#1, #and #3)

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. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Noncompliance Area: A child was observed being cared for in toddler classroom and the child's emergency contact information was not present in the classroom.(#3)

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. Ensure that emergency contact information is present in all child care spaces in which children are receiving care.

Noncompliance Area: The facility's written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the toddler classroom.

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. Post the plan in each classroom/child care space and ensure that it is posted in each child care space and that it accompanies staff persons who leave on excursions with children.

Noncompliance Area: An albuterol (Ventolin) inhaler administered to a child was not in its original container and was not labeled with the child's name. (#5)

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. Obtain the original labeled container for the child's medication and ensure that all medication is received in the original labeled container with the child's name. Revise and submit a written copy of the facility's policies and procedures regarding the acceptance of medication in accordance with these regulations.

Noncompliance Area: Albuterol medication (Ventolin inhaler) was administered to a child on 12/13/18 and the facility did not maintain a medication log of the medication administered in accordance with this regulation. In addition, the parent had not provided written consent for administration of the medication. (#5)

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. Obtain and submit written parental consent to administer the medication. Ensure that a medication log is maintained for the administration of medication. Revise and submit a written copy of the facility's policies and procedures regarding medication logs and parental consent in accordance with these regulations. The legal entity must arrange for all facility staff persons to receive training in the administration of medication including the revised medication administration policies and procedures. Submit written verification of the completed training for all facility staff persons. Submit written verification of staff notification of the revised medication administration policies and procedures that includes each staff person's signature.

Noncompliance Area: Two facility person's records did not contain a health assessment completed within 12 months prior to the date of hire or within the past 24 months. (#3-biennial) (#4-initial)

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. Obtain and submit a current up-to-date health assessment for the identified staff persons. Ensure that health assessments are dated and completed within the required timeframes.

Noncompliance Area: The facility did not obtain from the parent a written formula and feeding schedule for an infant. (#3)

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

Noncompliance Area: An infant bottle observed in the infant room was not labeled with the child's name. .

Correction Required: Disposable nursers and bottles shall be labeled with the child's name. Label the bottle with the child's name. Develop and submit a written protocol for proper labeling of bottles. Notify all facility staff of this protocol. Submit written verification of this notification that includes each staff person's signature.

Noncompliance Area: An infant was observed being fed with a propped bottle. (#3)

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed. Notify all facility staff that children 6 months of age and under must be held while being bottle fed. Provide and submit written verification of staff notification that includes each staff person's signature.

Noncompliance Area: Two children's records did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission. (#1 and #2)

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents for the identified child as specified in the regulation. Ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: One facility person's record/s did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#4)

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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: A copy of the 55 PA CODE 3270 regulations were not posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

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

Noncompliance Area: Two facility person's records did not include written verification of emergency plan training at the time of initial employment. (#2 and #4))

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. Provide and submit written verification of the completed training for all identified facility persons. Revise and submit written facility policies and procedures to ensure that emergency plan training is completed and properly documented at the time of initial employment and annually.

Noncompliance Area: Two staff person's record did not contain written verification of annual minimum 6 hours of child care training. (#3 and #5)

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training. Obtain and submit written verification of annual minimum 6 hours of child care training for the identified staff persons.

Noncompliance Area: Two staff person's records did not contain written verification of 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. Obtain and submit written verification of annual fire safety training for the identified staff persons.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several/Two records reviewed did not contain the required CPSL hiring documents. (#1-hired 8/1/18- no proof of requests for STATE POLICE, CHILD ABUSE and FBI prior to working with children (#2- hired 12/3/2018-no proof of request for STATE POLICE prior to working with children; no signed DISLOSURE STATEMENT-nothing in record)(#4-hired 11/8/18-no proof of request for STATE POLICE prior to working with children-nothing in record

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 Persons #2 and #4 may not work in a child care position at the facility until the required CPSL documents have been obtained and submitted as specified. Submit a copy of the required CPSL clearance documents for the identified staff person. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents in accordance with the CPSL.

Noncompliance Area: One staff person's record did not contain written verification of experience for their assistant group supervisor position. (#2)

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. . Obtain and submit written verification of experience for the identified staff person.

Noncompliance Area: On 12/14/2018, at approximately 10:30am staff/ratios were not in compliance in two classrooms. Staff person #3 was observed caring for a group of 12 preschool age children-ages 3 years of age to the 1st day of kindergarten) in the preschool classroom. Staff person #1 was observed caring for a mixed age group of 7 young/older toddlers- ages 1-2 years of age in the young/older toddler classroom. The ages of the children were verified by staff persons present.

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. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The legal entity must arrange for all facility staff to receive at least 2 hours of DHS approved ratio training to include mixed-age groupings. Submit written verification of the completed training for all facility staff.

Noncompliance Area: The preschool classroom was in need of general cleaning.

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. Clean the preschool classroom and ensure that the facility is kept clean.

Noncompliance Area: The hallway exit between two classroom was obstructed with children's equipment and materials as it was being used as storage space.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Remove the children's equipment and materials or make necessary modifications to eliminate the obstruction in accordance with local building and fire safety ordinances. Submit written verification of compliance.

Noncompliance Area: There was no written record of fire drills completed between 2/6/18 and 5/3/18.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting. A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill. Revise and submit written fire drill policies to ensure that fire drills are completed at least every 60 days as specified in this regulation. Conduct and send a record of all fire drills completed within the next 30 days.

Noncompliance Area: A crib in the infant room was not labeled for the use of a specific child.

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. Label the rest equipment for use of a specific child and ensure that children only rest on equipment labeled for their specific use.

Noncompliance Area: Agreements in several children's records did not include services to be provided to the family and child. (Child #1, #3 and #4)

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). Submit a copy of the amended agreement that includes this information for the identified children. Ensure that all agreements include services to be provided to the family and child.

Noncompliance Area: Several children's records contained agreements that did not specify the persons designated by a parent to whom the child may be released.(#1, #3 and #4)

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. Update the agreements to specify the persons designated by a parent to whom the child may be released. Submit a copy of the updated agreements

Noncompliance Area: Children were observed being cared for in a classroom and their emergency contact information was not present in the classroom.

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. Ensure that emergency contact information is present in all child care spaces in which children are receiving care.

Noncompliance Area: The facility lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency in accordance with this regulation.

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. Develop a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency. Post the plan in each child care space and ensure that it accompanies staff persons who leave on excursions with children.

Noncompliance Area: Two children have been enrolled for more than 60 days and their record did not contain a current, up-to-date health report. (#1 and #3)

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. Obtain and submit a current up-to-date health report for the indicated children. Ensure that all children's records include a current, up-to-date health report within 60 days of enrollment.

Noncompliance Area: One child's record did not contain a health report completed within the past 12 months. (#4)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all children's records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: One staff person was observed changing a child's diaper and did not dispose the soiled diaper into a plastic-lined, hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Obtain a plastic-lined, hands-free covered can in which to dispose soiled diapers. Ensure that all facility persons properly dispose soiled diapers in accordance with this regulation.

Noncompliance Area: The facility did not obtain from the parent a written formula and feeding schedule for an infant. (#1)

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

Noncompliance Area: An infant bottle observed in the infant room was not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name. Label the bottle with the child's name and ensure that all children's bottles are properly labeled.

Noncompliance Area: One child's record did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#5)

Correction Required: Information in a child's record shall be kept current by the operator.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. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Ensure that this information is updated every 6 months for all enrolled children as specified.

Noncompliance Area: One child's record did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. The form only had the parent's initials. (#2)

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: A copy of the 55 PA CODE 3270 regulations was not posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

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

Noncompliance Area: The indoor temperature was not at least 65 F. The indoor thermostat registered the temperature at 63 F.

Correction Required: The indoor temperature shall be at least 65 F. Take necessary steps to ensure that the indoor temperature is at least 65 F throughout the facility. Children cannot return to care if the temperature is not at least 65 F. Submit written documentation to verify compliance.

Noncompliance Area: A dorm size refrigerator in one classroom was wobbly and not leveled presenting a potential hazard to the children receiving care in the classroom.

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. Stabilize the refrigerator to ensure that it does not present a safety hazard to the children in care.

Noncompliance Area: The sinks in the bathroom used by children were not at a proper height for the young/older toddlers and lacked a platform or steps to make it easily approachable.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps. Obtain a platform or steps to make the sink more approachable for the young toddlers.

Noncompliance Area: One staff person was observed changing a child's diaper and did not ensure that the child's hands were washed after being diapered.

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. The legal entity must arrange for all staff persons to be trained in proper hand washing procedures. Submit written verification of the completed training for all facility staff.

Noncompliance Area: There was no written record of fire drills being held at the facility.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting. A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill. Revise and submit written fire drill policies to ensure that fire drills are completed at least every 60 days and recorded in writing as specified in this regulation. Conduct and send a record of all fire drills completed within the next 30 days.

Noncompliance Area: The refrigerator temperature read 50 degrees. Lower the refrigerator temperature to at least 45 degrees and ensure that it remains at the required temperature as specified.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.The refrigerator temperature read 50 degrees. Lower the refrigerator temperature to at least 45 degrees and ensure that it remains at the required temperature as specified.

Noncompliance Area: Several staff person's records did not contain a health assessment completed within 12 months prior to the date of hire. (#2)

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. Obtain and submit a current up-to-date health assessment for the identified staff person. Ensure that health assessments are completed within the required timeframes.

Noncompliance Area: One facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#2)

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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: One staff persons record did not contain written verification of initial emergency plan training. (#1)

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. Obtain and submit written verification of initial/annual emergency plan training for the identified staff person. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment, on an annual basis and at the time of each plan update as specified.

Noncompliance Area: The facility director's record did not contain written verification of education and experience for their director position.(#1)

Correction Required: A director shall have attained an associate`s degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. Obtain and submit written verification of education and experience for the identified staff person.