Twinkle Time

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The "release persons" section of the emergency contact form on file for Child #1 was blank.

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 current health assessment on file for Facility Person #2 was completed more than 24 months after the previous health assessment on file.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: There were two NSOR clearances on file for Facility Person #1 dated 8/6/20 and 5/5/26. The earlier clearance was more than 60 months old as of the staff person's start date. The second clearance was completed after their start date. The criminal history, child abuse, FBI and NSOR clearances on file for Facility Person #3 and the current NSOR clearances on file for Facility Persons #4 and #5 were each completed more than 60 months after the prior respective clearance on file.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the cafeteria/art room, there was peeling paint on the wall behind stacked chairs to the right of the refrigerator.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 11:40 AM, Facility Person #1 and #2 were supervising 2 young toddlers, 4 older toddlers and a preschooler in the Cafeteria when Facility Person #1 took an older toddler into the preschool room to wash their hands. This left Facility Person # 2 supervising a total of 6 children, including young toddler in the cafeteria.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The current criminal history clearance on file for Facility Person #1 was completed after their start date. There was no proof of application for the clearance on filel

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The emergency phone numbers were not posted at the phone in the front/preschool room.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: There was equipment blocking doors leading from the toddler room and the infant room to a room in the back of the building with an exit from the building.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.94(a)(1)/3270.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: There was no documentation of a fire drill conducted after 6/13/24. Operator indicates a fire drill was conducted during that time period, but not recorded on the fire drill log.

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. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The most recent test of the facility's smoke detectors was recorded as occurring on 6/5/24, more than 30 days prior.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed plastic bags, which were accessible to children, on the bottom shelf of the gray cabinet and the sliding drawers of the brown desk in the Infant Room.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The parent letter explaining the emergency procedures did not include accommodations for infants, toddlers, children with disabilities 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: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 5/13/24 at 9:30 AM, Staff Person #1 was observed supervising 7 children (4 preschool and 3 older toddler) in the preschool room.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: The swivel doors between the Preschool and Toddler Rooms were not secured, which creates a pinch hazard between the two doors. Observed a protruding nail on the door frame for the closet door in the rear of the toddler room. Observed a tear in the stucco paper covering on the closet door in the rear of the toddler room. The baseboard on the window side of the School Age Room was loose.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Based on discussion with staff, on 7/27/23, when Staff Person # 1 became frustrated because of child #1's challenging behavior, Staff Person #1 said out loud, "I don't know what to do with child #1, that's "Acting Psycho." This was said while other children were in care in the toddler childcare space.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The one-hour Health and Safety Updates in the files for Staff Person #1 and #2 were conducted after the prescribed timeframe of 12/30/22.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The most recent State Police and FBI Clearances in the file for Staff Person #1 exceeded 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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The cord of the CD Player on a shelf in the Infant Room was not secured, which creates a potential toppling 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: Observed arts and craft supplies less than one inch in diameter in the Toddler Room.

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(b)(2)/3270.182(1)

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

Noncompliance Area: The most recent updated health reports in the file for Child #1, a Preschool Child, exceeded 12 months between reports.

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(e)(1)/3270.182(1)

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

Noncompliance Area: The most recent immunization record in the file for Child #1 did not include documentation of a flu shot administered within the past year (December, 2020) or a letter of exemption from the parent or physician.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most recent updated health assessments in the file for Staff Person #2 exceeded 24 months between assessments.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The most recent FBI clearances in the file for Staff Person #1 exceeded 60 months between clearances: 10/10/16-10/14/21.

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

Regulation: 3270.81

Description: Glass

Noncompliance Area: The glass door in the Toddler Room lacked a visual strip or other visual identification placed on the glass.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The basketball set in the outdoor play space was not secured, which creates a potential toppling hazard. The roof of the 2nd Little Tykes playhouse was separating, which creates a potential pinch hazard.

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: 3270.31(f)/3270.192(2)(iii)

Description: Health and Safety Training/Exp, educ., training at facility

Noncompliance Area: The health and safety training in the file for Staff Person #1 was completed more than 90 days after the staff person's initial day in child care.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a cracked bin and pieces of plastic outside the exit door of the kitchen.

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: Observed peeling paint in various areas of the outside wall of the building and at the bottom of the door and door frame in the outdoor play space.

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

Noncompliance Area: The file for staff person #1, hire date 11/4/19, contains a disclosure statement dated 10/3/18 which is not at the time of employment and contains a volunteer child abuse clearance which is not accepted for employment in child care under the CPSL.

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

Noncompliance Area: In the kitchen there were toxic cleaning supplies stored on top of the refrigerator where food is stored.

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.

Noncompliance Area: In the infant and toddler rooms there are ceiling panels that are visibly damaged due to water leaking. The panels are stained and bulging.

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

Noncompliance Area: The file for child #1, a 4 year old, contains an immunization report that does not include verification of Hepatitis A vaccination as required according to 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.

Noncompliance Area: The files for staff person #1 and staff person #2 each contain only 2 of the required 6 hours of child care training completed during the previous 12 month period. Both staff have since completed additional trainings hours that will be applied to the previous year to meet the 6 hour requirement.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: In the Toddler room, the exit door to the playground contains a full length glass panel and does not contain a visual strip of identification.

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

Noncompliance Area: On the playground there was a broken playhouse and a child's table with a broken leg.

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.

Noncompliance Area: Based on staff statements the children would not be going outside this day because the grass was too high on the play space and there were not enough staff to go on a walk. At 11:40am it was sunny and 61 degrees.

Correction Required: Weather permitting, children shall be taken out doors daily.

Noncompliance Area: The facility emergency plan had not been reviewed and updated within the previous 12 months.

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.

Noncompliance Area: The child file for child #2 contained child service reports that were not completed every 6 months. The dates of the child service reports were 3/22/16 and 10/6/16.

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).

Noncompliance Area: The child file for child #1 contained an emergency contact information form that lacked the addresses of the designated release person(s).

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.

Noncompliance Area: The child file for child #1 lacked an updated health report. Last health report on file dated 9/28/16. The child file for child #3 lacked an updated health report. Last health report on file dated 6/23/16.

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

Noncompliance Area: The child file for child #2 contained emergency contact information and financial agreement forms that were not reviewed and updated by the parents every 6 months. The review dates on file were 3/22/16 and 10/6/16.

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

Noncompliance Area: The staff file for staff person #1 and #2 lacked one non-family 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

Noncompliance Area: In the infant room, the pack n play playard sheets being used were observed to be loose fitting thus allowing them to bunch up and cause a potential suffocation hazard.

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

Noncompliance Area: The staff file for staff person #1, who has a start date of 7/5/16, contained mandated reporter training that was not completed within 90 days of hire.

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

Noncompliance Area: In the kitchen bathroom the toilet nearest to the sink was observed to have an active leak.

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