Its All About Kids

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Th protective foam on the cabinet located next to the changing table in the purple toddler classroom was observed to be exposed and peeling, and accessible to children still placing objects in their mouths.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: At approximately 9:45 am in the purple toddler classroom, a child was observed to be sleeping in a pack and play which was against the wall and against another pack and play. At about 11:00 am, in the same classroom, a child was sleeping in a pack and play which was against the wall and approximately 11 inches from another pack and play. The rest equipment did not have at least 2 feet on 3 sides while in use.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The financial agreement of child #3 did not contain the arrive and departure times of the child.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information of child #3 and #5 did not contain the addresses of the release persons designated by the child's parent.

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

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

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

Noncompliance Area: The file of child #4, identified as a preschool age child (see LIS code sheet), contained consecutive health assessments dated more than 12 months apart (4/25/2024 and 5/5/2025).

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

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: An albuterol canister located within a prescription box in the preschool classroom had a different expiration date (11/2026) than the date listed on its accompanying box (11/2025), confirming the albuterol was not the item originally dispensed in that specific box which contained the prescriber's instructions for administration.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: In the kitchen, Tylenol labeled for child #6 had an expiration date of 9/2025.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessment of staff #4 was dated 1/4/2024, more than 12 months prior to their start date at the facility.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: In an unlocked drawer in the preschool classroom, a screwdriver and 2 staple removers with sharp "teeth" were accessible to children in care.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #4 contained the "Record Check Details" for the PA criminal history check but lacked an official certificate with a "Pennsylvania State Police" seal, making it an incomplete clearance. Consecutive mandated reporter trainings of staff #5 were dated more than 60 months apart (10/22/2020 and 11/17/2025).

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. Facility Person #4 may not work in a child care position at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 9:40 am, 8 children were observed in the purple toddler classroom. When asked to identify the group of children in their respective supervisory group, staff #1 identified 3 young toddlers and 2 infants while staff #2 identified 2 young toddlers.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the unlocked closet in the preschool classroom, 2 bottles of Swiffer Jet cleaning solution were on the floor by the door, and an additional bottle was in the mop, all accessible to children in care.

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: In a cabinet in the kitchen, a spray bottle of liquid was not labeled with its contents. When asked, staff #3 identified the contents as a mixture of bleach and water.

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: 3270.81

Description: Glass

Noncompliance Area: The bottom area of the glass wall in the blue toddler classroom did not contain visual strips.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the preschool classroom, child #1 did not wash their hands after using the toilet.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the preschool classroom refrigerator displayed a temperature of 70 degrees Fahrenheit.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file of staff #6 did not contain a completed health assessment prior to working with children at the facility (see LIS code sheet).

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file of staff #6 did not contain a completed tuberculosis screening prior to working with children at the facility (see LIS code sheet).

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Documentation of the recent consecutive emergency plan trainings for staff #1 and #2 exceeded 12 months.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and pediatric CPR

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3 will have until 1/7/2025 to complete the required training. Until such time as the required training has been completed, staff person #3 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 #3, staff persons #3 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: The file of staff #3 contained a volunteer child abuse clearance and a disclosure statement which was dated 8/27/2024, after their start date at the facility (see LIS code sheet). The file of staff #6 contained a disclosure statement which was not dated.

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 work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

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

Noncompliance Area: The file of staff # 5, identified as an assistant group supervisor, did not have documentation to support their qualifications for the position.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: A container of disinfecting wipes, which did not have its original label, was not labeled with its contents.

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: The first aid kit in the toddler classroom (with the windowed wall) did not contain soap.

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: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: In the young toddler room with young toddlers present in the room, there was a green fabric turtle play climber mat that had multiple areas with holes and small pieces of fabric coming apart with a diameter of less than 1 inch that were accessible to children who are still placing objects in their mouths.

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. 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: 3270.131(b)(1)/3270.182(1)

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

Noncompliance Area: The file for child #1, a young toddler, lacked a current health assessment updated within the last 6 months.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On the outdoor play space, there were 2 metal stakes in the ground near the back fence with each stake inside of a fence around a tree. The stakes each had sharp edges on the top of the stakes that were accessible to children.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On the outdoor preschool play space, the top wooden step and railing near the door had multiple areas of peeling paint. In the infant room, there was one area of peeling paint on the front left wall.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: * * * On 8-9-23 at approximately 2:30 p.m., it was observed from the front door of the facility through the window of the door that a child was alone in the lunch room setting out plates at a table without a staff person physically present in the room with the child. When the child observed the certification representative at the front door, the child appeared to talk to someone through the wall cutout in the room to the kitchen, and then staff person #1 walked into the lunch room and opened the front door. The young school-age child was observed alone for approximately 10-15 seconds.

Correction Required: The operator will conduct monthly staff meetings for a period of at least 3 months with all staff required to attend. The staff meeting agenda will include discussing supervision/ratio citations within the last year and a review of regulations 3270.51, 3270.52, and 3270.113 pertaining to supervision and ratio. Each month, the legal entity is required to send the staff meeting agenda and participants list to the DHS office within a week after the date of the staff meeting.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: * * On 8-9-23 at approximately 2:30 p.m., it was observed from the front door of the facility through the window of the door that a child was alone in the lunch room setting out plates at a table without a staff person physically present in the room with the child. When the child observed the certification representative at the front door, the child appeared to talk to someone through the wall cutout in the room to the kitchen, and then staff person #1 walked into the lunch room and opened the front door. The young school-age child was observed alone for approximately 10-15 seconds.

Correction Required: The legal entity will arrange for all staff to attend a minimum of 3 hours of training on supervision and ratio conducted by the ELRCs. The training will be submitted to the regional office for approval prior to attendance. Proof of training will be submitted upon completion.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: * On 8-9-23 at approximately 2:30 p.m., it was observed from the front door of the facility through the window of the door that a child was alone in the lunch room setting out plates at a table without a staff person physically present in the room with the child. When the child observed the certification representative at the front door, the child appeared to talk to someone through the wall cutout in the room to the kitchen, and then staff person #1 walked into the lunch room and opened the front door. The young school-age child was observed alone for approximately 10-15 seconds.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 8-9-23 at approximately 2:30 p.m., it was observed from the front door of the facility through the window of the door that a child was alone in the lunch room setting out plates at a table without a staff person physically present in the room with the child. When the child observed the certification representative at the front door, the child appeared to talk to someone through the wall cutout in the room to the kitchen, and then staff person #1 walked into the lunch room and opened the front door. The young school-age child was observed alone for approximately 10-15 seconds.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 8-9-23 at approximately 2:30 p.m., it was observed from the front door of the facility through the window of the door that a child was alone in the lunch room setting out plates at a table without a staff person physically present in the room with the child resulting in a 0:1 staff to child ratio. When the child observed the certification representative at the front door, the child appeared to talk to someone through the wall cutout in the room to the kitchen, and then staff person #1 walked into the lunch room and opened the front door. The young school-age child was observed alone for approximately 10-15 seconds.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the multi-purpose room during naptime, there was one child sleeping on a cot that had 2 feet of space on two sides and lacked 2 feet of space on the other two sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 7-21-23 at approximately 1:35 p.m. during naptime with a total of 9 children in the room, the 3 staff persons in the room were sitting on the floor next to preschool children and were on the one side of the room that was divided by a gate with 8 preschool children on rest equipment on that side of the room. There was 1 young toddler that was sleeping in a pack 'n play on the other side of the gate and room from staff person #3, #5, and #6. The staff persons could not see the young toddler in the pack 'n play from where they were sitting in the room. It was dark in the area where the young toddler was sleeping, and the certification representative could not see or assess the child from the side of the room where the staff were located. Upon a closer observation by the certification representative, the young toddler had a blanket over their head while sleeping.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 7-21-23 at approximately 10:50 a.m., staff person #2 had identified 6 children in their group, including 4 preschoolers and 2 older toddlers. Five children were present in the room while staff person #2 stood at the doorway so they could see the preschooler in the bathroom directly across the hallway. The bathroom door was open and there were no stalls, however, the staff person was not physically present in the bathroom with the preschool child.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #1 had an emergency contact form that lacked the work address and telephone number of the enrolling parent. The file for child #3 had an emergency contact form that lacked 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: 3270.131(b)(2)/3270.182(1)

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

Noncompliance Area: The file for child #3, a preschooler, had a health assessment that exceeded 12 months between assessments.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #1, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business on 7-21-23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: In the kitchen, there were 2 EpiPens and Equate Children's Allergy Relief for child #4, Motrin Infants' Drops and Infants' Mylicon for child #5, Up & Up Infants' Acetaminophen and Little Remedies Gas Relief Drops for child #6, and Perrigo Infants' Ibuprofen for child #7 that were expired.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: In the kitchen, there was Perrigo Infants' Ibuprofen for child #7 that lacked written parental consent for administration of the medication.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for child #3 lacked a current agreement updated by the parent within the last 6 months.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants, toddlers, and children with chronic medical conditions.

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

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff person #2 had fire safety training that exceeded a year between 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 completed the following required pre-service training on 1-19-23 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6-3-18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until 8-8-23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 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 person(s) available to supervise staff person #1, staff person #1 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: The file for staff person #5 lacked a state police clearance or proof of application at their start date to be a provisional hire and requires a current state police clearance. The file for staff person #1 had FBI clearances that were dated over 60 months between clearances.

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 #5 may not work at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 7-21-23 at approximately 10:50 a.m., staff person #2 had identified 6 children in their group, including 4 preschoolers and 2 older toddlers. Five children were present in the room while staff person #2 stood at the doorway so they could see the preschooler in the bathroom directly across the hallway. The bathroom door was open and there were no stalls, however, the staff person was not physically present in the bathroom with the preschool child resulting in a 0:1 staff to child ratio.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On the outdoor toddler play space, there was a seam on the turf surface near the back fence that was overlapping and uneven in multiple areas causing a potential tripping hazard.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the young preschool room with 2 year olds present in the room, there was a cushion near the sink that had multiple areas with small pieces of fabric less than 1 inch in diameter that were coming apart and were 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: 3270.131(e)(1)/3270.182(1)

Description: Exemption documentation from parent/guardian/Initial and subsequent health reports

Noncompliance Area: The file for child #2, a 3 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan lacked requirements for volunteer emergency preparedness training, practice drills, and continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

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 files for staff person #13 and #14 lacked an initial health assessment prior to the staff person providing initial service in a child care setting at the facility and require a current health assessment. The files for staff person #2 and #3 had a health assessment that exceeded 24 months between assessments. The files for staff person #8 and #11 had an initial health assessment that was dated after their start date providing initial service in a child care setting at the facility.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The files for staff person #13 and #14 lacked a tuberculosis screening by the Mantoux method at initial employment and require a current tuberculosis screening by the Mantoux method. The files for staff person #6, #7, and #8 had a tuberculosis screening by the Mantoux method that was dated after 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: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The file for staff person #7 had an initial health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care. The file for staff person #6 had an initial health assessment that lacked an examination for communicable diseases and the results of that examination.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for child #1 lacked a current agreement updated within the last 6 months. The file for child #2 lacked a current emergency contact form updated within the last 6 months.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Approved Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #4, #6, #7, #11, and #12 had pediatric first-aid and CPR training that was dated over 90 days after their start date. Staff person #6, #11, and #12 had health and safety training in the topics of 3270.31(f)(1-9) that was dated over 90 days after their start date.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff person #3 will have until 10-18-22 to complete the required training. Until such time as the required training has been completed, staff person #3 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 #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #10 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #10 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #14, hired provisionally, lacked verification of being fingerprinted for the FBI clearance at their start date to be a provisional hire and requires a current FBI clearance. The file for staff person #1 had current state police and child abuse clearances that exceeded 60 months between updated clearances. The file for staff person #5, hired provisionally, had a child abuse clearance dated 9-1-22 that was after their start date to be a provisional hire. The files for staff person #7 and #9 had a disclosure statement that lacked the date. The file for staff person #7, hired provisionally, had a child abuse clearance dated 10-5-21 and lacked verification of application for the child abuse clearance at their start date to be a provisional 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. Staff Person #14 may not work at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the multi-purpose room lacked scissors.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the upstairs preschool room, there was peeling paint in a couple areas on the back wall under the left window near the shelf and in 1 area in the back corner between the windows.

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: According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 9-23-21 to 10-26-21 and 6-3-22 to 7-18-22.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement for child #1 lacked the child's arrival and departure times.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement for child #4 lacked the child's admission date.

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)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for child #2 lacked the enrolling parent's work address.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for child #3 lacked the release person's address.

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: 3270.151(a)

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

Noncompliance Area: The file for facility person #5, with a hire date of 8/23/21, contained a health assessment and TB screening dated for 8/30/21, which is not at initial hire.

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: 3270.192(4)

Description: CPSL information

Noncompliance Area: The file for facility person #5, with a start date of 8/23/21, had a disclosure statement signed on 8/26/21, which is not at initial hire.

Correction Required: 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for facility person #5 contained 1 written reference.

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

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The emergency plan lacked accommodations for shelter of children during an emergency lock-down.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for facility person #1 completed emergency plan training on 7/19/20 and 8/4/21, facility person #2 completed emergency plan training on 3/2020 and 8/3/21 and facility person #3 completed emergency plan training on 3/19/20 and 7/28/21, which is not annually.

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

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

Description: Age and Training

Noncompliance Area: The file for facility person #1 completed first-aid and CPR training on 6/28/19 and 7/19/21. The file for facility person #2 completed first-aid and CPR training on 5/20/19, which is expired. The file for facility person #3, with a hire date of 10/1/19 and facility person #4 with a hire date of 11/1/20 completed first-aid and CPR training on 7/19/21.

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: The file for facility person #3, with a hire date of 10/1/19, completed fire safety training on 8/31/21, which is not annually.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the young toddler room, it was observed that the outlet under the window lacked a protective receptacle cover and was accessible to the children in care.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: In the pre-k classroom, it was observed that there was a bottle of cleaner in the closet that was unlabeled.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the pre-k classroom, it was observed that the paint was chipping under the window.

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