The Growing Patch Early Learning Center Llc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The inspector observed a wooden play kitchen in the school age room that had screws protruding from the top accessible to children.

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: 3270.151(a)

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

Noncompliance Area: The inspector observed the file for staff #1and found that this staff did not have a health assessment conducted in the last 24 months as evidenced by the last health assessment to have been 1/22/24.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: The inspector observed soap to be missing from the first aid kit in the young toddler room.

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: The inspector observed chipped paint on the rear wall in the young toddler room and accessible to children.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #1 and found that the initial child service report was dated 9/6/23 and the most current was dated 6/23/25. The child service report is required to be completed every 6 months.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #3 and found that it was missing both the required parental work address and business telephone number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #3 and found that it was missing the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #5 and found that the first health assessment on file was dated 9/17/25 which is over six months since enrollment (see LIS Code Sheet for Date of Admission).

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #2 and found that the only child health assessment on file dated 3/17/25 (See LIS Code Sheet for Date of Admission).

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #2 and found that the health assessment did not show proof of ongoing vaccines in accordance with the schedule recommended by the ACIP.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #3 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 person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.166(3)

Description: Disposable nursers or parents

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector observed bottle washing materials in the infant room and asked if bottles were being hand washed and reused and staff confirmed this.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #2 and found that this child has been attending care over six months (See LIS Code Sheet for Date of Admission) and has not updated the emergency contact form and agreement form. The file for child #1 and #4 and found that neither updated their emergency contact forms and agreements at least every six months. Child #1 had a previously dated emergency contact form dated 7/29/24 and not again until 4/9/25 and an agreement form dated 9/3/24 and not again until 9/3/25. Child file #4 had a previously dated emergency contact form dated 10/8/24 and not again until 9/3/25 and an agreement form previously dated 10/8/24 and not again until 9/3/25.

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

Regulation: 3270.27(a)(3)

Description: Contact when arises

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector reviewed the emergency plan and found that it was missing a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector reviewed the emergency plan and found that it was missing a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector reviewed the emergency plan and found that it was missing annual review and update as is required.

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.

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

Description: Age and Training

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector reviewed staff files and found that staff #4 had a previously documented Pediatric First Aid/CPR training on file that expired on 2/11/25 and did not obtain a current Pediatric First Aid/CPR training until 8/4/25,

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: During the unannounced renewal inspection on 10/2/25 the inspector reviewed the files for staff #2 and found that they last had fire safety on 7/15/24 and no annual fire safety training since, staff #7 had a previous fire safety dated 6/5/24 and did not update this until 9/1/25, staff #8 last had fire safety training on 7/4/24 and did not update this until 9/11/25, staff #9 last had fire safety on 12/23/23 and not again until 9/2/25.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector reviewed staff files and found staff #1 began working in direct care on 4/22/25 and did not obtain an FBI clearance until 7/2/25. Staff #2 began direct care with children on 6/9/25 and did not have an FBI clearance on file as of 10/2/25. Staff #5 began working in direct care on 7/7/25 and did not have an FBI clearance on file as of 10/2/25. Staff #5 was observed working alone in direct care on 10/2/25. Staff #6 did not update their clearances every 60 months as evidenced by a previous Pa State Police dated 6/19/20 and a current dated for 8/19/25, a previous Pa Child Abuse dated 6/26/20 and a current dated for 8/27/25, a previous FBI clearance dated 7/22/20 and a current dated for 8/27/25, and a previous NSOR dated 7/1/20 and a current dated for 8/21/25. Staff #7 had a previous FBI clearance dated 2/23/20 and a current dated for 2/27/25. Staff #8 had a previous dated Pa State Police dated 7/28/20 and a current dated for 8/3/25, a previous Pa Child Abuse dated 7/30/20 and a current dated for 8/11/25, a previous FBI dated 8/12/20 and a current dated for 9/24/25, and a previous NSOR dated 8/10/20 and a current dated for 8/12/25.

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. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #2 and #5 must be removed from a childcare position with direct contact and routine interaction with children until all missing clearances are completed and on file at the facility. This portion of the plan requires an immediate date of correction. 2. The facility director and any other persons involved in the hiring of staff must arrange for and attend an Existing Provider Orientation at a Regional Office. The provider must provide a correction date for when this portion of the plan will be completed. 3. In order to demonstrate compliance in this area, the director or legal entity representative will send completed staff files for all new hires for the next three months to the Northeast Regional Office for review. The staff files must include all clearance requests, completed clearances, (including out of state clearances and requests if necessary) signed and dated disclosure statement, health assessment and TB screening, two nonfamily references, proof of education and experience (officially translated if needed). The Northeast Regional Office will review the newly hired and completed staff files prior to hire within five business days of receipt and report back to the facility. The correction date for this portion of the plan must be three months from the acceptance of the plan by The Northeast Regional Office.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector observed staff #3 working alone with children in the young toddler room and staff #5 working alone with children in the older toddler room.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector observed bleach solution and Great Value Disinfectant wipes next to Similac Infant Formula in the infant room.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector observed a hole in the wall behind the door in the school age room.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the unannounced renewal inspection on 10/2/25 the inspector observed chipped paint in the school age room, and hallway.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: While at the facility unannounced on 3/18/25 the inspector observed the file for staff #1 and found that this staff obtained a health assessment and TB screening after working in direct care with children, dated 11/5/24 (see LIS Code Sheet for DOH). The file for staff #2 and found that this staff has been working in direct care with children and did not have a health assessment and TB screening as of 3/18/25 (see LIS Code Sheet for DOH).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced on 3/18/25 the inspector observed the file for staff #1 and did not find any proof of submission of FBI fingerprinting prior to employment on file. Staff #2 did not have a NSOR on file prior to employment and at present as is required. Staff #2 also had a volunteer PA Child Abuse on file and not an employment PA Child Abuse as is required.

Correction Required: TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. Facility Person # 2 may not work in a childcare position at the facility. The correction date for this portion of the plan must be immediate. 2.The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The Legal Entity or Director must arrange for the Director of the facility to attend an Existing Provider Training held in the Northeast Regional Office of DHS, Scranton Office. To register for this required training, you must call the Northeast Regional Office at 1 800 222 2108. The correction date for this portion of the plan will be the date of attendance at the Existing Provider Orientation.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: While at the facility unannounced on 3/18/25 the inspector observed the fire drill/detection log for the facility and observed that the last fire drill was conducted on 1/8/25.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: While at the facility unannounced on 3/18/25 the inspector observed the fire drill/detection log for the facility and observed that the facility manually tested the smoke detectors on 1/8/25 and then again on 2/23/25, which is 56 calendar days versus the required every 30 calendar days.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the unannounced renewal inspection on 10/9/24 the inspector reviewed the files for children #2, #3, and #4, and observed that all three children had been in care over six months, and none had the required child service report on file as is required every six months.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the unannounced renewal inspection on 10/9/24 the inspector reviewed the files for child #1 and #3 and observed that both emergency contact forms were missing the required release persons 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: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During the unannounced renewal inspection on 10/9/24 the inspector reviewed the files for children #2, #3, and #4 and observed that all three files were missing the required 6-month updates to the emergency contact and agreement forms.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During the unannounced renewal inspection on 10/9/24 the inspector reviewed the file for child #4 and found that the child had been enrolled for over a year without an initial health report.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #6 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #6 shall complete the required one-hour 2022 update to the health and safety training by 11/19/24.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: While at the facility unannounced on 10/9/24 for the renewal the inspector reviewed the emergency plan and found that it did not address continuity of operations as was required to be part of the emergency plan by 7/1/22." 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.

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)/3270.192(3)

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

Noncompliance Area: During the unannounced renewal inspection on 10/9/24 the inspector reviewed the file for staff #6 and found that this staff was in direct care with children prior to obtaining a health assessment and TB screening.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the unannounced renewal inspection on 10/9/24 the inspector asked to view the annual emergency drill. The director stated that they were unaware that this was an annual requirement and was unable to produce this document.

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

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

Description: Age and Training

Noncompliance Area: During the unannounced renewal inspection on 10/9/24 the inspector reviewed the staff files and found that staff #1, #2, #3 had expired pediatric first aid/CPR trainings on file. This is evidenced by the previously documented pediatric first aid/CPR training on file which expired 6/2023, 7/2024, and 9/2024 respectively. Staff #1, #2, and #3 did not renew the pediatric first aid/CPR training until 9/20/23, 10/2/24, and 10/2/24 respectively.

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: During the unannounced renewal inspection on 10/9/24 the inspector reviewed the staff files and found that staff #1, #4, and #5 did not have proof of annual fire safety training.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the unannounced renewal inspection on 10/9/24 the inspector reviewed the file for staff #4 and found that this staff did not have a completed Pa State Police on file as is required. Staff #6 was working in direct care (see LIS code sheet for date of hire) and did not have proof of having applied for or received the Pa State Police clearance until 9/12/24 or having applied for or received an FBI clearance until 9/18/24, there was no proof of having applied for or received an NSOR until 9/16/24. Staff #6 aslo had a volunteer Pa Child Abuse clearance and not an employment clearance as is required.

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 and #6 may not work in a childcare position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During the unannounced renewal inspection on 10/9/24 the inspector reviewed the fire drill/detection log and found that the facility was not conducting a manual test of the smoke detectors evert 30 calendar days as is required: 1/8/24 to 2/16/21, 5/3/24 to 6/25/24, 7/14/24 to 8/23/24.

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(b)

Description: No physical punishment

Noncompliance Area: During a complaint investigation on 3/20/24, it was verified and observed that on 3/13/24, staff person # 1 pulled the hair of child # 1. Staff person # 1 was terminated immediately and director reported to the regional office. It appears to be an isolated incident and not a systemic issue.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: During a complaint investigation on 3/20/24, staff person # 2 verified they heard staff person # 1 say to child # 1 "how would you like it if I pulled your hair?" Staff person # 1 was terminated immediately and director reported to the regional office. It appears to be an isolated incident and not a systemic issue.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1 and 2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First Aid.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff persons # 1 and 2 will have until 4/6/24 to complete the required training. Until such time as the required training has been completed, staff persons #1 and 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 persons # 1 and 2, staff persons #1 and 2 may not work in a child-care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced monitoring visit, fire alarm test logs were observed to be out of compliance. More than 30 days passed between fire alarm test logs dated 1/8/24 and 2/16/24.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for child # 4 does not have the child's arrival and departure times.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for child # 3 does not have the health insurance name or policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms for children # 1, 2, and 3 do not have the release persons' addresses.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact form and financial agreement on file for child # 1 was last updated by the parent on 12/12/22.

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: 3270.182(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 emergency contact form on file for child # 1 does not have written consent by the parent for emergency medical care and the administration of minor first aid procedures.

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 person # 1 and 2 did not complete Pediatric CPR/First aid before the expiration date of their previous certification. This is evidenced by certificates dates of 6/19/21 and 9/20/23 for staff # 1 and 8/3/20 and 9/9/22 for staff # 2.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: There is no FBI clearance or proof of fingerprinting on file for staff person # 3 (see code sheet for DOH).

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There are 2 ceiling tiles in the school age classrooms that have holes in them.

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

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: An unannounced inspection occurred at the facility. In the Roots Classroom, a bottle of lotion was found accessible to children. In the Sprouts Classroom, 2 tubes of diaper creams were found accessible to children. These items indicated on the packaging the need to keep out of reach of children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: An unannounced inspection occurred at the facility. Staff person # 1 and # 3 were observed to be caring for children unsupervised. Staff person # 1 and # 3 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first and and CPR

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person # 1 and # 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 person(s) available to supervise staff person # 1 and # 3, staff person # 1 and # 3 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: An unannounced inspection occurred at the facility. See the code sheet for the following staff's date of hire. Staff # 3 was supervising children and the file of Staff # 3 did not contain a health assessment or documentation of a tuberculosis screening.

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: An unannounced inspection occurred at the facility. See the code sheet for the following staff's date of hire. Staff # 3 was supervising children and the file of Staff # 3 did not contain a tuberculosis screening.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: An unannounced inspection occurred at the facility. The file of Staff # 3 was missing one letter of 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced inspection occurred at the facility. Staff person # 2 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 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 # 2 will have until 4/19/23 to complete the required training. Until such time as the required training has been completed, staff person # 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 # 2, staff person # 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: An unannounced inspection was conducted at the facility. See the code sheet for the following staff's dates of hire. The following staff were not hired correctly as provisional hires per the Child Protective Service Law (CPSL): - Staff # 1 did not obtain a state police clearance until 1/31/23 or an FBI clearance until 2/4/23. The file of Staff # 1 did not contain documentation that this staff applied for their NSOR clearance. - Staff # 2 did not apply for a child abuse clearance until 3/30/23. - Staff # 3 did not apply for a state police clearance until 3/30/23. Staff # 3 did not have documentation in their file that they applied for their child abuse clearance or their FBI clearance. These three staff were also left alone to supervise children.

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, # 2, and # 3 may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: An unannounced inspection occurred at the facility. In the Sprouts Classroom, a Swiffer mop was found with cleaner, accessible to children. This item contained writing that indicated the need to keep out of the reach of children.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: An unannounced inspection occurred at the facility. A review of the facility's fire system testing log was conducted. Testing that occurred between the following dates lapsed occurring at least every 30 days: 11/28/22-12/1/22 12/16/22-1/19/23 1/19/23-2/28/23 2/28/23-3/30/23

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Trash cans were found in classrooms that did not contain lids or were not closed receptacles. In these trash cans were tissues, wipes and discarded food. These items are required to be disposed of in a closed receptacle.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire drill log was conducted. Fire drills documented as occurring on 3/30/22 and 6/14/22, were not conducted at least every 60 days.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire system testing log was conducted. Testing documented on the following dates did not occur at least every 30 days as required by regulation: 1/14/22, 2/9/22, 3/30/22, 4/8/22, 5/11/22, 6/14/22, 7/22/22, 8/9/22, 8/13/22, 9/1/22, 10/3/22, 11/10/22.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There are play mats for climbing in classrooms # 2 and 4 with torn edges that make them unable to be properly sanitized.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: There is no written plan of daily activities posted in classrooms # 4 and # 5.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: There is no health insurance name and policy number on file for child # 1.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The child files belonging to children # 1, 2, and 3 do not have an address provided for the release person listed on the emergency contact forms.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: There is no written plan of transporting children to emergency care displayed at the facility.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The trash can at the diapering station in classrooms # 2 and 3 have plastic flaps under the lid, The flaps make contact with the diaper, therefor they are not hands free.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: There is no written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The emergency plan on file at the facility does not include a lock-down plan.

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(b)/3270.27(c)

Description: Plan reviewed/updated annually/Training regarding plan

Noncompliance Area: The emergency plan on file at the facility is dated 7/3/20 and not reviewed/updated in July, 2021. There is no documentation on file that indicates staff were trained on emergency plan procedures at initial employment or any other time.

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. Staff shall be trained within one week of initial employment and within one week of emergency plan updates.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff persons # 1 and # 2 have fire safety certificates on file dates 7/2020. Staff person # 3 has a fire safety training certificate dated 8/24/20. There is no fire safety training on file for 2021 for staff persons # 1, 2, and 3.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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.