Renne L Evans Day Care

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: The emergency contact information on file for Child #5 was observed to be missing the address of the child's physician or source of medical care and the name of the health insurance coverage.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information on file for Child #2 and Child #4 did not include the addressees of the individuals designated by the parent to whom the child may be released.

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

Regulation: 3270.131(a)/3270.131(c)

Description: Health information/Completed or signed by physician, PA, or CRNP

Noncompliance Area: The health report on file for Child #4 (see code sheet for admission date) was not a valid health assessment. It was not signed by a physician, physician's assistant or a CRNP and did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. The health report must include the following information: A statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #1 and #2 were observed to be caring for children unsupervised during the inspection. Staff persons #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid and CPR Training conducted by a PQAS-approved trainer.

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 training has been completed, staff persons #1 and #2 must be supervised, when interacting with children, at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

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: The record for Child #4 did not contain signed parental consent for emergency medical care for the child or for the 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The most recent emergency drill on file was dated 6/4/24. However, this was required to be done annually.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1 and #2 have completed Pediatric first aid and CPR training, however, at the time of the inspection, the trainer had not provided documentation that they are PQAS-certified in that training curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff persons #1 and #2 must be supervised, when interacting with children, at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #3 had a Department of Education FBI clearance on file dated 8/29/25, which is not suitable for employment in childcare, and not the required DHS FBI Clearance. Also, there was no proof on file showing that the proper FBI clearance was requested prior to Staff person #3 supervising children. During the inspection on 6/17/26, Staff person #3 was observed having routine interaction and direct contact with children in the Playroom.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff 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 may not work in a child care position at the facility that involves direct contact or routine interaction with children until all required paperwork is completed and on file at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Two electrical outlets, that were behind the television in the Preschool/Main Room, were observed to be missing protective receptacle covers. These outlets were accessible to the preschoolers who were being supervised in that room.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Member's Mark hand sanitizer that was labeled "keep out of reach of children" was observed on top of a cubby shelf in the Downstairs Room and was accessible to an older school aged child. Two Simple Green all-purpose cleaners that were labeled "keep out of reach of children" were observed on the floor in the Back Room. These cleaners were accessible to children who walked through the Back Room to go to the Outdoor Play Area.

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: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: The bottom part of the door in the Downstairs Room, which led to the Outdoor Play Area, had a rusted, sharp piece of metal. Push pins were observed on two different cork boards near the entranceway to the Downstairs Room. The sink in the downstairs restroom had two handles that were rusted and posed a potential scratch hazard. Also, a red chair and blue stepping stool, both dirty, were observed in this same room. Three assorted color play mats in the Playroom were observed to be dirty. The blue play mat and the bouncer in the Infant Room were also observed to be dirty. A sticky black residue was observed on the green swing chain covers for three swings in the Outdoor Play Area. Also, there were three exposed bolts on the red section of the plastic jungle gym in the Outdoor Play Area. In this same area, there was a pink bicycle with a cracked blue plastic basket attached to it. Additionally, the play kitchen in the Outdoor Play Area had a cracked refrigerator and cracked microwave door.

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. 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Chipping paint was observed on the radiator in the upstairs restroom. The door in the Downstairs Room, which led to the Outdoor Play Area, was observed to have chipping paint along its frame.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system was not tested at least once every 30 days as indicated by the following fire detection system testing logs that were on file: 12/19/25 and 1/19/26.

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

Regulation: 3270.124(b)(2)/3270.124(b)(3)

Description: Physician name, address, phone/Parent home/work address, phone

Noncompliance Area: The emergency contact information on file for Child #4 and Child #5 was observed to be missing the phone number of the child's physician or source of medical care. The emergency contact information on file for Child #3 was observed to be missing the parent's work address and work phone number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information on file for Child #1 and Child #2 was missing the address of the individual designated by the parent to whom the child may be released. Also, the emergency contact information on file for Child #2 was missing the phone number 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)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #2 (see code sheet for date of admission) was observed to be missing an initial health assessment. The only health assessment on file was dated 3/20/2025.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: An automatic trash can was observed in the Infant Room. The trash can's lid was supposed to automatically open. However, because this feature was not working, Staff #2 had to physically open the trash can's lid, with their hands, in order to dispose of a soiled diaper.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The financial agreements on file for Child #4 and Child #5 were dated 4/2/24 and 4/2/25. More than 6 months had passed since a parent last reviewed, updated, and signed a financial agreement form.

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

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: A door labeled "blankets", in the Infant Room, was observed to have chipped wood near its base. A toilet in the Downstairs Room Restroom was observed to be dusty and had cobwebs near its base. A radiator, with a loose cover, was observed to the right of the bookshelf in the Preschool Room. Another radiator, with a loose cover, was observed near the puzzles shelf in the Infant Room. The Infant Room Restroom had one toilet with two exposed, rusted bolts near its base. Two yellow, two red, one blue, and one green mat in the Play Room were observed to be dirty.

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. 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: The radiator in the Infant Room Restroom had peeling paint on its cover. The wall near the dry erase board in the Downstairs Room had peeling paint and there was chipping paint on a support column wall. The Downstairs Room Restroom had peeling paint on the ceiling and on the wall area under the sink.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system was not tested at least once every 30 days as indicated by the following fire detection system testing logs that were on file: 8/2/24 to 9/6/24.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A wooden ladder and wooden climbing wall, that were part of the outdoor playground set, were observed to have splintered wood.

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: Child #4 and Child #5 did not have documentation of an enrolling parent's work address. Child #4 did not have documentation of an enrolling parent's work phone number.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan that was on file did not include a continuity of operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

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: The records for child #1 and child #4 did not contain signed parental consent for emergency medical care for the child or the 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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff #1 has current pediatric first aid/CPR training on file dated 8/20/23. However, they did not complete the training prior to the previous one on file expiring 6/2023.

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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #2 had fire safety trainings on file that were dated 5/23/23 and 6/1/24. More than a year had lapsed between the trainings.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: A first-aid kit was not observed in the Play Room.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not observed by the kitchen sink.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system was not tested every 30 days as evidenced by the following fire detection system logs that were on file: 5/12/23 to 6/13/23, 8/11/23 to 9/11/23, 9/11/23 to 10/12/23, 12/8/23 to 1/8/24, 3/8/24 to 4/11/24

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

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

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

Noncompliance Area: On 8/16/23, certification representative observed two children in the second room with the bathroom alone and unattended. Facility person #1 was in the adjacent room.

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. 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. The legal entity must create a supervision policy which includes bathrooming and transition times. This policy must be submitted to the regional office for approval. All staff must be trained and sign an acknowledgment. Acknowledgment must be kept in file,

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

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

Noncompliance Area: On 8/16/23, certification representative observed two children in the second room with the bathroom alone and unattended. Facility person #1 was in the adjacent room.

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. 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(a)/3270.151(c)(2)

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

Noncompliance Area: On 8/16/23, facility person #3 was present in the childcare space. Operator reports that facility person #3 is over 18 years of age and present in the facility on a regular basis. Operator also reports that facility person #3 is not a staff person or related to the operator. Facility person #3 is considered by DHS a volunteer. Facility person #3 does not have an initial health assessment or TB screening on file.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.191/3270.192(5)

Description: Individual Records/Two written references

Noncompliance Area: On 8/16/23, facility person #3 was present in the childcare space. Operator reports that facility person #3 is over 18 years of age and present in the facility on a regular basis. Operator also reports that facility person #3 is not a staff person or related to the operator. Facility person #3 is considered by DHS a volunteer. Facility person #3 does not have an individual record at facility, including two written non-family references.

Correction Required: An individual record is required for each facility person. 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: 3270.21/3270.66(a)

Description: General Health and Safety/Locked or inaccessible

Noncompliance Area: On 8/16/23, two sharp knives were observed on the kitchen counter and accessible to children. On the small table near the kitchen there was a container of disinfectant wipes and in the kitchen on the microwave stand there was a bottle of Advil and a magic eraser accessible to children. These items were all labeled to keep out of reach of children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On 8/16/23, Staff person's #1 and #2, have not completed the health and safety 1 hour update.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10): 1 hour health and safety update and center based health and safety training, respectively. Staff person #1 and #2 will have until 9/12/23 to complete the required training.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On 8/16/23, Staff person's #1 and #2 had an acceptable pediatric first aid/CPR curriculum, however, it was not PQAS instructed.

Correction Required: Staff persons shall complete professional development in the topics 3270.31 (f)1-10. Staff will have until 9/12/23 to complete the required training. Until such time as the required training has been completed, staff person #1 & #2 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 #1 & #2, staff person #1 & #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 8/16/23, facility person #3 was present in the childcare space. Operator reports that facility person #3 is over 18 years of age and present in the facility on a regular basis. Operator also reports that facility person #3 is not a staff person or related to the operator. Facility person #3 is considered by DHS a volunteer. Facility person #3 does not have any clearances on file at facility.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 8/16/23, certification representative observed staff person #1 with 6 children and one infant while staff person #2 was answering the door and gathering paperwork. Two children were in a second room alone and unattended.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 8/16/23, certification representative observed staff person #1 with 6 children and one infant while staff person #2 was answering the door. Two children were in a second room alone and unattended. The facility staff was out of ratio and lacked supervision.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The legal entity must create a policy regarding ratio which must include maintaining proper ratios when staff must leave the childcare space. The legal entity must submit the policy to regional office for approval. All staff must be trained and sign an acknowledgment that must be kept on file.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 8/16/23, protective receptacle outlet covers were missing in the living room near the recliner, on the power strip on the TV stand, and in the basement near the wooden shelf. All of these outlets are accessible to children.

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

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: On 8/16/23, certification representative observed a crockpot that was on the kitchen counter and the sides exceeded 110 F. The crockpot was accessible to children.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: On 8/16/23, the baseboard heater's protective covering in the upstairs play space has fallen off exposing sharp metal edges and is accessible to children. The sink in the kitchen is black and dirty. The steps going upstairs into the main play space area the linoleum is ripped and sticking out, causing a trip hazard. In the living room the electrical outlet behind the TV is black and broken. The ceiling in the living room by the exit sign and above the refrigerator has paint and plaster damage.

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.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The embedded play equipment does have the required amount of mulch underneath it but the mulch needs to be extended to cover the areas under the rope climber and the climbing wall in case a child should fall from the equipment.

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

Regulation: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: The mulch located under the embedded equipment in the fenced in play yard is accessible to children under 3 years old

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Child file #1 is missing the physician name, address and phone number on the emergency contact form

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child files #1 and #2 are missing the health insurance name and policy number on the emergency contact form

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

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: Child file #1 is behind on his immunizations as of his last health assessment

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

Regulation: 3270.66(a)/3270.103

Description: Locked or inaccessible/Small Toys and Objects

Noncompliance Area: There are batteries that are less than an inch of diameter accessible to children under 3 years old there is also a container of super glue located in an unlocked kitchen cabinet that are accessible to children

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: There are first-aid kits located in the back room on the lower level of the facility that are accessible to children. The children walk through this room to exit the back door that exits to the play yard.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The entrance to the garage area from the home is open and accessible to children. There is some debris from the cement block wall on the lower level floor under the desks.

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: There are areas of peeling paint located on the light blue table located on the main floor

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The operator has a hardwired interconnected fire alarm system that appeared to be operable during the renewal inspection however the voice command alarm system's volume was low and it may not be heard on each level if there is any background noise in the facility. The operator had the 10 year lithium battery operated smoke alarms available at facility and was able to install them so the alarm system could clearly be heard on each level in the facility.

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.

Noncompliance Area: A renewal inspection occurred at the facility and a review of staff files was conducted. Staff # 1 had a health assessment dated for 6/1/18 and this staff did not participate in an updated health assessment until 8/10/20. Staff # 2 had a health assessment dated for 2/8/18 and this staff did not participate in an updated health assessment until 8/7/20. Both staff did not participate in an updated health assessment as required every 24 months per regulation.

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

Noncompliance Area: A renewal inspection occurred at the facility and a review of staff files was conducted. The Child Protective Services Law(CPSL) was revised to include the requirement for the National Sex Offender Registry(NSOR) clearance effective 9/30/2019. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain this clearance. The following staff have been employed at the center before 9/30/19 and at the time of inspection the files did not contain NSOR clearances dated prior to 7/1/20; Staff # 1 and Staff # 2. The CPSL also requires that mandated reporter training and clearances are updated every 60 months. Staff # 1 had a child abuse clearance dated for 5/22/15 and an FBI clearance dated for 8/7/20. Staff # 1 has not yet updated their child abuse and FBI clearances. Staff # 1 had mandated reporter training dated for 5/19/15 and this training has not yet been updated. Staff # 2 had a state police clearance dated for 5/29/15 this clearance was not updated until 8/19/20. Staff # 2 has a child abuse clearance dated for 6/3/15 and an FBI clearance dated for 7/15/15. Staff # 2 has not yet updated their child abuse and FBI clearances. Staff # 2 had mandated reporter training dated for 5/21/15 and this staff did not up update their mandated reporter training until 8/7/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1 and # 2 may not work in a child care position at the facility.

Noncompliance Area: On 6/27/19, a renewal inspection occurred at the facility. At that time, staff files were reviewed. Staff file # 2 had a date of hire of 7/16/18 and the file was missing documentation of a tuberculosis screening completed. Staff # 2 was working with children at the time of this inspection.

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.

Noncompliance Area: On 6/27/19, a renewal inspection occurred at the facility. At that time, staff files and the emergency plan was reviewed. There was no documentation indicating the emergency plan was reviewed on an annual basis with Staff # 1. There was also not documentation indicating the emergency plan was reviewed with Staff # 2 at the time of the initial hire date of 7/16/18. Both Staff # 1 and Staff # 2 were working with children on this date.

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

Noncompliance Area: On 6/27/19, a renewal inspection occurred at the facility. At that time, staff files were reviewed. First aid training for Staff # 1 was expired as of 4/2/19. First aid training in the file of Staff # 2 was completed on 9/30/18 but this training was completed online. Staff # 1 and Staff # 2 were the only staff working at the facility on the date of this inspection and they did not have documentation of valid first aid training.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: On 6/27/19, a renewal inspection occurred at the facility. At that time, staff files were reviewed. Staff # 2 had a date of hire of 7/16/18 and the file did not contain documentation that Staff # 2 had completed mandated reporter training. Staff # 2 was working with children on the date of this inspection.

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

Noncompliance Area: On 6/27/19, a renewal inspection occurred at the facility. A physical site review was conducted. The bathroom on the upper floor had a strong smell of urine. In this bathroom, the heater cover at the toilet was rusting and is accessible to the children. In the eating area of the middle floor, near the table, the covering to the heater had come off leaving the heating element accessible to children. In the lower level of the facility, on the wall of the door to the bathroom, mold was found.

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.Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: On the date of this inspection, a physical site review was conducted. During this time, Staff # 1 was present with 8 children. The youngest age of the children was a 1-yr old (Child # 1) and the oldest age in the group was an 11-yr old child. A 1:5 staff:child ratio would be required for the first group and a second staff person would be required for the remaining 3 children.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3270.51--3270.55.

Noncompliance Area: On the date of this inspection, a physical site review was conducted. During this time, Staff # 1 was the only staff present with a group of 8 children. The youngest age of the children was a 1-yr old (Child # 1) and the oldest age in the group was an 11-yr old child. A second staff person was required to be present after the second child entered the facility for care.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Noncompliance Area: CHILD # 4 ENROLLED AT FACILITY SINCE 6/13/16 HAS NO HEALTH REPORT ON FILE.

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.

Noncompliance Area: THERE ARE PEARS IN A OPEN UNCOVERED CAN IN THE REFRIGERATOR, THERE ARE PEARS NOT REFRIGERATED IN A CONTAINER ON THE COUNTER.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Noncompliance Area: CHILD # 1,2,& 3 DID NOT HAVE EMERGENCY CONTACT AND FEE AGREEMENT FORMS UPDATED IN OVER 6 MONTHS FROM 4/28/16 TO 6/7/17.

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

Noncompliance Area: THERE ARE PURPLE FLOWERS WITH SHARP PICKERS ON THE STEMS AROUND THE STEP 2 BIG CLIMBER AND LITTLE TYKES ORANGE SLIDE IN THE OUTDOOR SCHOOL AGE PLAY SPACE.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: THERE ARE UNCOVERED ELECTRICAL OUTLETS IN THE KITCHEN AREA THAT IS USED AND ACCESSIBLE TO CHILDREN 5 YEARS OF AGE OR YOUNGER.

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

Noncompliance Area: THERE IS CLOROX WIPES, BLEACH, DISENFECTANT SPRAY, A CHILD'S CHILDRENS ZYRTEC AND AFRIN FOR STAFF ON TOP OF THE REFRIGERATOR ACCESSIBLE TO THE CHILDREN.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: THE STOVE IN THE KITCHEN IS A HEAT SOURCE THAT EXCEEDS 110 DEGREES AND IS ACCESSIBLE TO THE CHILDREN.

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

Noncompliance Area: THERE ARE HOLES IN THE BATHROOM WALL IN THE BASEMENT AREA. THE TOILET PAPER HOLDER IN THE BASEMENT BATHROOM IS BROKEN. THERE IS PEELING CHIPPED SHEETROCK AND PLASTER BEHIND THE SINK IN THE BASEMENT BATHROOM. TWO BOLTS ON THE TOILET ARE UNCOVERED IN THE BASEMENT BATHROOM.

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.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.