Tots-n-tikes

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Broken magnatiles were observed in Room 3 and could be harmful 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #2 and Child #3 lacked the enrolling parent's work address and work phone number.

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

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

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

Noncompliance Area: The emergency contact form on file for Child #7 lacked the parent's full signature giving the facility written consent to obtain 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: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The initial health assessments on file for Child #3 (11/6/25), Child #6 (11/17/25), and Child #7 (12/12/25) are dated more than 60 days beyond the child's enrollment (SEE IS 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. 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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record for Child #1 (PSA) lacked the following immunizations: 1 dose of Hepatitis A without a Letter of Exemption in the file. The immunization record for Child #4 (PSA) lacked the following immunizations: 1 dose of DTAP and 1 dose of Pneumococcal without a Letter of Exemption in the file. The immunization record for Child #5 (PSA) lacked the following immunizations: 1 dose of DTAP, 1 dose of HiB, 1 dose of Pneumococcal, and 1 dose of Hepatitis A without a Letter of Exemption in the file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Child #1, Child #4, and Child #5 must be dismissed from care by close of business on 2/23/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: A bottle of Children's Zyrtec in Room 1 was observed in locked medication bin but lacked the name of the child whom the medication is intended for.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: A prescription for Acetaminophen tablets for Child #8, with a manufacturer's expiration date of 10/2025, was observed in Room #2.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: At the time of inspection, it was observed that a mixed group of older toddlers and preschoolers did not wash their hands prior to eating lunch in Room 2.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's Shaken Baby Syndrome/Abusive Head Trauma policy lacked strategies for coping with a crying, fussing, or distraught child and the prevention and identification of child maltreatment.

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 initial health assessment on file for Staff #2 was dated 9/18/25, which is after Staff #2's date of hire (SEE IS CODE SHEET). The two most recent health assessments on file for Staff #4 are dated 12/7/23 and 1/6/26, more than 24 months apart.

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)

Description: Mantoux TB

Noncompliance Area: The file for Staff #2 contained a tuberculosis screening dated 9/18/25, which is after Staff #2's date of hire (SEE IS CODE SHEET).

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The current health assessment on file for Staff #4, dated 1/6/26, indicates that the staff person has a communicable/contagious disease, with no additional information given

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.182(5)

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

Noncompliance Area: The emergency contact form on file for Child #7 lacked the parent's full signature giving the facility written consent to administer minor first aid.

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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility's most recent annual emergency drill is dated 9/11/24, more than 12 months prior.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff #6 contained 11 of 12 annual childcare training hours within the training timeframe of 12/2024-12/2025.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #1 has completed Pediatric First Aid & CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files for Staff #1, Staff #3, and Staff #5 included an incomplete Pennsylvania State Police clearance lacking a dissemination date, making it invalid.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent staff evaluation on file for Staff #7 is dated 1/3/25, more than 12 months prior.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: An exposed bolt was observed at the base of the 1st toilet in the bathroom on the left.

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: Peeling paint was observed in the bathroom on the left, to the left of the 2nd and 4th toilets.

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: The sinks in Room 6 and Room 8 lacked a handwashing sign.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A toy bin was observed with a broken corner with sharp edges in Room 2, which could cause injury 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: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: Peeling tape less than one inch in diameter was observed on a couch in Room 1 and was accessible to children who are still placing items in their mouths. Peeling and torn vinyl was observed on the play mats in Room 4, the toddler gross motor room.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 does not contain a National Sex Offender Registry certificate and it is beyond Staff #1's date of hire (SEE IS CODE SHEET).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility. 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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Protective electrical covers were missing in the outlet and in the electrical power strip under the chalkboard in Room 5.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In Room 5, a container of Clorox antibacterial wipes on a classroom shelf and a bottle of Dawn dish soap next to the windows were both labeled 'Keep Out of Reach of Children' and were observed to be 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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: In Room 5, a garbage can containing used tissues was observed without a lid.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In Room 6, a broken screw with sharp edges was observed protuding from the wall and could be hazardous to children. A missing ceiling tile was observed outside of Room 8's classroom door.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In Room 3, bubbled paint and plaster was observed under the windows. In the Girl's Bathroom, peeling paint and plaster was observed on the wall and behind the toilet in the last stall and in the second stall at the wall connection.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The most recent fire drill documented on the facility's fire drill log is dated 2/13/25, more than 60 days prior.

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 most recent fire alarm testing documented on the facility's test log is dated 2/13/25, 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Room 3 and Room 5, foam blocks were observed with teeth marks.

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(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, Child #7, Child #8, and Child #9 contained the original copy of the Financial Agreement form. The parent is to receive the original form, and the facility is to obtain a copy of the agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form for Child #2 and Child #6 lacked complete addresses and phone numbers for all listed release persons.

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 6-month review signatures for the emergency contact and financial agreement forms on file for Child #7 are dated 1/3/24 and 8/20/24, more than 6 months apart.

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(b)(2)/3270.182(1)

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

Noncompliance Area: The most recent health assessment on file for Child #5 (Preschool Age) is dated 12/14/23, more than 12 months prior.

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

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #6 (Preschool Age) lacked updated written verification of ongoing administered vaccines: 1 dose of Rotavirus, 1 dose of HiB, 2 doses of Pneumococcal, 1 dose of Polio, 1 dose of Hepatitis A without a Letter of Exemption on file. Child #6 must be dismissed from care by close of business on 2/18/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for Child #3 (Preschool Age) contained an initial school-aged health assessment (dated 8/29/24) and does not indicate if the child is free from contagious disease and may participate in child care.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: In Room 5, hydrocortisone cream for Child #10 contained an expiration date of 01/2025. In Room 6, Benadryl cream for Child #11 contained an expiration date of 2/2024

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's Emergency Plan lacked a Continuity of Operations policy.

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 initial health assessment and tuberculosis test on file for Staff #2 are dated 6/9/24, after Staff #2's date of hire (SEE IS CODE SHEET). The initial health assessment and tuberculosis test on file for Staff #4 are dated 8/4/24, after Staff #4's date of hire (SEE IS CODE SHEET).

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

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

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: The health assessment on file for Staff #3 dated 1/12/25, did not indicate if the staff person was assessed for communicable diseases. The two most recent health assessments on file for Staff #7 dated 2/7/21 and 2/6/23, did not indicate if the person was assessed for communicable diseases.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. 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)(5)/3270.192(3)

Description: Physician/CRNP assessment/Health assessment, TB test

Noncompliance Area: The two most recent health assessments on file for Staff #7 dated 2/7/21 and 2/6/23, did not include the physician or health care professional's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. 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: The file for Staff #9 lacked two written nonfamily reference letters.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The two most recent emergency drills on file at the facility are dated 8/28/23 and 9/11/24, more than 12 months apart.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The most recent annual review of the facility's emergency plan is dated 1/11/24, more than 12 months prior.

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(c)

Description: Training regarding plan

Noncompliance Area: The most recent emergency plan training on file for Staff #7 and Staff #8 are dated 9/12/23, more than 12 months prior.

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

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

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

Noncompliance Area: The file for Staff #5 contained an incomplete Pediatric First Aid/CPR training dated 3/5/23, making it invalid.

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

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The two most recent fire safety trainings on file for Staff #1 are dated 8/9/23 and 1/3/25, more than 12 months apart.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #2 did not complete the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Pediatric First Aid/CPR. The training was dated 9/12/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for Staff #2 and Staff #9 contained an incomplete criminal history clearance that did not include a dissemination date, making it invalid (SEE IS CODE SHEET). The file for Staff #2 contained an FBI clearance (dated 6/6/24) and an NSOR certificate (dated 6/7/24) after date of hire (SEE IS CODE SHEET) without documentation of applications prior to date of hire required for provisional hiring under the CPSL. The file for Staff #4 contained a Child Abuse clearance dated 8/11/24, after Staff #4's date of hire (SEE IS CODE SHEET).

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: 3270.35(b)(3)/3270.192(2)(iii)

Description: Associate's + 2 yrs/Exp, educ., training at facility

Noncompliance Area: The file for Staff #3, Staff #6, and Staff #7, classified as Group Supervisors, contained documentation of an associate's degree in early childhood education, but lacked documentation of two years of childcare experience.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(iii)

Description: HS/GED + 2 yrs/Exp, educ., training at facility

Noncompliance Area: The file for Staff #9, classified as an Assistant Group Supervisor, contained documentation that Staff #9 graduated high school but lacked documentation of 2 years of experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: In Room 5, an unlidded trash can contained used tissues with human secretions.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 6/18/24-8/19/24, 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)). 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: In Room #6 a Red, Plastic bin, in a play wooden cupboard in front of the windows was cracked which posed a cutting hazard or pinch point.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact Form for Child #3 lacked the Name, Address and Phone Number of the Physician or Medical Care Provider (SEE LIS CODE SHEET). The Emergency Contact Form for Child #4 lacked the Address of the Physician or Medical Care Provider. (SEE LIS CODE SHEET)

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health assessment for Child File #5 had an initial health assessment dated 04/2023 which is more than 60 days from the first day of attendance at the facility. (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.

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

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

Noncompliance Area: The file for Child #1 (OT) (Dated: 09/2023) and Child #2 (OT) (Dated: 07/2023) had Updated Health Assessment more than 12 months past the initial health assessment. (SEE LIS CODE SHEET)

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: 3270.151(a)

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

Noncompliance Area: The two most recent Health Assessments for Staff #6 was dated more than 24-months apart. (See IS 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.

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The initial health assessment for Staff #17, Staff #19 and Staff #20 were dated: 01/2024, 11/2023 and 11/2023, respectively, which is after their date of hire. (SEE LIS CODE SHEET)

Correction Required: An adult health assessment must include a physical examination. 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 initial health assessment on file for Staff person #17, Staff Person #18, Staff Person #19 and Staff Person #20 had tuberculosis screening which were dated 01/20/2024, 05/25/2023, 11/29/2023 and 11/21/2023 respectively, which was dated of their date of hire. (See IS CODE SHEET)

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

Regulation: 3270.165

Description: Menus

Noncompliance Area: The facility lacked a posted lunch menu in a conspicuous place, provide a lunch menu to each family or submit on the SeeSaw App.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In Room #2, on a bookshelf and on the window ledge were two pair of adult scissors which pose a cutting or puncture hazard and were accessible to children.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The two most recent Emergency Plan Trainings for Staff Persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16 were dated: (08/2022 and 09/2023) which are more than 12-months apart. (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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The last two fire safety trainings in the file for Staff Person's #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16 are dated (02/2022 and 01/2024) which is dated more than one year apart. (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 two (2) most recent Child Abuse Clearances in the file for Staff Person #6 was dated more than 60 months apart. The PA State Police, Child Abuse, NSOR and FBI Clearances in the file for Staff Person #3 were dated after Staff Person #3's Date of Hire. (SEE LIS CODE SHEET)

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In Room #6, on the window ledge was a bottle of "Lysol" spray labeled "Keep Out of the Reach of Children," was 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 Rooms #1, #2, #3 and #4 the chalk tray at the bottom of the chalkboard, at child height level posing a head injury.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Pre K-1 Room, a wooden, play stove's door was loose causing the screws to become exposed posing a cutting hazard. In the Pre K-2 Room, a red, plastic bin, with toys, was cracked posing a pinch point or cutting hazard. In the Pre-S/OT Room an empty, green bin had a piece missing with jagged edges posing a cutting hazard. In the Pre-S/OT Room a red bin, with toys, was cracked posing a pinch point or cutting hazard. In the Older Toddler Room, a blue bin, with toys, had a cracked handle posing a cutting and/or pinch point 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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 12:00 P.M., Staff Person #1 and #2 were in the Pre-School Room with 12 Pre-School Children preparing to take the children to lunch. While in the cafeteria with the other children and at approximately 12:05 P.M., Staff Person #1 and #2 realized they were missing a child. Therefore, ratio was 0:1 child. Staff #2 went to the classroom to retrieve said child, leaving staff person #1 out of ratio with 11 children in the cafeteria.

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: At approximately 12:00 P.M., Staff Person #1 and #2 were in the Pre-School Room with 12 Pre-School Children preparing to take the children to lunch. While in the cafeteria with the other children and at approximately 12:05 P.M., Staff Person #1 and #2 realized they were missing a child. Therefore, ratio was 0:1 child. Staff #2 went to the classroom to retrieve said child, leaving staff person #1 out of ratio with 11 children in the cafeteria.

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

Regulation: 3270.124(f)/3270.182(1)

Description: Updated every 6 months/Initial and subsequent health reports

Noncompliance Area: The file for child #1 and child #6 contained an emergency contact form that was not updated within 6 months of the previous update.

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

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

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

Noncompliance Area: The file for Child #6 (OT) lacked an Updated Health Assessment within the last year.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: In the Pre K-3 Room, Epi-Pens labeled for Child #1 and Child #2 lacked a medication log for administration.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for staff #1 - #21 lacked the one-hour Health and Safety Training update 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.

Regulation: 3270.151(a)

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

Noncompliance Area: The two most recent Health Assessments for Staff #4, #6, #8, #13, #18 and #19 were dated more than 24-months apart.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for child #1 and #6 contained a Financial Agreement form that had updates more than six months apart.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: In Pre K-3 Room, on the teacher's desk, were two pair of adult scissors accessible to children which pose a puncture and cutting risk. In the Pre K-2 Room, on the teacher's desk, were two pair of adult scissors accessible to children which pose a puncture and cutting risk. In the Pre K-1 Room, on the teacher's desk, were two pair of adult scissors which were accessible to children which pose a puncture and cutting risk. In the Pre K-1 Room, top right drawer of the teacher's desk, was a 3M packing tape holder with an exposed cutting edge which was accessible to children which poses a cutting hazard.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until 03/30/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1-- must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1 --, staff person #1-- may not work in a child-care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 12:00 P.M., Staff Person #1 and #2 were in the Pre-School Room with 12 Pre-School Children preparing to take the children to lunch. While in the cafeteria with the other children and at approximately 12:05 P.M., Staff Person #1 and #2 realized they were missing a child. Therefore, ratio was 0:1 child. Staff #2 went to the classroom to retrieve said child, leaving staff person #1 out of ratio with 11 children in the cafeteria.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit, in the Older Toddler room, lacked scissors and soap.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed three loosely hanging cabinet doors on the play kitchen in the preschool room which creates a pinch point.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information on file for child #2 lacks the health insurance 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(f)

Description: Updated every 6 months

Noncompliance Area: The emergency contact information on file for child #4 was last updated 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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1 lacks verification of a current Hepatitis B, HIB, Pneumococcal, Polio, Influenza, MMR, and Varicella vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #3 lacks verification of a current DTAP, HIB, Pneumococcal, Influenza, MMR, Varicella, and Hepatitis A vaccine administered 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: 3270.151(a)

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

Noncompliance Area: The two most recent health assessments on file for staff person #10, # 13, #14, and #15 are dated in an interval greater than 24 months.

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)

Description: Training regarding plan

Noncompliance Area: The two most recent emergency plan trainings on file for staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9 #10, #11. #12. #14, #15, #16, and #17 are dated more than 12 months apart. The most recent emergency plan training on file for staff person #13 is dated more than 12 months ago. The file for staff person #19 contains verification of initial emergency plan training completed more than 7 days after staff person #19 began in a child care taking position.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff person #3, #6, #9, #10, #16 lacks verification of 12 hours of child care training completed in the most recent service year. The file for staff person #5 lacks verification of 6 hours of child care training completed in the most recent service year.

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: The two most recent documented fire safety training on file for staff persons #1, #2, #3, #4, #5, #6, #7, #8, #10, #11, #12, #14, #16, and #17 are dated more than 12 months apart.

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)

Description: Comply with CPSL

Noncompliance Area: A review of staff person #3's file revealed that staff person #3 has resided out of state in the previous 5 years and lacks out of state clearances from the state where they previously resided as required by current CPSL. The FBI clearance on file for staff person #5 was updated in an interval greater than 5 years or 60 months as required by current CPSL.

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

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

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

Noncompliance Area: The two most recent mandated reporter trainings on file for staff person #2 and staff person #6 are dated more than 5 years or 60 months apart, exceeding the time frame of 5 years or 60 months established by the current CPSL. The file for staff person #18 contains verification of mandated reporter training completed more than 90 days after staff person #18 began in a child care taking position.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent evaluations on file for staff persons #3, #5, #6, #9, #10, and #16 are dated in an interval greater than 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: The black garbage can near the entrance to the gross motor space was unlidded and was observed to contain used cups and plates.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed a large area of peeling paint on the far right wall near the ceiling in the bathroom across from the office.

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: The toilet in the first stall on the left in the boys' bathroom in the gross motor space lacks a posted handwashing sign. The toilet in the stall across from the sink in the girls' bathroom in the gross motor space lacks a posted handwashing sign. The toilet in the first stall in the bathroom across from the office lacks a posted handwashing sign.

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: 3270.94(a)(1)/3270.95(a)

Description: Every 60 days/Devices must be compliant

Noncompliance Area: During the intervals of 03/25/21-05.26/21 and 07/23/21-09/24/21, fire drills were held in an interval greater than 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.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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility lacks a proof of purchase for the hardwired, interconnected fire detection system installed and in use at the facility.

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

Noncompliance Area: The file for child #8 contains emergency contact information which lacks the name, phone number and address of the child's physician. The file for child #10 contains emergency contact information which lacks the phone number of the child's physician.

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

Noncompliance Area: The file for child #8 and child #9 contains emergency contact information which lacks the enrolling parent's work address and telephone number. The file for child #10 contains emergency contact information which lacks the complete address of one of the enrolling parents.

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