Lil Tykes Learning Academy

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The cots in the main room were not labeled for use of a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: Child #5's financial agreement did not contain the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #2 and 4's, who have been enrolled for more than 6 months(See LIS Code Sheet), files did not contain child service reports. Child #3's file contained a child service report dated 3/2025 which was more than 6 months after date of enrollment.

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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Child #5's financial agreement did not contain the persons designated by a parent to whom the child may be released.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Child #3's financial agreement did not contain the date of the child's admission.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: Child #4's file did not contain written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #1 and 5's files did not contain 3 addresses of the individuals designated by the parent to whom the child may be released. Child #2's file did not contain 5 addresses of the individuals designated by the parent to whom the child may be released.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: In the back room the emergency transportation was not posted.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent 6 month review signature for the emergency contact form on file for Child #2, #3, #4, and #5, is dated more than 6 months after the previous 6 month review signature. Child #2-8/13/24, Child #3-6/19/23, Child #4-4/19/22, and Child #5-8/22/24

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: The files for child #2 and #5, enrolled more than 60 days ago, did not contain a health assessment. The files for child #3 and #4's initial health assessments were more than 60 days after enrollment(See LIS Code Sheet). Health assessment date: Child #3-9/6/23, Child #4-11/1/22

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: 3270.131(b)(2)/3270.181(c)

Description: Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Child #4's two most recent health assessments are dated 11/1/22 and 8/27/24 which is more than 12 months apart.

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 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(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for Child #2 and #5, enrolled more than 60 days ago, does not include an immunization record.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: At approximately 945am in the main room the staff did not make sure the children washed their hands before snack.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff #3's initial health assessment dated 6/25/25 was after date of hire(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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent 6-month review signature for the financial agreement on file for Child #2, #3, #4, and #5, is dated more than 6 months after the previous 6-month review signature. Child #2-8/13/24, Child #3-6/19/23, Child #4-4/19/22, and Child #5-8/22/24

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(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Child #4's file did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not have information on how to access the regulations posted in a conspicuous location.

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 #1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 AND PA Required Health and Safety for Centers-Group Child Care Part 2

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #2's file contained an NSOR certificate dated 8/5/2020 which is more than 60 months ago.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 may not work in a child care position at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: In the infant room and the main room both first aid kits were missing nonporous gloves. In the back room the first aid kit was missing nonporous gloves, tweezers, 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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the main room along the windowsills dirt and debris was observed.

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: In the main room under the front window on the right of the room was damaged plaster. The white paint on the white side of the play barn had peeling paint. In the outside play space was peeling paint along the bottom of the building.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: Both bathrooms used by children did not contain a lidded waste receptacle.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff person #1 lacked a health assessment that was completed 12 months prior to providing initial service in a child care setting (See LIS Code Sheet). The health assessment in the file was dated 6/25/25 and the TB test was dated 6/27/25.

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

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for staff person #1 lacked initial emergency plan training (See LIS Code Sheet).

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 who was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a signed and dated disclosure statement.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: **At approximately 11:03am staff person #1 left the main room to take one child to the bathroom. This left staff person #2 out of ratio with 2 Preschoolers, 3 Older toddlers, and 2 Young toddlers.

Correction Required: **The Legal Entity will arrange for all staff to complete a minimum of 2 hours of online training on staff child ratios. The training will be submitted to the regional office for approval prior to scheduling. Proof of training will be submitted upon completion.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: *At approximately 11:03am staff person #1 left the main room to take one child to the bathroom. This left staff person #2 out of ratio with 2 Preschoolers, 3 Older toddlers, and 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). The required staff:child ratios must be maintained at all times.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the back room on the table accessible to children there was an open bottle of hand sanitizer and disinfectant wipes that stated keep out of reach of children. In the infant room in the unlocked 3 draw unit was Desitin diaper cream which stated keep out of reach of children, accessible to children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the outside space the gate on the fence was broken and hanging by the top hinges.

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: In the main room on the lower part of the purple wall was a hole exposing damaged plaster.

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

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: In the infant room there was no step stool, so the teacher was holding children up to the sink to wash their hands.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log contained the date of the last drill being completed on 11/18/24 which is more than 60 days ago.

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: The fire alarm testing log contained the following dates 10/7/24-11/18/24 which are more than 30 days apart, and it has also been more than 30 days since the alarm was last tested.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Second citation previously cited on 9/10/24. The emergency plan did not address the continuity of operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Second Citation previously cited on 9/10/24. The file for Staff #7 did not contain a health assessment.

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(e)

Description: Letter to parents

Noncompliance Area: Second citation previously cited on 9/10/24. The letter that is provided to the parent of each enrolled parent explaining the emergency procedures did not contain the method to contact parent when an emergency occurs, method to inform parents emergency has ended and instructions for how to safely be reunited with their children, and 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the outside play space, there was a climber that was missing its slide. This caused it to be unstable when in use. The changing mat in the toddler area was ripped and exposing foam not in good repair.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Inside the play barn in which toddler were playing small pieces of play food with diameter of less than an inch was observed accessible to children still placing objects in their mouth.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the main room the taller shelves with buckets were not attached to the wall to make them stable and unable to tip over.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the main area toddler area, the 4 pack and plays did not have 2 ft 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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 9/10/24 at approximately 11:55am it was observed that 2 young toddlers in the main room toddler area were asleep and pack and plays and left unsupervised.

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 9/10/24 at approximately 11:55am it was observed that 2 young toddlers in the main room toddler area were asleep and pack and plays and left unsupervised.

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: 3270.123(a)

Description: Signed

Noncompliance Area: Child #2's financial agreement did not contain the operator or parent signature.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: Child #2, 3, and 5's file did not include the fee amount on their financial agreement.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #1, 2, 3, and 4's file did not contain a child service report.

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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Child #2's financial agreement did not contain the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Child #1 file did not contain the telephone number of the child's physician or source of medical care. Child #2 file did not contain the address of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: Child #4's file did not contain written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #4's file did not contain a policy number for a child under a family policy or Medical Assistance benefits.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #1 file was missing 2 addresses of the individuals designated by the parent to whom the child may be released. Child #2 file was missing the addresses for the individuals designated by the parent to whom the child may be released. Child #4's file was missing 1 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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for Child #1 does not include a 6 month update signature for the emergency contact form which is more than 6 months since enrollment(See LIS Code Sheet). Child #2 file most recent 6-month review for the emergency contact form was dated 2/17/23 which is more than 6 months ago. Child #3 file most recent 6-month review for the emergency contact form was dated 6/1/23 which is more than 6 months ago. Child #4's file most recent 6-month review for the emergency contact form was dated 11/8/23 which is more than 6 months ago. Child #5's file most recent 6-month review for the emergency contact form was dated 6/23/23 which is more than 6 months ago.

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: Child #1's file who has been enrolled more than 60 days(See LIS Code Sheet) did not contain a health assessment. Child #3 initial health assessment was received more than 60 days after enrollment(See LIS Code Sheet).

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: 3270.131(b)(2)/3270.181(c)

Description: Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Child #2, a preschool age child(See LIS Code Sheet), most recent health assessment is dated 2/17/23 which is more than 12 months ago.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #4, who is an older toddler age child (See LIS Code Sheet), includes 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

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).

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: In the infant room it was observed that an infant was being changed on a cloth changing station that was part of a pack and play. No surface covering was available at the time, and it was unable to be properly sanitized.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan did not address the continuity of operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

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 2 most recent health assessments on file for Staff #2 were dated 6/28/21 and 10/11/23, more than 24 months apart. The 2 most recent health assessments on file for Staff #4 were dated 2/9/22 and 8/16/24, which is more than 24 months apart. The 2 most recent health assessments for Staff #5 were dated 2/13/22 and 8/16/24. The initial health assessment on file for Staff #6 is dated 12/4/23 which is after date of hire(See LIS Code Sheet). The file for Staff #7 did not contain a health assessment.

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 for Staff #7 was observed not to contain documentation of a Tuberculosis test.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: There was no written statement giving formula and feeding schedule obtained from the parents for enrolled infants.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: In the infant room 2 bottles were observed to not be labeled with the infant's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #1 does not include a 6 month update signature for the Financial agreement which is more than 6 months since enrollment(See LIS Code Sheet). Child #2 file does not contain an initial or update signature on the financial agreement. Child #3 file most recent 6-month review for the emergency contact form was dated 6/1/23 which is more than 6 months ago. Child #4's file most recent 6-month review for the financial agreement was dated 11/8/23 which is more than 6 months ago. Child #5's file most recent 6-month review for the financial agreement was dated 6/23/23 which is more than 6 months ago.

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(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Child #4's file did not contain signed parental consent for emergency medical care for the child.

Correction Required: 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for Staff #6 and 7 did not contain 2 written nonfamily references.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not have their certificate of compliance posted in a conspicuous location used by parents. It was filed away in office. The operator did not have information posted for how to access the regulations electronically and instructions for contacting the appropriate regional child care office.

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: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The facility did not have proof that the emergency plan was reviewed annually.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter that is provided to the parent of each enrolled parent explaining the emergency procedures did not contain the method to contact parent when an emergency occurs, method to inform parents emergency has ended and instructions for how to safely be reunited with their children, and 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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The operator did not have proof of sending the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff #2 includes 2 of 12 required annual training hours completed between 6/3/23-6/3/24. The file for Staff #4 includes 4 of 12 required annual training hours completed between 6/3/23-6/3/24. The file for Staff #5 includes 5 of 12 required annual training hours completed between 6/3/23-6/3/24.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff #1 file contained fire safety training that was dated 8/10/24, which was more than 12 months after date of hire (See LIS Code Sheet).

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: The file for staff #3 contained a disclosure statement that was signed, but it was missing a date and witness signature. The file for Staff #6 contained an NSOR clearance dated 7/17/24 which is more than 45 days after date of hire(See LIS Code Sheet), and a disclosure statement that was only signed but not dated or witnessed.

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

Regulation: 3270.37(b)(1)/3270.192(2)(ii)

Description: HS/GED/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #7 did not contain proof of a high school diploma or a general educational development certificate.

Correction Required: An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: Staff #7, who was identified as an aide, was observed to be working in the infant room without supervision.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: On 9/10/24 at approximately 11:55am it was observed that 2 young toddlers in the main room toddler area were asleep in pack and plays and left unsupervised.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the SA/PS room on the table next to the TV accessible to children was hand sanitizer, disinfecting wipes, and a container that contained sunscreen. Each stated to keep out of 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: 3270.71

Description: Heat Source

Noncompliance Area: In the SA/PS room in the green dino bathroom the hot water in the sink that the children use was 117.6 degrees.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: In the SA/PS room the first aid kit only contained 1 band aid.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The window edge on the left side of the barn had a rough edge. The red wall in the eating area had a white substance running down it. The ceiling tile with a vent in it in the hallway near the eating area was cracked and hanging down from the ceiling. The outside white gate to the play area the hinge on the bottom was detached and the upper hinge had been damaged and was loose. In the green dino bathroom in the SA/PS room the toilet bolts were exposed.

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 windowsills of the play barn is peeling paint. On the outside of the red toddler area on the corner was peeling paint and damaged plaster. Inside the red toddler area was peeling paint near the entrance of the area. In the eating area on the green wall and the red wall was peeling paint. There was peeling paint long the bottom of the garage door in the play space.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the teal bathroom in the SA/PS room a handwashing sign was missing near the toilet. In the green dino bathroom a handwashing sign was missing near 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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: In the teal bathroom in the SA/PS room a lidded trash can was not present.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm testing log contained the following dates 8/9/24-9/10/24, which is more than 30 days apart.

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: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file for Staff Person #1 contained a mandated reporter training dated 9/28/18, more than 60 months prior.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The facility's fire detection log documented testing between 4/2/24-5/10/24 and 5/10/24-6/14/24, more than 30 days apart.

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)).

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a cracked Stanley Junior playset in the outdoor play space.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Child #3 and #4 who have been enrolled for more than 6 months, did not include child service reports.

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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The fee agreement in the file for Child #1 did not specify the release persons.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form in the file for Child #3 did not include 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: 3270.131(b)(1)/3270.182(1)

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

Noncompliance Area: The file for Child #4, a young toddler, did not include an updated health report conducted within the past 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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent immunization record in the file for Child #1, a 7 month old infant, did not include documentation of 4 and 6 month immunizations recommended by the CDC or a letter of exemption from the parent or physician. The most recent immunization record in the file for Child #2 did not include documentation of a flu shot administered within the past year or a letter of exemption from the parent or physician.

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 and 2 must be dismissed from care by close of business 10/13/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: 10-hour Health and Safety Training.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of 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) to maintain compliance with 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility did not have a written policy for shaken baby syndrome, abusive head trauma, child maltreatment and strategies for coping with a crying, fussing, or distraught child.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The one-hour health and safety updates in the files for Staff Person #1, #2, #4 and #5 were conducted after the prescribed timeframe of 12/30/23. The file for Staff Person #3 did not include documentation of the one-hour health and safety update.

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: The most recent health assessments in the file for Staff #2 exceeded 24 months between assessments. The file for Staff Person #5 did not include an updated health assessment conducted within the past 24 months. The initial health assessments in the files for Staff Person #6 and #7 were conducted after the staff person's first day working in child care. The file for Staff Person #8 did not include an initial health assessment.

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)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The most current health assessments in the files for Staff Person #3, 4 and 6 do not include 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.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: An annual letter notifying 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 was not on file.

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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Pickup and drop-off procedures were not posted in a conspicuous location at the facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The fee agreement in the file for Child #3, who has been enrolled for more than 6 months, had not been updated by the parent. The first parent updates for the emergency contact form and fee agreement in the files for Child #4 and #5 were conducted more than 6 months after the child's first day in attendance.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for Staff Person #8, an assistant group supervisor, did not include documentation of a high school diploma or GED.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.