Villa Day Care Center

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During an unannounced inspection on 7/22/2026, the most recent documented emergency drill on file was dated 6/17/2025.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced inspection on 7/22/2026, the fire drill/fire detection log was up to date. However, the log showed two lapses in the requirement to manually test the fire alarm system at least once every 30 days since January 2026.The fire alarm was tested on 1/6/2026 and then not again until 2/6/2026. The fire alarm was tested on 5/1/2026 and then not again until 6/1/2026.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: On 12/16/2025, the agreement on file for Child #2 was not signed by the parent.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On 12/16/2025, the parent for Child #1 had not reviewed and updated in writing the emergency contact information and the financial agreement within the previous 6 months.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: As of 12/16/2025, Staff #2 and Staff #3 have not completed an annual minimum of 12 clock hours of childcare training within the previous 12 months. Staff #2 has only completed 7 hours of annual childcare training. Staff #3 has only completed 8 hours of annual childcare training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required preservice trainings within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 and PA Required Health and Safety for Centers-Group Child Care Part 2 and Pediatric First Aid and Pediatric Cardiopulmonary Resuscitation (CPR).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. PA Required Health and Safety for Centers-Group Child Care Part 1 and Part 2. Until such time as the required trainings have been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required trainings related to this citation. If there are no staff available to supervise staff person #1, staff person #1 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: On 12/16/2025, Staff #3 had current clearances on file. However, the updated state police clearance on file for Staff #3 was dated 12/3/2025. The previous state police clearance was dated 10/20/2020.

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. All required clearances for staff and facility persons must be updated at least every 60 months.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 9/5/2025, the emergency contact information on file for Child #2 did not include the health insurance coverage and policy number for the child.

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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: On 9/5/2025, the most recent health report on file for Child #1, an infant was dated 12/2/2024. See LIS code sheet.

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: On 9/5/2025, Child #1 did not have any record of immunizations on file to verify that the child was immunized according to the recommendations of the ACIP.

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 childcare group settings). Child #1 must be dismissed from care by close of business on 9/5/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: On 9/5/2025, Child #1 did not have any record of immunizations on file to verify that the child was immunized according to the recommendations of the ACIP. See LIS code sheet.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #1 must be dismissed from care by close of business on 9/5/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On 9/5/2025, the emergency contact information and the financial agreement for Child #1 had not been updated by the parent within the previous 6 months. See LIS code sheet.

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

Regulation: 3270.182(5)

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

Noncompliance Area: On 9/5/2025, the record/emergency contact information on file for Child #2 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. See LIS code sheet.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: ONGOING NONCOMPLIANCE: It was confirmed through staff interviews that on 5/28/25, Staff #1 was caring for 11 preschool-aged children at the time Child #1 absconded from the facility. At least 2 staff persons are required at all times for this amount of children. An acceptable plan of correction was received on 8/11/2025. Upon arrival to the Renewal Inspection on 9/5/2025 at 10:55 AM, Certification Representative observed Staff #2 with mixed age group of 13 children, that included 8 preschool children, 4 older toddlers and 1 young toddler older. Two staff persons are required to maintain the required staff to child ratios for this mixed age group of children. Staff #3 returned to the facility at 11:10 AM.

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. The required staff to child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The Legal Entity shall update the previously submitted and approved policies surrounding the required staff-to-child ratios. The updated policies should include how the facility will maintain the proper staff-to-child ratios based on the ages of the children in care and also include language that no staff person will leave the childcare area or the facility unless the staff to child ratios can still be maintained while they are not present. This updated policy must be submitted to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy, and documentation must be kept on file at the facility. The operator shall provide a date for when this will be completed.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 9/5/2025, Cert. Rep. observed some peeling wood and wood with sharp edges exposed on the corner wall in the back of the downstairs classroom.

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: 20.71(b)(5)

Description: Perpetrator in an indicated or founded report of child abuse

Noncompliance Area: Facility Person #1 has been named as a perpetrator in an indicated report of child abuse.

Correction Required: A facility person who has been named as perpetrator in a founded/an indicated report of child abuse may not be present in the facility.

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

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

Noncompliance Area: It was verified through staff interviews and written statements that on 5/28/25, Child #1 left the facility while the class was transitioning upstairs to lunch and ran two blocks to their father's house without Staff #1 seeing or knowing. Child #1 was in the care of Staff #1 during this time. The facility did not know that the child was missing until the facility was called and notified that Child #1 was at father's house. Video surveillance from 5/28/2025 showed Child #1 running to their father's house unsupervised before entering the house. Staff #1 was terminated from the facility as of 6/16/2025.

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 must be supervised by a staff person at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff as of the date of the training to receive a minimum of 3 hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed. 3. The facility shall have no instances of non-compliance relating to supervision of children for a period of 3 months, monitoring by unannounced visits to the facility. The correction date for this portion of the plan shall be at minimum 3 months from the date the regional office receives acceptable plans of correction.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: During an unannounced inspection on 5/29/2025, Child #1, an infant (See code sheet for date of birth) was observed sleeping in a swing for 15 minutes. Child #1 does not have a medical reason on file documenting that they should not be placed in the sleeping that is recommended by the American Academy of Pediatrics.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: It was confirmed through staff interviews that on 5/28/25, Staff #1 was caring for 11 preschool-aged children at the time Child #1 absconded from the facility. At least 2 staff persons are required at all times for this amount of children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff to child ratios must be maintained at all times TIERED LIS: 1. The required staff to child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The Legal Entity shall create or update policies surrounding the required staff-to-child ratios, including, at minimum, the age-level definitions per the regulations under 3270.4. The policies should include how the facility will maintain the proper staff-to-child ratios based on the ages of the children in care. This policy must be submitted to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy, and documentation must be kept on file at the facility. The operator shall provide a date for when this will be completed.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During an unannounced inspection on 5/29/2025, peeling paint was observed on the back door of the facility outside leading to the steps to go upstairs.

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: On 5/29/2025, the fire drill/fire detection log was up to date. However, the log showed that the fire detection system has not been getting manually tested at least once ever 30 days. The log showed that the alarm was tested as follows: 3/7/2025 then 4/9/2025 and then 5/12/2025.

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. The fire alarm system at the facility must be manually tested and documented at least once every 30 days.

Regulation: 3270.102(a)/3270.135(a)(3)

Description: Clean and good repair/Disposable diapers

Noncompliance Area: During the Renewal Inspection on 9/12/2024, the covered trash can in the bathroom of the downstairs classroom that was being used for diapering was not hands-free. In addition, the can also had a crack on it that left sharp edges exposed.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: On 9/12/2024, Child #1 and Child #2 did not have child service reports on file that were completed within the previous 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: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: During the Renewal Inspection on 9/12/2024, the most recent health report on file for Child #1, a preschool child was dated 8/1/2023.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On 9/12/2024, the financial agreement for Child #1 had not been updated by the parent within the previous 6 months. The emergency contact information and the financial agreement for Child #2 had not been updated by the parent in the previous 6 months.

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

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On 9/12/2024, the record for Child #2 and Child #3 did not contain consent for emergency medical care for the child and also did not contain consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #1 did not complete mandated reporter training within the required 60 time period. of every 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6/10/2016 and the updated mandated reporter training being completed on 6/9/2024. See LIS code sheet.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All staff must complete mandated reporter training at least once every 60 months.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Cert Rep observed 5 pack n plays that were not labeled for individual use.

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: Child #1, 2 & 3 are missing child service reports.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #2 is missing parents work address and phone number.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Child #1, 2 & 3 are missing updated emergency contacts and agreement forms.

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

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

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

Noncompliance Area: Child #1 is missing an updated health assessment, date of last health assessment 5/12/21.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Facility person #1 only completed 3 hours of annual training during their training year from 8/22-8/23

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Cert Rep observed rust on the baseboard heater in the children's bathroom near the kitchen. Cert Rep observe a missing ceiling tile in the preschool room. Cert Rep observed 12 water stained ceiling tiles in the preschool room.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #1 does not have a child service report on file.

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(b)

Description: Parent receives original

Noncompliance Area: Child #3 does not have an agreement on file.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Child #3's emergency contact is missing the physician's address and telephone number.

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)(6)

Description: Insurance coverage information

Noncompliance Area: Child #3 is missing the insurance policy number on the emergency contact.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Child #1 & 2 are missing updated emergency contact and financial agreements.

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

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

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

Noncompliance Area: Child #1 does not have an updated health assessment on file, date of last health assessment 8/24/21.

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

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

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: Child #1 & 2 do not have a current 2022 flu vaccine or a letter of exemption on file.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility person's #1, 2, 3, 4, 5, 6, & 7 did not complete the required health and safety training update by 12/30/22.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Facility person's #1, 2, 3, 4, 5, 6, & 7 have until May 10, 2023 to complete the 1 hour health and safety training update.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility person #3 does not have an NSOR clearance on file.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Child #1 is missing the person designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #1 is missing the work address of the enrolling parent.

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: Child #1 is missing health insurance coverage and 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: Child #1 is missing the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Child #1, 2 & 3 are missing updated emergency contact and financial agreements.

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

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

Noncompliance Area: Staff #5 started working with children prior to obtaining a health assessment and TB test. Health assessment is dated 8/31/22 and TB results 9/2/22.

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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Operator admitted an annual emergency drill has not been completed.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 has an expired FBI clearance dated 2/12/15. Staff #3 does not have a state police clearance on file. Staff #4 worked with a volunteer state police clearance dated 10/27/20 and a volunteer child abuse clearance dated 10/27/20 prior to obtaining required clearances. Staff #4 has a state police clearance dated 7/11/22 and a child abuse clearance dated 7/23/22. Staff #4 has a Department of Ed FBI clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, 3 & 4 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: At approximately 9:50am Cert Rep observed Staff #2 changing an infant and did not wash her or the infants hands after diapering.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Cert Rep observed two cribs that were not labeled for individual use.

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: 3270.21/3270.71

Description: General Health and Safety/Heat Source

Noncompliance Area: At the time of an unannounced monitoring visit Cert Rep observed the gate to the kitchen was not present and the stove was accessible to the children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of an unannounced visit Cert Rep observed a can of Lysol on the tray of a highchair accessible to the children.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Cert Rep observed tissues and napkins in an unlidded receptacle in the children's eating area.

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

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: Operator stated fire drills are completed every 60 days although documentation could not be provided.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Operator stated fire system checks are completed every 30 days although documentation could not be provided.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Cert Rep observed 2 exposed bolts on the corner of the fence near the road accessible to the children.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The rest cots in the preschool room are not labeled for individual use.

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)(1)

Description: Amount of fee

Noncompliance Area: Child #1 is missing the amount of the fee to be charged.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Child #1 is missing persons designated by a parent to whom the child may be released.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Child #1 & 2 are missing the date of the child's admission.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #1 is missing 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: Child #1 is missing the name, address and telephone number of the individual designated by the parent to whom the child may be released.

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

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

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

Noncompliance Area: Facility person #2 does not have an initial health assessment or a tuberculosis screening on file. Facility person #2's date of hire 5/17/21.

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: 3270.17(a)

Description: Accommodate a child with special needs

Noncompliance Area: Operator does not have a written plan to make reasonable accommodations to include a child with special needs.

Correction Required: The operator shall make reasonable accommodation to include a child with special needs in accordance with applicable Federal and State laws.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: Operator has not notified the 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.

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: 3270.175(a)

Description: Age appropriate restraints

Noncompliance Area: Certification Rep did not observe any safety restraints inside either van used to transport children to and from school. Operator admitted to transporting children 7 and younger without safety restraints, stated they use seat belts. Cert Rep discussed with operator children can not be transported until safety restraints are purchased and installed.

Correction Required: A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The emergency plan has not been updated/reviewed annually. Signature of last update is 8/20/19.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: Facility person's #1 & 2 are listed as an assistant group supervisor, although only have a high school diploma on file. Both facility person's are missing proof of 2 years experience.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Certification Rep observed 2 missing outlet covers in the area the children eat. Cert Rep also observed a missing outlet cover near the water fountain in the preschool room.

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

Noncompliance Area: There is a box of Culterelle Probiotic located on the medication shelf near the infant /toddler changing area that is not labeled with the child's name that it is intended for

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

Noncompliance Area: Scissors are missing from the transportation first-aid kit

Correction Required: A first-aid kit, including the contents as specified in 3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: Facility person #1 is listed as an assistant group supervisor but does not have documentation on file to verify 2500 hours of child care experience to qualify for this position

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

Noncompliance Area: Facility person #1 has a date of hire listed as 8/5/19 and has a PA volunteer child abuse clearance on file. The PA state criminal clearance was not requested until 8/20/19 and the disclosure statement is not dated. Facility person #2 does not have a signed disclosure statement on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility until a signed disclosure statement and all required clearances are on file.

Noncompliance Area: The girls bathroom located in the lower level preschool/school-age room is missing a handwashing sign

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: There is some clutter in the pathway of the exit located in the lower level rear of building that leads to the hallway to the outdoor exit

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

Noncompliance Area: There is a wooden cube toy with blocks attached to it on tracks in the toddler area that has areas of orange peeling paint on the wood portion

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

Noncompliance Area: There are some plastic toy figures accessible to children under three years old located in the cubbies near the changing area that are less than an inch in diameter

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.

Noncompliance Area: When Cert rep. arrived to conduct the renewal inspection on 9/17/18 Cert rep. observed one staff person physically present with her group of infants. Facility persons # 2, 3 and 4 were in the office and while they could observe some of the children through a glass window they were not physically present to see, hear and assess all of the children in their assigned groups. They immediately went to their groups when Cert rep. arrived.

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.

Noncompliance Area: Child file #1 is missing the work address of the enrolling parent on the emergency contact form

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

Noncompliance Area: Child file #3 is missing and updated health assessment on file for a young toddler which must be updated every six months

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

Noncompliance Area: Facility person #1 has a date of hire listed as 9/5/18 and does not have a physical and TB test on file

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

Noncompliance Area: The facility does not have written feeding schedules from parents for the infants in care

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

Noncompliance Area: Child file #2 is missing written parental consent for the administration of minor first-aid procedures

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

Noncompliance Area: Facility person #1 is missing one written reference

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

Noncompliance Area: Facility person #1 is currently working at the facility without having verification on file of sending for a PA Criminal Clearance or having been fingerprinted for an FBI clearance. Facility person #1 was observed supervising children in the preschool room without a qualified staff person present to supervise.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: Facility person #1, listed as an aide, was observed supervising children in the preschool room without a qualified staff person present to supervise.

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.

Noncompliance Area: There are holes in the ceiling located in the corner by the door in the preschool room

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

Noncompliance Area: Cert rep. observed infants in care that do not have a crib assigned to them. Staff stated that if an infant falls asleep they move a toddler out of a pack n play onto a mat and they sanitize the pack n play so they can place the infant in the crib. The rest equipment is not labeled for use by a specific child and only used by that child while in care.

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.

Noncompliance Area: During inspection visit on 4/23/18 Cert rep. observed a total of 17 children of mixed ages in the fenced in outdoor play space but the capacity of the fenced in outdoor space only allows for 7 children at one time

Correction Required: Outdoor or indoor play space shall be measured at 65 square feet per child

Noncompliance Area: During unannounced visit to facility on 2/28/18 Cert rep. observed 26 children during nap-time with two staff present. There were 4 infants, 5 young toddlers, 6 older toddlers and 11 preschool children present with facility persons #1 and 2. Three staff are required. Facility person #1 said that she did not know that the ratio for infants did not double during nap-time. Facility person #1 said two additional staff were getting supplies and would be returning shortly. The two staff arrived a couple minutes later. During verification visit on 4/23/18 Cert rep. observed 3 infants, 5 young toddlers, 4 older toddlers and 5 preschool children in the outdoor play area with 3 staff present. A 4th staff person would be required. A few minutes later facility person #1 came outside to join the other staff.

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.The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children

Noncompliance Area: OBSERVED A ZIP LOC TYPE PLASTIC BAG ON IN A CUBBY IN THE TODDLER AREA THAT IS ACCESSIBLE TO CHILDREN.

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.

Noncompliance Area: DURING THE INSPECTION ON 9/18/17, REP OBSERVED A STAFF PERSON LEAVE THE INFANT ROOM WHILE 3 INFANTS WERE IN CRIBS IN THE ROOM. REP WENT TO ROOM TO VERIFY THAT CHILDREN WERE IN ROOM AND CALL THE STAFF BACK INTO THE ROOM. REP DISCUSSED SUPERVISION REQUIREMENTS WITH THE STAFF PERSON AND DIRECTOR IMMEDIATELY.

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.

Noncompliance Area: CHILD #1 DOES NOT HAVE RELEASE PERSON'S ADDRESS ON THE EMERGENCY INFORMATION FORM.

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

Noncompliance Area: OBSERVED CANS OF HOUSE PAINT IN THE SCHOOL AGE ROOM THAT ARE ACCESSIBLE TO CHILDREN AND LABELED "kEEP AWAY FROM CHILDREN". ALSO OBSERVED CLEAINING SOLUTION ON AN ACCESSIBLE SHELF.OPERATOR STATES THAT ROOM IS NOT BEING USED FOR CARE AT THIS TIME.

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

Noncompliance Area: OBSERVED PEELING PAINT BEHIND THE DOOR IN THE INFANT ROOM. ALSO OBSERVED A LEAK IN THE CEILING OF THE SCHOOL AGE ROOM AS WELL AS STAINED AND MISSING CEILING TILES. COBWEBS AND DEAD INSECTS WERE ALSO PRESENT ON THE WINDOWSILL IN THE SCHOOL AGE ROOM.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: tHE EVACUATION ROUTE AND THE DAILY SCHEDULE WERE NOT POSTED IN THE INFANT ROOM.

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