York Day Nursery

Regulation: 3270.118(c)

Description: Vet's certificate required

Noncompliance Area: Facility staff reports that canines Annie and Finnick visit the facility and interact with children. Facility staff was unable to present rabies immunization records for either pet at the time of the inspection.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Cert Rep observed that at the time of inspection, the file for child #5 did not contain a health insurance coverage and policy number, as required. (This was corrected on site.)

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

Regulation: 3270.124(b)(6)/3270.181(c)

Description: Insurance coverage information/Emergency info/agreement updated 6 mos

Noncompliance Area: In child file #2, cert rep observed that emergency contact and financial agreement forms were both previously reviewed 3/3/25 and then recently reviewed 3/2/26. The forms were not reviewed every 6 months or less, as required.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Cert Rep observed that the file for child #1, DOB 7/25/25, contained an updated health assessment dated 5/24/26, which is more than 6 months after the initial health assessment date of 6/30/25. Health assessment was not updated in a timely manner.

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: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: In the Pre-School 2 room, Cert Rep observed a whale fin plant and a cylindrical snake plant. Both plants are toxic to humans. (This was corrected on site)

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During a correction verification visit, it was observed that the staff members in Toddler 2 classroom could not name the children assigned to them in their primary care groups. Staff members in the Pre K 2 classroom, were dividing their primary care groups when certification representative asked them to name their primary care groups.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Documentation of the TB test on file for staff member 1 was dated 3/23/23, which is more than one year from their start date at the facility.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the time of inspection, it was observed that a basket with pretend people and a basket with baby clothes were broken in the young toddler classroom. A basket was broken with cut up paper in the two year old classroom. A basked was cracked with animals and a basket was broken with manipulatives in the pre k 2 classroom. All broken/bins were removed during the inspection.

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: 3270.133(6)/3270.133(7)

Description: Written consent/Medication log

Noncompliance Area: Documentation of a medication log was not on file for child 1. The medication was administered to the child in March 2025 and July 2025.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the time of inspection, it was observed that cleaning supplies were accesible to children in the cafeteria/school age child care space. Vaseline was accessible to children in an unlocked drawer in the pre k 1 classroom. This was corrected during the inspection.

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(b)

Description: Original container

Noncompliance Area: During the time of inspection, it was observed that there was a unlabeled spray bottle by the sink in the Pre K 1 classroom. This was corrected during the inspection.

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 stored away from food, food preparation areas and child care spaces.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: During the time of inspection, it was observed that the school age first aid kit was on the floor. This was corrected during the inspection.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the time of inspection, it was observed that the baseboard by the sink in the pre k 1 classroom wasn't fastened to the wall. The bottom of the door frame around the shed in the nature playground was rotting out and had sharp edges.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the time of inspection, it was observed that paint was peeling in the kitchen area in the infant classroom. Plaster around the sink in the pre k 1 classroom was coming off.

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

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Facility self reported that child 1 was left alone and unsupervised outside of the gym in the hall for roughly two minutes.

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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding communication while supervising children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Facility self reported that child 1 was left alone and unsupervised outside of the gym in the hall for roughly two minutes.

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. Children must be supervised at all times. 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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Child 1 was unsupervised for 15 minutes. The child was found outside, hiding by the shed in the nature center by another staff member while the rest of the group was in the big playground. Staff members did not know the where abouts of the child and weren't physically present.

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. Children must be supervised at all times. 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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Child 1 was unsupervised for 15 minutes. The child was found outside, hiding by the shed in the nature center by another staff member while the rest of the group was in the big playground. Staff members did not know the where abouts of the child and weren't physically present.

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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 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: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: While conducting a correction verification visit, it was observed that the inspection summary ending in 382 was not posted in a conspicuous location used by the parents.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While conducting a correction verification visit, it was observed that staff member 1 was in ratio with children and didn't have documentation of the results of the State Police Record Clearance or the results of the FBI clearance on file required for provisional hiring under the CPSL.

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 be present in the facility until all completed clearances are on file. 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 be present in the facility until all completed clearances are on file.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the time of inspection, it was observed that there were broken baskets containing toys in the pre k 1 classroom and the pre k 2 classroom. The climber in the toddler 2 classroom was visibly dirty and had dirt collecting in the corners of the equipment. The broken baskets were removed during the inspection.

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)(3)

Description: Parent home/work address, phone

Noncompliance Area: Documentation of the emergency contact form on file for child 5 did not include the enrolling parents work address. Documentation of the emergency contact form on file for child 6 did not include the enrolling parents work address and 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Documentation of the emergency contact information on file for child 3 and child 4 did not include complete addresses for release persons.

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)/3270.182(1)

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

Noncompliance Area: A 6 month updated health assessment was not on file for child 7. The most recent health assessment on file was dated 12/6/23

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

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

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

Noncompliance Area: An updated health assessment was not on file for child 4. The most recent health assessment on file was dated 5/22/23.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Documentation of the immunization record on file for child 7, did not include the 6 month recommended dose of the Rotavirus, DTAP, HIB, and PCV13 vaccines.

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

Regulation: 3270.133(7)(i)/3270.133(7)(iv)

Description: Name of medication/Amount to administer

Noncompliance Area: Documentation of the medication log on file for child 2 did not include the medication name and the amount of medication administered. This was corrected during the inspection.

Correction Required: A medication log shall include the name of the medication. A medication log shall include the amount of medication administered.

Regulation: 3270.133(7)(v)

Description: Date of administration

Noncompliance Area: Documentation of the medication log on file for child 1 and child 2 did not include the dates of administration. This was corrected during the inspection.

Correction Required: A medication log shall include the date of administration.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Documentation of the health assessment and TB test on file for staff member 1 was completed after the staff members first day caring for children.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Documentation on file for staff member 4 did not include two written nonfamily references 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: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: Documentation of the letter on file that the parents receive at the time of enrollment that outlines the emergency evacuation plan, did not include 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Documentation of annual emergency evacuation training was not on file for staff member 1.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Documentation of the state police clearance, child abuse clearance and FBI clearance on file for staff member 2 were updated more than 60 months of the original clearance date. The state police clearance was obtained on 2/27/19 and updated on 5/13/24. The child abuse clearance was obtained on 3/7/19 and updated on 5/17/24. The FBI clearance on file was obtained on 1/15/19 and updated on 5/16/24. Documentation of the FBI clearance on file for staff member 3 was updated more than 60 months of the original date. The FBI clearance was obtained on 4/23/19 and updated on 5/16/24.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the time of inspection, it was observed that clorox wipes and other cleaning materials were within reach of children in the cafeteria. The clorox wipes and other cleaning materials were put out of reach of children during the inspection.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: During the time of inspection, it was observed that ceiling tiles in the bathrooms located in the pre k 1 classroom, toddler 2 classroom and pre k counts classroom all had water marks on them.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the time of inspection, it was observed that there was peeling paint until the window in the pre k 1 classroom, peeling paint under the sink in the pre k counts classroom and peeling paint under the cubbies in the toddler 2 classroom. The peeling paint was corrected during the inspection.

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

Regulation: 3270.81

Description: Glass

Noncompliance Area: During the time of inspection, it was observed that a visual strip or other visual identification was not placed on the class in the pre k 1 classroom. This was corrected during the inspection.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the time of inspection, it was observed that baskets that held toys were broken and had sharp edges that could cause a cut in the Toddler 1, Toddler 2, Toddler 3 classroom and Pre K 3 classrooms. The soap dispenser in the Toddler 2 bathroom was broke and fell off of the wall during the inspection. The half wall located in the gym was cracked/broken on the lower right side 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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the time of inspection, it was observed that a cot wasn't labeled for a specific child in the Toddler 1 classroom.

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: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: During the time of inspection, it was observed that a staff member placed an infant in a crib with a pacifier clip attached to their clothes.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Documentation of the health assessment on file for staff member 14, staff member16, staff member and staff member 17 were updated after 24 months of their initial health assessment. The health assessment on file for staff member 18 was completed after their first day caring for children.

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

Regulation: 3270.151(c)(1)

Description: Physical examination

Noncompliance Area: Documentation of the health assessment on file for staff member 1 didn't include a physical examination.

Correction Required: An adult health assessment must include a physical examination.

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: Documentation of the health assessment on file for staff member 4, didn't include an examination for communicable diseases and assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Documentation of completing an annual emergency drill wasn't on file

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

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

Description: Age and Training

Noncompliance Area: Documentation of pediatric first aid/CPR on file for staff member 5, staff member 6, staff member 7, staff member 8, staff member 9, staff member 10, staff member 11, staff member 12, staff member 13, staff member 14, staff member 15, staff member 16 and staff member18 showed that they renewed their pediatric first aid/CPR training after the expiration of the most current certification.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person 10 has not completed the following required pre-service training within 90 days of their hire date (see LIS code sheet): Health and Safety Basics Update

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person 10 will have until 8/17/23 to complete the required training. Until such time as the required training has been completed, staff person 10 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person 10, staff person 10 may not work in a child-care position at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Documentation on file of pediatric first aid/CPR training for staff member 2 was completed after their 90 days of hire.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Clearances for staff members were not updated in a 60 month timeframe. The FBI clearance for staff member 6 expired on 1/17/23 and was updated on 1/18/23. The FBI clearance for staff member 17 expired on 5/8/23 and was updated on 7/13/23. The child abuse clearance for staff member 6 expired on 1/16/23 and was updated on 2/9/23. The state police clearance for staff member 7 expired on 9/21/22 and was updated on 12/22/22. The state police clearance for staff member 10 expired on 4/17/23 and was updated on 6/26/23.The mandated reporter training for staff member 17 expired on 5/22/18 and was updated on 7/10/23. The mandated reporter training for staff member 6 expired on 1/30/17 and was updated on 2/8/22.

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: 3270.36(b)(5)/3270.192(2)(ii)

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

Noncompliance Area: Documentation of two years' experience working with children was not on file for staff member and staff member 3.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the time of inspection, it was observed that a cabinet with cleaning materials wasn't locked and within reach of children in the Toddler 1 classroom. The cleaning materials were moved out of reach of children during the inspection. Potting soil was within reach of children in the Toddler 2 classroom and the Pre K classroom.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the time of inspection, it was observed that the first aid kit in the infant room was missing tape. Tape was placed in the first aid kit during the inspection.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the time of inspection, it was observed that the air vents in the Toddler 3, Pre K, Gym and Pre K three classrooms were visibly dirty. Ceiling tiles in the bathroom and classroom in the Toddler 3 room had significant water marks on them indicating a leak. A ceiling tile in the Pre K 3 bathroom wasn't placed in the tile grid, exposing duct work in the ceiling and another ceiling tile in the bathroom had a water mark on it indicating a leak. A ceiling tile in the gym had significant water damage indicating a leak. The baseboards in the corner of the Pre K 3 room by the sink were missing. The bottom of the cabinet by the child's handwashing sink in the Pre K classroom had water damage and was disintegrating.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the time of inspection, it was observed that there was peeling paint in the Toddler 3 and Toddler 2 classrooms. The peeling paint was corrected during the inspection.

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

Regulation: 3270.81

Description: Glass

Noncompliance Area: During the time of inspection, it was observed that the glass pane by the door in the toddler 1 room didn't have a visual strip or other visual identification.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Documentation of the fire detection system testing showed that the testing wasn't being completed every 30 days. Testing was completed on 12/30/22; 1/30/23; which is 31 days and 2/28/23, 3/31/23; which is 31 days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff person number 3 had a health assessment dated 11/5/19 and updated on 4/29/22, which is greater than 24 months. Staff person number 4 had a health assessment dated 2/21/20 and updated on 5/12/22, which is greater than 24 months. Staff person number6 had a health assessment dated 4/7/20 and updated on 5/2/22, which is greater than 24 months.

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

Regulation: 3270.31(h)

Description: Health and Safety Training

Noncompliance Area: Staff person number 1 had 6 hour health and safety training dated 9/1/16, which is not accepted. Staff number 1 may not be left unsupervised with children until approved training is completed. Staff person number 2 had 6 hour health and safety training dated 7/1/16, which is not accepted. Staff number 2 may not be left unsupervised with children until approved training is completed.

Correction Required: All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person number 5 had a child abuse clearance dated 1/16/2017 and updated on 2/9/2022, which is greater than 60 months. Updated clearance is obtained and on file.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Proof of Purchase for Fire detection system was not on file.

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: 3270.31(e)(4)(i)/3270.31(f)(10)

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

Noncompliance Area: Staff person number 2 did not have Pediatric CPR/First Aid training on file. CPR/First aid training was not completed within 90 days of employment. Staff Person number 2 must be supervised by an AGS or higher until Pediatric CPR/First Aid is completed.

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.Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.31(f)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: Staff person number 1 does not have health and safety training on file. Health and safety training was not completed within 90 days of employment. Staff number 1 must be supervised by an AGS or higher until health and safety training is completed. Staff number 3 does not have health and safety training on file. Health and safety training was not completed within 90 days of hire. Staff number 3 must be supervised by an AGS or higher until health and safety training is completed. Staff number 4 does not have health and safety training on file. Health and safety training was not completed within 90 days of hire. Staff number 4 must be supervised by an AGS or higher until health and safety training is completed.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: An additional child was added to the group of 6 children and 2 staff, making 7 children and 2 staff. The 7th child was not added to a primary care group. The 7th child was left unsupervised in the classroom.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. A training titled "The Role of Communication in Supervising Children" has been accepted by DHS and will be conducted by Lorrie Hall.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: An additional child was added to the group of 6 children and 2 staff, making 7 children and 2 staff. The 7th child was not added to a primary care group. The 7th child was left unsupervised in the classroom.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must submit documentation in a format approved by DHS proving that the director or assistant director is monitoring staff's knowledge and implementation of primary care groups, supervision, and ratios e.g., a checklist. Checks should be done daily at random times throughout the day. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. 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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: An additional child was added to the group of 6 children and 2 staff, making 7 children and 2 staff. The 7th child was not added to a primary care group. The 7th child was left unsupervised in the classroom.

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. Children must be supervised at all times. 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: 3270.51

Description: Similar Age Level

Noncompliance Area: Staff number 1 took one older toddler aged child from the gym to the classroom, leaving one staff with 11 older toddler aged children.

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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A child was observed to place a small rock in their mouth. The small object was located on the outdoor playground for toddlers.

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

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 2/3, Staff person number 1 and number 2 left child #1 in the classroom unattended after the staff took the rest of the class to breakfast. Child #1 was unattended for approximately 3 minutes. Staff number 3 then walked into the classroom and saw child #1 but did not look to see if any staff were around. Staff number 3 then left the classroom, leaving child #1 alone for approximately 1 minute until another staff came into the classroom and found the child. On 2/7/22, ratios and supervision were assessed in the classrooms. In the toddler 1 room, 3 children were not assigned to a care group amongst staff in the room. In the toddler 3 room, 15 children were in care but the classroom was split up. Inside, 8 children were in care and 5 were assigned to care groups amongst present staff, leaving 3 children unaccounted for. The other group of children from the toddler 3 room, 7 children were outside with 2 staff. Both staff listed 2 children in their primary care group, leaving 3 children not assigned to a primary group amongst the 2 staff.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 2/3, Staff person number 1 and number 2 left child #1 in the classroom unattended after the staff took the rest of the class to breakfast. Child #1 was unattended for approximately 3 minutes. Staff number 3 then walked into the classroom and saw child #1 but did not look to see if any staff were around. Staff number 3 then left the classroom, leaving child #1 alone for approximately 1 minute until another staff came into the classroom and found the child. On 2/7/22, ratios and supervision were assessed in the classrooms. In the toddler 1 room, 3 children were not assigned to a care group amongst staff in the room. In the toddler 3 room, 15 children were in care but the classroom was split up. Inside, 8 children were in care and 5 were assigned to care groups amongst present staff, leaving 3 children unaccounted for. The other group of children from the toddler 3 room, 7 children were outside with 2 staff. Both staff listed 2 children in their primary care group, leaving 3 children not assigned to a primary group amongst the 2 staff.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. .

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 2/3, Staff person number 1 and number 2 left child #1 in the classroom unattended after the staff took the rest of the class to breakfast. Child #1 was unattended for approximately 3 minutes. Staff number 3 then walked into the classroom and saw child #1 but did not look to see if any staff were around. Staff number 3 then left the classroom, leaving child #1 alone for approximately 1 minute until another staff came into the classroom and found the child. On 2/7/22, ratios and supervision were assessed in the classrooms. In the toddler 1 room, 3 children were not assigned to a care group amongst staff in the room. In the toddler 3 room, 15 children were in care but the classroom was split up. Inside, 8 children were in care and 5 were assigned to care groups amongst present staff, leaving 3 children unaccounted for. The other group of children from the toddler 3 room, 7 children were outside with 2 staff. Both staff listed 2 children in their primary care group, leaving 3 children not assigned to a primary group amongst the 2 staff.

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. Children must be supervised at all times. 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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff in the PreK Counts 4 (room 124) classroom and in the PreK Counts 3 (room 127) classroom did not have assigned primary care groups.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency Contact form for Child number 2 did not include a physician's address.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Emergency Contact form for child number 2, 3, 4, and 5 did not list any information on the child's special needs or disabilities.

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: 3270.131(d)(1)

Description: Child's health history

Noncompliance Area: Health assessment for child number 1 did not include a health history for the child.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Health report for child number 1 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: 3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Letter of immunization exemption for child number 8 did not indicate a strong personal objection or a religious belief as a reason for not receiving immunizations.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: Documentation of symptoms for administration of medication were not clear for child number 9.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: Child number 7 had a prescription of Auvi-q but there was no medication log for the medication.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff number 5 did not update the health assessment within 24 months. Previous health assessment dated 8/27/19 and updated on 9/27/21.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: Emergency plan on file did not list 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff number 3 did not have a completion date for Health and Safety training.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff number 1 had a State Police clearance that was greater than 60 months. Clearance dated 12/19/15 and renewed on 1/4/21. Staff number 1 had a child abuse clearance that was greater than 60 months. Clearance dated 12/31/15 and renewed on 1/6/21. Staff number 2 had an FBI clearance greater than 60 months from previous clearance. Previous clearance dated 3/31/16 and renewed on 4/22/21. Staff number 6 had a State Police clearance with a period greater than 60 months. Previous clearance dated 3/30/16 and renewed on 4/22/21.

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: 3270.74/3270.124(e)

Description: Emergency Numbers Posted/Written emergency plan posted

Noncompliance Area: The gross motor play room (gymnasium) did not have posted emergency telephone numbers or a posted emergency transportation plan. This was corrected on site.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: On 10/22/20, it was observed that child 1 did not have a work address and telephone number on file for the enrolling parent.

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

Noncompliance Area: On 10/22/20 it was observed that Child Protective Services Law (CPSL) was not followed. Staff person 1 had a child abuse clearance on file that expired on 8/28/20 and a new clearance was not on file until 9/30/20. Staff person 2 had a child abuse clearance on file that expired on 2/13/20 and a new clearance was not on file until 10/8/20. Staff person 3 had a child abuse clearance on file that expired on 2/13/20 and a new clearance was not on file until 2/26/20. Staff person 4 had a child abuse clearance on file that expired on 2/11/20 and a new clearance was not on file until 3/9/20.

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

Noncompliance Area: On 10/22/20, it was observed that the section the poured rubber playground near the bike path was separating and buckling creating a tripping hazard.

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.

Noncompliance Area: On 11/8/19 it was observed that staff person 1 did not have a timely physical update. Staff person 1 had a physical on file dated 9/25/17 which expired on 9/25/19. A new physical was not obtained until 10/29/19 allowing staff person 1 to be present with an expired physical for approximately 1 month.

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.

Noncompliance Area: On 11/8/19 it was observed that staff clearances required for CPSL were not on file at the time of hire. Staff person 2 (hire date 8/12/19) had an FBI clearance on file dated 10/30/19. Provisional paperwork was dated 10/30/19. Staff person 3 (hire date 9/9/19) had an FBI clearance on file dated 10/8/19. Provisional paperwork was dated 10/8/19.

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

Noncompliance Area: On 10/15/19 it was observed that there was peeling paint on the walls in the infant and toddler 3 classrooms. Peeling paint was observed in the infant classroom on the wall with the main door near the phone jacks. Peeling paint was observed in the Toddler 3 classroom by the bathroom door. CORRECTED 11/8/19.

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

Noncompliance Area: On 10/15/19 it was observed that a glass panel was present beside the lower half of the lunchroom door that did not have any visual identification placed on the lower portion, where the children could see it. CORRECTED 11/8/19.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Noncompliance Area: On 10/18/18 it was observed that child 4 did not have an address on file for their physician.

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: On 10/18/18, it was observed that child 5 did not have a parent work address on file the enrolling parent.

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

Noncompliance Area: On 10/18/18, it was observed that staff person 1 (hire date 10/8/18) did not have 2 non-family references on file.

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

Noncompliance Area: On 10/18/18 it was observed that staff person 1 (hire date 10/8/18) did not have verification of High School graduation or 2 years of experience on file to be Assistant Group Supervisor qualified. Staff person 1 was functioning as an Assistant Group Supervisor.

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.

Noncompliance Area: On 11/21/17 it was observed that staff 1 has a physical on file that expired on 10/6/17.

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.

Noncompliance Area: Child 1 was unsupervised for 45 seconds to 1 minunte between 10:51 and 10:52 AM on 8/4/17 when he left the older toddler room and walked down a hallway without staff knowledge.

Correction Required: TIER 3: The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.