Healthy Environments Child Development Center Llc

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 8/14/26. At that time, the child files were reviewed. The file for Child #1 did not include the address of the 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(d)

Description: Excursions

Noncompliance Area: A renewal inspection was conducted 8/14/26. At that time, emergency contact forms for all children were not included in the child care space in the rooms upstairs in the annex building.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.101(a)/3270.103

Description: Age appropriate/Small Toys and Objects

Noncompliance Area: CONTINUED NONCOMPLIANCE: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, infants, young toddlers, and older toddlers were in care in the annex on the upper level room to the right. At that time, a small screw was observed on the floor. Cubbies on low shelves were observed to contain plastic bags, small foam letters less than one inch in diameter, and magnatiles. All were accessible to the children in the room. The manufacturer's instructions for magnatiles state that they are for children ages three and up. An acceptable plan of correction was received 2/22/26 with a correction date of 3/21/26. An unannounced inspection was conducted on 3/31/26. During the inspection, magnetic tiles were observed on the floor in the toddler room where young and older toddlers were observed receiving care. The manufacturer's instructions for magnetic tiles state that they are for children ages three and up.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. 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. TIERED LIS 1.Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. 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. This portion of the plan shall have an immediate correction date. 2.The facility will maintain compliance with 3270.101a and 3270.103 for a period of three months. There may be no instances of noncompliance during this time period during unannounced inspections. The operator shall provide a correction date for when the three months of noncompliance will be completed.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: CONTINUED NONCOMPLIANCE: A renewal inspection was conducted 1/28/26 and 1/30/26. The insurance policy could not be located during the inspection. An acceptable plan of correction was received on 2/22/26 with a correction date of 2/12/26. An unannounced inspection was conducted on 3/31/26. At that time, the liability insurance on file at the facility expired on 3/3/26. A current liability insurance policy could not be located during the inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.66(a)/3270.133(4)

Description: Locked or inaccessible/Locked

Noncompliance Area: CONTINUED NONCOMPLIANCE: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, Behr ceiling flat paint was observed on the floor of the upper right annex room. The door to the room was open. The paint was labeled "keep out of reach of children." The paint was accessible to the children in the center. An acceptable plan of correction was received on 2/22/26 with a correction date of 1/28/26. An unannounced inspection was conducted 3/31/26. During the inspection, bleach and Pine Sol were observed on the floor just inside the door of the unlocked second bathroom in the toddler room where they were accessible to the children in the room. Both were labeled "keep out of reach of children." Staff stated that the slide lock located at the top of the door is faulty and frequently slides down so that the door is no longer locked. Also on 3/31/26, an open diaper bag was observed hanging inside a child's cubby. Inside the open diaper bag, two bottles of children's Tylenol were in one of the top pouches where they were accessible to the children in the classroom. The diaper bag in the next cubby was observed to have Aquaphor healing diaper cream that was accessible to the children. The diaper bag in the last cubby was observed to have Aquaphor healing ointment that was accessible to the children. All were labeled "keep out of reach of children." The diaper bags sit inside the cubbies approximately 8 inches from floor level and are accessible to the toddlers in the room.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. TIERED LIS 1. Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. This portion of the plan shall have an immediate correction date. 2.The legal entity must create a policy for the storage of medications, toxics, and other hazardous materials. This policy must address staff procedures for evaluating classrooms on a daily basis for accessible medications, toxics, and other hazardous materials. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review the policy with all staff and have staff sign off that the understand and will follow the policy. The operator shall provide a correction date for when the policy will be reviewed with all staff. 3. The facility will maintain compliance with 3270.66a and 3270.133(4) for a period of three months. There may be no instances of noncompliance during this time period during unannounced inspections. The operator shall provide a correction date for when the three months of noncompliance will be completed.

Regulation: 3270.101(a)/3270.103

Description: Age appropriate/Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, infants, young toddlers, and older toddlers were in care in the annex on the upper level room to the right. At that time, a small screw was observed on the floor. Cubbies on low shelves were observed to contain plastic bags, small foam letters less than one inch in diameter, and magnatiles. All were accessible to the children in the room. The manufacturer's instructions for magnatiles state that they are for children ages three and up.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. 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. TIERED LIS 1. Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all staff to receive a minimum of two hours of training regarding Health & Safety -- Healthy Environment. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.121(a)

Description: Review policies and procedures

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/30/26, a parent handbook was provided for review. The parent handbook that was provided did not include the facility's supervision policy. The provided handbook did not reflect the current owner, director, and current contact phone number for the facility.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the child files were reviewed. The file for Child #1 did not include a child service report. The child has been enrolled at the facility longer than 6 months. The most recent child service report on file for Child #3 was dated 5/27/25, more than 6 months prior to the date of the inspection. The most recent child service report on file for Child #4 was dated 5/22/25, more than 6 months prior to the date of the inspection. The file for Child #5 did not include a child service report. The child has been enrolled at the facility longer than 6 months.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the child files were reviewed. The financial agreements for the following children did not include the arrival or departure times of the child: Child #1, Child #2, Child #4, and Child #5.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the child files were reviewed. The emergency contact form for Child #1 did not include the address 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.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the child files were reviewed. The emergency contact form for Child #1 did not include if the child has any special needs.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the child files were reviewed. The emergency contact form for Child #1 did not include the address of the 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(c)

Description: Each child care space

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the emergency contact forms for two children were not in the upper left room in the annex, where the children were receiving care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the emergency transportation plan could not be located in the gym.

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: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the child files were reviewed. The emergency contact form and financial agreement for Child #1 had not been updated in the past six months. The dates of the last review of the forms were 6/11/26 and 6/18/25, respectively. The emergency contact form and financial agreement for Child #2 had not been updated in the past six months. The dates of the last review of the forms were 6/6/26 and 6/25/25, respectively. The financial agreement for Child #3 had not been updated in the past six months. The date of the last review of the form was 2/17/25. The financial agreement for Child #5 had not been updated in the past six months. The date of the last review of the form was 6/16/25.

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)(2)/3270.182(1)

Description: Initial health report for young toddler no more than 6 months/Initial and subsequent health reports

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the child files were reviewed. The most recent health report on file for Child #1, a young toddler, was dated 4/30/25, more than 6 months prior to the date of the inspection.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. The emergency plan was reviewed on 1/30/26. The emergency plan did not include a continuity plan for operations in times of an emergency.

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. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, an unlabeled bottle was observed sitting on a shelf in the upper level room to the right in the annex.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/30/26, the letter notifying 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 could not be located for review.

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: A renewal inspection was conducted 1/28/26 and 1/30/26. Written notification of safe routes could not be located at the child care facility and was not posted in a conspicuous location in the child care facility.

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

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. The insurance policy could not be located during the inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/30/26, the master incident report file was reviewed. A copy of the incident reports reviewed in the master file had not been placed in the corresponding child's file. The director stated that the parent receives the original incident report and a copy is placed in the master file, but no copy is placed in the child's file.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. The emergency plan on file was dated 1/23/25 and included the former director and former staff in the emergency plan. The plan had not been updated to include the current director and currently employed staff.

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. TIERED LIS 1. The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. The operator shall provide a correction date for when the emergency plan will be updated. 2. The legal entity must arrange for the legal entity, the director, and anyone responsible for maintaining the facility emergency plan to complete the Better Kid Care training entitled "Center and Group Emergency Plans and Preparation." The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. The staff files were reviewed on 1/30/26. The file for Staff Person #1 did not include emergency plan training. Staff Person #1 has been employed longer than 90 days. The file for Staff Person #3 did not include emergency plan training. Staff Person #3 has been employed longer than 90 days.

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. TIERED LIS 1. 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. The operator shall provide a correction date for when the training will be completed. 2. The person responsible for hiring staff must create a hiring checklist. The checklist should include an outline of what needs to be in a staff file and by when. The hiring checklist must be submitted to Northeast Regional Office for approval. Once approved, the child care center will use the hiring checklist whenever a new staff is hired and maintaining the staff file throughout the year. The operator shall provide a correction date for when the hiring checklist will be ready for use.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. The staff files were reviewed on 1/30/26. The file for Staff Person #3 did not include 12 hours of annual training during their training year from 7/30/24-7/30/25.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #3 must take 12 hours of professional development to fulfill requirement for training year 7/30/24-7/30/25. Hours used to fulfill training year 7/30/24-7/30/25 may not be used to fulfill current training year.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/30/26, Staff Person #1 and Staff Person #2, who are both aides, were observed supervising one infant and four toddlers. The two staff were not supervised by any other staff during this time.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, an uncovered electrical outlet was observed in the gym and five uncovered electrical outlets in a live power strip were observed on the floor in the upper left annex room.

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: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, Behr ceiling flat paint was observed on the floor of the upper right annex room. The door to the room was open. The paint was labeled "keep out of reach of children." The paint was accessible to the children in the center.

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: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the wall heaters approximately 12 inches high on each side of the entrance to the annex building from the playground reached temperatures of 182° F and 142° F. The heaters are accessible to the children in care. On 1/30/26, new vents had been installed over the wall heaters. The wall heater to the left of the entrance was not on during the inspection. The wall heater to the right of the entrance was on and the heater reached a temperature of 179° F during the inspection.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: A complaint inspection was conducted 1/28/26 and 1/30/26. During the inspection, the building was observed to be in disrepair in the following areas. Water damage to the ceiling was observed in the bathroom nearest the stairs in the lower level L-shaped room of the annex. Peeling paint was observed on the wall next to the bathroom further from the stairs in the lower level L-shaped room. The bathroom further from the stairs in the lower level L-shaped room was being used as storage and the sink and toilet were not able to be accessed. Dusty and dirty vents were observed in the lower level L-shaped room and upper level room to the right in the annex. The heating vents next to the entrance to the annex from the playground were observed to be covered in dust and dirty. The accordion door in the upper level room on the right in the annex was pulled closed and had a hole in part of it. The room, which has a capacity for 11 children, was in use by eight infants and toddlers during the inspection. The accordion door was pulled shut blocking access to half of the room. The other half of the room was being used as storage. A printer, folding tables on their sides, shelves, nap mats, and other supplies filled the room preventing access from the doorway to that side of the room. In the gym in the church, peeling paint was observed along the walls. Shredded tissues and dirty tissues were observed on windowsills and on the floor of the gym in the church. The bathroom in the church was observed to have peeling paint behind the top of the toilet. The rear room of the church is being used as storage. Baby gates were observed laying on the floor. A large whiteboard was observed propped against a wall. The laminate on the cabinet doors to the vanity was observed peeling off. A water stained ceiling tile was observed in the large room in the church. The cover of a heating vent was observed laying on the floor in the large room of the church.

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: A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, peeling paint was observed in the annex in the downstairs L-shaped room next to the bathroom further from the stairs and in the bathroom closer to the stairs next to the toilet. Peeling paint was observed on the walls of the gym. In the upper annex room on the right, peeling paint was observed next to the door.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Continued Non-Compliance: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, the thirty-day testing log for the facility's fire detection system was reviewed. The log showed that the system has not been tested within thirty days. The log showed the testing dates of 6/10/25 and not again until 7/31/25, which is 51 days. An acceptable plan of correction was received 10/3/25 with a correction date of 10/3/25. An unannounced inspection was conducted 12/19/25. At that time, the thirty-day testing log for the facility's fire detection system was reviewed. The log showed that the system has not been tested within thirty days. The log showed the testing dates of 8/29/25, and not again until 11/10/25, which is 74 days. The system had not been tested since 11/10/25, which was 39 days prior to the inspection. An acceptable plan of correction was received 1/14/26 with a correction date of 1/10/26. A renewal inspection was conducted 1/28/26 and 1/30/26. At that time, the thirty-day testing log for the facility's fire detection system was reviewed. The log showed that the system has not been tested within thirty days. The log showed the testing dates of 11/10/25, 12/10/25, and not again until 1/28/26, which is 49 days. The testing date of 12/10/25 was not included on the thirty-day testing log during the previous inspection. The director stated that a company had been out to inspect the system and they had set it off the fire detection system on 12/10/25. The system was tested and appeared operable during the inspection on 1/28/26.

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. TIERED LIS 1. 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. The fire detection system must be tested every 30 days and documented on the fire drill log. This portion of the plan shall have an immediate correction date. 2. The operator must create a thirty-day testing schedule for testing the fire detection system through 12/31/2026 that must be provided to the Northeast Regional Office. The operator shall provide a correction date for when the schedule will be submitted. 3. For a period of two (2) months, the fire drill log must be submitted to the Northeast Regional Office for review on the day of the testing of the fire detection system. The operator shall provide a correction date for when the fire drill log will be submitted.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Continued Non-Compliance: A complaint investigation was conducted 9/5/25. At that time, Staff Person #2 answered the door leaving three infants unsupervised by any staff person in the infant room. Staff Person #1 was in an upstairs office working at that time and available to answer the door. Through interviews and videos, it was found that Staff Person #1 was laying on the floor sleeping during the children's naptimes and could be heard snoring while they were covering a lunch break unsupervised. On 8/25/25, Child #1 was left at the bus stop from 3:37pm until approximately 4:20pm. Staff Person #1 resigned from their position at the center on 9/5/25. Staff Person #2 resigned from their position at the center on 9/26/25. The Facility's acceptable plan of correction was received 10/27/25 indicating that the director will review the OCDEL approved Supervision Policy with all staff by 12/1/25. An unannounced inspection was conducted 12/19/25. At that time, the facility had not created a supervision policy that was approved by OCDEL and therefore had not been reviewed with all staff.

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. Children must be supervised at all times. 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. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. This policy must address supervision while transporting children and should include all excursions such as picking up/dropping off children for school. The policy must address supervision during naptime and should address staff sleeping. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all current staff and have staff sign off that they understand and will follow the supervision policy. All new staff hired must review the supervision policy with the director at their time of hire and must sign off that they understand and will follow the supervision policy. The operator shall provide a correction date for when the policy will be reviewed with all staff.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Continued Non-Compliance: A complaint investigation was conducted 9/5/25. At that time, it was determined through interviews that Staff Person #1 has grabbed Child #2 with two hands on the bicep roughly and yelled, "no! stop!" loud enough that she started the other children in the group. Staff Person #1 resigned from their position at the center on 9/5/25. The Facility's acceptable plan of correction was received 10/27/25 indicating that the director will review the OCDEL approved Discipline Policy with all staff by 12/1/25. An unannounced inspection was conducted 12/19/25. At that time, the facility had not created a discipline policy that was approved by OCDEL and therefore had not been reviewed with all staff.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The legal entity must create a discipline policy. This policy must specifically include positives strategies for guiding children's behavior. The discipline policy must include what to do if a staff person observes another staff person not following the discipline policy. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all current staff and have staff sign off that they understand and will follow the discipline policy. All new staff hired must review the discipline policy with the director at their time of hire and must sign off that they understand and will follow the discipline policy. The operator shall provide a correction date for when the policy will be reviewed with all staff.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Continued Non-Compliance: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, Staff Person #5 stated that they picked up the children from the bus stop unsupervised by another staff person on 8/28/25. Staff Person #5 did not have their PA State Police Clearance on file at that time. The PA State Police Clearance on file was requested and dated 9/1/25. One bus stop is located at Broadway and Smiley Ave, .2 miles and a 6 minute walk from the center according to Google Maps. The other bus stop is located at Broadway and Lynn St, .4 miles and an 11 minute walk from the center according to Google Maps. The pick up times are 3:37pm, 3:46pm, and 3:50pm. An acceptable plan of correction was received 10/3/25 with a correction date of 9/5/25. An unannounced inspection was conducted 12/19/25. At that time, Staff Person #5 was no longer employed at the facility. Staff Person #6, who resides in NJ, did not have a NJ Child Abuse Clearance on file. The request for the PA State Police Clearance for Staff Person #7 was dated 12/12/25, after their first day working with children. All required clearances for Staff Person #8 were dated after the staff's first day working with children. The PA State Police Clearance for Staff Person #8 was requested 10/8/25 and the clearance was dated 10/8/25. The PA Child Abuse Clearance for Staff Person #8 was dated 10/10/25. The DHS FBI Clearance for Staff Person #8 was dated 10/22/25. The request for the clearance was not on file. The NSOR for Staff Person #8 was dated 10/16/25 and requested 10/13/25. The PA Child Abuse Clearance for Staff Person #9 was dated 10/28/25, after their first day working with children. The DHS FBI Clearance for Staff Person #9 was dated 10/26/26, after their first day working with children. The file did not contain a request for the FBI clearance for Staff Person #9. There was no NSOR on file for Staff Person #9.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #6 may not work in a child care position at the facility until a NJ Child Abuse Clearance is on file at the facility. Staff Person #9 may not work in a child care position at the facility until an NSOR certificate is on file at the facility. TIERED LIS: 1. 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. A director may not be hired provisionally. Staff Person #6 may not work in a child care position at the facility until a NJ Child Abuse Clearance is on file at the facility. Staff Person #9 may not work in a child care position at the facility until an NSOR certificate is on file at the facility. 2. For a period of three (3) months, the legal entity must send a complete file to the Northeast Regional Office for all new hires. New hires may not begin to work in childcare until the file has been approved by the Northeast Regional Office. The operator shall provide a correction date for when this will be completed. 3. The legal entity must arrange for the director and anyone responsible for hiring new staff and completing staff files to register for and attend the existing provider orientation conducted by the NE Regional Office on 2/25/26. The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Continued Non-Compliance: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, the thirty day testing log for the facility's fire detection system was reviewed. The log showed that the system has not been tested within thirty days. The log showed the testing dates of 6/10/25 and not again until 7/31/25, which is 51 days. An acceptable plan of correction was received 10/3/25 with a correction date of 10/3/25. An unannounced inspection was conducted 12/19/25. At that time, the thirty day testing log for the facility's fire detection system was reviewed. The log showed that the system has not been tested within thirty days. The log showed the testing dates of 8/29/25, and not again until 11/10/25, which is 74 days. The system had not been tested since 11/10/25, which was 39 days prior to the inspection.

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: 3270.101(a)/3270.111(c)

Description: Age appropriate/Promote development

Noncompliance Area: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, young and older toddlers were observed playing with magnatiles. The manufacturer's instructions state that magnatiles are recommended for ages three and up.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A complaint investigation was conducted 9/5/25. At that time, Staff Person #2 answered the door leaving three infants unsupervised by any staff person in the infant room. Staff Person #1 was in an upstairs office working at that time and available to answer the door. Through interviews and videos, it was found that Staff Person #1 was laying on the floor sleeping during the children's naptimes and could be heard snoring while they were covering a lunch break unsupervised. On 8/25/25, Child #1 was left at the bus stop from 3:37pm until approximately 4:20pm. Staff Person #1 resigned from their position at the center on 9/5/25. Staff Person #2 resigned from their position at the center on 9/26/25.

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. Children must be supervised at all times. 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. TIERED LIS: 1. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Children must be supervised at all times. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. This policy must address supervision while transporting children and should include all excursions such as picking up/dropping off children for school. The policy must address supervision during naptime and should address staff sleeping. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all current staff and have staff sign off that they understand and will follow the supervision policy. All new staff hired must review the supervision policy with the director at their time of hire and must sign off that they understand and will follow the supervision policy. The operator shall provide a correction date for when the policy will be reviewed with all staff.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: A complaint investigation was conducted 9/5/25. At that time, it was determined through interviews that Staff Person #1 has grabbed Child #2 with two hands on the bicep roughly and yelled, "no! stop!" loud enough that she started the other children in the group. Staff Person #1 resigned from their position at the center on 9/5/25.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a discipline policy. This policy must specifically include positives strategies for guiding children's behavior. The discipline policy must include what to do if a staff person observes another staff person not following the discipline policy. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all current staff and have staff sign off that they understand and will follow the discipline policy. All new staff hired must review the discipline policy with the director at their time of hire and must sign off that they understand and will follow the discipline policy. The operator shall provide a correction date for when the policy will be reviewed with all staff.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, it was determined through interviews that Staff Person #1 has grabbed Child #2 with two hands on the bicep roughly and yelled, "no! stop!" loud enough that she started the other children in the group. Child #4 stated that Staff Person #1 "screams at us but she's nice." Staff Person #1 resigned from their position at the center on 9/5/25.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: An unannounced inspection was conducted 9/5/25. At that time, Staff Person #2 was working unsupervised by another staff person in the infant room where they were caring for three infants. Staff Person #2 has not yet completed approved pediatric first aid and cpr training. Staff Person #4 stated that they picked up the children from the bus stop unsupervised by another staff person on 8/26/25 and 9/2/25. Staff Person #4 does not have pediatric first aid and cpr training on file. Staff Person #5 stated that they picked up the children from the bus stop unsupervised by another staff person on 8/28/25 and 9/3/25. Staff Person #5 does not have pediatric first aid and cpr training or health and safety training on file that must be completed prior to working unsupervised. One bus stop is located at Broadway and Smiley Ave, .2 miles and a 6 minute walk from the center according to Google Maps. The other bus stop is located at Broadway and Lynn St, .4 miles and an 11 minute walk from the center according to Google Maps. The pick up times are 3:37pm, 3:46pm, and 3:50pm. Staff meet the children at the bus stop and walk with them to the center. The unannounced inspection was continued on 9/16/25 to verify other compliance. At that time, Staff Person #2 was again working unsupervised by another staff person in the infant room where they were caring for three infants. Staff at the facility, including Staff Person #2, had been notified on 9/5/25 that Staff Person #2 could not work with children unsupervised until they had completed approved pediatric first aid and cpr training. Staff Person #2 stated that they had completed online pediatric first aid and cpr training, but had not yet completed an in-person portion of the training enabling them to work unsupervised.

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 #2, Staff Person #4, and Staff Person #5 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 #2, Staff Person #4, and Staff Person #5 then, Staff Person #2, Staff Person #4, and Staff Person #5 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, the preservice trainings were reviewed for all staff present. Staff Person #2, who has been employed longer than 90 days, has not yet completed acceptable pediatric first aid and cpr training.

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 pediatric first aid and cpr training has been completed, staff person #2 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 #2, then staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, Staff Person #5 stated that they picked up the children from the bus stop unsupervised by another staff person on 8/28/25. Staff Person #5 did not have their PA State Police Clearance on file at that time. The PA State Police Clearance on file was requested and dated 9/1/25. One bus stop is located at Broadway and Smiley Ave, .2 miles and a 6 minute walk from the center according to Google Maps. The other bus stop is located at Broadway and Lynn St, .4 miles and an 11 minute walk from the center according to Google Maps. The pick up times are 3:37pm, 3:46pm, and 3:50pm.

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: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/16/25, staff at the facility stated that the director had resigned on 9/5/25 and the facility did not have a director at the time of the inspection.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, Staff Person #3, an aide, stated that they picked up the children from the bus stop unsupervised by another staff person on 9/2/25, 9/4/25, and 8/25/25. One bus stop is located at Broadway and Smiley Ave, .2 miles and a 6 minute walk from the center according to Google Maps. The other bus stop is located at Broadway and Lynn St, .4 miles and an 11 minute walk from the center according to Google Maps.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, it was determined through interviews and photographs, that Staff Person #4 was out of ratio on 8/28/25 with a group of 8 young and older toddlers from 8:30am - 3:30pm. Staff Person #2, who was supposed to be in ratio with Staff Person #4, was in another room next door to the classroom working on a laptop. Staff Person #4 positioned themselves at a changing table facing the room so that they could see the children from their location. Staff Person #1 resigned from their position at the center on 9/5/25.

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. TIERED LIS 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must post ratio requirements in all child care spaces, including ratios in mixed age groups, 3270.52. This portion of the plan shall have a correction date when the ratios will be posted.

Regulation: 3270.72(b)

Description: Screened

Noncompliance Area: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/16/25, the door leading outside from the infant room was propped open. The door was not equipped with a screen.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, the thirty day testing log for the facility's fire detection system was reviewed. The log showed that the system has not been tested within thirty days. The log showed the testing dates of 6/10/25 and not again until 7/31/25, which is 51 days.

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

Regulation: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, mulch was observed scattered on the toddler side of the playground.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, the crib in use by Child #1 was not labeled with the child's name.

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)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection was conducted on 6/10/25. At that time, the child files were reviewed. The fee agreements for Child #1, Child #2, Child #3 did not include the services provided by the center.

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: A renewal inspection was conducted on 6/10/25. At that time, the child files were reviewed. The fee agreements for Child #1, Child #2, Child #3 did not include the designated release persons.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: A renewal inspection was conducted on 7/22/24. At that time, the child files were reviewed. The fee agreements for Child #2 and Child #3 did not include the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection was conducted on 6/10/25. At that time, the child files were reviewed. The emergency contact form for Child #2 did not include the name 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.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, the child files were reviewed. The emergency contact forms for Child #1 and Child #2 did not include the business name, address, and phone number of the parents. The emergency contact form for Child #3 did not include the business phone number of the mother.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, the child files were reviewed. The emergency contact form for Child #3 did not include the address of the release person.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, Staff Person #1 stated that they do not use the sink next to the changing table for handwashing after diaper. The children are walked through the gate, into the bathroom in the next room to wash the child's hands.

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: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, the changing pad in the toddler bathroom used for diapering was ripped and was unable to be properly cleaned and sanitized after each use.

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: A renewal inspection was conducted 6/10/25. At that time, Staff person #1 and Staff Person #2 were observed to be caring for children together unsupervised by another staff. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: mandated reporter training, pediatric first aid and cpr training, and health and safety training. Staff person #2 has not completed the following pre- service training required prior to caring for children unsupervised: pediatric first aid and cpr training and 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 #1 and staff person #2 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 and staff person #2, then staff person #1 and staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, a Chobani yogurt was observed in a child's cubby in the school age room.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, there was no written feeding schedule at the center for Child #1.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, the emergency drill log could not be located.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, the staff files were reviewed. The files for Staff Person #4 and Staff Person #5 did not include documentation of emergency plan training.

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

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, the preservice training was reviewed for all staff. The health and safety training on file for Staff Person #3 was completed on 5/12/25, more than 90 days after their date of hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, the preservice training was reviewed for all staff. The mandated reporter training on file for Staff Person #3 was completed on 4/29/25, more than 90 days after their date of hire.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, an electrical outlet without a protective receptacle cover was observed in the infant room approximately twelve inches from the floor. An extension cord on the floor of the young toddler room was plugged into an outlet and was equipped with three electrical outlets that were not covered with protective receptacle covers nor the child safety feature.

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

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, the sink used for handwashing in the Pre-K Room reached a temperature of 121° F and the sink used for handwashing in the young toddler room reached a temperature of 121° F.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, a hole was observed on the left wall near the floor of the indoor play space. The sink in the far left of the older toddler area was dirty.

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: A renewal inspection was conducted 6/10/25. At that time, peeling paint was observed on the yellow wall across from the bathrooms in the older toddler room.

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: A renewal inspection was conducted 6/10/25. At that time, the fire drill log could not be located.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection was conducted 6/10/25. At that time, documentation that the fire detection system is tested every thirty days could not be located.

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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Continued Non-Compliance: A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The most recent health report on file for Child #4, a young toddler, was dated 1/29/24. The most recent health report on file for Child #5, an infant, was dated 2/1/24. An acceptable plan of correction was received 12/9/24 with a correction date of 12/30/24. An unannounced inspection was conducted 1/10/25. At that time, the most recent health report on file for Child #4, a young toddler, was dated 1/29/24. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, the most recent health report on file for Child #4, a young toddler, was dated 1/29/24. The facility's acceptable plan of correction indicated the correction would be implemented by 1/31/25. On 2/28/25, an unannounced inspection was conducted. At that time, the most recent health report on file for Child #4, a young toddler, was dated 1/29/24.

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

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: An unannounced inspection was conducted 1/24/25. At that time, Child #6, an infant, was observed sleeping in a swing at the onset of the inspection at 12:40pm. Child #6 was observed still sleeping in the swing at 1:15pm.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact forms for Child #3 did not include the business name, address, and phone number of the parents. An acceptable plan of correction was received 11/27/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, the emergency contact form for Child #3 had not been updated to include the business name, address, and phone number of the parents. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, the emergency contact form for Child #3 had not been updated to include the business name, address, and phone number of the parents.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact forms for Child #4 and Child #5 did not include the address of the individuals designated by the parent to whom the child may be released. An acceptable plan of correction was received 11/27/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, emergency contact forms for Child #4 and Child #5 did not include the address of the individuals designated by the parent to whom the child may be released. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, the emergency contact forms for Child #4 and Child #5 did not include the address 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(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact form and fee agreement for Child #2 were last updated 10/24/23 and 9/13/23, respectively. The fee agreement for Child #3 was last updated 12/5/23. The emergency contact form and fee agreement for Child #4 were last updated 12/19/23 and 2/22/24, respectively. The emergency contact form and fee agreement for Child #5 were last updated 2/9/24 and 2/9/24, respectively. An acceptable plan of correction was received 11/27/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, emergency contact forms and fee agreements in the files for Child #2, Child #4, and Child #5 had not been updated since the aforementioned updates. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, emergency contact forms and fee agreements in the files for Child #2, Child #4, and Child #5 had not been updated since the aforementioned updates.

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)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The most recent health report on file for Child #4, a young toddler, was dated 1/29/24. The most recent health report on file for Child #5, an infant, was dated 2/1/24. An acceptable plan of correction was received 12/9/24 with a correction date of 12/30/24. An unannounced inspection was conducted 1/10/25. At that time, the most recent health report on file for Child #4, a young toddler, was dated 1/29/24. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, the most recent health report on file for Child #4, a young toddler, was dated 1/29/24.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: A renewal inspection was conducted 9/27/23. At that time, the child files were reviewed. The immunization record for Child #2, an older toddler, only included one dose of the Hepatitis A immunization. The file did not include a letter of exemption for the immunization. The file for Child #3 did not include documentation of any immunizations administered and did not include a letter of exemption for the immunizations. The immunization record for Child #4, an infant, only included one dose of the DTAP, HIB, Pneumococcal, and Polio immunizations. The file did not include a letter of exemption for the immunizations. An acceptable plan of correction was received 12/9/24 with a correction date of 10/22/24 An unannounced inspection was conducted 1/10/25. At that time, staff stated that Child #2, Child #3, and Child #4 have been receiving care at the child care center. The immunization records for Child #2, Child #3, and Child #4 had not been updated and there was not a letter of exemption in the child files. An acceptable plan of correction was received 1/10/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, staff stated that Child #2, Child #3, and Child #4 have been receiving care at the child care center. The immunization records for Child #3, and Child #4 had not been updated and there was not a letter of exemption in the child files. An elementary school form letter of exemption was on file for Child #3. The file did not include a written letter of exemption from the parents of Child #3.

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 #3 must be dismissed from care by close of business 1/24/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Child #4 must be dismissed from care by close of business 1/24/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #2 did not include a health assessment or TB test results. The most recent health assessment on file for Staff Person #3 was dated 8/30/21. An acceptable plan of correction was received 11/27/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, new health assessments for Staff Person #2 and Staff Person #3 had not yet been obtained. The file for Staff Person #2 still did not include a health assessment or TB test results. The most recent health assessment on file for Staff Person #3 was dated 8/30/21. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, new health assessments for Staff Person #2 and Staff Person #3 had not yet been obtained. The file for Staff Person #2 still did not include a health assessment or TB test results. The most recent health assessment on file for Staff Person #3 was dated 8/30/21.

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. 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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, a letter notifying 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 could not be located. An acceptable plan of correction was received 12/9/24 with a correction date of 11/18/24. An unannounced inspection was conducted 1/10/25. At that time, a letter notifying 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 could not be located. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, a letter notifying 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 could not be located.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #1 did not include verification of education or experience to qualify them as an assistant group supervisor. The file for Staff Person #5 did not include verification of education or experience to qualify them as an assistant group supervisor. The file for Staff Person #6 did not include verification of education or experience to qualify them as an aide. An acceptable plan of correction was received 12/9/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, the file for Staff Person #1 still did not include verification of education or experience to qualify them as an assistant group supervisor. The file for Staff Person #6 still did not include verification of education or experience to qualify them as an aide. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, the file for Staff Person #1 still did not include verification of experience to qualify them as an assistant group supervisor.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #2 did not contain a child abuse clearance, NSOR certificate, request for the NSOR certificate, or a signed disclosure statement. The file for Staff Person #5, who has been employed more than 90 days, contained expired mandated reporter training dated 7/31/19. The file for Staff Person #6 did not include a signed disclosure statement. An acceptable plan of correction was received 11/27/24 with a correction date of 10/22/24. An unannounced inspection was conducted 1/10/25. At that time, the file for Staff Person #2 still did not contain a child abuse clearance, NSOR certificate, request for the NSOR certificate, or a signed disclosure statement. The director stated that Staff Person #2 has not been working recently but had worked there most recently in December 2024. The file for Staff Person #6, who has been employed longer than 45 days, did not include a complete NSOR certificate or signed disclosure statement. Staff Person #6 was working at the facility caring for children during the inspection. The file for Staff Person #7, who was observed working at the facility caring for children during the inspection, did not include a PA Child Abuse Clearance. The file for Staff Person #8, who was observed working at the facility caring for children during the inspection, did not include a PA State Police Clearance or the request for the PA State Police Clearance. Staff Person #5 is no longer employed at the facility. An acceptable plan of correction was received 1/23/25 with a correction date of 1/10/25. An unannounced inspection was conducted 1/24/25. At that time, the file for Staff Person #2, who has been employed longer than 45 days, still did not contain an NSOR certificate, request for the NSOR certificate, or a signed disclosure statement. Staff Person #2 was observed working unsupervised in the infant room during the inspection. The file for Staff Person #6, who has been employed longer than 45 days, did not include a complete NSOR certificate or signed disclosure statement. Staff Person #6 was not working on 1/24/25 due to illness but had been working at the center earlier in the week. The file for Staff Person #8 contained a PA State Police Clearance dated 8/14/2018, which is more than 60 months old. Staff Person #8 was not working at the center on 1/24/25 but had been working at the center earlier in the week.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2 may not work in a child care position at the facility until an NSOR certificate is on file. Staff Person #6 may not work in a child care position at the facility until an NSOR certificate is on file. Staff Person #8 may not work in a child care position at the facility until a PA State Police Clearance is on file.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The most recent staff evaluation on file for Staff Person #3 was dated 4/17/23. The most recent staff evaluation for Staff Person #4 was dated 4/17/23. An acceptable plan of correction was received 11/27/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, the director stated that a staff evaluation for Staff Person #3 had not yet been completed. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, the director stated that a staff evaluation for Staff Person #3 was not yet in the staff file.

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: A complaint inspection was conducted 8/13/24. At that time, the emergency exit doorframe in the infant room was chipping apart. The walls of the gym closer to the floor were observed to have damaged plaster. The outside door to the main building from the playground, the outside door to the enter the preschool room of the smaller building located outside of the playground are chipping apart. The outside door to enter the preschool room of the smaller building does not latch unless it is forcefully closed. The right outside door from the playground to enter the smaller playground does not latch unless forcefully closed. The outside door to enter the toddler room does not latch unless forcefully closed. An acceptable plan of correction was received with a correction date of 9/28/24. A renewal inspection was conducted 10/22/24. At that time, the cover to the radiator was observed knocked off onto the floor in the large room. Water damaged ceiling tiles were observed around the ceiling fan in the infant room. An acceptable plan of correction was received 11/27/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, the same water damaged ceiling tiles were observed around the ceiling fan in the infant room. The ceiling track of the accordion wall was observed to be hanging from the ceiling in the preschool room located downstairs in the smaller building. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, the same water damaged ceiling tiles were observed around the ceiling fan in the infant room. The ceiling track of the accordion wall was observed to be hanging from the ceiling in the preschool room located downstairs in the smaller building.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, matchbox cars and plastic bags were observed in cubbies in the toddler room. The cubbies were approximately 30 inches high and were accessible to the toddlers. The area of the playground used by toddlers was observed to have many acorns, less than an inch in diameter, scattered around the playground and were accessible to the toddlers. The padding covering the mulch in the area of the playground had space between the edges, which allowed the toddlers access to the mulch underneath, which was less than one inch in diameter. An acceptable plan of correction was received 11/27/24 with a correction date of 10/22/24. An unannounced inspection was conducted 1/10/25. At that time, plastic bags were observed in cubbies in the toddler room. The cubbies were approximately 30 inches high and were accessible to the toddlers.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The file for Child #4, who has been enrolled longer than 6 months, did not include a child service report. The file for Child #5, who has been enrolled longer than 6 months, did not include a child service report. An acceptable plan of correction was received 12/9/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, updated child service reports for Child #4 and Child #5 could not be located during the inspection.

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: A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The fee agreements used by the facility did not include a designated release person. An acceptable plan of correction was received 12/9/24 with a correction date of 11/4/24. An unannounced inspection was conducted 1/10/25. At that time, updated fee agreements including the release persons were not found in the child files.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact forms for Child #3 did not include the business name, address, and phone number of the parents. An acceptable plan of correction was received 11/27/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, the emergency contact form for Child #3 had not been updated to include the business name, address, and phone number of the parents.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact form for Child #1 did not include the health insurance policy number. An acceptable plan of correction was received 12/9/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, the emergency contact form for Child #1 did not include 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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact forms for Child #4 and Child #5 did not include the address of the individuals designated by the parent to whom the child may be released. An acceptable plan of correction was received 11/27/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, emergency contact forms for Child #4 and Child #5 did not include the address 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(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact form and fee agreement for Child #2 were last updated 10/24/23 and 9/13/23, respectively. The fee agreement for Child #3 was last updated 12/5/23. The emergency contact form and fee agreement for Child #4 were last updated 12/19/23 and 2/22/24, respectively. The emergency contact form and fee agreement for Child #5 were last updated 2/9/24 and 2/9/24, respectively. An acceptable plan of correction was received 11/27/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, emergency contact forms and fee agreements in the files for Child #2, Child #4, and Child #5 had not been updated since the aforementioned updates.

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)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The most recent health report on file for Child #4, a young toddler, was dated 1/29/24. The most recent health report on file for Child #5, an infant, was dated 2/1/24. An acceptable plan of correction was received 12/9/24 with a correction date of 12/30/24. An unannounced inspection was conducted 1/10/25. At that time, the most recent health report on file for Child #4, a young toddler, was dated 1/29/24.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: A renewal inspection was conducted 9/27/23. At that time, the child files were reviewed. The immunization record for Child #2, an older toddler, only included one dose of the Hepatitis A immunization. The file did not include a letter of exemption for the immunization. The file for Child #3 did not include documentation of any immunizations administered and did not include a letter of exemption for the immunizations. The immunization record for Child #4, an infant, only included one dose of the DTAP, HIB, Pneumococcal, and Polio immunizations. The file did not include a letter of exemption for the immunizations. An acceptable plan of correction was received 12/9/24 with a correction date of 10/22/24. An unannounced inspection was conducted 1/10/25. At that time, staff stated that Child #2, Child #3, and Child #4 have been receiving care at the child care center. The immunization records for Child #2, Child #3, and Child #4 had not been updated and there was not a letter of exemption in the child files.

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 #2 must be dismissed from care by close of business 10/22/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Child #3 must be dismissed from care by close of business 10/22/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Child #4 must be dismissed from care by close of business 10/22/24 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: A renewal inspection was conducted 10/22/24. At that time, the emergency plan was reviewed. The emergency plan did not include a continuity plan for operations in times of an emergency. An acceptable plan of correction was received 12/9/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, the director stated the emergency plan had not yet been updated to include the continuity plan of operations in times of an emergency.

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. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #2 did not include a health assessment or TB test results. The most recent health assessment on file for Staff Person #3 was dated 8/30/21. An acceptable plan of correction was received 11/27/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, new health assessments for Staff Person #2 and Staff Person #3 had not yet been obtained. The file for Staff Person #2 still did not include a health assessment or TB test results. The most recent health assessment on file for Staff Person #3 was dated 8/30/21.

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. 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: A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The health assessment for Staff Person #1 dated 12/14/23 did not include whether the staff was free from communicable diseases. An acceptable plan of correction was received 12/9/24 with a correction date of 11/18/24. An unannounced inspection was conducted 1/10/25. At that time, Staff Person #1 did not yet have a health assessment on file that includes whether the staff was free from communicable diseases.

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The health assessment for Staff Person #1 dated 12/14/23 did not include whether the staff was suitable to provide child care. An acceptable plan of correction was received 12/9/24 with a correction date of 11/18/24. An unannounced inspection was conducted 1/10/25. At that time, Staff Person #1 did not yet have a health assessment on file that includes whether the staff was suitable 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.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, a letter notifying 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 could not be located. An acceptable plan of correction was received 12/9/24 with a correction date of 11/18/24. An unannounced inspection was conducted 1/10/25. At that time, a letter notifying 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 could not be located.

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: A renewal inspection was conducted 10/22/24. At that time, written notification of safe routes was not posted in a conspicuous location in the child care facility. An acceptable plan of correction was received 12/9/24 with a correction date of 11/18/24. An unannounced inspection was conducted 1/10/25. At that time, written notification of safe routes was not posted in a conspicuous location in the child care facility.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #1 did not include verification of education or experience to qualify them as an assistant group supervisor. The file for Staff Person #5 did not include verification of education or experience to qualify them as an assistant group supervisor. The file for Staff Person #6 did not include verification of education or experience to qualify them as an aide. An acceptable plan of correction was received 12/9/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, the file for Staff Person #1 still did not include verification of education or experience to qualify them as an assistant group supervisor. The file for Staff Person #6 still did not include verification of education or experience to qualify them as an aide.

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