Wonder Years Learning Center

Regulation: 3270.151(a)

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

Noncompliance Area: The file of Staff #1 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #1 contained a health assessment dated 2/24/25.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file of Staff #1 lacked documentation of tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). The file of Staff #1 had a Mantoux test read date of 2/26/25.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a loose heat register cover under the kitchen pass-through in the Back Room.

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 facility was unable to provide written documentation that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 3/16/26, 4/13/26, and 4/28/26.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a toy house with a crack at the bottom of the door frame in the outdoor play space. Observed a climber block with exposed foam in the Older Toddler Room. Observed broken Magna Tile accessories in the Preschool Room. Observed a cracked bin containing wooden blocks in the Older Toddler Room.

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: Observed rest equipment not labeled for the use of a specific child in the Infant Room and Older Toddler Room.

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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file of Child #1 lacked an update health report at least every 6 months for an infant or young toddler. The file of Child #1 contained a health report dated 12/1/25 with a previous one dated 5/29/25.

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.

Regulation: 3270.131(d)(1)

Description: Child's health history

Noncompliance Area: The health report for Child #2 did not include a review of the child's health history.

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

Regulation: 3270.131(d)(4)

Description: Acute or chronic health problem

Noncompliance Area: The health report for Child #2 did not include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing, or lead poisoning.

Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report for Child #2 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The Infant Room lacked a plastic-lined, hands-free covered can in which to discard soiled diapers.

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file of Staff #2 lacked documentation of a tuberculosis screening by the Mantoux method at initial employment (SEE LIS Code Sheet). The file of Staff #2 had a Mantoux test read date of 10/17/25.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment for Staff #1 did not include an examination for communicable diseases and the results of that examination.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed bottles which were not labeled with the child's name in the Infant Room.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of Staff #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #2 contained one written, nonfamily reference.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Emergency drills were not conducted annually. The facility provided documentation of an emergency drill being conducted on 4/20/25 with a previous one conducted on 3/14/24.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file of Staff #2 lacked documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #2 contained documentation of pediatric first aid and CPR conducted by a PQAS approved trainer completed on 1/20/26. The file of Staff #2 contained documentation of first aid and CPR training completed on 8/25/25, but the course was not a PQAS approved curriculum conducted by a PQAS approved trainer.

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 of Staff #3 lacked a valid State Police Clearance and a valid Child Abuse Clearance. The file of Staff #3 contained a volunteer State Police Clearance dated 6/27/23 and a volunteer Child Abuse Clearance dated 7/2/23.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Observed trash contaminated by human secretions or excrements which was not contained in a closed, plastic-lined receptacle in the Preschool Room.

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

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: A source of running water for handwashing was not present in the Young Toddler Room diapering area.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.92(b)

Description: Fixed space heater approved

Noncompliance Area: Observed a space heater mounted on the wall in the Infant Room. Observed a space heater mounted on the wall in the Young Toddler Room. The facility lacked documentation that fixed space heaters were approved for use by a fire safety professional.

Correction Required: A fixed space heater shall be approved for use by a local fire safety professional. Written approval of the installation and written approval for use shall be on file at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility was unable to provide written documentation that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 3/6/25, 3/31/25, 4/2/25, 4/21/25, 4/25/25, 5/15/25, 6/6/25, 7/2/25, 8/12/25, 9/4/25, 9/30/25, 10/29/25, 11/19/25, 12/4/25, 12/16/25, 1/6/26, 2/3/26, and 2/26/26.

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

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: 2nd citation. Previously cited on 3/12/25. The files of Children #1, #2, #3, #4, and #5 contained the original agreement. The facility did not make a copy for the files and give the original agreement to the parent.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: 2nd citation. Previously cited on 3/12/25. Emergency contact information for Child #1 did not include the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: 2nd citation. Previously cited on 3/12/25. The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 11:55 AM Certification Staff observed Staff #1 sitting at a table with 9 children in the Preschool section of the Front Room. When asked to name the children, Staff #1 named all 9 children. When asked to provide the ages of the children, Staff #1 identified 1 child as an Older Toddler and 8 children as Preschoolers.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a bin containing Magic Tracks with a 2 by 2-inch piece and 1/2 by 1/2-inch piece missing creating rough edges in the Back Room. Observed a cracked Magic Track with rough edges in the Back Room. Observed two wooden blocks with rough edges in the Preschool section of the Front Room.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed a plastic shelf containing food and transportation items and a duck shelf containing blocks which were unstable because they moved from side to side in the Toddler section of the Front Room.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The written plan of daily activities was not posted in the Back Room.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 9:20 AM on 3/17/25 Staff #7 left 2 young school-age children and 1 older school-age child alone in the Back Room while Staff #7 answered the door in the Front Room to allow certification staff into the facility. At approximately 12:00 PM Certification Staff observed a school-age child leave the Front Room and enter the Back Room alone to use the bathroom located off the Back Room.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The files of Children #1, #2, #3, #4, and #5 contained the original agreement. The facility did not make a copy for the files and give the original agreement to the parent.

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)(4)/3270.182(3)

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

Noncompliance Area: Emergency contact information for Child #4 did not include 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 shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information for Children #1 and #2 did not include the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The files of Children #3 and #4 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained health reports dated 9/8/23, 2/28/24, and 2/26/25. The file of Child #4 contained health reports dated 8/2/23, 1/11/24, and 1/23/25.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, and distraught child, but the policy did not address 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: 3270.151(a)

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

Noncompliance Area: The file of Staff #2 lacked a health assessment conducted every 24 months. The file of Staff #2 contained a current health assessment dated 2/13/25 with a previous one dated 1/16/23.

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

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: Observed staff who did not wash their hands before snack in the Toddler section of the Front Room.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and agreement for Child #3 were not reviewed and updated at least once in a 6-month period. Child #3's emergency contact was reviewed on 1/4/24, 6/18/24, and 1/2/25. Child #3's agreement was reviewed on 1/4/24, 6/11/24, and 1/2/25. The emergency contact for Child #4 was not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was reviewed on 1/3/24, 6/18/24, and 1/2/25. The agreement for Child #5 was not reviewed and updated at least once in a 6-month period. Child #5's agreement was reviewed on 2/23/24, 6/11/24, and 1/1/25.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed adult scissors in the top drawer of the pink bin located in the Preschool section of the Front Room which were accessible to children. Observed 1 pack 'n play with a loose sheet in the Infant section of the Front Room creating a potential suffocation hazard.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The operator did not post the emergency plan in the facility at a conspicuous location.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff #5 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff #5 had documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 2/7/24 with a previous training completed on 1/20/22 with an expiration date of 1/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #1 lacked a disclosure statement signed at the time of initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #1 contained a disclosure statement dated 8/13/24. The file of Staff #3 lacked a National Sex Offender Registry Certificate prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #3 contained a NSOR dated 2/18/25. The file of Staff #4 lacked a State Police Clearance prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #4 contained a State Police Clearance dated 5/7/24. The file of Staff #6 lacked a State Police Clearance, DHS FBI Clearance, and National Sex Offender Registry Certificate updated every 60 months. Staff #6 had a State Police Clearance dated 11/4/24 with a previous one dated 9/12/19. Staff #6 had an FBI Clearance dated 11/16/21 with a previous one dated 1/22/16. Staff #6 had a NSOR dated 3/4/25 with a previous one dated 1/14/20.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed an electrical outlet which lacked a protective receptacle cover in the purple cabinet containing rest equipment in the Preschool section of the Front Room.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed Germ X Moisturizing Hand Sanitizer which indicated "keep out of the reach of children" in the top drawer of the pink bin located in the Preschool section of the Front Room which was accessible to children. Observed Members Mark Disinfecting Wipes and Equate Moisturizing Hand Sanitizer which indicated "keep out of the reach of children" on the purple cabinet behind the table in the Preschool section of the Front Room which were accessible to children.

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

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: Observed an Aloe Vera plant on the table in the Back Room. Observed Madeira Ivy on the fence in the outdoor play space.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed approximately a 1 inch by 8-inch hole in the fence at the entrance to the outdoor play space.

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: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The Director or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 3/11/24, 3/20/24, 3/22/24, 4/21/24, 5/20/24, 6/19/24. 7/18/24, 7/30/24, 8/21/24, 9/18/24, 10/16/24, 11/5/24, 12/2/24, 1/3/25, 2/3/25, 2/28/25, and 3/6/25.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the preschool room, it was observed that magnetic blocks were cracked and play food boxes were bitten and torn..

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Children #1, #2, and #3 were observed not to contain the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not contain documentation that addresses 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: 3270.151(a)

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

Noncompliance Area: Observed staff file #1contained an incomplete initial health assessment and a TB test which was dated after their first day working in a childcare position. Observed staff file #2 contained an initial health assessment which was dated after their first day working in a childcare position.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed the outdoor play area, the fence was detached from multiple fence posts. Observed exposed bolts on the entrance gate and on all of the corner posts.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The health report on file for Child #1 and Child #2 were observed not to contain documentation of an influenza immunization being administered with in the last year in accordance with the recommendations of the ACIP.

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: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The file for Staff #1 was observed not to contain a health assessment.

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for Staff #1 was observed not to contain verification of child care experience, education and training prior to service at the facility.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The facility fire drill log showed that the facility did not conduct fire drills every 60 days. This is evidenced by there being a gap of more than 60 days from 8/4/22 to 10/14/22 and 12/15/22 to 2/20/23.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility fire drill log showed that the facility has not been regularly testing the facility's fire detection system every 30 days. This is evidenced by testing being documented 6/8/22 to 8/4/22 to 10/14/22 to 12/15/22 to 2/20/23.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on interviews with Staff, Child #1 was placed on the wrong bus on September 7, 2022, by Staff #1 due to the operator not obtaining complete bus information. Supervision and ratio were not maintained when Child #1 was released to an individual (bus driver) inappropriately.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Based on interviews with Staff, Child #1 was placed on the wrong bus on September 7, 2022, by Staff #1 due to the operator not obtaining complete bus information. Supervision and ratio were not maintained when Child #1 was released to an individual (bus driver) inappropriately.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.117(a)

Description: Released only to parent or designee

Noncompliance Area: Based on interviews with Staff, Child #1 was placed on the wrong bus on September 7, 2022, by Staff #1 due to the operator not obtaining complete bus information. Supervision and ratio were not maintained when Child #1 was released to an individual (bus driver) inappropriately.

Correction Required: A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Based on interviews with Staff, Child #1 was placed on the wrong bus on September 7, 2022, by Staff #1 due to the operator not obtaining complete bus information. Supervision and ratio were not maintained when Child #1 was released to an individual (bus driver) inappropriately.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: A pack n' play in use by an infant, lacked 2 feet of space on three sides.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The Agreement for Child #1 did not specify the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The Emergency Contact information was not present in the Front Room for Child #2 and Child #3. The children were present and receiving care in the room.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on Smoke Detection Log documentation, smoke detectors are not being tested at least every 30 days.

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: 3270.134(d)

Description: Liquid or powdered soap

Noncompliance Area: The sink next to the infant changing table lacked soap to be used for handwashing.

Correction Required: Liquid or powdered soap shall be used for handwashing.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The facilities emergency plan lacked accommodations for shelter of children during an emergency lockdown.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facilities emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff # 1 contained a Department of Education FBI clearance.

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: 3270.71

Description: Heat Source

Noncompliance Area: The radiator in the Preschool room had pipes that were accessible to children that exceeded 127 degrees.

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.

Noncompliance Area: During an unannounced visit, observed child #1 a 2 month old infant sleeping in a bouncer that was sitting in a pack and play.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The file of child #1 lacked an emergency contact form with the work address and telephone number of the enrolling parent.

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

Noncompliance Area: The files of children #1, #2, and #3 lacked records of current flu shots in accordance with the recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: The file of staff #1 with a provisional hire date of 1-30-19 had a health assessment dated 3-13-19.

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.

Noncompliance Area: The file of staff #1 with a provisional hire date of 1-30-19, had an FBI receipt for fingerprinting dated 3-14-19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

Noncompliance Area: The health report for Child #2 lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Noncompliance Area: A tube of Eucerin Eczema Relief located on a shelf in the pink bathroom lacked the name of the child for whom the medication is intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: Upon entrance to the facility CR observed a room with 5 young and older toddlers with no staff person present in the room making the ratio 0:5 young toddlers.

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

Noncompliance Area: A metal panel on the front of the hot water radiators in the main room and accessible to the children measured 135F.

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.

Noncompliance Area: A broken piece of wood under the play sink in the Young Toddler room was broken causing a pinch and crush point. Toilets in the pink and blue bathroom had exposed bolts.

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.

Noncompliance Area: Foam puzzle squares in the large room had pieces bitten out of them.

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.

Noncompliance Area: The file for Child #1 lacked emergency contact information that included the phone number of the child's physician or source of medical care. The file for Child #5 lacked emergency contact information that included the name, address and telephone 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.

Noncompliance Area: The files for Child #1, #5 and #6 lacked emergency contact information that included 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.

Noncompliance Area: The file for Child #2 lacked emergency contact information that included the address and phone number of the individual designated by the parent to whom the child may be released. The files for Child #4 and #5 lacked emergency contact information that included the address 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.

Noncompliance Area: The files for Child #1, #3, #5 and #6 did not contain a health report that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Noncompliance Area: The files for Child #2,4, 5 and 6 lacked emergency contact information and financial agreements that were reviewed and updated at least once in a 6-month period or as soon as there is a change in the information.

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.

Noncompliance Area: The facility lacked an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Noncompliance Area: The facility lacked 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.

Correction Required: 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.

Noncompliance Area: The file for Staff Person #3 lacked documentation of training regarding the emergency plan at the time of initial employment.

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

Noncompliance Area: A copy of the emergency plan and subsequent plan updates were not submitted to the county emergency management agency.

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

Noncompliance Area: A tube of Chap Relief/Cold Sore Formula was located in a backpack in cubbies accessible to toddler and preschool children.

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

Noncompliance Area: Orkin Pest Control was observed spraying an unknown toxin for ant control around the baseboards in the facility while children were in care.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Noncompliance Area: Tissues contaminated by human secretions were placed in a receptacle that was not plastic-lined.

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

Noncompliance Area: Peeling paint and plaster was visible on the pink wall to the right before entering the office. Plaster was peeling on the 1/2 wall between the Infant and Toddler room.

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

Noncompliance Area: The evacuation plans did not provide for removal of all persons from the facility in a single trip.

Correction Required: Evacuation plans shall provide for removal of all persons from the facility in a single trip.