Whole Truth Sprouts Daycare

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: 2nd citation previously cited 1/6/26. Per staff statements and an outside source, Staff #1 was providing care on 1/8/26 with expired clearances. Child abuse clearance dated 8/13/20. Updated child abuse clearance and NSOR certificate were received on 1/9/26. Child Abuse Clearance dated 1/9/26, NSOR certificate 1/7/26

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

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: The bottom of the kitchen set was separating causing a pinching hazard and exposing screws.

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: 3280.108(a)

Description: Clean, good repair, proper size

Noncompliance Area: The TV which was on two tripod stands was unstable when touched. The white shelving unit used for cubbies would move back and forth and was unstable when touched.

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

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: The financial agreement for child #5 did not contain the individuals designated by the 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: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #1 and 5 did not contain the enrolling parents work address and the enrolling parents work phone number.

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

Regulation: 3280.124(b)(4)/3280.182(3)

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

Noncompliance Area: The file for child #5 did not contain written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #5 did not contain Health insurance coverage and policy number for the child under a family policy or Medical Assistance benefits.

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: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for child #1, 2, 3 and 5 did not contain the addresses of the individuals designated by the parent to whom the child may be released.

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

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The most recent 6-month review signatures for the emergency contact form on file for Child #2 is dated 1/17/24 which is more than 6 months ago. The most recent 6-month review signatures for the emergency contact form on file for Child #4 is dated 2/1/24 which is more than 6 months ago.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: Child #4's file did not contain a health assessment within 60 days of enrollment (See LIS Code Sheet).

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

Regulation: 3280.131(b)(2)/3280.182(1)

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

Noncompliance Area: Child #2's, a preschool age child(See LIS Code Sheet), two most recent health assessments are dated 8/8/24 and 12/18/25 which is 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 must contain initial and subsequent health reports.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: Staff #1's file contained a health assessment dated 9/22/23 which is more than 24 months previous.

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: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent 6-month review signatures for the emergency contact form on file for Child #2 is dated 1/17/24 which is more than 6 months ago. The most recent 6-month review signatures for the emergency contact form on file for Child #3 is dated 12/5/23 which is more than 6 months ago. The most recent 6-month review signatures for the emergency contact form on file for Child #4 is dated 2/12/25 which is more than 6 months ago.

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: 3280.182(5)

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

Noncompliance Area: The file for child #5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1's file contained state police clearances dated 8/13/20 and 8/18/25 and DHS FBI clearances dated 9/21/20 and 11/21/25 which are more than 60 months apart. Staff #1's file contained a Child Abuse clearance dated 8/13/20 and an NSOR certificate dated 9/11/20 which is more than 60 months ago.

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

Regulation: 3280.66(c)

Description: Toxic plants not permitted

Noncompliance Area: In the main room on the desk was an arrowhead vine plant that is toxic to children.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3280.69(a)

Description: 110º F or less

Noncompliance Area: The hot water in the main room sink was 144.8 degrees.

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

Regulation: 3280.72(b)

Description: Screened

Noncompliance Area: Staff #1 opened a window behind the desk that did not have a screen.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: In the outside play space was a broken plastic purple chair with sharp 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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of 2/2025.

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 #1 must be supervised, when interacting with children at a minimum by, an primary staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: Staff person #1 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 2/2025. Documentation of updated Pediatric first aid and CPR training is not on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an primary staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility

Regulation: 3280.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: In the outside play space was a red bucket with used napkins and discarded food.

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

Regulation: 3280.69(a)

Description: 110º F or less

Noncompliance Area: The main classroom's sink that children use hot water temperature measured at 139 degrees F.

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

Regulation: 3280.94(a)(9)

Description: Written record

Noncompliance Area: The written fire drill log could not be located at time of inspection.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The fire alarm testing log could not be located at time of inspection.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.103

Description: Small Toys and Objects

Noncompliance Area: In the art area the bottom draw of the left 3 draw unit contained a container of water beads that were smaller than 1 inch in diameter accessible to children still placing objects in their mouths. In the right 3 draw unit in the top draw was foam painters that were accessible to children still placing objects in their mouths.

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: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for child #1-5 did not contain a child service report, which have been enrolled for more than 6 months(See LIS Code Sheet).

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #3's file did not contain the enrolling parents work address and work telephone number. Child #5's file did not contain the enrolling parents work address.

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

Regulation: 3280.124(b)(4)/3280.182(3)

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

Noncompliance Area: Child #3 and 5's files did not contain the written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Child #3's file did not contain information on the child's special needs.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #3's file did not contain health insurance coverage and policy number for the child under a family policy or Medical Assistance benefits

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: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #3's file did not contain the addresses of individuals designated by the parent to whom the child may be released. Child #4's file did not contain 1 address of an individual designated by the parent to whom the child may be released.

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

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The files for Child #1,2,3,4 and 5, enrolled more than 6 months ago(See LIS Code Sheet), does not include a 6 month review signature for the emergency contact form.

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: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The files for child #1, 3, and 5, enrolled more than 60 day ago(See LIS Code Sheet), did not contain a health assessment. The file for child #4 contained an initial health assessment dated 8/8/24 which is more than 60 days after enrollment(See LIS Code Sheet).

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

Regulation: 3280.131(b)(2)/3280.182(1)

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

Noncompliance Area: The most recent health assessment on file for child #2, a preschool age child(See LIS Code Sheet), is dated 11/14/23 which is more than 12 months ago.

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 must contain initial and subsequent health reports.

Regulation: 3280.131(d)(5)/3280.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for Child #1, who is an older toddler age child(See LIS Code Sheet), includes 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 3 of 4 HIB vaccines recommended by the ACIP for a child this age; 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age; 0 of 1 MMR vaccinations recommended by the ACIP for a child this age; 0 of 1 Varicella vaccinations recommended by the ACIP for a child this age; and 0 of 2 Hepatitis A vaccinations recommended by the ACIP for a child this age.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3280.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for Child #3 and 5, with an enrollment date of more than 60 days ago(See LIS Code Sheet), does not include an immunization record.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facilities emergency plan did not address the continuity of operations.

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: 3280.151(a)/3280.192(3)

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

Noncompliance Area: Facility person #3's file did not contain a health assessment.

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: 3280.151(c)(2)/3280.192(3)

Description: Mantoux TB /Health assessment, TB test

Noncompliance Area: Facility person #3's file did not contain a TB test.

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: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The files for Child #1,2,3,4 and 5, enrolled more than 6 months ago(See LIS Code Sheet), does not include a 6 month review signature for the financial agreement.

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: 3280.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: Child #3's file did not contain signed parental consent for administration of medications or special dietary needs.

Correction Required: A child's record must contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3280.182(5)

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

Noncompliance Area: Child #3 and 5's files did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: Staff #2's file did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3280.26(b)

Description: Emergency plan

Noncompliance Area: The operator did not have documentation of reviewing the emergency plan annually.

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

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: Staff #1,2 and 3 files did not contain proof of 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.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: Staff file #2 lacked 12 of the 12 hours of annual child care training required from 9/2023 to 9/2024.

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

Regulation: 3280.34(b)(5)/3280.192(2)(ii)

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

Noncompliance Area: Staff #1's file did not contain acceptable proof of verified child care experience.

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate 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.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the main room there were 2 protective outlet covers missing: one under the chalk board and one under the table under the bulletin board. In the infant room a protective outlet cover was missing from the outlet under the left window.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: The sanitizing bleach spray was stored on top of the refrigerator not in a protective container.

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

Regulation: 3280.69(a)

Description: 110º F or less

Noncompliance Area: The only sink that is used by children, hot water temperature measured 132.4 degrees.

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

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the infant room did not contain soap. The bag first aid kit 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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facilities fire alarm testing log contained the following dates: 3/11/24-4/11/24, 4/11/24-5/13/24, 7/11/24-8/12/24, 10/11/24-11/12/24, 11/12/24-12/13/24 which are 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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.123(a)

Description: Signed

Noncompliance Area: The file for child #3 had an agreement that lacked the signature of the operator. The file for child #4 had an agreement that lacked the signature of the operator and the parent.

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

Regulation: 3280.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The file for child #3 had an agreement that lacked the date on which the fee is to be paid.

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

Regulation: 3280.123(a)(6)

Description: Admission date

Noncompliance Area: The file for child #3 had an agreement that lacked the child's admission date.

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

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child #3 had an emergency contact form that lacked the address and telephone number of the child's physician.

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

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for child #1, #2, #3, and #4 had an emergency contact form that lacked the work address and work telephone number of the enrolling parent.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #3 had an emergency contact form that lacked the name of the health insurance and the 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: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for child #1, #2, and #3 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The file for child #4 lacked an initial health assessment within 60 days of the child's first day of attendance at the facility and requires a current health assessment.

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

Regulation: 3280.131(e)/3280.131(e)(3)

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: The file for child #4 lacked an immunization record within 60 days of the child's first day of attendance at the facility and requires a current immunization record.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the 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). Child #1 must be dismissed from care by close of business on 2-14-24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3280.133(6)

Description: Written consent

Noncompliance Area: There was Hyland's Cough & Mucus Medication for child #2 that lacked written parental consent for administration of the medication.

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

Regulation: 3280.134(a)

Description: Child's hands washed

Noncompliance Area: At approximately 11:35 a.m., staff person #1 was observed changing a 1 year old child's diaper, and the child did not wash their hands after the diaper change was completed.

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: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: The operator lacked written notification sent to the local traffic safety authorities of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

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

Regulation: 3280.182(3)/3280.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The files for child #1 and #2 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3280.192(3)

Description: Health assessment, TB test

Noncompliance Area: The file for staff person #1 lacked documentation of an initial health assessment and results of the tuberculin skin test.

Correction Required: 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: 3280.192(5)

Description: Two written references

Noncompliance Area: The file for facility person #3 lacked two written, nonfamily references.

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

Regulation: 3280.26(a)(2)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan lacked a plan that provides for evacuation of children to a location away from the facility premises.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by § 3280.94 (relating to fire drills).

Regulation: 3280.26(d)

Description: Plan posted

Noncompliance Area: The facility's emergency plan was not posted at a conspicuous location in the facility.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3280.26(e)

Description: Letter to parents

Noncompliance Area: The facility lacked a letter to provide to the parent of each enrolled child explaining the 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: 3280.26(f)

Description: Emergency plan

Noncompliance Area: The operator lacked documentation of sending a copy of the initial emergency plan to the local municipality and to the county emergency management agency.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2 had a state police clearance with a record and lacked the corresponding record history sheet as required.  The file for facility person #3 lacked a disclosure statement.

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

Regulation: 3280.33(a)/3280.192(2)(ii)

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

Noncompliance Area: The file for staff person #1, functioning as a primary staff person, lacked verification of experience to qualify as a primary staff person.

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: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the main room, there was a canister of Disinfex Wipes and a bottle of Purell Hand Sanitizer that were labeled "Keep out of reach of children" and were accessible to children.

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

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: On the outdoor play space, the chain link fence had multiple areas on the fence with metal wires that had sharp edges, and there were two poles on the fence with the top edges that were sharp and were accessible to children.

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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 12-29-23 to 2-14-24.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The loose fill (mulch), under the anchored swings/play structure, measured approximately 6", but 9" is required.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The file for Staff #1 did not contain a Health Assessment dated within 12 months prior to providing initial service in the 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. 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.