Munchkin Meadow Preschool Inc

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information for child #3 does not include the address of the individual designated by the parent to whom the child may be released. Emergency contact information for child #4 does 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(a)

Description: Health information

Noncompliance Area: The operator did not require the parent of child #3 (admission date see LIS code sheet) to provide an initial health report no later than 60 days following the first day of attendance at the facility. This is evidenced by the initial health report being dated 6/16/2025.

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The adult health assessment for staff person #2 (DOH see LIS code sheet) does not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: Child # 1's (admission date see LIS code sheet) record does not contain signed parental consent for emergency medical care for the child nor does it contain signed parental consent for administration of minor first-aid procedures by facility staff. Child # 2's (admission date see LIS code sheet) record does not contain signed parental consent for emergency medical care for the child nor does it contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The operator was not in compliance with the CPSL. This is evidenced by staff person #1's first day caring for children (DOH see LIS code sheet) occurring prior to the results of all required clearances being on file. FBI clearance is dated 1/16/2026 and NSOR dated 1/7/2026. The operator was not in compliance with the CPSL. This is evidenced by staff person #2's first day caring for children (DOH see LIS code sheet) occurring prior to the results of all required clearances being on file. FBI clearance dated 1/7/2026, which is beyond the 45-day provisional hire period. The operator was not in compliance with the CPSL. This is evidenced by staff person #3's first day caring for children (DOH see LIS code sheet) occurring prior to the results of the Child Abuse clearance (dated 1/6/2026) being on file. The operator was not in compliance with the CPSL. This is evidenced by staff person #4's (DOH see LIS code sheet) PSP clearance being dated 1/27/2026, which is beyond the 45-day provisional hire period.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed on 9/15/2025 in the Lobster room plastic bags are accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE) It was observed on 9/15/2025 in the Sea horse room plastic bags are accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE) It was observed on 9/15/2025 on a shelf in the bathroom of the Dolphins room plastic bags are accessible to children who are still placing objects in their mouths.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The adult health assessment for staff person #1 (DOH see LIS code sheet) does not include tuberculosis screening by the Mantoux method at initial employment.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for facility person #2 (DOH see LIS code sheet) does not include the results of the NSOR verification and therefore is not in compliance with the CPSL.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed on 9/15/2025 a protective receptacle cover was not placed in electrical outlets accessible to children 5 years of age or younger in the Sharks room, Whales room, and in the lobby area of suite 40.

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: It was observed on 9/15/2025 in the Sharks room, a spray bottle containing disinfectant was on the teacher's desk, a container of disinfecting wipes and a container of Swiffer wet cloths and a bottle of dry erase board cleaner labeled "Keep of the Reach of Children" are all accessible to children. (CORRECTED ON SITE) It was observed on 9/15/2025 in the Lobsters room, a bottle of dry erase board cleaner labeled "Keep of the Reach of Children" and a bottle of hand sanitizer are accessible to children. (CORRECTED ON SITE) It was observed on 9/15/2025 in the Sea Horse room, a container of Swiffer wet cloths is accessible to children. (CORRECTED ON SITE) It was observed on the Dolphins room, multiple cleaning products are accessible to children on a shelf in the bathroom.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: It was observed on 9/15/2025 in the Jelly fish room there are multiple areas of peeled or damaged paint behind the teacher's desk. It was observed on 9/15/2025 in the hallway by the bathroom area in suite 40 there are several areas of peeled or damaged paint behind the chairs.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement for Child #1 does not specify the date of the child's admission. The agreement for Child #2 does not specify the date of the child's admission. The agreement for Child #3 does not specify the date of the child's admission. The agreement for Child #4 does not specify the date of the child's admission.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility person #5 (DOH see LIS code sheet) has not completed the required one hour Pennsylvania Health and Safety update 2022 by December 30, 2022.

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 health assessment for facility person # 5 (DOH see LIS code sheet) was not conducted within 12 months prior to providing initial service in a child care setting. This is evidenced by the health assessment dated 6/24/2024.

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: 3270.172(a)

Description: Written parental consent

Noncompliance Area: It was observed on 2/19/2025 the emergency contact form for Child #6 (DOB see LIS code sheet) , which is kept in the facility's vehicle does not contain written parental consent for transportation provided by the facility. (CORRECTED ON SITE)

Correction Required: Transportation by the facility requires written parental consent, except for transportation of school-age children who are transported to or from a child care facility in vehicles owned or operated by the school district.

Regulation: 3270.182(8)

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

Noncompliance Area: The record for Child # 5 does not contain a copy of the initial written agreement between the parent and the operator.

Correction Required: 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for facility person #1 (DOH see LIS code sheet) does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for facility person #2 (DOH see LIS code sheet) does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

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

Description: Age and Training

Noncompliance Area: Staff person #4 (DOH see LIS code sheet) did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 1/10/2025.

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 clearances for Facility person #3 were not updated within 60 months, as per the CPSL. This is evidenced by the PSP clearances dated 1/30/2019 and 3/6/2024, Child Abuse clearances dated 2/6/20219 and 3/6/2024, DHS required FBI clearances dated 2/6/2019 and 4/25/2024 and NSOR certificates dated 1/9/2020 and 2/3/2025.

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: It was observed on 2/19/2025 in the Octopus room a bottle of cleaning solution was accessible in a Swiffer mop. (CORRECTED ON SITE)

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: It was observed on 2/7/2024 Staff Person #13 (DOH see LIS code sheet) in the Puffer Fish classroom was observed using their hands to unlatch a child safety lock before opening the lid of the trash can with their hands to discard a soiled diaper. Staff Person #13 did not use the hands-free foot pedal to open the covered can. (CORRECTED DURING THE INSPECTION)

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(a)

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

Noncompliance Area: The file for Staff Person #1 (DOH see LIS code sheet) contains health assessments dated 2/6/2020 and 12/28/2023, which exceeds the requirement of adult health assessments being updated every 24 months. The file for Staff Person #5 (DOH see LIS code sheet) contains a health assessment dated 5/12/2023, which was not conducted within 12 months prior to providing initial service in a child care setting. The file for Staff Person #7 (DOH see LIS code sheet) contains health assessments dated 4/23/2020 and 9/27/2022, which exceeds the requirement of adult health assessments being updated every 24 months. The file for Staff Person #8 (DOH see LIS code sheet) contains a health assessment dated 5/4/2023, which was not conducted within 12 months prior to providing initial service in a child care setting. The file for Staff Person #9 (DOH see LIS code sheet) contains a health assessment dated 9/22/2023, which was not conducted within 12 months prior to providing initial service in a child care setting. The file for Staff Person #10 (DOH see LIS code sheet) contains a health assessment dated 7/28/2022, which was not conducted within 12 months prior to providing initial service in a child care setting. The file for Staff Person #11 (DOH see LIS code sheet) contains health assessments dated 5/7/2020 and 10/25/2022, which exceeds the requirement of adult health assessments being updated every 24 months. The file for Staff Person #12(DOH see LIS code sheet) contains health assessments dated 7/8/2019 and 7/24/2023, which exceeds the requirement of adult health assessments being updated every 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.

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The file for Staff Person # 5 (DOH see LIS code sheet) contains a health assessment signed by a medical assistant and not by a physician, physician's assistant or CRNP.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The adult health assessment for Staff Person #4 does not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's 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: 3270.31(c)(1)/3270.37(b)(2)

Description: Accredited institution approved by PDE /8th grade & enrolled in training

Noncompliance Area: The file for Staff Person #2 (DOB & DOH see LIS code sheet) does not contain documentation of a minimum of an 8th grade education neither is documentation of completion of classroom training and continuing enrollment in the training curriculum included in the staff person's file.

Correction Required: An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person, if the curriculum is conducted by an institution approved by the Department of Education and accredited by an accrediting agency recognized by the United States Department of Education or the Council on Postsecondary Education and acceptable to the Department of Education. An aide shall have a minimum of an 8th grade education and enrollment in a training curriculum described at §3270.31(c). The classroom training portion of the curriculum shall be completed. Documentation of completion of classroom training and continuing enrollment in the training curriculum shall be included in the staff person's file.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #2 (DOH see LIS code sheet) does not contain a copy of the request for the PSP clearance at time of hire. The file contains the results of the PSP clearance dated 6/28/23, which exceeds the 45-day provisional hire period as required by the CPSL. The file for Staff Person #3 (DOH see LIS code sheet) contains child abuse clearances dated 2/8/2018 and 7/25/2023 and FBI clearances dated 1/30/2018 and 6/23/2023, which exceeds the CPSL requirement that clearances are updated every 60 months. The file for Staff Person #5 (DOH see LIS code sheet) contains the results of a criminal history record dated 5/13/23 and the results of the child abuse clearance dated 8/14/23, both of which are after staff person #5's first day caring for children and is not in compliance with the CPSL. The file does not include copies of the requests for either of the criminal history records or the NSOR verification prior to the date of hire. The file for Staff Person #7 (DOH see LIS code sheet) contains PSP clearances dated 3/16/18 and 7/25/23, child abuse clearances dated 3/18/18 and 7/11/23, and FBI clearances dates 3/30/18 and 6/26/23, which exceeds the CPSL requirement that clearances are updated every 60 months. The file for Staff Person #8 (DOH see LIS code sheet) contains a PSP clearance dated 4/15/23 and a child abuse clearance dated 4/27/23, both of which are after staff person #8's first day caring for children and is not in compliance with the CPSL. The file does not include copies of the requests for either of the criminal history records, child abuse registry clearance information or the NSOR verification prior to the date of hire.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed on 2/7/2024 in the Dolphins classroom numerous bottles of cleaning materials are being stored on a shelf in the bathroom and are accessible to children. It was observed on 2/7/2024 in the Sea Horses classroom containers of diaper ointment are accessible to children. (ALL 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: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed on 2/7/2024 in the Puffer Fish classroom a ceiling tile has water stains and is not in good repair. It was observed on 2/7/2024 in the Dolphins classroom two (2) ceiling tiles have water stains and are not in good repair. It was observed on 2/7/2024 in the Squids classroom a front section of the stage had a hole in it and was not in good repair. (ALL CORRECTED DURING THE INSPECTION)

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff members confirmed on 7/24/2023 at approximately 4:30-4:45pm Staff Person #1 left Child #1 (DOB see LIS code sheet), Child #2 (DOB see LIS code sheet), Child #3 (DOB see LIS code sheet) unsupervised in the Sea Turtles classroom with Child #4 (DOB see LIS code sheet) while Staff Person #1 went to the kitchen to refill Child #2's cup with drinking water. Staff Person #1 estimated being out of the classroom and therefore not supervising the children for approximately 2 minutes or less. Child #4 is the sibling of Child #2 and was previously signed out of the summer camp classroom by a parent. Child #4 was not under the direct supervision of their parent when they entered the Sea Turtles 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. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff members confirmed on 7/24/2023 at approximately 4:30-4:45pm Staff Person #1 left Child #1 (DOB see LIS code sheet), Child #2 (DOB see LIS code sheet), Child #3 (DOB see LIS code sheet) unsupervised in the Sea Turtles classroom with Child #4 (DOB see LIS code sheet) while Staff Person #1 went to the kitchen to refill Child #2's cup with drinking water. Staff Person #1 estimated being out of the classroom and therefore not supervising the children for approximately 2 minutes or less. Child #4 is the sibling of Child #2 and was previously signed out of the summer camp classroom by a parent. Child #4 was not under the direct supervision of their parent when they entered the Sea Turtles 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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 7/31/2023 Staff Person #1 was observed to be caring for children unsupervised. Staff Person #1 has not completed the following pre-service training required prior to caring for children unsupervised: safe sleep practices, including risk reduction of Sudden Infant Death Syndrome/Sudden Unexplained Infant Death (SIDS/SUID), prevention and control of infectious diseases (including immunizations), prevention of and response to emergencies due to food and allergic reactions, and prevention of shaken baby syndrome/abusive head trauma/child maltreatment. On 7/31/2023 Staff Person #2 was observed to be caring for children unsupervised. Staff Person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first aid and pediatric cardiopulmonary resuscitation (CPR), safe sleep practices, including risk reduction of Sudden Infant Death Syndrome/Sudden Unexplained Infant Death (SIDS/SUID), prevention and control of infectious diseases (including immunizations), prevention of and response to emergencies due to food and allergic reactions, and prevention of shaken baby syndrome/abusive head trauma/child maltreatment. On 7/31/2023 Staff Person #3 was observed to be caring for children unsupervised. Staff Person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first aid and pediatric cardiopulmonary resuscitation (CPR), safe sleep practices, including risk reduction of Sudden Infant Death Syndrome/Sudden Unexplained Infant Death (SIDS/SUID), prevention and control of infectious diseases (including immunizations), prevention of and response to emergencies due to food and allergic reactions, and prevention of shaken baby syndrome/abusive head trauma/child maltreatment. On 7/31/2023 Staff Person #4 was observed to be caring for children unsupervised. Staff Person #4 has not completed the following pre-service training required prior to caring for children unsupervised: safe sleep practices, including risk reduction of Sudden Infant Death Syndrome/Sudden Unexplained Infant Death (SIDS/SUID), prevention and control of infectious diseases (including immunizations), prevention of and response to emergencies due to food and allergic reactions, and prevention of shaken baby syndrome/abusive head trauma/child maltreatment. Staff Person #4 completed the one-hour Pennsylvania health and safety update 2022, but never completed the required health and safety pre-service training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, Staff Person #1, #2, #3, and #4 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff Person #1, #2, #3, and #4, Staff Person #1, #2, #, and #4 may not work in a child care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff Person # 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements, prevention of Sudden Infant Death Syndrome and use of safe sleep practices, administration of medication, consistent with standards for parental consent, prevention of and response to emergencies due to food and allergic reactions, building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic, prevention of shaken baby syndrome and abusive head trauma, emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)), handling and storage of hazardous materials and appropriate disposal of biocontaminants, and precautions when transporting children. Staff Person # 3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements, prevention of Sudden Infant Death Syndrome and use of safe sleep practices, administration of medication, consistent with standards for parental consent, prevention of and response to emergencies due to food and allergic reactions, building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic, prevention of shaken baby syndrome and abusive head trauma, emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)), handling and storage of hazardous materials and appropriate disposal of biocontaminants, precautions when transporting children, pediatric first aid and pediatric cardiopulmonary resuscitation. Staff Person # 4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements, prevention of Sudden Infant Death Syndrome and use of safe sleep practices, administration of medication, consistent with standards for parental consent, prevention of and response to emergencies due to food and allergic reactions, building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic, prevention of shaken baby syndrome and abusive head trauma, emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)), handling and storage of hazardous materials and appropriate disposal of biocontaminants, and precautions when transporting children.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff Person #1, #3, and #4 will have until August 18, 2023 to complete the required training. until such time as the required training has been completed, Staff Person #1, #3 and #4 must be supervised, when interacting with children by an AGS or higher who completed the required training related to this citation. If there are no staff available to supervise Staff Person #1, #3 and #4, Staff Person #1, #3 and #4 may not work in a child care position at the facility.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed on 2/17/2023 in the Dolphins bathroom plastic bags were being stored on the sink and were accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE)

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: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for Child #3 does not specify the amount of the fee to be charged per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement for Child #2 does not specify the date of the child's admission. The agreement for Child #4 does not specify the date of the child's admission. The agreement for Child #5 does not specify the date of the child's admission.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: It was observed on 2/17/2023 an albuterol inhaler was in the Sea Horse classroom for Child #1; however, a medication log was not being maintained.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff Person #2 DOH (see LIS code sheet) contains a health assessment dated 3/21/2022 which was not conducted within 12 months prior to providing initial service in a child care setting.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: An emergency drill has not been conducted annually.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 DOH (see LIS code sheet) contains FBI clearances dated 1/28/2017 and 3/2/2022, which exceeded 60 months prior to renewal and is not in compliance with the CPSL. The file for Staff Person #2 DOH (see LIS code sheet) contains mandated reporter training dated 7/17/2022, which is beyond 90 days from their start date and is not in compliance with the CPSL. The file for Staff Person #3 DOH (see LIS code sheet) contains a NSOR verification dated 8/15/2022, which is beyond the 45-day provisional hire period and is not in compliance with the CPSL.

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: It was observed on 2/17/2023 in the Sea Otters classroom an electrical outlet on a set of string lights that was plugged in and accessible to children did not have a protective receptacle cover. (CORRECTED ON SITE)

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: It was observed on 2/17/2023 in the Sharks room a bottle of White Out was accessible to children. It was observed on 2/17/2023 in the Dolphins bathroom numerous cleaning materials and other toxic materials are being stored on a shelf that is accessible to children. It was observed on 2/17/2023 in the Sea Otters classroom a bottle of White Out was being stored in a desk that is accessible to children. (ALL CORRECTED ON SITE)

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: It was observed on 2/17/2023 in the Puffer Fish classroom a Magic Eraser was not stored in an original labeled container or in a container that specifies the content. It was observed on 2/17/2023 in the Sea Turtle classroom a Magic Eraser was not stored in an original labeled container or in a container that specifies the content. (ALL CORRECTED ON SITE)

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(c)

Description: Has all items

Noncompliance Area: It was observed on 2/17/2023 the first-aid kit in the Octopus classroom does not contain tweezers. It was observed on 2/17/2023 the first-aid kit in the Whales classroom does not contain tweezers, scissors, sterile gauze, and tape. (ALL CORRECTED ON SITE)

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: It was observed on 2/17/2023 the corner of an area rug in the Puffer Fish classroom was rolled up creating a tripping hazard. (CORRECTED ON SITE)

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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: It was observed on 2/17/2023 the bathroom in the Dolphins classroom was not equipped with a lidded waste receptacle.

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

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Staff Person #1 admitted to wrapping blue painter's tape around the fuzzy portion of Child #1's boots with the top layer of tape extending onto the child's jeggings. Staff Person #1 stated they did this as a "joke" close to the time the child's father typically picks up as a way of keeping the child's boots on. This activity does not promote the development of skills, social competence and self-esteem.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. All staff members are required to participate in technical assistance being provided to the facility by a consultant from the Early Learning Resource Center to help them achieve specified knowledge areas or performance expectations.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed on 2/28/2022 in the Sea Horse room (2 yr olds) plastic bags were accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE)

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: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for Child #6 does not specify the amount of the fee to be charged per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement for Child # 2 does not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement for Child #6 does not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(1)

Description: Child's name, birth date

Noncompliance Area: Emergency contact information for Child # 3 does not include the birth date of the child.

Correction Required: Emergency contact information must include the name and birth date of the child.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child # 4 does not include the home telephone number of the enrolling parent. Emergency contact information for Child #5 does not include the work address of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency contact information for Child # 1 does not include the policy number for a child under a family policy or Medical Assistance benefits.

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

Regulation: 3270.124(d)

Description: Excursions

Noncompliance Area: Emergency contact information specific to each child being transported to and/or from school on facility vehicles is not accompanying a staff person on the riding excursion. (CORRECTED ON SITE)

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff Person #1 hired 6/11/2021 has a health assessment on file dated 1/28/2022, which is after their start date. Facility Person #5 hired 10/29/2021 who works with food preparation has a health assessment dated 12/2/2021, which was after the facility person's start date.

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: 3270.175(a)

Description: Age appropriate restraints

Noncompliance Area: It was observed on 2/28/2022 the facility van used to transport kindergarten aged children (5-6 years old) was not equipped with age appropriate restraint systems.

Correction Required: A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: It was observed on 2/28/2022 the first-aid kit in the van does not contain tweezers, soap, and water. It was observed on 2/28/2022 the first-aid kit in the mini bus does not contain tape, scissors, tweezers, gloves, soap and water. It was observed on 2/28/2022 the first-aid kit in Bus #89 does not contain scissors, tweezers, soap, and water. (ALL CORRECTED ON SITE)

Correction Required: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: The file for Facility Person #4 hired 10/17/2011 does not include the initial and subsequent health assessments. The file was only observed to contain an updated helath assessment dated 7/20/2021 and the results of a tuberculin skin test dated 3/1/2022.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 hired 6/11/2021 contains a NSOR verification dated 2/9/2022 and documentation it was requested on 2/2/2022, which was after the staff person was hired and therefore not in compliance with the CPSL requirements. The file for Staff Person #2 hired 9/27/2021 contains a NSOR verification dated 2/2/2022 and documentation it was requested on 1/27/2022 which was after the staff person was hired and therefore not in compliance with the CPSL requirements. The file for Staff Person #3 hired 1/20/2022 contains a PSP volunteer clearance dated 5/18/2021 and a PSP employment clearance dated 3/2/2022 with a status of "Under Review" which is not a complete clearance. The PSP employment clearance was not requested until after the staff person's start date and is therefore not in compliance with the CPSL requirements. The file for Facility Person #4 hired 10/17/2011 does not contain the initial clearances obtained at time of hire. The facility person has all updated clearances on file with the exception of the NSOR verification. Documentation the NSOR verification was requested is dated 3/9/2022. The file for Facility Person #5 hired 10/29/2021 contains a PSP clearance dated 3/1/2022 with a status of "Under Review" which is not a complete clearance. Furthermore, the PSP clearance was requested after the facility person's start date which is not in compliance with the CPSL requirements. There is documentation the facility person submitted a request for a DHS required FBI clearance on 3/15/2022; however, the results are not in the facility person's file. Additionally, Facility Person # 5 has been employed for more than 90 days; however, documentation that Mandated Reporter training has been completed as per the CPSL requirement is not in their 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. Staff Person # 3 and Facility Persons # 4 & 5 may not work in a child care position at the facility.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: It was observed on 2/28/2022 in the Sea Lions classroom a Magic Eraser and a spray bottle containing a cleaning solution were not being stored in an original labeled container or in a container that specifies the content. It was observed on 2/28/2022 in the 4 year old room a spray bottle containing a cleaning solution was not being stored in a container that specifies the contents. ( ALL CORRECTED ON SITE)

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: It was observed on 2/28/2022 in the School-age Room the first-aid kit was accessible to children. (CORRECTED ON SITE)

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