Whites Tots To Teens

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were cracked Magna Tiles in the Main classroom that had cracked and broken edges with missing pieces of plastic on the edges.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent Child Service Report on file for Child #4 is dated 1.8.26, more than 6 months after the previous Child Service Report, dated 5.21.25.

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)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #2 does not include the work address and/or telephone number for the enrolling parent.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The classrooms and gym did not contain the emergency contact forms for the children receiving care in the spaces but only contained a list of telephone numbers.

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(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment on file for Child #3 is dated 7.29.25, more than 60 days after enrollment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

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

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

Noncompliance Area: The two most recent health assessments on file for Child #1, who is a preschool age child, are dated 12.18.24 and 1.11.26, more than 12 months apart.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The current health assessment on file for Child #1 does not indicate if the child is free from contagious disease and is able to participate in childcare.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: The facility had an Albuterol inhaler labeled for use by a specific child that did not have written parental consent to issue.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A diaper change was observed in the Main classroom and the staff person was observed placing the soiled diaper on the changing table after removing it from the child, rather than immediately disposing of the diaper into a plastic-lined hands-free can.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Shaken Baby Policy submitted by the facility does not include language regarding the prevention and identification of 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: 3270.166(1)

Description: Written statement

Noncompliance Area: The facility did not have feeding plans submitted in writing by the parent for the infants receiving care in the infant room.

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

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

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

Noncompliance Area: The file for Staff person #2 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet); the training was completed on 1.9.26.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 12.17.25. Staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 & Part 2; Part 1 was completed on 2.21.26 and Part 2 was completed on 2.22.26. Staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on12.17.25.

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: Staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Mandated Reporter training; the training was completed on 11.30.25.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The Disclosure Statement on file for Staff person #1 is not the current Disclosure Statement in place on the staff person's date 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 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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was no lidded trashcan in the school age room which contained plastic forks, cups, etc., that the operator reported were trash products from breakfast.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water at the sinks in the boys' and girls' bathrooms in the preschool classroom exceeded 110° F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.82(d)

Description: Training chair - sanitized

Noncompliance Area: In the boy's bathroom in the preschool room there was a red training chair that had a dried substance in the bowl and did not appear to be clean and sanitized.

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: There were no steps or stool at the sink in the Young Toddler area for able-bodied children to reach the sink for handwashing.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 10.8.25-11.21.25 and 12.19.25-1.30.26, more than 30 days apart

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff person #1 does not include documentation of a Tuberculosis test result being completed within 12 months prior to 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: 3270.191

Description: Individual Records

Noncompliance Area: Staff person #2 was observed in the Toddler classroom without having a staff file. The operator stated Staff person #2 was observing, however, they were also observed carrying a child and actively interacting with children.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: There was an unlocked door in the school-age room that opened to a room that contained an electrical box, which is accessible to children.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 did not contain documentation of a complete PA Child Abuse clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The signed disclosure statement on file for Staff person #1 does not include a witness signature, making it invalid.

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 child care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There were 4 uncovered outlets observed in the gym that were accessible to children 5 years of age and under.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was no lidded trash can in the toddler room are where the children eat for the disposal of the trash contaminated by human secretions or excrement.

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

Regulation: 3270.70(a)

Description: 65º F minimum

Noncompliance Area: The temperature in the school age classroom measured 60° Fahrenheit and the temperature in the gym measured 61° Fahrenheit, where children were observed receiving care.

Correction Required: The indoor temperature shall be at least 65° F.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The doorway between the kitchen and the preschool room has holes in the wall where the safety gate is attached, that result in exposed plaster and drywall.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed pipes in the school-age room and in the Toddler room, in the corner behind the food area.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 2 wooden blocks in the toddler room that had splintered edges, creating a potential hazard to children.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: An infant was observed in the Infant room sleeping in a crib not labeled for their individual use and staff stated it was the infant's first day and they were switching infants back and forth for naps.

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: 3270.111(a)

Description: Written plan

Noncompliance Area: There was no daily schedule in the gym when children were observed in the gym for gross motor activity.

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: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement on file for Child #2, #4 does not include the date that the fee is due to be paid by the parent/guardian.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent child service report on file for Child #1 is dated 12.16.24, more than 6 months after the date of admission. The 2 most recent child service reports on file for Child #2 are dated 1.3.24 and 12.4.24, more than 6 months apart. The 2 most recent child service reports on file for Child #4 are dated 1.17.24 and 12.14.24, more than 6 months apart.

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(c)

Description: Each child care space

Noncompliance Area: Children were observed in the gym during gross motor time without their emergency contact forms being present.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent 6-month review signature for the emergency contact form and agreement on file for Child #1, #2, #4, #5 is dated more than 6 months after the previous 6-month review signature.

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

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

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

Noncompliance Area: The file for Child #1, a young toddler, includes child health assessments dated 1.11.24 and 8.6.24, more than 6 months apart.

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

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

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

Noncompliance Area: The two most recent health assessments on file for Child #4, who is a preschool age child, are dated 5.23.23 and 12.18.24, more than 12 months apart. The two most recent health assessments on file for Child #5, who is a preschool age child, are dated 7.7.23 and 11.19.24, more than 12 months apart.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #1, who is 16 months old, included 2 of 4 DTAP vaccines recommended by the ACIP for a child this age; 2 of 4 HIB vaccines recommended by the ACIP for a child this age; 2 of 4 pneumococcal vaccines recommended by the ACIP for a child this age; 2 of 3 Polio (IPV) vaccines recommended by the ACIP for a child this age.

Correction Required: ·Child # 1 must be dismissed from care by close of business on 3.24.25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The health report on file for Child #1 indicates that the child has not had all required age-appropriate screenings recommended by the American Academy of Pediatrics.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Children were observed in the toddler room eating lunch without their hands being washed prior to eating.

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

Regulation: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: The file cabinet where the child files are stored was not locked at the time of the inspection.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

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

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The two most recent fire safety trainings on file for Staff person #1 are dated 1.21.24 and 1.24.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #2 are dated 1.19.24 and 1.24.25, more than 12 months apart.

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. 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 #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality; the training was completed on 2.19.25

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #3 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid

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

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

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

Noncompliance Area: The file for Staff person #3, #4, #5, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

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

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: Two radiator covers in the school-age room on the left, side of the classroom and accessible to children measured 131 degrees Fahrenheit and 121 degrees Fahrenheit.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: While children were observed playing in the gym, there was no first-aid kit located in the gym.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Along the bottom edge of a divider in the Toddler room, there was a loose piece of metal with a sharp edge accessible to children. Several radiator covers in the school-age classroom had sharp edges accessible to children posing a hazard of a child being injured.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The most recent fire detection system annual inspection report on file is dated 9.5.23, more than 1 year ago.

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

Regulation: 3270.101(a)

Description: Age appropriate

Noncompliance Area: Two pairs of adult scissors were accessible to children in an unlocked drawer in the preschool room. The scissors were located in a plastic storage tower in a drawer with children's scissors.

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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Empty plastic bags were observed on the bottom shelf of a changing table in the preschool restroom.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: A small sharp protruding nail was observed under the seat pad at the front of an adult rocking chair in the infant room.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: A crib in use by a child in the main care space lacked 2 feet of space on 3 sides. One side was obstructed by an infant swing.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.108(c)

Description: No styrofoam

Noncompliance Area: Styrofoam cups were observed in the breakfast set up area in the school age room.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #3 contained consecutive child service reports dated more than 6 months apart; 7/25/23 and 2/06/24. A current report is now on file.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The agreement for child #1 did not include the services to be provided.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement for child #1 did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for child #2 did not include the 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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for child #5 did not include the health insurance policy number.

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

Regulation: 3270.131(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 #4 does not contain a current health report.

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: 3270.131(c)/3270.131(d)(7)

Description: Completed or signed by physician, PA, or CRNP/Free from contagious/communicable disease

Noncompliance Area: The file for child #4 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease and was not signed by the physician.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #1 contained an immunization record indicating missing doses of DTAP and Pneumococcal vaccines. A written exemption was not on file.

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

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: Staff medication Midol and Benadryl cream were accessible to children on the counter in the preschool restroom. The medication was located in a plastic countertop storage unit that was not locked.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #3 was observed to be caring for children unsupervised in the infant room. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety topics 1-9.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #3 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 #3. then staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.182(5)

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

Noncompliance Area: The file for child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: The operator stated communication with parents during and after an emergency would occur through the Brightwheel App, however this information was not present in the facility's emergency plan.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The operator stated communication with parents during and after an emergency would occur through the Brightwheel App, however this information was not present in letter for parents explaining the facility's emergency procedures.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #3 contained a disclosure statement for the purpose of volunteering.

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

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

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

Noncompliance Area: The file for staff #1, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualification required for the position.

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

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: Staff #3, who qualifies as an aide based on their file contents, was observed caring for children unsupervised.

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.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 10:30AM staff #2 was observed leaving the infant room and entering the office. This resulted in staff #3 being left alone with 5 infants in care in the infant room.

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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Two electrical outlets in the preschool room lacked protective covers. The outlets were accessible to children 5 years of age or younger and were located under the teacher's work table.

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

Regulation: 3270.66(a)/3270.66(e)

Description: Locked or inaccessible/Arts and crafts non-toxic

Noncompliance Area: A can of DG brand shaving foam, labeled keep out of reach of children, was observed in an unlocked accessible drawer in the preschool room. Based on statements made by staff, the shaving foam has been used by children for art projects.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The school age restroom lacked a lidded waste receptacle.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on the facility's fire drill log, consecutive drills conducted on 12/15/23 and 2/15/24 were more than 60 days apart.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The door of a wooden cabinet in the PS room was loose creating pinch points.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: An infant was observed in a bassinet which was not labeled with their name. In the nap room, a child was observed in a crib which was labeled for a different 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.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A written plan of daily activities was not posted in the school age room.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #5 did not contain a child service report. The files for children #1 and #2 contained service reports conducted after the reinstatement date of 10/31/22 as stated in Announcement C-21-09. The file for child #4 contained a service report completed more than 6 months after their first day of attendance. Children #1, #2, and #4 now have current service reports on file.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The file for child #1 contained an agreement which did not specify the date of the child's admission.

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

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files for children #1-#6 contained original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for children #4 and #5 contained an emergency contact form which did not include the work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #4 contained an emergency contact form which lacked the full name of one of the individuals designated to whom the child may be released. The file for child #5 contained an emergency contact form which lacked the address of one of the individuals designated to whom the child may be released.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The files for children #1, #2, #4, and #5 contained immunization records which lacked documentation of receiving the influenza vaccine at any time in 2022. Written exemptions were not on file.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: An Auvi-Q Pen intended for child #5 was observed in the office. Witten parental consent for administration was not on file.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #2 has not completed the 1 hour training titled Pennsylvania Health and Safety Update 2022 as required in Announcement C-22-06.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not include details regarding continuity of operations as required by Announcement C-22-04.

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

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

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

Noncompliance Area: The file for staff #2 contained an initial health assessment and TB screening conducted more than 12 months 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. 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(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 #3 contained an initial health assessment dated after their first day in a child care position. The health assessment on file is 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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for child #4 contained an agreement which was not updated within 6 months. The updates occurred 7/01/22 and 2/02/23.

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

Regulation: 3270.182(7)

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

Noncompliance Area: Copies of incident reports are not being retained at the facility in an accident file.

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

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

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

Noncompliance Area: The file for staff #1 contained documentation of three hours of training completed between 12/19/21 and 12/19/22. Nine additional hours were completed after 12/19/22. Staff #1 is now current on required hours of annual training.

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

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

Noncompliance Area: The file for staff #2, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualification required for the position.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Based on documentation at the facility, the director has not been conducting the annual staff evaluations. Evaluations are currently being conducted by another staff person.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Two bottles of liquid White-Out, labeled keep out of reach of children, were observed in unlocked drawers in the PS room. Ice melt was observed in an open bucket near the bottom of the stairs used by children to access the gym.

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: The first aid kit in the school age room lacked tweezers.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Two of the four wall mounted braces on a handrail were loose or no longer attached to the wall. The handrail is on the right side of the steps leading up to the school age room from the gym. A protruding screw was observed on a separate handrail in the gym.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed on the wall under the windows in the PS room.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted at the toilet in the restroom near the gym.

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.